Careers at Quantum Health

If you agree with the person who said, "You really can change the world...if you care enough," you may be just the kind of person we're looking for. We're looking for someone who dreams of making a difference.

At Quantum Health, we're making a difference by changing the way health care happens in America. Our program is one of the nation's most innovative and effective health care concepts — we've held our clients' cost trend to one-third the national average and maintained a 92% patient satisfaction. We're constantly looking for new team members who are committed to helping people navigate the complicated health care process to improve outcomes and help them get the most from their health plan and their health care. Our dream is to make the health care process less confusing and more compassionate. What's your dream? We'd like to hear it.

Click here to apply for a job!

Click on the links below to learn about current openings:

Underwriting Analyst

If you are a do-what-it-takes-to-meet-the-deadline, works-well-independently-and-with-groups, can-successfully-juggle-lots-of-projects kind of professional person, let's talk. You might just be the anything-but-run-of-the-mill Underwriting Analyst that we need.

Our Underwriting Analyst is key to enabling us to forecast our future revenues. They provide new contract and renewal pricing as well as claims projections for each client. It's our Underwriting Analyst that provides the revenue forecasts so that Quantum continues to make smart financial decisions.

And what is Quantum Health? At Quantum Health, we're making a difference by changing the way health care happens in America. Our program is one of the nation's most innovative and effective health care concepts — we've held our clients' cost trend to one-third the national average and maintained a 92% patient satisfaction. We're constantly looking for new team members who are committed to helping people navigate the complicated health care process to improve outcomes and help them get the most from their health plan and their health care. We continue to earn both local and national recognition as a great place to work. We were recognized as the #1 Best Place to Work in Central Ohio by Columbus' Business First.

What does it mean to be an Underwriting Analyst at Quantum Health?

  • Provide new business and renewal pricing
  • Provide quarterly claims projections for each client
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in an Underwriting Analyst.

  • 2 years experience in group health insurance underwriting or financial analysis
  • Firm understanding of self insurance, deductibles and other insurance industry terminology is a must
  • Strong mathematical, statistical and/or financial skills
  • Strong attention to detail
  • Ability to creative solve problems

And if you join us, we hope that you'll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you're ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Click here to apply | Back to List

Account Manager

If you are a connects-quickly-with-people-and-can-motivate-them, drive-to-get-things-done-quickly-and-correctly-by-working-with-others, stay-calm-while-juggling-ten-projects kind of professional, let’s talk. You just might be the anything-but-ordinary Account Manager that we want.

Our Account Managers promote the value of Quantum Health’s services to clients and their benefits consultants. They continually build the relationship with the client and facilitate prompt resolution of non-routine issues. The Account Managers provide the excellent customer relations experience that ensures complete client satisfaction and retention.

What does it mean to be an Account Manager at Quantum Health?

  • Provide day-to-day relationship support for assigned clients
  • Partner with Account Executives to determine a long-term strategy for assigned clients
  • Work closely with Care Coordinators to ensure that all internal resources understand the client’s wants and needs
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in an Account Manager.

  • 5-10 years experience in customer service and client management
  • Experience working in multiple industries
  • Strong critical thinking skills
  • Experience with healthcare a plus

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you're ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Quantum Health has engaged ADVISA Hiring to identify the top candidates for this position. Per their request, please direct all communications about this position to This e-mail address is being protected from spambots. You need JavaScript enabled to view it. . As we will be communicating with you through this and other advisausa.com and advisahiring.com e-mail addresses, please be sure to take the necessary steps, such as adding this address to your address book, to avoid having correspondence caught in your e-mail filters.

Click here to apply | Back to List

Implementation Coordinator

If you are a make-decisions-quickly-and-authoritatively-that-support-company-guidelines, works-well-in-a-highly-structured-environment, stay-calm-while-juggling-ten-projects kind of professional, let's talk. You just might be the anything-but-run-of-the-mill Implementation Coordinator that we want.

