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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 SummaryManage the development, submission, and state approval process for insurance form filings. Key Responsibilities:<ul><li>Drafting and reviewing product filings:</li></ul>Draft Medicare Supplement and short-term limited duration health insurance products (policies, forms, brochures, etc.) to ensure compliance with all applicable laws, regulations, and guidelines.<ul><li>Compliance:</li></ul>Verify that the products meet specific requirements regarding benefits, premium structures, eligibility, and other relevant aspects.<ul><li>Regulatory Updates:</li></ul>Stay abreast of changes in state and federal regulations related to Medicare supplement insurance.<ul><li>Record Keeping:</li></ul>Maintain accurate records of product filings and related correspondence.<ul><li>Coordination:</li></ul>Collaborate with other business areas and stakeholders within the company throughout the product filing and approval process.<ul><li>Specialized Knowledge:</li></ul>Possess a strong understanding of Medicare supplement and short term, limited duration health insurance products including and their benefits. Required Qualifications<ul> <li>Minimum of five (5) years of work experience in insurance product development and a policy forms drafting capacity with a health insurance carrier.</li> <li>Minimum of five (5) years of work experience with, health insurance products, specifically including Medicare Supplement and short-term limited duration health insurance plans, products, applicable regulations, and industry practices.</li> <li>Familiarity with legal research and review of applicable statutes and regulations.</li> <li>Strong analytical skills with the ability to review and analyze complex data and documents.</li> <li>Experience with independently drafting complex health insurance policy documents, applications, policy riders, and outlines of coverage.</li> <li>Strong attention to detail, in particular accuracy and meticulousness in reviewing and processing filings via SERFF.</li> <li>Excellent ability to communicate effectively, both verbally and in writing to effectively coordinate and communicate with internal business partners and insurance departments.</li> <li>Problem-Solving Skills: Ability to identify and resolve issues related to product filings.</li> <li>Software Proficiency: Proficiency in relevant software and databases such as Microsoft Word, Microsoft Teams, Adobe, PowerPoint, and Workfront. </li> <li>Experience with responding to insurance department questions and objections in response to insurance product filings.</li> <li>Extensive knowledge of insurance department rules and regulations governing coverage forms, endorsements, rules, and policy language requirements.</li> <li>Maintains a high level of confidentiality and professional demeanor and approach in the performance of duties.</li> <li>Must possess initiative to work independently without frequent supervisory involvement.</li> <li>Ability to quickly understand new insurance products and product changes.</li> <li>Possess high organizational skills and ability to set and adjust priorities.</li> <li>Ability to make decisions within scope of authority.</li> </ul>Preferred Qualifications Education High School diplomaAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $122,400.00This 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: 05/05/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Analyst, Product & Regulatory Approvals

Overview Are you looking for a rewarding career? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay $22.00 - $26.00 p/h Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. What's in it for you A full benefits package with choice of affordable PPO or HSA medical plans. Paid time off. Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.* Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. 401(k) with a company match. Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. And more. Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. **For full-time caregivers meeting certain requirements. Why Amedisys Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve. Responsibilities As Online Referral Specialist, you will be responsible for monitoring, reviewing, and responding to inquiries on Amedisys company website and for developing the referral relationships within the patient, family and care team in accordance with company policies and procedures. <ul> <li>Serves as the first line of customer service for external and internal customers (care center relationship).</li> <li>Professionally responds to website inquiries regarding company services within the specified time requirements.</li> <li>Evaluates incoming requests and determines whether requestor is homebound and in need of home health/hospice services based on information gathered from inquiry, and coordinates appropriately based on location and need.</li> <li>Performs reverse marketing in coordination with the local BD Leader to reinforce messaging, stay top of mind and present information where it may be of value to customers.</li> <li>Reviews trends on requests and needs of referral sources. Escalates opportunities and customer concerns to manager and BD leaders.</li> <li>Receives and documents patient referrals through website inquiries, ensuring compliance with applicable coverage criteria in accordance with company guidelines.</li> <li>Coordinates and communicates with home health Intake Coordinators or designee(s) to enter referrals into Homecare Homebase.</li> <li>Gathers and communicates pertinent information to the clinical team to assist in scheduling an evaluation visit.</li> <li>Provides the appropriate information from web referral and care transitions conversations to the home health Intake Coordinator to ensure complete referral information.</li> <li>Makes referrals to other community resources as directed by the Director of Operations/designee.</li> <li>Communicates and follows up with Business Development regarding pending admissions or as directed by Director of Operations.</li> <li>If a licensed clinician, may obtain verbal orders from patient's physician on patient's behalf and documents as applicable.</li> <li>Professionally communicates and follows up with referral sources regarding required documentation for a complete referral as appropriate.</li> <li>Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications Required: <ul> <li>Associate's degree or equivalent.</li> <li>Two (2+) years' administrative experience in a healthcare environment.</li> <li>Current, unencumbered license to practice as a Licensed Practical Nurse/Licensed Vocational Nurse specific to the state(s) the employee is assigned to work by the company.</li> <li>Reliable internet service and ability to office from home with minimal disruption to the workday.</li> </ul> Preferred: <ul> <li>Hospice or Home Health intake experience.</li> <li>Homecare Homebase application experience.</li> <li>Proficiency in using Microsoft Office Suite applications for document creation, data entry and email communication. Ability to navigate dual monitors, use desktop shortcuts and participate in video conferencing.</li> </ul> Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Amedisys

