About Acadia Pharmaceuticals

Acadia is committed to turning scientific promise into meaningful innovation that makes the difference for underserved neurological and rare disease communities around the world. Our commercial portfolio includes the first and only FDA-approved treatments for Parkinson’s disease psychosis and Rett syndrome. We are developing the next wave of therapeutic advancements with a robust and diverse pipeline that includes mid- to late-stage programs in Alzheimer’s disease psychosis and Lewy body dementia psychosis, along with earlier-stage programs that address other underserved patient needs. At Acadia, we’re here to be their difference.

Seeking talent near: Detroit, MI; Washington DC; Pittsburgh, PA; Columbus, OH

As a Patient Educator, you’ll be at the heart of our mission to empower patients and caregivers navigating the challenges of Parkinson’s Disease Psychosis (PDP). In this vital role, you’ll deliver compassionate, clear, and actionable disease state education—helping individuals understand their condition and explore treatment options, including NUPLAZID®. You’ll serve as a trusted guide during early patient engagement, bridging the gap between diagnosis and ongoing support. By ensuring a smooth transition to ACADIA Connect and Patient Access Managers (PAMs), you’ll help patients access the resources they need for coverage, affordability, and long-term treatment adherence.

Key Responsibilities:

Patient Caregiver Support

• Deliver pre-prescription (pre-NBRx) disease state education to patients and caregivers via small group meetings and presentations to advocacy groups, community-based organizations, and professional societies.
• Provide information regarding product efficacy, safety, and access support available through ACADIA Connect to patients and/or caregivers who have opted in through various programs.
• Offer approved educational resources helping patients and caregivers understand their disease and empower them to talk to their doctor about PDP.
• Distribute approved educational materials to enhance patient and caregiver awareness of PDP and potential treatment with NUPLAZID®.
• Build trusting relationships to ensure patients and caregivers feel supported throughout their journey.

Access & Coverage Coordination

• Collaborate with Patient Access Managers (PAMs) to address patient or caregiver questions related to coverage, reimbursement, and affordability.
• Facilitate the referral and transition process for patients into ACADIA Connect for comprehensive access assistance.

Cross-Functional Collaboration

• Partner primarily with Neurology Sales Specialists and Long-Term Care Sales Specialists to ensure community-based healthcare providers are aware of Patient Educator resource provided by ACADIA.
• Respond to inquiries generated through patient/caregivers, key customers, community organizations, and/or advocacy events.
• Collaborate with community-based organizations, advocacy organizations, and professional societies to support patient and caregiver education programs.

Education and Program Enhancement

• Provide feedback and insights to the marketing team to improve patient engagement and educational initiatives.

Qualifications:

• Bachelor’s degree in nursing, social work, psychology, or a related healthcare field; advanced degree preferred.
• Minimum of 3–5 years of experience in pharma with preferred candidates having experience in patient education, patient navigation, advocacy, or pharmaceutical patient support services.
• Knowledge of neurology, psychiatry, or movement disorders preferred, experience with Parkinson’s Disease or PDP strongly desired.
• Demonstrated ability to build empathetic and supportive relationships with patients and caregivers.
• Excellent communication, interpersonal, and active listening skills.
• Experience collaborating across marketing, patient support services, advocacy, and field-based teams.
• Familiarity with compliance standards for patient-facing pharmaceutical roles.
• Ability to meet travel requirements, including driving and overnight stays; air travel as needed.

Competencies:

• Patient-Centered Focus – Dedicated to improving patient and caregiver experiences.
• Empathy & Emotional Intelligence – Skilled at providing compassionate support.
• Collaboration & Teamwork – Works effectively across functions and with external partners.
• Strong Communication– Clear and effective educator with patients, caregivers, and internal teams.
• Adaptability & Initiative– Proactive in meeting evolving patient needs.
• Privacy, Compliance & Confidentiality – Consistently safeguards patient health information and adheres to company compliance and privacy standards; exercises discretion in all patient and caregiver interactions.

Physical Requirements:

This role involves regular standing, walking, sitting, and the use of hands for handling or operating equipment. The employee may also need to reach, climb, balance, stoop, kneel, crouch, and maintain visual, verbal, and auditory communication both in a standard office environment and while working independently from remote locations. Employee must occasionally lift and/or move up to 20 pounds.  This position requires the ability to travel independently overnight and/or work after hours as required by travel schedule or business needs.

