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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 - $100,000.00 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 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. Responsibilities As the Business Development Analyst Trainer, you will be responsible for providing analytics training support to the Business Development staff, enhancing employee engagement, performance and understanding. Key functions include developing, coordinating and facilitating centralized analytics learning and training for both new hires and experienced Business Development representatives.Plans, develops, and delivers onsite or virtual training programs to Business Development staff and regional teams across the organization focused on analytics including but not limited to market data, referral sources, admissions, and account overviews. <ul> <li>Conducts training sessions specific to line of business (LOB) analytics, providing insights and specified uses.</li> <li>Provides instruction on the basics of utilizing Power BI and Trella, including navigation and best practices.</li> <li>Develops tutorials for Trella and Power BI, using real-world scenarios to enhance learning.</li> <li>Guides newly hired Business Development leaders through their line of business (LOB) available reports and scorecards, ensuring comprehension of data and system navigation.</li> <li>Educates new hires on the available scorecards and reports, explaining their purpose and usage.</li> <li>Designs learning solutions to meet the identified learning needs of Business Development staff; prepares goals and outcome measures to evaluate program effectiveness.</li> <li>Conducts needs assessments to determine specific analytics focused continuous learning needs for tenured Business Development staff.</li> <li>Evaluates effectiveness of learning programs and resources.</li> <li>Collaborates with training team to assess/design analytics learning solutions to meet identified learning needs.</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>Bachelor's degree in healthcare, education, business, analytics, Data Science or a related field or equivalent work experience.</li> <li>Two (2+) years' experience in training/coaching.</li> <li>Two (2+) years' experience in analytics.</li> <li>Proven track record in training and development roles, especially in analytics.</li> <li>Proficiency in analytics tools such as Power BI, Trella, Tableau, or similar platforms.</li> <li>Strong understanding of data analysis and business intelligence.</li> </ul> Preferred: <ul> <li>Master's degree in healthcare, education, analytics or business or related field.</li> <li>Five (5+) years' experience in Hospice or Home Health field.</li> <li>Two (2+) years in content writing and development.</li> <li>Experience in developing training materials and tutorials.</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

Business Development Analytics Trainer

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 SummaryCVS Health Aetna has an opportunity for a full-time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records. Key Responsibilities of the UM Nurse Consultant (Includes but is not limited to)<ul> <li>Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the complex needs of the member.</li> <li>Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.</li> <li>Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.</li> <li>Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.</li> <li>Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.</li> <li>Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure, and clinical judgment to render coverage determination/recommendation along the continuum of care.</li> <li>Communicates with providers and other parties to facilitate care/treatment.</li> <li>Identifies members for 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>Registered Nurse (RN) with current unrestricted US licensure required.</li> <li>2+ years clinical practice experience as an RN required.</li> <li>2+ Years Utilization Management experience.</li> <li>Must be willing to travel to the local office as needed if living within approximately 45 minutes/miles.</li> </ul>Preferred Qualifications<ul> <li>Bilingual proficiency in Arabic, Korean, or Spanish preferred.</li> <li>1+ year(s) experience utilizing multiple computer systems and applications including Microsoft Word, Excel, Outlook, and web-based applications.</li> </ul>Education<ul> <li>Associate’s degree in Nursing.</li> <li>BSN preferred.</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$29.10 - $62.32This 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: 06/02/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Utilization Management Nurse Consultant

Overview Are you looking for a rewarding career as an RN OASIS and coding specialist? 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 <ul><li>$70,000-$75,000</li></ul> Enjoy many perks and benefits <ul> <li>A full benefits package with choice of affordable PPO or HSA medical plans.</li> <li>Paid time off.</li> <li>Up to $1,300 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/massage/salon services, gym memberships, fitness classes, 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. What's in it for you <ul> <li>Community-based care centers with a supportive and inclusive work environment.</li> <li>Better work/life balance and increased flexibility compared to other settings.</li> <li>Job stability and the opportunity to advance with a growing company. </li> <li>The opportunity to make a meaningful impact on the lives of patients and their families providing much needed care where they want to be - in their homes.</li> </ul> Don't just take it from us "After working for Amedisys for almost 5 years I feel that from the CEO on down, there is a culture of sincerely wanting to be a great employer - and it shows. The pay is above average, the benefits are great, and the paid time off is generous." - Amedisys employee 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 <ul> <li>Receives and reviews patient OASIS assessments for assigned care centers.</li> <li>Reviews OASIS patient status items compared to other related patient documentation to verify completeness and accuracy.</li> <li>Assists in evaluating needs of the patient and suggests referrals to other disciplines as indicated by the patient's needs.</li> <li>Identifies need for OASIS/documentation education and communicates group needs to care center leadership and supervisor.</li> <li>Communicates any delays in processing assessments to supervisor and care center.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications <ul> <li>Current unencumbered license to practice as an RN.</li> <li>One year ICD-9 or ICD-10 coding and OASIS experience.</li> <li>HCSD or BCHH-C ICD-10 certification.</li> <li>OASIS (COS-C/HCS-O) certification.</li> </ul> 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. 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.