Our Implementation Coordinators support and coordinate the implementation process of new Quantum Health clients. They build the relationship with the new client in the early stages of implementation as well as during changes and renewals. The Implementation Coordinators are the key to starting new clients off with a great impression of Quantum’s services and helping maintain that impression throughout the life of the client relationship.

What does it mean to be an Implementation Coordinator at Quantum Health?

  • Create and maintain the implementation project plan
  • Be responsible for the day-to-day tasks of the implementation
  • Provide internal communications regarding the implementation
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in an Implementation Coordinator.

  • 5 years experience in a TPA or in the healthcare industry
  • Excellent project management skills
  • Benefits knowledge
  • General healthcare knowledge

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you're ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Click here to apply | Back to List

Director of Business Intelligence and Performance Analysis

If you are a self-assured-leader-with-confidence-to-achieve-results-aligned-with-strategic-goals, constantly-problem-solve-and-engage-others, stay-calm-while-handling-a-variety-of-challenges kind of professional, let's talk. You just might be the anything-but-ordinary Director of Business Intelligence and Performance Analysis that we want.

Our Director of Business Intelligence and Performance Analysis will lead the team that generates and provides the analytical support for the reporting package that Quantum Health presents its clients and broker/consultants. This person will serve as the subject matter expert and consultant to our Account Executives, Sales and Marketing as well as work closely with Operations Development and IT. The Director of Business Intelligence and Performance Analysis will provide the expertise to evaluate and demonstrate the performance and value that Quantum Health creates for our clients.

What does it mean to be a Director of Business Intelligence and Performance Analysis at Quantum Health?

  • Own the analytical support for the company including strategic analytical tools, report development and delivery support
  • Develop and maintain competitive analysis of competing products and services
  • Lead the team that will execute this function/department
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in a Director of Business Intelligence and Performance Analysis.

  • 3 years experience as an analyst or in a function utilizing data to provide strategy and actionable insights is a must
  • 3 years experience managing a team
  • Deep understanding of standard health plan, behavioral and health status metrics, what is typically measured, how it is measured, issues with claim data, etc. is a must
  • Understanding of the competitive environment for Quantum Health’s services and some understanding of the expectations and comparative performance of traditional approaches or competitors

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you're ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Quantum Health has engaged ADVISA Hiring to identify the top candidates for this position. Per their request, please direct all communications about this position to This e-mail address is being protected from spambots. You need JavaScript enabled to view it. . As we will be communicating with you through this and other advisausa.com and advisahiring.com e-mail addresses, please be sure to take the necessary steps, such as adding this address to your address book, to avoid having correspondence caught in your e-mail filters.

Click here to apply | Back to List

Account Strategist

If you are a make-decisions-quickly-that-support-company-guidelines, constantly-problem-solve-and-ensure-quality, stay-calm-while-juggling-ten-projects kind of technical expert, let's talk. You just might be the anything-but-ordinary Account Strategist that we want.

Our Account Strategist will provide the analytical support for the reporting package that Quantum Health presents its clients and broker/consultants. This person will serve as the subject matter expert and consultative support to our Account Executives, clients and consultants. The Account Strategist will provide the expertise to evaluate and demonstrate the performance and value that Quantum Health creates for our clients.

What does it mean to be an Account Strategist at Quantum Health?

  • Continuously define and refine what should be tracked and reported for assigned clients
  • Monitor plan performance and uncover favorable and/or unfavorable trends through ad hoc analyses
  • Design on-going analysis of the impact of various activities on the delivery of value to each client
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in an Account Strategist.

  • 3 years experience as an analyst or in a function utilizing data to provide strategy and actionable insights is a must
  • Deep understanding of standard health plan, behavioral and health status metrics, what is typically measured, how it is measured, issues with claim data, etc. is a must
  • Understanding of the competitive environment for Quantum Health’s services and some understanding of the expectations and comparative performance of traditional approaches or competitors
  • Ability to develop a story from data

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you're ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Click here to apply | Back to List

ASP.net Developer

If you are an analytical-with-high-quality-work, carefully-thought-out-results, stay-calm-while-juggling-ten-projects kind of technical expert, let's talk. You just might be the anything-but-run-of-the-mill ASP.net Developer that we want.