Must reside within the territory (or within 30 miles of its border) and, depending on territory needs, within reasonable proximity to a major airport. Requires eligibility to drive a company vehicle and ability to travel independently by air. Travel may be up to 75% of the time, including occasional after-hours work based on business needs.

#LI-REMOTE  #LI-SM1

In addition to a competitive base salary, this position is also eligible for discretionary bonus and equity awards based on factors such as individual and organizational performance. Actual amounts will vary depending on experience, performance, and location.

Salary Range

$109,500—$136,900 USD

What we offer US-based Employees:

• Competitive base, bonus, new hire and ongoing equity packages
• Medical, dental, and vision insurance
• Employer-paid life, disability, business travel and EAP coverage
• 401(k) Plan with a fully vested company match 1:1 up to 5%
• Employee Stock Purchase Plan with a 2-year purchase price lock-in
• 15+ vacation days
• 13 -15 paid holidays, including office closure between December 24th and January 1st
• 10 days of paid sick time
• Paid parental leave benefit
• Tuition assistance

EEO Statement (US-based Employees): Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications in the exact way they are described in job postings. We are committed to building a diverse, equitable, inclusive, and innovative company, and we are looking for the BEST candidate for the job. That candidate may be one who comes from a less traditional background or may meet the qualifications in a different way. We strongly encourage you to apply, especially if the reason you are the best candidate isn’t exactly what we describe here.

It is the policy of Acadia to provide equal employment opportunities to all employees and employment applicants without regard to considerations of race, including related to hairstyle, color, religion or religious creed, sexual orientation, gender, gender identity, gender expression, gender transition, country of origin, ancestry, citizenship, age, physical or mental disability, genetic information, legally-protected medical condition or information, marital status, domestic partner status, family care status, military caregiver status, veteran or military status (including reserve status, National Guard status, and military service or obligation), status as a victim of domestic violence, sexual assault or stalking, enrollment in a public assistance program, or any basis protected under federal, state or local law.

As an equal opportunity employer, Acadia is committed to a diverse workforce. If you are a qualified individual with a disability or a disabled veteran, you have the right to request a reasonable accommodation. Furthermore, you may request additional support if you are unable or limited in your ability to use or access Acadia’s career website due to your disability, along with any accommodations throughout the interview process. To request or inquire about your reasonable accommodation, please complete our Reasonable Accommodation Request Form or contact us at talentacquisition@acadia-pharm.com or 858-261-2923.

Please note that reasonable accommodations granted throughout the recruiting process are not guaranteed to be the same accommodations given if hired. A new request will need to be submitted for any ADA accommodations after starting employment.

California Applicants: Please see Additional Information for California Residents within our Privacy Policy.

Canadian Applicants: Please seeAdditional Information for Canadian Residents within our Privacy Policy.

Applicants in the European Economic Area, Switzerland, the United Kingdom, and Serbia: Please see Additional Information for Individuals in the European Economic Area, Switzerland, the United Kingdom, and Serbia within our Privacy Policy.

Notice to Search Firms/Third-Party Recruitment Agencies (Recruiters): The Talent Acquisition team manages the recruitment and employment process for Acadia Pharmaceuticals Inc. (“Acadia”). Acadia does not accept resumes from recruiters or search firms without an executed search agreement in place. Resumes sent to Acadia employees in the absence of an executed search agreement will not obligate Acadia in any way with respect to the future employment of those individuals or potential remuneration to any recruiter or search firm. Candidates should never be submitted directly to our hiring managers or employees.

About Acadia Pharmaceuticals

Acadia is committed to turning scientific promise into meaningful innovation that makes the difference for underserved neurological and rare disease communities around the world. Our commercial portfolio includes the first and only FDA-approved treatments for Parkinson’s disease psychosis and Rett syndrome. We are developing the next wave of therapeutic advancements with a robust and diverse pipeline that includes mid- to late-stage programs in Alzheimer’s disease psychosis and Lewy body dementia psychosis, along with earlier-stage programs that address other underserved patient needs. At Acadia, we’re here to be their difference.