OASIS and Coding 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 SummaryThe Account Executive owns the relationship with the broker. The goal of this role is to build and maintain broker relationships for an exceptional experience for our clients. This is achieved through communicating and demonstrating Meritain's total cost of care, through simplicity, transparency and versatility. Responsibilities of the Account Executive role include: - Relationship management/Consultative services - Prepare and issue renewal proposal - Confirm sold proposal and plan changes - Ensure client is up to date with compliance requirements - Salesforce management - Virtual open enrollment meetings - Attend implementation calls- Stop Loss &amp; Ad-hoc reporting- Point solution upsell - May require travel to offsite locations for in-person meetingsRequired Qualifications<ul> <li>2-5 years Group Health employee benefit experience </li> <li>Renewal process experience</li> <li>2-5 years Client Management experience</li> <li>Excellent verbal and written communication skills</li> <li>Ability to successfully establish and maintain relationships with internal business partners (underwriting, sales, operations, business analytics, etc.)</li> <li>Ability to work collaboratively with both internal and external business partners</li> <li>Exhibit consistency in follow through on outstanding items to point of resolution</li> <li>Demonstrate accuracy in information shared internally and externally</li> <li>Ability to participate and/or successfully host client meetings as appropriate</li> <li>Demonstrate adherence to PHI and HIPPA policies</li> <li>Health/Life Major Lines Producer License (or must obtain post-hire within 90 days) </li> </ul>Preferred Qualifications<ul> <li> Stop-loss/Self-funded Health Insurance Plan experience</li> <li>Understand competitive environment and market opportunities</li> <li>Bachelors Degree </li> </ul>Education:<ul><li>High School Diploma or GED</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$51,686.00 - $101,286.00This 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. 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: 07/04/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Account Executive (Meritain Health)

<h1>Financial Services - Data Risk Management, Manager</h1> <h1>Financial Services - Data Risk Management, Manager</h1> <a href="https://pwc.wd3.myworkdayjobs.com/US_Experienced_Careers/job/NY-New-York/Financial-Services---Data-Risk-Management--Manager_619741WD?source=US_EXP_Careers" target="_blank">Apply</a> Job Category Data and Analytics Level Manager Specialty/Competency Data, Analytics &amp; AI Time Type Full time Travel Requirements Up to 60% Job ID 619741WD Location(s) NC-Charlotte, IL-Chicago, DC-Washington, MA-Boston, NJ-Florham Park, NY-New York A career within Data and Analytics services will provide you with the opportunity to help organisations uncover enterprise insights and drive business results using smarter data analytics. We focus on a collection of organisational technology capabilities, including business intelligence, data management, and data assurance that help our clients drive innovation, growth, and change within their organisations in order to keep up with the changing nature of customers and technology. We make impactful decisions by mixing mind and machine to leverage data, understand and navigate risk, and help our clients gain a competitive edge. Our team helps clients navigate various analytics applications to get the most value out of their technology investment and foster confidence in their business intelligence. As part of our team, you'll help our clients implement enterprise content and data management applications that improve operational effectiveness and provide impactful data analytics and insights. To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future. As a Manager, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to: <ul> <li>Develop new skills outside of comfort zone.</li> <li>Act to resolve issues which prevent the team working effectively.</li> <li>Coach others, recognise their strengths, and encourage them to take ownership of their personal development.</li> <li>Analyse complex ideas or proposals and build a range of meaningful recommendations.</li> <li>Use multiple sources of information including broader stakeholder views to develop solutions and recommendations.</li> <li>Address sub-standard work or work that does not meet firm's/client's expectations.</li> <li>Use data and insights to inform conclusions and support decision-making.</li> <li>Develop a point of view on key global trends, and how they impact clients.</li> <li>Manage a variety of viewpoints to build consensus and create positive outcomes for all parties.</li> <li>Simplify complex messages, highlighting and summarising key points.</li> <li>Uphold the firm's code of ethics and business conduct.</li> </ul> The Opportunity As part of the Data and Analytics - Business Intelligence team you are responsible for leading efforts in developing and implementing data-driven strategies to drive business growth and enhance decision-making. As a Manager, you guide and mentor your team, facilitating the successful planning, execution, and completion of projects while maintaining exemplary standards and leveraging team strengths to meet client expectations. You play a crucial role in aligning data initiatives with organizational goals, managing data strategy programs, and embracing technology and innovation to improve delivery. Responsibilities - Oversee the planning and completion of data initiatives, maintaining quality standards - Align data strategies with organizational objectives to drive growth - Leverage team strengths to meet and exceed client expectations - Manage data strategy programs to improve decision-making - Foster a culture of continuous improvement and learning within the team What You Must Have - Bachelor's Degree in Computer and Information Science, Computer and Information Science &amp; Accounting, Economics, Economics and Finance &amp; Technology, Operations Management/Research, or Statistics - 5 years of experience What Sets You Apart - Master's Degree in Computer Science, Computer Engineering, or Engineering preferred - Proficiency in data risk management and technology risk management - Developing data-driven strategies for business growth - Aligning data initiatives with organizational goals - Managing data strategy program success - Programming using Python and SQL - Designing advanced analytics solutions and AI/ML models - Understanding of Master Data Management and Data Governance - Supporting reliable and scalable solutions architectures Learn more about how we work: <a href="https://pwc.to/how-we-work" target="_blank">https://pwc.to/how-we-work</a> PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: <a href="https://pwc.to/H-1B-Lottery-Policy" target="_blank">https://pwc.to/H-1B-Lottery-Policy</a>. All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer. The salary range for this position is: $100,000 - $232,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation and more. To view our benefits at a glance, please visit the following link: <a href="https://pwc.to/benefits-at-a-glance" target="_blank">https://pwc.to/benefits-at-a-glance</a> <h1>Financial Services - Data Risk Management, Manager</h1> <a href="https://pwc.wd3.myworkdayjobs.com/US_Experienced_Careers/job/NY-New-York/Financial-Services---Data-Risk-Management--Manager_619741WD?source=US_EXP_Careers" target="_blank">Apply</a>