Our ASP.net Developer will develop the front-end web applications used by our clients. They will interact with internal and external groups to develop, test and deploy custom software solutions. The ASP.net Developer is going to provide superior quality web applications to Quantum’s customers.

What does it mean to be an ASP.net Developer at Quantum Health?

  • Develop custom front-end web applications using primarily Microsoft technologies
  • Work directly with clients and multiple internal groups
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in an ASP.net Developer.

  • 1-3 years experience in application development
  • Demonstrated solid skills utilizing C#, ASP.net, VB.net, HTML, CSS, JavaScript, JQuery and the Document object model
  • Experience with web services and XML
  • Exceptional English written and verbal communication skills

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you're ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Click here to apply | Back to List

Application Developer

If you are intellectually-confident-with-an-imaginative-mind, can-put-organization-to-abstract-concepts-and-systems, stay-calm-while-juggling-ten-projects kind of technical expert, let's talk. You just might be the anything-but-ordinary Application Developer that we want.

Our Application Developer will write custom software for internal and external customers. They will conceptualize applications from both a technical perspective and a business point of view. The Application Developer is going to provide superior quality software applications to Quantum’s internal and external customers.

What does it mean to be an Application Developer at Quantum Health?

  • Develop custom .NET applications from concept to delivery
  • Work with the technical team and business managers
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in an Application Developer.

  • 5+ years experience in .NET application development
  • 3+ years SQL development experience, stored procedures, LINQ to SQL and entity framework
  • Experience with Agile software development practices
  • Exceptional English written and verbal communication skills

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you're ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Click here to apply | Back to List

Director of Customer Engagement

If you are a results-oriented-risk-taker, effective-with-people, fast-paced-problem-solver kind of professional person, let's talk. You just might be the superstar Director of Customer Engagement that we want.

Our Director of Customer Engagement is going to be the leader of our force of creative minds. They will oversee all client member communications. The Director of Customer Engagement is going to be the link between Quantum clients and our creative team.

What does it mean to be a Director of Customer Engagement at Quantum Health?

  • Engage clients during and after the sales process to establish best practices for internal and external communications
  • Partner with the Creative Director to help set the direction on how to represent the Quantum Health brand to our clients
  • Work hard and don't hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in a Director of Customer Engagement.

  • 8-10 years creative experience with 4-5 years in management
  • Experience with consumer media/messaging (vs. B2B)
  • Experience owning creative projects
  • Knowledge of design software such as Adobe Creative Suite

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you're ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Quantum Health has engaged ADVISA Hiring to identify the top candidates for this position. Per their request, please direct all communications about this position to This e-mail address is being protected from spambots. You need JavaScript enabled to view it. . As we will be communicating with you through this and other advisausa.com and advisahiring.com e-mail addresses, please be sure to take the necessary steps, such as adding this address to your address book, to avoid having correspondence caught in your e-mail filters.

Click here to apply | Back to List

Software QA Tester

If you are an exceed-high-standards-of-accuracy-and-quality, continual-problem-and-solution-identification, stay-calm-while-juggling-ten-projects kind of technical expert, let's talk. You just might be the anything-but-ordinary Software QA Tester that we want.

Our Software QA Tester will ensure software quality and release readiness. They will be responsible for developing and executing software test plans to identify software problems and their causes. The Software QA Tester is going to ensure the delivery of superior quality software applications for internal and external use.

What does it mean to be a Software QA Tester at Quantum Health?

  • Develop testing programs to address database impacts, software scenarios, regression testing, negative testing, bug retests and usability
  • Design or develop automated testing tools
  • Monitor bug resolution efforts and track successes
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in a Software QA Tester.