Location: Field-based position covering the West region, including Northern California, Oregon, and Washington. Candidates may reside anywhere within the assigned territory

Position Summary

The Senior Medical Science Liaison (MSL), Rare Disease - West serves as a key scientific resource within Medical Affairs, building trusted relationships with healthcare professionals, key opinion leaders (KOLs), researchers, and advocacy organizations. This field-based role is responsible for facilitating scientific exchange, advancing medical education, and providing strategic insights that support Acadia’s rare disease portfolio. The Senior MSL partners cross-functionally to deliver accurate, balanced scientific information while helping advance patient-focused research and therapeutic innovation. This field-based role is responsible for the West region, with coverage spanning Northern California, Oregon, and Washington, including major academic and community healthcare centers throughout the territory. Candidates may reside anywhere within the assigned region and must be able to travel up to 75%.

Primary Responsibilities

• Identifies and develops relationships with national and regional medical and scientific thought leaders, patient advocacy groups, and centers of excellence consistent with the strategy and objectives of Acadia’s Medical Affairs Development.
• Engages national and regional thought leaders to align interests, discuss research and medical information, and participate in scientific exchange and education about current and emerging therapies.
• Provides research trial site support and investigator-initiated research proposal cultivation and facilitation.
• Develops and maintains scientific, clinical and therapeutic expertise for Acadia’s portfolio.
• Cross-functionally collaborates, following all compliance guidelines, with regional field leadership partners including Regional Business Leaders (RBL) and Account  Business Managers (ABMs).
• Provides strategic field insights.
• Identifies disease concepts and compound characteristics that can be leveraged into product differentiation.
• Provide appropriate scientific, clinical, and educational support for internal and external clients.
• Represents the company at specific continuing educational events, programs, medical meetings and conventions.
• Supports Commercial operations by participating in Speaker and Sales Representative Training.
• Partners with the internal departments to ensure accurate delivery of medical and scientific information.
• Performs other duties as assigned.

Education/Experience/Skills

• Advanced degree required (MD, PharmD, or PhD) in a scientific discipline or related field
• Minimum 5 years of pharmaceutical or biotechnology industry experience
• Experience supporting rare diseases, epilepsy, neurology, or psychiatry therapeutic areas strongly preferred
• Previous Medical Science Liaison experience preferred
• Knowledge of pharmaceutical industry regulations, compliance requirements, and clinical research practices
• Ability to travel up to 75%, including overnight travel, with residence located within the assigned territory
• Proficiency with Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint

Physical Requirements

This role involves regular standing, walking, sitting, and the use of hands for handling or operating equipment. The employee may also need to reach, climb, balance, stoop, kneel, crouch, and maintain visual, verbal, and auditory communication in a standard office environment and while working independently from remote locations. The employee must occasionally lift and/or move up to 20 pounds.  This position requires the ability to travel independently overnight and/or work after hours as required by travel schedules or business needs.

In addition to a competitive base salary, this position is also eligible for discretionary bonus and equity awards based on factors such as individual and organizational performance. Actual amounts will vary depending on experience, performance, and location.

Salary Range

$181,300—$226,600 USD

What we offer US-based Employees:

• Competitive base, bonus, new hire and ongoing equity packages
• Medical, dental, and vision insurance
• Employer-paid life, disability, business travel and EAP coverage
• 401(k) Plan with a fully vested company match 1:1 up to 5%
• Employee Stock Purchase Plan with a 2-year purchase price lock-in
• 15+ vacation days
• 13 -15 paid holidays, including office closure between December 24th and January 1st
• 10 days of paid sick time
• Paid parental leave benefit
• Tuition assistance

EEO Statement (US-based Employees): Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications in the exact way they are described in job postings. We are committed to building a diverse, equitable, inclusive, and innovative company, and we are looking for the BEST candidate for the job. That candidate may be one who comes from a less traditional background or may meet the qualifications in a different way. We strongly encourage you to apply, especially if the reason you are the best candidate isn’t exactly what we describe here.

It is the policy of Acadia to provide equal employment opportunities to all employees and employment applicants without regard to considerations of race, including related to hairstyle, color, religion or religious creed, sexual orientation, gender, gender identity, gender expression, gender transition, country of origin, ancestry, citizenship, age, physical or mental disability, genetic information, legally-protected medical condition or information, marital status, domestic partner status, family care status, military caregiver status, veteran or military status (including reserve status, National Guard status, and military service or obligation), status as a victim of domestic violence, sexual assault or stalking, enrollment in a public assistance program, or any basis protected under federal, state or local law.

