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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position is remote for the Tri-state area only**Position Purpose: With the Fidelis Care Health Plan Accounting Team in New York, you analyize and create revenue reports utilizing outlook, excel, SQL and SAS.<ul><li>Develop integrated revenue/expense analyses, projections, reports, and presentations</li></ul><ul><li>Create and analyze monthly, quarterly, and annual reports and ensures financial information has been recorded accurately</li></ul><ul><li>Identify trends and developments in competitive environments and presents findings to senior management</li></ul><ul> <li>Perform financial forecasting and reconciliation of internal accounts</li> <li>Performs other duties as assigned</li> </ul><ul><li>Complies with all policies and standards</li></ul>Education/Experience: Bachelor's degree or equivalent experience. 2+ years of financial or data analysis experience. Pay Range: $55,100.00 - $99,000.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Oklahoma Complete Health

Finance Analyst II

About Lumen Lumen connects the world. We are igniting business growth by connecting people, data and applications – quickly, securely, and effortlessly. Together, we are building a culture and company from the people up – committed to teamwork, trust and transparency. People power progress. We’re looking for top-tier talent and offer the flexibility you need to thrive and deliver lasting impact. Join us as we digitally connect the world and shape the future. <h2>The Role</h2> Working on larger and more strategic deals and being able to step in for the Strategic Solutions Executive as required. While still providing overarching pre-sales support in any manner needed to successfully keep the pursuit on track and moving forward in an efficient manner. Become a mentor for new team members joining as Specialist 1 roles to acclimate them to the SET process.​ <h2>The Main Responsibilities</h2> <ul> <li>Demonstrate expertise in launching sequence of a new engagements, ensuring that program activities operate within the policies and procedures of the organization</li> <li>Take ownership of key assets for improvement or development of the artifacts for pursuit kickoff (eg: initial scope split, timeline, service delivery components)</li> <li>Drive resource map discussion, identify and fill any gaps</li> <li>Evaluate and enhance the current pursuit status update communication artifacts and related meetings for improvements</li> <li>Responsible for validation/rationalization of the Bill of Materials to ensure it matches the solution architecture, and are in the correct format for finance</li> <li>Develop the proposal deck framework based on the service strategy and initial content for submission to customer</li> <li>Develop Gate approval material and decks</li> <li>Project assets, create, prepare and manage OneDrive, smart sheet task list and project related objectives</li> <li>Drive execution of tasks within the SET task list plan for the entire pursuit and revise as necessary</li> <li>Drive external customer facing weekly cadence meetings</li> <li>Prepare for contract phase (e.g. prepare smart sheet, align assignments, prepare contract status deck)</li> </ul> <h2>What We Look For in a Candidate</h2> <h2>Compensation</h2> This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Individual pay is based on skills, experience and other relevant factors. Location Based Pay Ranges $78,561.00 - $104,738.00 in these states: AL AR AZ FL GA IA ID IN KS KY LA ME MO MS MT ND NE NM OH OK PA SC SD TN UT VT WI WV WY $82,488.00 - $109,977.00 in these states: CO HI MI MN NC NH NV OR RI $86,415.00 - $115,217.00 in these states: AK CA CT DC DE IL MA MD NJ NY TX VA WA Lumen offers a comprehensive package featuring a broad range of Health, Life, Voluntary Lifestyle benefits and other perks that enhance your physical, mental, emotional and financial wellbeing. We're able to answer any additional questions you may have about our bonus structure (short-term incentives, long-term incentives and/or sales compensation) as you move through the selection process. Learn more about Lumen's: <ul> <li><a href="https://jobs.lumen.com/global/en/benefits-statement" target="_blank">Benefits*</a></li> <li><a href="https://jobs.lumen.com/global/en/compensation-information" target="_blank">Bonus Structure</a></li> </ul> #LI-BJ1 <h2>What to Expect Next</h2> Based on your job application information you may be given the opportunity to complete a video interview immediately after applying. This will include a set of questions for you to record a response to in addition to Game Challenges. Completion of this video interview is a requirement in order to be considered for our open position. Now not a good time? No worries, we will also send you an email with a link to complete the video interview. We strongly recommend that you complete this within 5 days of your application date. Requisition #: 337332 Background Screening If you are selected for a position, there will be a background screen, which may include checks for criminal records and/or motor vehicle reports and/or drug screening, depending on the position requirements. For more information on these checks, please refer to the Post Offer section of our <a href="https://jobs.lumen.com/global/en/faq" target="_blank">FAQ page</a>. Job-related concerns identified during the background screening may disqualify you from the new position or your current role. Background results will be evaluated on a case-by-case basis. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Equal Employment Opportunities We are committed to providing equal employment opportunities to all persons regardless of race, color, ancestry, citizenship, national origin, religion, veteran status, disability, genetic characteristic or information, age, gender, sexual orientation, gender identity, gender expression, marital status, family status, pregnancy, or other legally protected status (collectively, “protected statuses”). We do not tolerate unlawful discrimination in any employment decisions, including recruiting, hiring, compensation, promotion, benefits, discipline, termination, job assignments or training. Disclaimer The job responsibilities described above indicate the general nature and level of work performed by employees within this classification. It is not intended to include a comprehensive inventory of all duties and responsibilities for this job. Job duties and responsibilities are subject to change based on evolving business needs and conditions. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Please be advised that Lumen does not require any form of payment from job applicants during the recruitment process. All legitimate job openings will be posted on our official website or communicated through official company email addresses. If you encounter any job offers that request payment in exchange for employment at Lumen, they are not for employment with us, but may relate to another company with a similar name. Application Deadline 03/29/2025