  • 3-5 years experience testing software
  • Experience with Microsoft.net environment
  • Strong communication skills
  • Experience with testing tools a plus

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you're ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Quantum Health has engaged ADVISA Hiring to identify the top candidates for this position. Per their request, please direct all communications about this position to This e-mail address is being protected from spambots. You need JavaScript enabled to view it. . As we will be communicating with you through this and other advisausa.com and advisahiring.com e-mail addresses, please be sure to take the necessary steps, such as adding this address to your address book, to avoid having correspondence caught in your e-mail filters.

Click here to apply | Back to List

Director of Account Implementation and Administration

If you are a results-oriented-calculated-risk taker, high-standards-for-yourself-and-others, creatively-drive-for-change kind of professional person, let's talk. You just might be the superstar Director of Account Implementation and Administration that we want.

Our Director of Account Implementation and Administration is going to own the setup and maintenance of our clients. They will be managing a team of project managers to provide initial account setup, renewal management and much more. The Director of Account Implementation and Administration is going to take the department (and Quantum) to the next level in wowing our clients.

What does it mean to be a Director of Account Implementation and Administration at Quantum Health?

  • Manage internal and third-party vendors during account implementation and beyond
  • Be involved in the sales process and with benefits consultants
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We're picky. Here's what we need in a Director of Account Implementation and Administration.

  • 3-5 years experience leading a team through complex account implementation
  • Experience with contract maintenance
  • Experience with 3rd party administration
  • Experience in the medical or health industry is a must; maybe at an insurance company or TPA

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you’re ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Quantum Health has engaged ADVISA Hiring to identify the top candidates for this position. Per their request, please direct all communications about this position to This e-mail address is being protected from spambots. You need JavaScript enabled to view it. . As we will be communicating with you through this and other advisausa.com and advisahiring.com e-mail addresses, please be sure to take the necessary steps, such as adding this address to your address book, to avoid having correspondence caught in your e-mail filters.

Click here to apply | Back to List

Health Improvement Advisor

If you are a do-new-things-a-new-way, stay-calm-while-juggling-ten-projects, big-picture-strategy kind of professional, let's talk. You might just be the superstar Health Improvement Advisor that we need.

Our Health Improvement Advisor serves as a senior level consultant assisting outside sales with health improvement experience and recommendations as well as advising clients in corporate wellness strategies, programs and benefits designs. They assist the Account Executive in the management of large client accounts focusing on health improvement related issues. It's our Health Improvement Advisor that provides the health improvement expertise that continues to wow Quantum clients.

What does it mean to be a Health Improvement Advisor at Quantum Health?

  • Serve as health improvement subject matter expert to internal and external customers
  • Provide health improvement strategy and implementation guidance to clients
  • Work hard and don’t hide behind your title ("Everyone Stuffs Envelopes" is one of our core values.)
  • No bluffing or brown-nosing

We admit it. We’re picky. Here's what we need in a Health Improvement Advisor.

  • 3-5 years experience developing and implementing strategies and services in the corporate wellness arena is a must
  • Broad and deep awareness of the corporate wellness field is a must
  • Strong consultative and analytical skills
  • Strong written and verbal communication skills
  • Wellness certifications preferred

And if you join us, we hope that you’ll work hard. Have fun. Reap the benefits.

  • On-site fitness facility
  • Paid maternity and paternity leave for births and adoptions
  • Domestic partner benefits
  • Fun Room with a pool table, ping pong table and air hockey
  • Serenity Room for relaxation and meditation
  • Frequently catered lunches
  • Free beverages, snacks and fresh-popped popcorn ALWAYS

Yes, there's also the "normal" medical/dental/vision insurance, flexible spending accounts, life insurance, 401(k), paid time off and more.

If you’re ready to take charge of your own future and work for a company where you can really get ahead and what you do everyday matters, we'd love to hear from you. Please submit your resume.