As an equal opportunity employer, Acadia is committed to a diverse workforce. If you are a qualified individual with a disability or a disabled veteran, you have the right to request a reasonable accommodation. Furthermore, you may request additional support if you are unable or limited in your ability to use or access Acadia’s career website due to your disability, along with any accommodations throughout the interview process. To request or inquire about your reasonable accommodation, please complete our Reasonable Accommodation Request Form or contact us at talentacquisition@acadia-pharm.com or 858-261-2923.

Please note that reasonable accommodations granted throughout the recruiting process are not guaranteed to be the same accommodations given if hired. A new request will need to be submitted for any ADA accommodations after starting employment.

California Applicants: Please see Additional Information for California Residents within our Privacy Policy.

Canadian Applicants: Please seeAdditional Information for Canadian Residents within our Privacy Policy.

Applicants in the European Economic Area, Switzerland, the United Kingdom, and Serbia: Please see Additional Information for Individuals in the European Economic Area, Switzerland, the United Kingdom, and Serbia within our Privacy Policy.

Notice to Search Firms/Third-Party Recruitment Agencies (Recruiters): The Talent Acquisition team manages the recruitment and employment process for Acadia Pharmaceuticals Inc. (“Acadia”). Acadia does not accept resumes from recruiters or search firms without an executed search agreement in place. Resumes sent to Acadia employees in the absence of an executed search agreement will not obligate Acadia in any way with respect to the future employment of those individuals or potential remuneration to any recruiter or search firm. Candidates should never be submitted directly to our hiring managers or employees.

FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.

We pride ourselves on our values which drive the level of care that we deliver to our patients:

• Here For You (An attitude of service, empathy, and availability)
• Own It (Drive and ownership)
• Do the Right Thing (High integrity)
• Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a Lead Nurse for our Colorado team!

Position Overview

The Lead Nurse is responsible for providing clinical leadership, oversight, and support for FreedomCare’s Colorado Care Management Team. This role supervises Care Managers while ensuring the delivery of safe, compliant, and person-centered clinical services.

The Lead Nurse partners closely with Operations, Compliance, Quality, and cross-functional teams to oversee clinical workflows, documentation, regulatory compliance, and quality improvement initiatives. This role serves as the primary clinical resource for Colorado, supporting Care Managers in delivering exceptional patient care while ensuring adherence to Colorado Medicaid requirements, FreedomCare policies, and industry best practices.

The Lead Nurse plays a key role in developing clinical processes, improving operational efficiency, supporting team development, and promoting a culture of accountability, collaboration, and continuous improvement.

Responsibilities

Every Day You Will:

Clinical Leadership

• Provide day-to-day leadership, mentorship, and clinical guidance to the Colorado Care Management team.
• Serve as the primary clinical subject matter expert (SME) for Colorado operations.
• Support Care Managers with complex clinical cases, escalations, and changes in participant condition.
• Review and approve care plans to ensure they accurately reflect participant needs, authorizations, and regulatory requirements.
• Assist Operations leadership in planning, implementing, and evaluating new clinical programs and initiatives.

Quality & Compliance

• Ensure compliance with Colorado Medicaid regulations, contractual requirements, and FreedomCare clinical policies by overseeing caregiver qualifications and training records, service authorizations, care plan implementation, documentation standards, and critical incident reporting.
• Monitor clinical documentation for accuracy, completeness, and timeliness.
• Conduct routine chart audits and documentation reviews to maintain audit readiness.
• Identify compliance risks, documentation gaps, and workflow improvement opportunities while implementing corrective actions as needed.
• Participate in internal audits, quality improvement initiatives, and regulatory reviews.
• Support investigation and follow-up of incidents, hospitalizations, complaints, and changes in participant condition.

Team Leadership

• Supervise, coach, and develop Care Managers through regular feedback, mentorship, and performance management.
• Partner with Operations leadership to assist with recruiting, interviewing, onboarding, and training new clinical team members.
• Promote consistent clinical practices through education, competency development, and ongoing coaching.
• Foster a collaborative, positive work environment aligned with FreedomCare’s core values: Here For You, Own It, Do the Right Thing, Be Positive

Operational Excellence

• Monitor day-to-day clinical operations by analyzing workflows, productivity, and quality metrics.
• Develop and improve clinical workflows, standard operating procedures (SOPs), and best practices.
• Support the implementation of new clinical programs, operational initiatives, and regulatory changes while ensuring successful adoption by the Care Management team.
• Partner with Operations, Compliance, and other departments and external vendors to improve clinical operations and patient outcomes.
• Support caregiver oversight in collaboration with Care Managers.
• Monitor clinical capacity and assist in workload distribution to ensure timely patient services.