CenturyLink

Strategic Engagement Acct Specialist II

<h2 id="who-we-are">Who we are</h2> <h3 id="about-stripe">About Stripe</h3> Stripe is a financial infrastructure platform for businesses. Millions of companies—from the world’s largest enterprises to the most ambitious startups—use Stripe to accept payments, grow their revenue, and accelerate new business opportunities. Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead. That means you have an unprecedented opportunity to put the global economy within everyone’s reach while doing the most important work of your career. <h3 id="about-the-team">About the team</h3> The Connect team at Stripe focuses on building and maintaining the infrastructure and tools that enable businesses to integrate and manage payments on their platforms. This includes providing solutions for marketplaces, platforms, and service providers to handle complex payment flows, such as payouts to third-party sellers or service providers. The team is responsible for designing systems that support a wide range of business models and compliance requirements across various countries. They work on ensuring a seamless and secure experience for users, managing APIs that facilitate the movement of funds, and offering features like onboarding, verification, and reporting for platforms using Stripe Connect. <h2 id="what-youll-do">What you’ll do</h2> <h3 id="responsibilities">Responsibilities</h3> <ul> <li>Lead a design team working on business-critical tools and products that ensure platforms have an intuitive, efficient, and reliable experience </li> <li>Collaborate with product, engineering, and leadership teams to deliver intuitive, scalable interfaces that simplify complex financial transactions and payment paths for different business models, such as marketplaces and platforms that pay out to multiple parties </li> <li>Build and scale a team of designers, growing their skills and careers while fostering a high-performance, customer-obsessed team culture </li> <li>Inspire and motivate the team to do their best work while creating a clear design vision that aligns with Stripe's goals </li> <li>Advocate for design excellence at every stage of the product lifecycle, balancing speed, quality, and bold experimentation </li> </ul> <h2 id="who-you-are">Who you are</h2> We’re looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement. <h3 id="minimum-requirements">Minimum requirements</h3> <ul> <li>Have experience leading design teams tackling complex B2B products with technical or financial systems </li> <li>Are passionate about building a deep understanding of the needs of a broad range of users, from individual developers and small businesses to large platforms and marketplaces with complex payment workflows </li> <li>Have successfully managed both individual designers and design managers, cultivating strong team cultures and clear career growth pathways </li> <li>Excel at balancing detail-oriented design with big-picture strategy </li> <li>Are relentless in delivering customer-focused experiences, combining user insights with business goals to drive meaningful outcomes </li> <li>Thrive in cross-functional collaboration, aligning design efforts with Product, Engineering, and Leadership stakeholders </li> <li>Have 5+ years of people management experience and are confident in scaling design teams in fast-paced, high-growth environments </li> <li>Have exceptional communication skills, using storytelling to clarify complex problems and inspire teams </li> <li>Are comfortable navigating ambiguity and finding the right balance between quality, speed, and experimentation </li> </ul> <h3 id="preferred-qualifications">Preferred qualifications</h3> <ul> <li>Experience in designing user experiences that support platforms and marketplaces, and the UX challenges of multi-sided interactions </li> <li>Experience designing for enterprise financial tools, including operations, risk, and compliance workflows </li> <li>Familiarity with regulatory and