Click here to apply | Back to List

Disease Manager

Role and Duties:

  • Promote the mission and core values of Quantum Health
  • Assess all the requests for medical services requiring clinical review against Quantum Health adopted clinical review criteria
  • Provide case management for enrollees identified as having one of the chronic conditions being managed by Quantum.
  • Assess each case presented and utilize the condition specific Care Path to educate
  • Assist patients in planning health goals and provide resources to help them execute goals
  • Document all case management activities specific to interventions for your patients
  • Be a clinical resource for Clinical Services, Patient Services, Case Management, Wellness, Account Coordinators, Account Executives, and Stop Loss Coordinator.
  • Coordinate all services in an effort to provide integrated health services for each patient and provide benefit and health information to each patient so they are able to make informed health decisions.
  • Monitor compliance for each patient
  • Evaluate the response to disease management intervention and report outcomes to Director of Clinical Services
  • Provide group specific data to the Manager of Disease Management for purposes of reporting.
  • Provide aggregate data for groups specific to types of condition, dollar amounts, and level of acuity
  • Provide Case Management to groups not assigned Case Managers
  • Coordinate health management services in an effort to provide integrated health services for each patient and provide benefit and health information to patients, care givers, providers and facilities so they are able to make informed health decisions

Tasks:

  • Identify cases appropriate for Disease Management
  • Organize contact of individuals identified based on acuity
  • Document all contacts in database
  • Document Interventions related to patient, care giver, provider, facility, or client in the database
  • Have working knowledge of all reports and guidelines related to Disease Management
  • Provide monitoring and oversight to non-clinical staff activities and be available to non-clinical staff during CHC business hours
  • Perform Case Management as needed
  • Have knowledge of all reports and guidelines related to Case Management, Utilization Management and pre-certification
  • Provide a patient summary on patient’s identified as high acuity or at risk
  • Have knowledge of benefits for groups being managed
  • Have knowledge of where to access benefit information and be able to direct individuals to the information
  • Have working knowledge of Care Paths for all chronic conditions being managed
  • Assist with Wellness activities by identifying needs of groups being managed
  • Assist with health screening activities
  • Have knowledge of how to read Information Analysis Disease Management quarterly report
  • Negotiate for services needed by individual being managed if no clear benefit exists or if the services can only be provided out of network
  • Other duties as assigned
  • Communicate with all staff involved with group when variances occur
  • Have working knowledge of pre-review, initial clinical review, concurrent review and retrospective review and assist these work groups as necessary
  • Facilitate in the discharge planning process by making post service discharge planning calls

Education, Training, and/or professional experience requirement:

  • Licensed as a Registered Nurse with a current license
  • Varied and extensive experience in medical-surgical nursing
  • Minimum of five years clinical experience
  • Certification in Case Management desirable
  • Experience in health management desirable
  • Ability to make decisions that are timely and well thought out that achieve results consistent with business goals and organizational culture
  • Ability to work independently and self directed with limited need for day to day supervision
  • Computer literacy
  • Strong customer service skills
  • Possess excellent verbal and written communication skills
  • Demonstrate cost benefit analysis showing the financial benefit of disease case management
  • Possess excellent time management skills

Click here to apply | Back to List

Customer Engagement Designer

Want to design for the #1 place to work in Columbus? Quantum Health is looking for an experienced designer (7+ years of experience) with a strong portfolio of work that demonstrates conceptual ability and knowledge of branding. To be the star we need, your design must elevate brands, interpret words, and showcase versatility. Specifically, this position will focus on corporate communications and branding and will assist with client communications. Must be proficient in Adobe Creative Suite. Aside from being a design genius, you must fit our unique culture – have a sense of humor, collaborate well with other designers, writers, and crossfunctional teams, and be open to feedback. Is this you? Can you bring it? Show us your stuff – literally. Must have portfolio of work to be considered. Please email resume and portfolio/link to portfolio to This e-mail address is being protected from spambots. You need JavaScript enabled to view it. and include "Design candidate" in subject line. No phone calls.