Online Referral Specialist - Home Health

Senior Distinguished Engineer - CEP Experimentation and Feature Management Platform (Remote Eligible)As a Senior Distinguished Engineer at Capital One, you will be a part of a community of technical experts working to define the future of banking in the cloud.You will work alongside our talented team of developers, machine learning experts, product managers and people leaders. Our Senior Distinguished Engineers are leading experts in their domains, helping devise practical and reusable solutions to complex problems. You will drive innovation at multiple levels, helping optimize business outcomes while driving towards strong technology solutions.At Capital One, we believe diversity of thought strengthens our ability to influence, collaborate and provide the most innovative solutions across organizational boundaries. You will promote a culture of engineering excellence, and strike the right balance between lending expertise and providing an inclusive environment where the ideas of others can be heard and championed. You will lead the way in creating next-generation talent for Capital One Tech, mentoring internal talent and actively recruiting to keep building our community.Senior Distinguished Engineers are expected to lead through technical contribution. You will operate as a trusted advisor for our key technologies, platforms and capability domains, creating clear and concise communications, code samples, blog posts and other material to share knowledge both inside and outside the organization. You will specialize in a particular subject area, but your input and impact will be sought and expected throughout the organization.The Customer Engagement Platform organization at Capital One empowers rapid financial product innovation at scale and delivers developer joy, for all Capital One’s consumer products and organizations, by providing well-managed, self-service, experimentation-driven, and personalized product development vehicles. We are looking for a Senior Distinguished Engineer to define, architect, and lead the development of Experimentation &amp; Feature Management platform. In this role, you’ll drive the technical direction for experimentation systems powering AI-driven adaptive A/B experiments, and feature management and configuration systems for controlled and monitored feature deployment. This will enable high-velocity experimentation-driven product innovation, intelligent feature rollouts, and trustworthy insights at scale.If you are ready to provide thought leadership and build engineering excellence across Capital One's engineering teams, come join us in our mission to change banking for good.Key responsibilities:<ul> <li>Articulate and evangelize a bold technical vision for your domain</li> <li>Decompose complex problems into practical and operational solutions</li> <li>Ensure the quality of technical design and implementation</li> <li>Serve as an authoritative expert on non-functional system characteristics, such as performance, scalability and operability</li> <li>Continue learning and injecting advanced technical knowledge into our community</li> <li>Handle several projects simultaneously, balancing your time to maximize impact</li> <li>Act as a role model and mentor within the tech community, helping to coach and strengthen the technical expertise and know-how of our engineering and product community</li> <li>Define and lead the technical strategy and roadmap for the experimentation and feature flagging platform, ensuring it enables safe, scalable experimentation across web, mobile, and backend systems.