security considerations in financial products </li> <li>Experience working in global financial markets, considering localization and compliance constraints </li> </ul> This role is available either in an office or a remote location (typically, 35+ miles or 56+ km from a Stripe office). Office-assigned Stripes spend at least 50% of the time in a given month in their local office or with users. This hits a balance between bringing people together for in-person collaboration and learning from each other, while supporting flexibility about how to do this in a way that makes sense for individuals and their teams. A remote location, in most cases, is defined as being 35 miles (56 kilometers) or more from one of our offices. While you would be welcome to come into the office for team/business meetings, on-sites, meet-ups, and events, our expectation is you would regularly work from home rather than a Stripe office. Stripe does not cover the cost of relocating to a remote location. We encourage you to apply for roles that match the location where you currently or plan to live. The annual US base salary range for this role is $194,900 - $292,300. For sales roles, the range provided is the role’s On Target Earnings ("OTE") range, meaning that the range includes both the sales commissions/sales bonuses target and annual base salary for the role. This salary range may be inclusive of several career levels at Stripe and will be narrowed during the interview process based on a number of factors, including the candidate’s experience, qualifications, and location. Applicants interested in this role and who are not located in the US may request the annual salary range for their location during the interview process. Additional benefits for this role may include: equity, company bonus or sales commissions/bonuses; 401(k) plan; medical, dental, and vision benefits; and wellness stipends. Office locations Toronto Remote locations Remote in United States, or Canada Team Design Job type Full time <a href="#">Apply for this role </a>

Stripe

Product Design Manager, Connect

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryFully remote position. Work from home anywhere in the U.S.A. Shift: Monday through Friday 11:30am to 8pm EST Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health.Utilizes clinical experience and skills in a collaborative process to assess appropriateness of treatment plans across levels of care, apply evidence based standards and practice guidelines to treatment where appropriate.<ul> <li>Coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.</li> <li>Provides triage and crisis support.</li> <li>Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation.</li> <li>Coordinates with providers and other parties to facilitate optimal care/treatment.</li> <li>Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs.</li> <li>Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization.</li> </ul>Required Qualifications<ul> <li>Must have active current and unrestricted Independent clinical behavioral health license in the state of residence (LPC, LCSW, LMFT, LMHC, etc) </li> <li> 3+ years of behavioral health experience </li> <li>Must be able to talk on the telephone and type at the same time as this is a queue based position.</li> <li>Must be able to work Monday through Friday 11:30am to 8pm EST</li> </ul>​Preferred Qualifications<ul> <li>3+ years of direct clinical practice experience post master's degree, including hospital setting or alternative care setting such as ambulatory care or outpatient program</li> <li>Managed care and utilization review experience preferred.</li> <li>Crisis intervention skills preferred.</li> </ul>Education<ul><li>Master's degree required if social worker, LPC, LCSW, LMFT, LMHC, </li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$60,522.00 - $129,615.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 04/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Utilization management Clinician Behavioral Health