Technical Support Specialist

This position’s main role is to maintain the local area network, computer hardware and telecommunication systems needed to ensure reliable operations. This position will interface with the business users on a daily basis helping to resolve or escalate their issues as required. Requirements:

  • 1+ years experience working with Active Directory and implementing Group Policy
  • Expert knowledge of Windows and Microsoft Office applications
  • Strong customer service mindset
  • Strong organizational skills
  • 1+ years experience working with pc hardware and software for installation and support
  • Ability to make decisions that are timely and well thought out that achieve results consistent with business goals and organizational culture
  • Ability to function as a team member and interact professionally with other people both internally and externally
  • Ability to work independently and self-directed with limited need for day to day supervision
  • Ability to lift 50 pounds

Click here to apply | Back to List

Helpdesk Administrator

This role will focus on the accurate routing of helpdesk tickets to other groups. This role will answer the helpdesk phone and attempt to resolve user’s issues as a level 1 support option. It will also help control resource allocation within IT by triaging IT Help Requests and sending Level 2 support, Technical Support Specialists, when needed. This role will also be responsible for creating user and system documentation which will be used by not only IT but all users. This position will interface with the business users on a daily basis helping to resolve or escalate their issues as required. Requirements:

  • 1+ years experience working with Active Directory
  • Expert knowledge of Windows and Microsoft Office applications
  • Experience creating documentation for use by non-technical personnel
  • Strong customer service mindset
  • Strong organizational skills
  • 1+ years experience working with pc hardware and software for installation and support
  • Ability to make decisions that are timely and well thought out that achieve results consistent with business goals and organizational culture
  • Ability to function as a team member and interact professionally with other people both internally and externally
  • Ability to work independently and self-directed with limited need for day to day supervision
  • Ability to lift 50 pounds

Click here to apply | Back to List

Eligibility Specialist

Role: Maintaining the integrity of the database especially related to eligibility. Serving as a resource for generating reports from the database on eligibility. Providing general support on database and reporting software as requested for other working groups.

Duties

  • Providing data management and data entry support to ensure that the database is readily usable to support the activities of the other working groups
  • Providing document production support to other working groups as directed by the Team Lead
  • Generating the eligibility reports needed by the other working groups
  • Training staff members on the use of the database and reporting tools
  • Import and export eligibility information from the database as instructed
  • Training the data entry staff
  • Issue ID Cards

Education, Training, and/or professional experience requirement

  • Strong customer service mindset to support other working groups
  • Strong working knowledge and experience with word processing and data management with high attention to accuracy
  • Ability to make decisions that are timely and well thought out that achieve results consistent with business goals and organizational culture
  • Ability to function as a team member with Operational Support working group and to interact professionally with other people both internally and externally
  • Ability to work independently and self-directed with limited need for day to day supervision

Click here to apply | Back to List

Case Manager

The Case Manager is responsible for providing telephonic case management services for enrollees of Coordinated Health/Care employer groups who have catastrophic illness and/or injuries. They also function as a clinical resource for other staff in the company such as utilization review, patient services, disease management and sales.

  • Responsibilities/Tasks:
  • The duties of the RN Case Manager may include, but are not limited to the following:
  • Identification of employees who may be appropriate for case management
  • Research and review of the identified employee followed by telephone contact, if appropriate
  • Provide case management services for appropriate employees who are willing to participate in the case management program
  • Perform tracking and reporting of case management activity
  • Perform post discharge calls
  • Maintain contact with Utilization Management staff to assist in discharge planning for CM cases
  • Maintain contact with the Disease Case Management staff for transfer of cases when appropriate
  • Provide clinical updates to the Stop Loss Coordinator as requested
  • Act as clinical resource for all departments
  • Maintain a working knowledge of all policies and procedures related to Case Management and Coordinated Care Services
  • Maintain a working knowledge of all benefit plans and know where to access the needed information
  • Negotiate for services needed if no clear benefit exists or if the services can only be provided out of network
  • For reviewing and understanding the scope of practice in the states where licensed.
  • Maintain open communication with the Manager or designee
  • Skills/Education:
  • Licensed as a Registered Nurse in Ohio
  • Must have one or more of the following:
  • 3 years of varied and extensive experience in medical-surgical nursing
  • A bachelors or higher degree
  • Certification in Case Management
  • Must be able to practice case management within the scope of their licensure.
  • Computer literacy is desirable
  • Possess excellent verbal and written communication skills
  • Possess excellent time management skills
  • Demonstrate ability to work autonomously