</li> <li>Architect an extensible experimentation platform and analysis infrastructure built on a contribution-based metrics framework. One that supports advanced methodologies of sequential testing with contextual multi-arm bandits and ML techniques that blend personalization with experimentation for AI-accelerate experiment outcomes.</li> <li>Build robust APIs and platform services that power real-time experimentation and feature management — enabling progressive rollouts, dynamic targeting, and seamless integration with product surfaces, backend systems, and observability tooling across the company.</li> <li>Design and deliver secure, low-latency systems capable of executing high-volume experiments and real-time feature evaluations, ensuring operational excellence and product velocity.</li> <li>Partner with Data Science, ML, and Infrastructure teams to evolve statistical methodologies, improve experiment efficiency, and incorporate advanced causal inference and targeting techniques.</li> <li>Advance engineering standards and operational excellence through rigorous testing, continuous delivery pipelines, and robust monitoring frameworks.</li> <li>Provide technical leadership across the organization, mentoring engineers, influencing experimentation strategy, and driving cross-functional alignment on platform adoption and best practices to build and scale experimentation-driven product engineering </li> </ul><h2>Basic Qualifications:</h2><ul> <li>Bachelor’s Degree</li> <li>At least 9 years of experience in software engineering and solution architecture</li> <li>At least 2 years of AWS, GCP, or Azure experience </li> </ul><h2>Preferred Qualifications: </h2><ul> <li>Bachelor's or Master's Degree in Computer Science or a related field</li> <li>10+ years of experience with feature flagging systems</li> <li>7+ years of experience building large-scale experimentation platforms, including A/B testing systems, feature flagging frameworks, or experiment analysis tools.</li> <li>10+ years of experience coding in commonly used languages like Java, Python, Go, JavaScript/TypeScript, Swift, etc.</li> <li>10+ years of experience big data tools and streaming systems</li> </ul> Capital One will consider sponsoring a new qualified applicant for employment authorization for this position. The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.Remote (Regardless of Location): $280,600 - $320,200 for Sr Distinguished Engineer McLean, VA: $308,700 - $352,300 for Sr Distinguished Engineer New York, NY: $336,700 - $384,200 for Sr Distinguished Engineer Plano, TX: $280,600 - $320,200 for Sr Distinguished Engineer Richmond, VA: $280,600 - $320,200 for Sr Distinguished Engineer San Jose, CA: $336,700 - $384,200 for Sr Distinguished Engineer Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate’s offer letter.This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan.Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at the <a href="https://www.capitalonecareers.com/benefits" target="_blank">Capital One Careers website</a>. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.This role is expected to accept applications for a minimum of 5 business days.No agencies please. Capital One is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, citizenship, immigration status, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City’s Fair Chance Act; Philadelphia’s Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-800-304-9102 or via email at <a href="#">RecruitingAccommodation@capitalone.com</a>. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.For technical support or questions about Capital One's recruiting process, please send an email to <a href="#">Careers@capitalone.com</a>Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).