Education and Experience

• Active Registered Nurse (RN) license in good standing (Compact licensure to serve multiple states or willingness to obtain strongly preferred).
• Bachelor of Science in Nursing (BSN) required, master’s degree in nursing, Healthcare Administration, Public Health, or related field preferred.
• Minimum 3–5 years clinical nursing experience working with elders and/or adults with disabilities in home- and community-based settings (HCBS), long-term services and supports (LTSS), case management, or chronic disease management.
• 2+ years in a clinical leadership, supervisory, or program management role, preferably within Medicaid-funded programs.
• Minimum 1 year of experience developing, writing, or implementing Standard Operating Procedures (SOPs) or similar policies, workflows, or clinical process documentation.

Qualifications

Experience supporting patients and caregivers in a homecare environment including caregiver coaching, care plan development, and long-term services coordination.

• Strong regulatory compliance orientation with the ability to translate state requirements into internal workflows and training.
• Experience serving as a subject-matter expert, escalation point, or clinical resource for staff.
• Strong communication and interpersonal skills.
• Proficiency in using office software (e.g., Microsoft Office suite).
• Problem-solving and decision-making abilities.
• Organizational and multitasking skills.
• Excellent communication, critical thinking, and organizational skills
• Experience using a CRM (Salesforce is a plus)
• Self-motivated
• Able to thrive in a fast-paced start-up environment

Why work at FreedomCare?

We are here for you and committed to providing a best-in-class employee experience, starting with the following offerings:

• Medical, dental, and vision
• Life, STD, and LTD insurance401(k) match
• Wellness Programs
• Internet
• Reimbursement
• Gym
• Reimbursement
• Competitive Compensation
• Continued Education
• Opportunities for growth

Technology Focused We invest in technology and tools to facilitate seamless communication, collaboration, and productivity for all workers.

This is a place where your voice matters, we build great relationships, and your work has meaning and a tangible positive impact on others!

At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.

#INHV

At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. The base pay range for this role is between $100,000 and $120,000 per year at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.

Compensation Range

$100,000—$120,000 USD

Company Description

Welcome to Ability Action Australia, where we help NDIS participants (0–65 years) get _more_ out of life, more independence, more confidence, more growth, more wins.

Every day, we’re in the community helping people do life better… and honestly, it feels pretty epic.

Job Description

As a Positive Behaviour Support Practitioner, you’ll be a supporter, a strategist, a behaviour detective and _occasionally_ the person who teaches everyone to breathe again after a meltdown.

Your work will be meaningful, hands‑on, and genuinely life‑changing for the people you support.

This role is based in Jindalee and surrounding areas, where you will support NDIS participants within the local community.

What you’ll be doing

• Evaluating, developing & delivering evidence-based support plans
• Creating meaningful goals using a positive behaviour support framework
• Building capacity in the people who support our participants, families, carers, friends, support workers
• Working alongside a brilliant multidisciplinary team
• Championing the reduction (and elimination!) of restrictive practices

You’ll thrive with us if you:

✔ Hold a degree in allied health or a related field

✔ Have experience reading, implementing, reviewing or creating behaviour support plans

✔ Hold NDIS Behaviour Support Practitioner status

✔ Don’t yet have BSP registration? That’s okay- we can help you get there

✔ Have a genuine passion for disability support

✔ Have experience working with complex and challenging behaviours

✔ Love working with people _and_ love writing (yes, there will be paperwork)

Why You’ll Love Working With Us

We look after our people - properly.

• Flexibility: Enjoy a hybrid working model that combines the convenience of working from home with meaningful connection in the community.
• Excellent remuneration: Generous salary, car allowance, laptop, phone + salary packaging
• Work‑life balance: Work from home, the office, clinics or even your favourite café…choose what works best for you.
• Career growth: Ongoing professional development, clear progression opportunities, and pathways across Ability Action Australia and the MedHealth family.
• Culture: A purpose‑driven, supportive, and uplifting team - full of good humans who have your back.

If this sounds like your kind of role, I’d love to chat.

Apply now and become part of a team that changes lives, including your own.

Reach out to me for a chat Benita Kempton 0476 795 843

#AAA

#LI-BEK

Additional Information

You are welcome here.