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Hours are day shift Pacific Standard Time. Position Purpose: The Public Programs Coordinator is responsible for triaging and resolving member access to care issues and coordinating services with programs that are “carved out” of the health plan contract with the Department of Health Care Services, i.e. California Children’s Services and Regional Centers, as well as, promoting member access to Health Net’s Empower Living Program (H.E.L.P.) This position is also responsible for communicating and collaborating with internal and external customers to ensure access to care and services for Health Net members.<ul> <li>Researches, resolves, makes referrals and follows up with clients and agencies for access to care issues.</li> <li>Collaborates with multiple Health Net Departments including, but not limited to, Member Services, Provider Network Management, Medical Management, Medical Review Unit, Pharmacy and Claims to resolve member issues.</li> <li>Serves as Health Net’s liaison to public agency programs and assists with referrals from the Participating Physician Groups (PPG) to the H.E.L.P Program.</li> <li>Receives, researches and resolves coordination of care referrals from Customer Services.</li> <li>Conducts escalated service coordination on complex cases and monitors through resolution.</li> <li>Supports programs such as Regional Centers, School Health Integration and California Children’s Services with in-person meetings to better understand and promote available services.</li> <li>Researches and prepares conflict resolution documentation to support Appeals and Grievances.</li> <li>Prepares and submits monthly and quarterly COC reports to compliance.</li> <li>Performs other duties as assigned.</li> </ul>Education/Experience: Associate’s degree, completion of Vocational Nursing School, Medical Assisting or Pharmacy Technician Program. Minimum three years of combined clinical and healthcare experience License/Certification: Current, valid and unrestricted California Medical Assistant Certification, or current, valid and unrestricted Licensed Vocational Nurse (LVN) license or current, valid and unrestricted Pharmacy Technician Certification preferred Pay Range: $22.79 - $38.84 per hourCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Public  Programs  Specialist

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. <h1>***POSITION IS REMOTE***</h1>**THIS TEAM PROCESSES APPEALS ONLY****Appeals Experience HIGHLY Preferred**Position Purpose: Supervise nurses in a highly regulated department responsible for performing medical necessity case reviews for appropriateness of medical care and service. Supervise the day to day clinical operations and functions within the department, ensuring productivity and quality metrics are met.<ul> <li>Provide oversight and interpretation of state/federal regulations and NCQA standards impacting member appeals and grievances from a clinical perspective. Ensure that the clinical Appeals and Grievance department processes all cases in accordance with policies and procedures</li> <li>Utilize clinical expertise to serve as a resource to the team regarding escalated or complex clinical issues</li> <li>Monitor and distribute team’s caseload and ensure adequate coverage</li> <li>Monitor and evaluate performance standards and provide feedback and guidance or problem resolution.</li> <li>Identify and develop opportunities for process improvement and work with various leaders to ensure problems are corrected</li> <li>Train and onboard new team members</li> <li>Audit staff to standards and provide continuous feedback</li> <li>Assist management in committee work, regulatory audits and regulatory reporting.</li> <li>Analyze and interpret state and federal regulatory requirements and NCQA standards and provide guidance to team to ensure adherence</li> </ul>Education / Experience: Bachelor's degree in Nursing preferred. 3+ years of combined nursing and appeal and grievance, or utilization management or case management experience. Previous supervisory experience strongly preferred. Proficient with Microsoft Office applications. Knowledge of coding preferred. Previous Quality Improvement experience preferred. Knowledge of DHCS/DMHC regulations preferred. Licenses, Certifications: LPN Required (RN preferred)Pay Range: $68,700.00 - $123,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Supervisor, Clinical Grievance and Appeals

CommunityCare

Marketing - Account Manager 110-2004

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Go to Hillcrest HealthCare System Careers</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/UticaPark" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

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