Capital One

Senior Distinguished Engineer - CEP Experimentation and Feature Management Platform (Remote Eligible)

Cherokee Nation Businesses

Vice President Chief Information Security Officer

At 2U, we are all in on purpose. We are motivated by our mission – to eliminate the back row in education – and connected by our shared passion to deliver world-class digital education at scale. As the parent company of edX, the world’s leading online learning platform, 2U powers more than 4,000 online higher education offerings – from free courses to full degrees. Together with more than 230 colleges, universities, and corporate partners, we are helping to unlock human potential. 2U’s Placement team is vital in the student enrollment lifecycle in identifying externship sites and matching this real world field work to students as a part of their Master’s curricula. The Placement team is focused on providing top-notch customer service to students and university partners. The Placement Specialist I will form relationships with both students and externship sites where students can acquire hands-on learning and experience in their chosen field. The person in this role will be responsible for building new relationships and maintaining existing partnerships with placement sites through high outreach. Additionally, The Placement Specialist I is focused on building relationships with students to ensure their success and retention in the program by focusing on on-time placement and providing quality, faculty-approved experiences for each student. Responsibilities Include, But Are Not Limited To: <ul> <li>Developing new partnerships and maintaining relationships with sites for placements </li> <li>Matching sites with students and placing them with a sense of urgency to prevent any lapse in class registration </li> <li>Providing exceptional service to students throughout the placement cycle </li> <li>Creating individual strategy for long term placement relationships as well as fulfilling “one off” placement requirements for students with an emphasis on developing placements within a particular region of the country </li> <li>Providing consistent and professional communication to students throughout the entire placement process via phone and email.</li> </ul> Things That Should Be In Your Background: <ul> <li>Bachelor’s degree</li> <li>1-2 years of work experience</li> <li>Strong time management and organizational skills</li> <li>Previous experience in a fast paced, metrics driven environment</li> <li>Previous experience in a customer service oriented environment</li> <li>Comfort in communicating and establishing rapport in a professional manner across the following mediums: phone, email, video conference and in-person</li> <li>Good judgment and excellent organizational, communication (oral and written), and interpersonal skills</li> <li>Highly self-motivated and able to work autonomously</li> <li>Strong sense of system orientation and focus on providing “white glove” service to students and faculty</li> <li>Enthusiasm and the ability to thrive in an atmosphere of constant change</li> <li>Ability to work and contribute in a team environment</li> </ul> Benefits &amp; Culture Our global employee base is a diverse collection of innovators, dreamers, and doers working together to transform lives through higher education. We believe that every employee can advance our shared purpose, and that life at 2U should be fun and meaningful. If you’re excited by the opportunity to provide over 40 million learners and counting with access to world-class online higher education, then join us – and do work that makes a difference. #NoBackRow We offer comprehensive benefits (unique per country) and excellent work/life balance. Full-time, U.S.benefits include: <ul> <li>Medical, dental, and vision coverage</li> <li>Life insurance, disability, and 401(k) employer match</li> <li>Free snacks and drinks in-office</li> <li>Generous paid holidays and leave policies, including unlimited PTO</li> <li>Additional time off benefits include: volunteer days, parental leave, and a company-wide winter break</li> </ul> The anticipated base salary range for this role is ($55,000 - $60,000), with potential bonus eligibility. Salary offers are made based on the candidate’s qualifications, experience, skills, and education as they directly relate to the requirements of the position, budget for the position and cost of labor in the market in which the candidate will be hired. 2U Diversity and Inclusion Statement At 2U, we are committed to building and sustaining a culture of belonging, respect, and inclusion. We are proud of the steps we’ve taken to bring together an employee base that embodies diverse walks of life, ideas, genders, ages, races, cultures, sexual orientations, abilities and other unique qualities. We strive to offer a workplace where every employee feels empowered by what makes us different, as well as by how we are alike. 2U is committed to providing reasonable accommodations during our recruitment process. If you need assistance or accommodations, please reach out to us at: <a href="#">recruitingaccommodations@2u.com</a>. About 2U LLC For more than a decade, 2U, Inc. has been the digital transformation partner of choice to great non-profit colleges and universities delivering high-quality online education at scale. As the parent company of edX, a leading global online learning platform, 2U provides over 45 million learners with access to world-class education in partnership with more than 230 colleges, universities, and corporations. Our people and technology are powering more than 4,000 digital education offerings — from free courses to full degrees — and helping unlock human potential. To learn more: visit 2U.com. About edX edX is the education movement for restless learners and a leading global online learning platform from 2U, LLC. Together with the majority of the world’s top-ranked universities and industry-leading companies, we bring our community of over 45 million learners world-class education to support them at every stage of their lives and careers, from free courses to full degrees. And we're not stopping there — we're relentlessly pursuing our vision of a world where every learner can access education to unlock their potential, without the barriers of cost or location. Learn more at edX.org. Learn more at <a href="https://2u.com/careers/" target="_blank">https://2u.com/careers/</a> #NoBackRow The above statements are intended to describe the general nature and level of work performed by individuals assigned to this position, and are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required. All employees may be required to perform duties outside of their normal responsibilities from time to time, as needed. 2U is an equal opportunity employer that does not discriminate against applicants or employees and ensures equal employment opportunity for all persons regardless of their race, creed, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, marital status, disability, citizenship, military or veterans’ status, or any other classifications protected by applicable federal, state or local laws. 2U’s equal opportunity policy applies to all terms and conditions of employment, including but not limited to recruiting, hiring, training, promotion, job benefits and pay.