Click here to apply | Back to List

Utilization Management Nurse

  • Roles:
  • Promote the mission and core values of Quantum Health
  • Assess all the requests for medical services requiring clinical review against Quantum Health adopted clinical review criteria
  • Communicate with patient, provider, facility, and internal work groups regarding outcome of requests
  • Be a clinical resource for all Quantum Health work groups
  • Coordinate health management services in an effort to provide integrated health services for each patient and provide benefit and health information to patients, care givers, providers and facilities so they are able to make informed health decision.
  • Tasks:
  • Assess each request against adopted clinical review criteria
  • Conduct pre-review screening, initial clinical review, concurrent review, and retrospective review
  • Facilitate in discharge planning process pre-service, during concurrent review, and post discharge, this includes but is not limited to: making arrangements for skilled nursing care, rehabilitation, home infusion and other out patient ancillary services
  • Utilize Quantum Health adopted clinical criteria during all aspects of the review process and document outcomes in authorization database
  • Re-direction of out of network requests to in network requests whenever possible to ensure members obtain the optimum benefit
  • Negotiate fee arrangements with out of network providers on a case by case basis
  • Facilitate communication between medical provider including external review agencies
  • Notify Medical Director of all potential non-certifications within the appropriate time frames
  • Provide monitoring and over-site of non-clinical staff activities and be available to non-clinical staff during CHC business hours
  • Responsible for the reporting process which encompasses varied workflows depending upon employer groups
  • Responsible for review of diagnoses making appropriate referrals to CM/DM when appropriate
  • Maintain a working knowledge of all CHC workflows
  • Documentation of all personal interventions in Pivot
  • Other duties as assigned by the Director of Clinical Services
  • Skills:
  • Licensed as a Registered or Licensed PracticalNurse with unrestricted license
  • Minimum of five years clinical experience
  • Experience in health management desired
  • Strong ability to communicate effectively with patients and physician practices in implementing clinical services program functions
  • Ability to make decisions that are timely and well thought out that achieve results consistent with business goals and organizational culture
  • Ability to work independently and self-directed with limited need for day to day supervision
  • Possess excellent time management skills
  • Computer literacy
  • Strong customer service skills
  • Possess excellent verbal and written communication skills

Click here to apply | Back to List

Pre Certification Nurse

  • Roles:
  • Promote the mission and core values of Quantum Health
  • Assess all the requests for medical services requiring clinical review against Quantum Health adopted clinical review criteria
  • Communicate with patient, provider, facility, and internal work groups regarding outcome of requests
  • Be clinical resource for all Quantum health work groups
  • Coordinate health management services in an effort to provide integrated health services for each patient and provider benefit and health information to patients, care givers, providers and facilities so they are able to make informed health decisions.
  • Tasks:
  • Clinical review of all requests for health services or treatment that require assessment against clinical criteria
  • Research status of vague or questionable procedures and present to the Medical Director for review
  • Identify potential high risk/high cost cases and chronic condition cases and refer to the appropriate case management team
  • Identify care coordination opportunities for patients being admitted for elective surgical procedures
  • Prepare letters explaining non-covered requests
  • Document Interventions in the database
  • Direct out of network requests to in network providers to ensure members secure the optimum desired benefits and negotiate fee arrangements with out of network providers as needed
  • Facilitate the discharge planning process during pre-service review and coordinate with other clinical work teams
  • Notify Medical Director of all requests you are unable to certify within specified time frames
  • Provide monitoring and oversight of non-clinical staff activities and be available to non-clinical staff during CHC business hours
  • Maintain a working knowledge of all CHC workflows
  • Other duties as assigned by the Director of Clinical Services
  • Skills:
  • Licensed as a Registered or Licensed Practical Nurse with an unrestricted license
  • Minimum of five years clinical experience
  • Experience in health management desired
  • Strong ability to communicate effectively with patients, employer groups, and physicians
  • Effective problem solving
  • Computer literacy
  • Possess excellent time management skill
  • Ability to make decisions that are timely and well thought out and that achieve results consistent with business goals and organizational culture
  • Ability to work independently and self-directed with limited need for day to day supervision
  • Strong customer service skills
  • Possess excellent verbal and written communication skills