Our fast-growing team of more than 4,000 people around Australia represent a huge array of life experiences, skills and ways of thinking. We value all these differences.

We are an Equal Opportunity Employer, proudly welcoming people with disability including mental health conditions, people from diverse cultural and linguistic backgrounds, people from the LGBTQIA+ community, veterans, carers and Indigenous Australians to our team.

We are happy to adjust our recruitment process to support accessibility needs.

FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.

We pride ourselves on our values which drive the level of care that we deliver to our patients:

• Here For You (An attitude of service, empathy, and availability)
• Own It (Drive and ownership)
• Do the Right Thing (High integrity)
• Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a Lead Nurse for our Colorado team!

Position Overview

The Lead Nurse is responsible for providing clinical leadership, oversight, and support for FreedomCare’s Colorado Care Management Team. This role supervises Care Managers while ensuring the delivery of safe, compliant, and person-centered clinical services.

The Lead Nurse partners closely with Operations, Compliance, Quality, and cross-functional teams to oversee clinical workflows, documentation, regulatory compliance, and quality improvement initiatives. This role serves as the primary clinical resource for Colorado, supporting Care Managers in delivering exceptional patient care while ensuring adherence to Colorado Medicaid requirements, FreedomCare policies, and industry best practices.

The Lead Nurse plays a key role in developing clinical processes, improving operational efficiency, supporting team development, and promoting a culture of accountability, collaboration, and continuous improvement.

Responsibilities

Every Day You Will:

Clinical Leadership

• Provide day-to-day leadership, mentorship, and clinical guidance to the Colorado Care Management team.
• Serve as the primary clinical subject matter expert (SME) for Colorado operations.
• Support Care Managers with complex clinical cases, escalations, and changes in participant condition.
• Review and approve care plans to ensure they accurately reflect participant needs, authorizations, and regulatory requirements.
• Assist Operations leadership in planning, implementing, and evaluating new clinical programs and initiatives.

Quality & Compliance

• Ensure compliance with Colorado Medicaid regulations, contractual requirements, and FreedomCare clinical policies by overseeing caregiver qualifications and training records, service authorizations, care plan implementation, documentation standards, and critical incident reporting.
• Monitor clinical documentation for accuracy, completeness, and timeliness.
• Conduct routine chart audits and documentation reviews to maintain audit readiness.
• Identify compliance risks, documentation gaps, and workflow improvement opportunities while implementing corrective actions as needed.
• Participate in internal audits, quality improvement initiatives, and regulatory reviews.
• Support investigation and follow-up of incidents, hospitalizations, complaints, and changes in participant condition.

Team Leadership

• Supervise, coach, and develop Care Managers through regular feedback, mentorship, and performance management.
• Partner with Operations leadership to assist with recruiting, interviewing, onboarding, and training new clinical team members.
• Promote consistent clinical practices through education, competency development, and ongoing coaching.
• Foster a collaborative, positive work environment aligned with FreedomCare’s core values: Here For You, Own It, Do the Right Thing, Be Positive

Operational Excellence

• Monitor day-to-day clinical operations by analyzing workflows, productivity, and quality metrics.
• Develop and improve clinical workflows, standard operating procedures (SOPs), and best practices.
• Support the implementation of new clinical programs, operational initiatives, and regulatory changes while ensuring successful adoption by the Care Management team.
• Partner with Operations, Compliance, and other departments and external vendors to improve clinical operations and patient outcomes.
• Support caregiver oversight in collaboration with Care Managers.
• Monitor clinical capacity and assist in workload distribution to ensure timely patient services.

Education and Experience

• Active Registered Nurse (RN) license in good standing (Compact licensure to serve multiple states or willingness to obtain strongly preferred).
• Bachelor of Science in Nursing (BSN) required, master’s degree in nursing, Healthcare Administration, Public Health, or related field preferred.
• Minimum 3–5 years clinical nursing experience working with elders and/or adults with disabilities in home- and community-based settings (HCBS), long-term services and supports (LTSS), case management, or chronic disease management.
• 2+ years in a clinical leadership, supervisory, or program management role, preferably within Medicaid-funded programs.
• Minimum 1 year of experience developing, writing, or implementing Standard Operating Procedures (SOPs) or similar policies, workflows, or clinical process documentation.

Qualifications

Experience supporting patients and caregivers in a homecare environment including caregiver coaching, care plan development, and long-term services coordination.