2U Inc.

Placement Specialist

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 SummaryAetna, a CVS Health company has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune 6 company? This is a remote Work at Home position and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy &amp; Operations) you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise to provide clinical support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is essential. The Primary Responsibilities of the Medical Director include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject matter expertise in clinical and payment policy to provide clinical support and business direction in these areas. In this role you will: ◾Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct application of Aetna policies and practices to service and payment requests.◾Proactively use data analysis to identify opportunities for quality improvement and positively influence the effective delivery of quality care services. ◾ Be a subject matter expert and internal consultant and payment policy contributor subject matter expertise and internal consultant. ◾Demonstrate the ability to work within and lead as necessary teams comprised of a diverse group of health delivery professionals in order to manage the business objectives of the company. ◾Work Collaboratively with the functional areas. Required Qualifications*Five (5) or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. *Active and current state medical license without encumbrances. *M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience Preferred Qualifications* Health plan/payor experience. * Foundational baseline skills in Medicine, Health Policy, Coding: HCPCS / CPT, Clinical Policy, Reimbursement and Health Care Systems. * Strong communication skills both written and verbal. Education* M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experiencePay RangeThe typical pay range for this role is:$174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. 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: 07/14/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Director (Medical Policy & Operations)

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. Must live in Central or Eastern Time Zone Training Schedule: Mon - Fri 9am-530pm EST Post Training Schedule: Must be available to work 8 hours between 8am-6pm Position Summary Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position SummaryHealth Concierge is the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement. Handles customer service inquiries and problems via telephone, internet, web-chat or written correspondence. Engages, consults and educates members based upon the member’s unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care. Utilizes resources to assist customers in understanding components of the Aetna products including claims, accumulators, usage and balances, and cost sharing.<ul> <li>Answers questions and resolves issues as a “single-point-of-contact” based on phone calls, plan sponsors, PSS/ISO, members and providers.</li> <li>Provides customized interaction based on customer preference and individualized needs, creating an emotional connection with our members by understanding and engaging the member to the fullest.</li> <li>Fully understands the member’s needs by building a trusting and caring relationship with the member. Anticipates customer needs.</li> <li>Provides the customer with related information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc.</li> <li>Uses customer service threshold framework to make financial decisions to resolve member issues.</li> <li>Educates and assists customers on various elements of benefit plan information and available services created to enhance the overall customer service experience with the company (i.e., assistance with member self-service tools, Consultation Opportunities – Simple Steps, Cost of Care Tools, Natural Alternatives Program, etc.).</li> <li>Utilizes all relevant information to effectively influence member engagement.</li> <li>Takes immediate action when confronted with a problem or made aware of a situation.</li> <li>Takes ownership of each customer contact to resolve their issues and connect them with additional services as appropriate.</li> <li>Identifies member needs beyond the initial inquiry by answering the unasked questions.</li> <li>Resolves issues without or with limited management intervention.</li> <li>Provides education to members to support them in managing their health.</li> <li>Responds quickly to meet customer needs and resolve problems while avoiding over-committing.</li> <li>Other activities may include: providing claim status information, benefit coverage interpretations, and explaining plan eligibility.</li> <li>Processes claim referrals, new claim hand-offs, and escalates issues as appropriate through the system for grievances and appeals.</li> <li>Initiates out-reach/welcome calls to ensure constituents expectations are met or exceeded.</li> <li>Identifies trends and any emerging customer service issues and works to develop solutions to address potential problems and/or plan features of interest as an approach to improve understanding of benefit plans and increase post-enrollment member satisfaction.</li> <li>Partners with other departments to deliver client specific presentations.</li> <li>Coordinates efforts both internally and across departments to successfully resolve service issues and develop process improvement intended to enhance the overall delivery of service.</li> <li>Works collaboratively with colleagues to deliver the best customer experience Seeks to understand the customer, including circumstances, problems, expectations and needs.</li> <li>Asks probing questions to identify the underlying customer needs.</li> <li>Appropriately transitions conversations to explore possibilities for extending customer interactions.</li> <li>Guides members to the appropriate health resource Offers alternatives where appropriate.</li> <li>Acts with the best interest of customer in mind and central to all interactions.</li> <li>Collaborates with colleagues and co-workers to deliver a world class customer experience.</li> <li>Serves as SME providing technical assistance when needed on call related issues, products, and/or system applications delivery matters.</li> <li>May participate in preparation and presentation of client specific presentations.</li> <li>May track and trend data.</li> <li>Coaches, trains and assists in the development of call center staff, as required.</li> <li>Participates in and/or leads special projects/initiatives addressing service issues, as necessary.</li> <li>Provides technical or subject matter expertise concerning policies, procedures, and function-related applications/systems tools as needed.</li> <li>Delivers internal quality reviews.</li> <li>Provides appropriate support in third party audits when required.</li> <li>Documents and tracks all contacts, events, and outcomes with clients using appropriate systems and processes.</li> </ul> Required Qualifications<ul><li>Customer Service experiences in a transaction based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate.</li></ul><ul> <li>Effective organizational skills and ability to manage multiple tasks.</li> <li>Effective communication skills, both verbal and written</li> <li>Experience working with computers</li> </ul> Education High School DiplomaAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$17.00 - $25.65This 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. 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: 05/19/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Health Concierge