Click here to apply | Back to List

Patient Service Representative (PSR)

Role: Patients Services Representatives (PSRs) are the first and most frequent contact with patients, families, providers, and office staff who utilize Quantum Health’s coordinated healthcare program. PSRs take approximately 45 to 70 phone calls per day. Their role is to serve as patient and provider advocate by answering all specific questions, while educating and guiding patients through the complicated process of healthcare. PSRs also follow-up on calls by completing research, solving problems, and contacting various parties to implement solutions. Compared to a typical health plan call center, this position is more intensely focused on problem solving, patient advocacy, education and guidance.

Roles & Tasks: The POD Manager is responsible for determining the specific tasks to be performed by this position. These tasks include but are not limited to:

  • Taking phone calls and/or internet inquires from patients, families, providers, and employer/client representatives and responding to inquiries regarding benefits, eligibility, claims, provider look ups and care coordination processes.
  • Completely documenting all contacts with any of these parties.
  • Coordinating activities between patients, providers, TPAs, PBMS, and any party impacting the healthcare of a patient, by acting as an advocate for the patient and assisting them to understand their healthcare processes and applicable benefits.
  • Assist providers and members with the referral and pre-certification process through coordination of care. The PSR will not be responsible for conducting any utilization or pre-certification activities which require interpretation of clinical information.
  • Identify and escalate issues as appropriate.

Skills: This position requires the following skills/education:

  • Minimum 2-3 years experience as a social worker in a healthcare setting familiar with self-insured benefit plans, or 2-3 years experience as a customer service representative or claims adjudicator; or 2-3 years experience working in a healthcare setting familiar with self or fully funded benefit plans
  • Empathetic attitude for patient and providers when addressing issues or concerns;
  • Ability to take 45-70 incoming calls per day and deal with high-pressure, often highly emotional situations while maintaining a positive attitude;
  • Ability to probe to determine root cause of problems to facilitate resolution of issue;
  • Strong customer service skills and/or superior phone skills;
  • Ability to make decisions that are timely and well thought out that achieve results consistent with business goals and organizational culture;
  • Ability to function as a team member with the working group and to interact professionally with other entities both internally and externally;
  • Ability to work independently and self-directed with limited need for day to day supervision.
  • High School diploma or equivalent

Click here to apply | Back to List

Your Dream Job at Quantum Health

As one of the most innovative and growing health care concepts, we are always looking for talented, high energy people who want to make a difference. If you fit that description but don’t fit into one of the current position openings posted, that's okay! If you have related experience in health care or employee benefits and think you could make an important contribution to our team, please submit your resume via the link below. We'll contact you if we think there is a good match now or in the future.

Click here to apply | Back to List

Equal Employment Opportunity:
Quantum Health is an equal opportunity employer. We value diversity within the Company, and it is the Company's policy to make and carry out all employment decisions without regard to any individual's race, religion, color, sex, sexual orientation, age, religion, disability, national origin, ancestry, genetic information, military status or veteran status. The Company will not discriminate against any employee or applicant for employment because of disability in regard to any position for which the employee or applicant for employment is qualified and for which the employee or applicant can perform the essential functions of the position with or without accommodation.

Give us a ring:
1-800-257-2038
Send us a note:
This e-mail address is being protected from spambots. You need JavaScript enabled to view it.