• Strong regulatory compliance orientation with the ability to translate state requirements into internal workflows and training.
• Experience serving as a subject-matter expert, escalation point, or clinical resource for staff.
• Strong communication and interpersonal skills.
• Proficiency in using office software (e.g., Microsoft Office suite).
• Problem-solving and decision-making abilities.
• Organizational and multitasking skills.
• Excellent communication, critical thinking, and organizational skills
• Experience using a CRM (Salesforce is a plus)
• Self-motivated
• Able to thrive in a fast-paced start-up environment

Why work at FreedomCare?

We are here for you and committed to providing a best-in-class employee experience, starting with the following offerings:

• Medical, dental, and vision
• Life, STD, and LTD insurance401(k) match
• Wellness Programs
• Internet
• Reimbursement
• Gym
• Reimbursement
• Competitive Compensation
• Continued Education
• Opportunities for growth

Technology Focused We invest in technology and tools to facilitate seamless communication, collaboration, and productivity for all workers.

This is a place where your voice matters, we build great relationships, and your work has meaning and a tangible positive impact on others!

At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.

At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. The base pay range for this role is between $100,000 and $120,000 per year at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.

Compensation Range

$100,000—$120,000 USD

Headquarters: U.S. Employees (Remote)
URL: http://sunlife.com

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.  

DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.

 

Job Description:

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK.

** Candidate must reside in the state of Iowa.

The Opportunity:

The Clinical Investigator is responsible for the retrospective review of paid claims and analysis of claims data to identify provider fraud, waste or abuse. The Clinical Investigator will conduct in-depth analysis, peer analysis trend analysis and statistical analysis to identify providers whose utilization patterns are outside of the expected norm from their peers in their assigned markets. They will have full responsibility for all contractual obligations for their assigned clients related to fraud, waste or abuse. The Clinical Investigator is responsible for the professional relationship with assigned clients related to fraud, waste and abuse and is responsible for all aspects of the investigative process from identification, initiation, completion and referral of the investigation as applicable. The Clinical Investigator is responsible for working with providers to educate, impose corrective action and to reach case resolution. The Investigator works closely with clients, managed care organizations, state agencies and law enforcement related to their investigations as required.

How you will contribute:  

• Responsible for clinical interpretation of dental radiographs.

• Independently interpret utilization reports to detect patterns and potential areas of fraud, waste or abuse.

• Query data to conduct comprehensive drill down data analysis to detect patterns and trends of under and over utilization.

• Investigate provider and member fraud and abuse in assigned markets.

• Manage multiple clients and associated provider networks related to fraud, waste and abuse investigation.

• Work with and in consultation with DentaQuest Dental Directors during the investigative process to assure accurate and defensible clinical decisions.

• Responsible for the accuracy of all investigative decisions and that the decisions are clinically sound,  supported by appropriate and documented authority and defensible.

• Assure all audit decisions are in compliance with Medicare regulations, State Medicaid Guidelines, DentaQuest Office Reference Manual and plan benefit limitations.

• Assist management in overpayment negotiations with providers related to the results and findings of an investigation.

• Responsible for the implementation and updating of all client processes related to Fraud, Waste and Abuse.

• Maintain the professional relationship with assigned client contacts related to fraud, waste and abuse investigation.

• Responsible for all investigation and client related communications to providers for provision of investigative facts and findings.

• Responsible for all client facing meetings related to fraud, waste and abuse.

• Track all investigative cases in accurate timeline format in internal fraud tracking database.

• Have the ability to independently manage workflow to meet business needs, assure contractual obligations for all clients are met and to meet departmental metrics.

• Responsible for the development of interdepartmental relationships to assure all issues related to fraud, waste or abuse are identified and appropriately investigated.

• Responsible for the preparation and accuracy of recovery documents for processing and assure that they are completed correctly and in a timely fashion.

• Responsible for all assigned client contractual reporting requirements related to investigative activity and outcomes.

• Maintain professional relationships with market assigned, state Medicaid agencies, and state and federal law enforcement agencies.

• Assist in the ongoing evaluation of departmental policies and procedures.

 What you will bring with you:  

• Licensed Registered Dental Hygienist is preferred.

• 3 + years clinical experience and/or related investigative business experience.

• Experience in Dental Utilization Management or Review, preferred

Preferred skills

• Knowledge of general computer software (Excel, Word, Outlook, Adobe).