Work from Home Customer Service Coordinator - Bank VoiceMore Than Just a Bank, More Than Just a Career Your Voice is our voice. We’ll champion you. The best people listen and then say, “How can I help?” That’s what we do at Capital One. It’s how we take care of our customers. It’s how we’re changing banking for good, with compassion and real solutions. Money can be stressful; getting help shouldn’t be. Our Customer Care team is supported and empowered to be the best people to people. And we’ll have your back every step of the way. That’s life at Capital One. More Than Just Training, More About You At Capital One, it’s important that our associates have the necessary skills and know-how to succeed in their roles and best serve our customers. For that reason, we invest heavily in both formal and informal learning development opportunities. Through these training programs and your day-to-day work, you’ll find that successful associates at Capital One will: <ul> <li>Demonstrate ability and willingness to learn, strong attention to detail, positive attitude and ability to be flexible and embrace change</li> <li>Demonstrate a strong customer focus rooted in empathy</li> <li>Communicate effectively with peers, management and customers</li> <li>Exercise good judgment and independent decision-making skills</li> <li>Demonstrate exceptional listening, questioning, call control, and de-escalation techniques</li> <li>Be proactive, have effective time management and organizational skills</li> <li>Display dependability with a solid attendance record</li> <li>Maintain sufficient reliable private internet connection, not supplied by use of cellular data (Not a hot spot)</li> </ul> <h2>Compensation</h2> <ul><li>$21 per hour</li></ul> Schedule Offerings <ul> <li>Sunday through Thursday, 2:00 PM - 11:00 PM EST</li> <li> Tuesday through Saturday, 2:00 PM - 11:00 PM EST <ul><li>Schedules are adjusted per time zone and are first come, first served</li></ul> </li> </ul> <h2>More Benefits, More Health, More Wealth, and More Life</h2> Capital One believes in encouraging you to fill up your cup and come back fresh. Combine that with above and beyond benefits and you might be onto something. <ul> <li>Medical, Dental, Vision, Prescription coverage Day 1</li> <li>Flexible Schedule Options</li> <li>Paid Time Off</li> <li>Wellbeing offerings such as backup childcare and Mental Wellness support</li> <li>Tuition Reimbursement</li> <li>Paid Training and Development offered quarterly</li> <li>Flexible Spending Account</li> <li>Life Insurance </li> <li>Disability Insurance</li> <li>401 K and Stock Purchase Plan</li> </ul> Work from Home Technology Requirements <ul> <li>Secure home office environment that is free from background noise and distractions</li> <li> Reliable private internet connection that is not supplied via cellular data or hotspot is required <ul> <li>A private network that is password protected where you have ownership or line of site sight to every device on the network</li> <li>Internet service must be provided by Cable or Fiber Internet Service Providers (ISP)</li> <li>Hotspots and satellite services are prohibited and do not meet performance criteria required for optimal agent/customer interactions</li> <li>ISP download speeds on VPN must be at least 5Mbps, with 10+ Mbps preferred </li> <li>To validate ISP speeds from a Chrome browser, go to <a href="http://www.google.com" target="_blank">www.google.com</a>, type Speed Test and run from the Google landing page </li> </ul> </li> <li>Both Hardwire and WiFi internet connections are acceptable as long as speed and security requirements are met</li> </ul> Capital One reserves the right to request proof of internet provider, speed and service package from the associate. Requirements are subject to change, as new systems and technology is delivered. Capital One reserves the right to modify internet service requirements with sixty (60) days notice. Internet Service Provider specs can change by provider and location within the US. If you are experiencing consistent issues with internet stability Capital One reserves the right to ask the agent to upgrade internet service to ensure a good customer experience. Work from Home Location Requirements This role is 100% work from home. We are unable to consider applicants who do not meet the required Capital One Work at Home compatible internet access or who live in the states of California, Hawaii, or US territories. Work from home U.S. based associates are not permitted to work internationally, outside of the continental United States (i.e. Hawaii or U.S. Territories), or California. “At Capital One, we strive to attract the best people to give them the opportunity to be great.” - Rich D. Fairbank, Chairman, Founder and CEO We believe in the Power of one <a href="https://www.capitalonecareers.com/work-and-culture#anchor-impact" target="_blank">Work &amp; Culture at Capital One</a> Basic Qualifications <ul> <li>High school diploma, GED or equivalent certification</li> <li>At least 2 years customer service experience or 2 years of call center experience</li> </ul> Preferred Qualifications <ul><li>At least 1 year of Financial Services experience or Banking experience</li></ul> At this time, Capital One will not sponsor a new applicant for employment authorization for this position. The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.Remote (Regardless of Location): $43,680 - $43,680 for Fascinator, Coordinator Richmond, VA: $43,680 - $43,680 for Fascinator, Coordinator Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate’s offer letter.Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at the <a href="https://www.capitalonecareers.com/benefits" target="_blank">Capital One Careers website</a>. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.This role is expected to accept applications for a minimum of 5 business days.No agencies please. Capital One is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, citizenship, immigration status, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City’s Fair Chance Act; Philadelphia’s Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-800-304-9102 or via email at <a href="#">RecruitingAccommodation@capitalone.com</a>. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.For technical support or questions about Capital One's recruiting process, please send an email to <a href="#">Careers@capitalone.com</a>Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).

Work from Home Customer Service Coordinator - Bank Voice

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position Summary <h3>Accountable for driving innovation and operational excellence from ideation to delivery for small to moderate scale, complex, high value initiatives and parts of larger initiatives that impact the delivery of products and services to the internal and external environment.</h3> <ul> <li><h3>Evaluating, designing, and implementing new growth strategies</h3></li> <li><h3>Partnering cross-functionally to identify colleague and customer needs and develop solutions and tactics to drive growth</h3></li> <li><h3>Tracking progress against key milestones, and creating and implementing value-based metrics and analysis to measure outcomes</h3></li> <li><h3>Delivering quantitative and qualitative analyses with slide presentations and storytelling that will simplify complex problems into simple for solutions for leadership to weigh in on</h3></li> <li><h3>Assisting in creating executive level readouts and presentation materials for leadership</h3></li> <li><h3>Developing dashboards to be leveraged by key stakeholders to monitor performance of our business</h3></li> <li><h3>Conducting deep dive analytics to identify opportunities for innovation and process improvement</h3></li> <li><h3>Performing root cause analysis and ad hoc research to diagnose gaps in our workflow and patient experience</h3></li> <li><h3>Simplifying complex datasets and identifying actionable insights that drive value</h3></li> </ul> <h3>This job might be for you if:</h3> <ul> <li><h3>You're energized by being part of a large cross functional team working in a fast-paced environment. You enjoy working in teams with a diverse set of experiences and backgrounds. You listen to others’ ideas with an open mind.</h3></li> <li><h3>You’re a leader. And you know this means more than leading people. You know that it means taking initiative with a project - anticipating the next steps and taking action before asked. You also know that it can mean leading from behind and stepping in with much needed support.</h3></li> <li><h3>You enjoy solving complex problems. If you don’t know how to do something, you work to find the answers. You don’t get frustrated easily when something doesn’t go the way you planned.</h3></li> <li><h3>You can take complicated concepts and communicate them effectively to a variety of audiences. You write well. You pay attention to the details. You can articulate your thoughts eloquently. You have a track record of successfully influencing senior leadership and clients.</h3></li> <li><h3>You are self-motivated. You take ownership of your work and your team’s work. You pay attention to the details. </h3></li> <li><h3>You enjoy spending your weekends reading the health section of the paper or listening to healthcare podcasts. You’re interested in tracking how the industry is evolving and like understanding the intricacies of it.</h3></li> <li><h3>You love numbers and can track a multitude of key operational and financial metrics with ease</h3></li> <li><h3>You “think big” and encourage others to take calculated risks in exploring unconventional ideas and challenging the status quo</h3></li> </ul> <h3> Required Qualifications </h3> <ul> <li><h3>7+ years of experience in healthcare in a role that involves strategic problem solving and/or new product development (e.g., consulting)</h3></li> <li><h3>7+ years of demonstrated organizational skills (e.g. project management experience or managing cross-team/department initiatives with demonstrated success)</h3></li> <li><h3>5+ years of data analytics experience working with large data sets and using Excel, SQL, Python, and/or other equivalent analytics tools</h3></li> <li><h3>5+ years leading cross-functional teams in a matrixed environment</h3></li> </ul> <h3> Preferred Qualifications </h3> <ul> <li><h3>Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.