• Clinical experience and knowledge of dental procedures and terminology is required.

• Effective oral communication and business writing skills are required.

• Attention to detail, accuracy and organizational skills are essential.

• Effective interpersonal skills are essential.

• Ability to prioritize and adapt to changing priorities is essential.

Salary:

Salary Range: $54,100 - $81,200

At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

Not ready to apply yet but want to stay in touch?   Join our talent community to stay connected until the time is right for you! 

We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive.  We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate.  We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.  Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account.  Enjoy a flexible, inclusive and collaborative work environment that supports career growth.  We’re proud to be recognized in our communities as a top employer.  Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row.  Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.com to request an accommodation.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Category:

Claims - Health & Dental

Posting End Date:

30/07/2026

To apply: https://weworkremotely.com/remote-jobs/sun-life-iowa-clinical-investigator-consultant-must-reside-in-iowa-1

Make a difference every day by joining CCRES as a Behavior Consultant / Behavior Analyst / BCBA in partnership with the Chester County Intermediate Unit!

***BCBA SIGN ON BONUS***

• $5,000 - Sign on bonus:

  • Eligible to BCBAs in H&CS that are *hired for a minimum of 25 billable hours.
  • Bonus of $2,500: 1st installment is after the first billable service. Second installment of $2,500 issued 90 days after hire.

RATES:

• $85 per hour - Board Certified Behavior Analyst (BCBA) - must have active BSL

• $60 per hour - Behavior Consultant (BC) - must have ABA coursework and an active BSL

SUMMARY:

The Behavior Consultant (BC) / Behavior Analyst (BCBA) is an independent contract position and a member of an interdisciplinary clinical team:

• Anticipated school-based hybrid support in Southern Chester County, PA school districts.
• Hours are primarily school-based, but must have flexibility for in-home parent training.
• BC / BA may work during school, after-school, or evening hours depending on program needs.
• Flexible scheduling for work/life balance!

RESPONSIBILITIES:

• Write and monitor individual treatment plans for children diagnosed with behavioral and mental health disorders. These disorders include, but are not limited to: Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD).
• Provide assistance in the development of adaptive skills in order for the diagnosed child to take a more positive role in the school, home & community setting.
• Provide prescribed behavioral consultation to the family and / or school.
• Train Support Staff on appropriate therapeutic interventions.
• Write Functional Behavioral Assessments (FBA).

QUALIFICIATIONS:

• BCBA with PA Behavior Specialist License (OR)

• Master’s Degree in applied behavior analysis (ABA) or a related program AND PA License in one of the following: Psychologist, Professional Counselor, Marriage and Family Therapist, Clinical Social Worker, Social Worker, Behavior Specialist, Certified Registered Nurse Practitioner:

  • AND At least 12 credits in ABA from a college/university and 1 year of full-time experience providing ABA
  • OR At least 1 year of full-time experience in the provision of ABA under the supervision of a BCBA or similar certification and 40 hours of training in ABA.

CREDENTIALS:

(Clearances current within 12 months)

• BCBA OR PA Licensed Psychologist, Professional Counselor, Marriage and Family Therapist, Clinical Social Worker, Social Worker, Behavior Specialist, Certified Registered Nurse Practitioner
• PA Child Abuse (Act 151) Clearance
• PA Criminal (Act 34) Clearance
• FBI - Department of Human Service clearance - Service code: 1KG738
• FBI - Department of Education clearance - Service code: 1KG6XN
• TB screening - current within 3 months
• Professional Liability Insurance

The Behavior Consultant / Behavior Analyst / BCBA positions are independent contract (1099) positions. No benefits are associated with these roles.

ABOUT CCRES

As a 501©(3) non-profit, CCRES Educational and Behavioral Health Services is an organization of dedicated and highly-trained staff members who provide quality services to schools, children, adults, and families. We work in partnership with the Home & Community Services (H&CS) program of the CCIU to provide the highest quality behavioral health school district services to individuals with special needs.

MISSION STATEMENT

The mission of CCRES is to ensure quality educational and human service programs for children, families, and schools. Through innovative partnerships, we provide human resources and grant opportunities.

APPLY TODAY FOR IMMEDIATE CONSIDERATION!

For a complete listing of available positions with CCRES please click here: https://apply.workable.com/ccres/?lng=en

CCRES is an equal opportunity employer. We value diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.

{Posted 7/19/26, TY)

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