</h3></li> <li><h3>Demonstrated leadership with relevant initiatives: Business process, enterprise business project strategic planning and analysis, risk management, public health, process improvement (e.g., Lean Six Sigma certification).management/consulting. </h3></li> <li><h3>Demonstrated superior business process, project management.</h3></li> <li><h3>Demonstrated experience successfully implementing change in complex organizations.</h3></li> <li><h3>Experience with enterprise-wide and/or cross-functional large scale initiatives with high degree of complexity.</h3></li> </ul> <h3>Education</h3> <ul><li><h3> Masters degree preferred, but not required. Bachelor's degree required or equivalent experience.</h3></li></ul> Pay RangeThe typical pay range for this role is:$82,940.00 - $182,549.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">Benefits | CVS Health</a>We anticipate the application window for this opening will close on: 02/22/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Manager Project Management

Overview Are you looking for a rewarding career? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay $90,000.00- $105,000.00 annually Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. What's in it for you <ul> <li>A full benefits package with choice of affordable PPO or HSA medical plans.</li> <li>Paid time off.</li> <li>Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.</li> <li>Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.*</li> <li>Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.</li> <li>401(k) with a company match.</li> <li>Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.</li> <li>And more.</li> </ul> Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. **For full-time caregivers meeting certain requirements. Why Amedisys Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve. Responsibilities The Project Manager is responsible for initiating, planning and executing various types of initiatives that could include business process improvements and/or technical components <ol> <li>Independently manage strategic projects from the initiation phase through the implementation phase.</li> <li>Work with project leadership on enterprise wide strategic initiatives.</li> <li>Define scope, develop and steward project plans, schedules, budget, and execute project to completion.</li> <li>Lead successful delivery of critical projects with multiple sponsors and virtual project teams.</li> <li>Establish and maintain relationships with project stakeholders/sponsors and serve as a liaison between sponsors, vendors and/or IT.</li> <li>Performs other duties as assigned. </li> </ol> Qualifications Required: <ul> <li>Bachelor's degree in Business, Computer Science or related field; 5 years of related experience can be used in lieu of degree.</li> <li>Three (3+) years' experience in project management.</li> <li>Hands on experience managing project teams including monitoring and reporting status and project risk.</li> <li>Experience with other project management tools can take the place of Microsoft Project.</li> <li>Exposure to Project Management Knowledge Areas: Integration Management, Scope Management, Time Management, Cost Management, Quality Management, Human Resource Management, Communications Management, Risk Management, and Procurement Management.</li> <li>Experience with implementing/interfacing with third party software.</li> </ul> Preferred: <ul><li>Project Management Professional (PMP) certification</li></ul> Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

210 Jobs in Fairfax, VA, USA