Financial Services - Data Risk Management, Manager

<h1>Financial Services - Data Risk Management, Senior Associate</h1> <h1>Financial Services - Data Risk Management, Senior Associate</h1> <a href="https://pwc.wd3.myworkdayjobs.com/US_Experienced_Careers/job/NY-New-York/Financial-Services---Data-Risk-Management--Senior-Associate_619742WD?source=US_EXP_Careers" target="_blank">Apply</a> Job Category Data and Analytics Level Senior Associate Specialty/Competency Data, Analytics &amp; AI Time Type Full time Travel Requirements Up to 60% Job ID 619742WD Location(s) NC-Charlotte, IL-Chicago, DC-Washington, MA-Boston, NJ-Florham Park, NY-New York A career within Data and Analytics services will provide you with the opportunity to help organisations uncover enterprise insights and drive business results using smarter data analytics. We focus on a collection of organisational technology capabilities, including business intelligence, data management, and data assurance that help our clients drive innovation, growth, and change within their organisations in order to keep up with the changing nature of customers and technology. We make impactful decisions by mixing mind and machine to leverage data, understand and navigate risk, and help our clients gain a competitive edge. Our team helps clients navigate various analytics applications to get the most value out of their technology investment and foster confidence in their business intelligence. As part of our team, you'll help our clients implement enterprise content and data management applications that improve operational effectiveness and provide impactful data analytics and insights. To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future. As a Senior Associate, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to: <ul> <li>Use feedback and reflection to develop self awareness, personal strengths and address development areas.</li> <li>Delegate to others to provide stretch opportunities, coaching them to deliver results.</li> <li>Demonstrate critical thinking and the ability to bring order to unstructured problems.</li> <li>Use a broad range of tools and techniques to extract insights from current industry or sector trends.</li> <li>Review your work and that of others for quality, accuracy and relevance.</li> <li>Know how and when to use tools available for a given situation and can explain the reasons for this choice.</li> <li>Seek and embrace opportunities which give exposure to different situations, environments and perspectives.</li> <li>Use straightforward communication, in a structured way, when influencing and connecting with others.</li> <li>Able to read situations and modify behavior to build quality relationships.</li> <li>Uphold the firm's code of ethics and business conduct.</li> </ul> The Opportunity As part of the Data and Analytics - Business Intelligence team you are responsible for leading efforts in developing and implementing data-driven strategies to drive business growth and enhance decision-making. As a Senior Associate, you play a crucial role in aligning data initiatives with organizational goals, managing data strategy programs, and embracing technology and innovation to improve delivery. Responsibilities - Oversee the planning and completion of data initiatives, maintaining quality standards - Align data strategies with organizational objectives to drive growth - Leverage team strengths to meet and exceed client expectations - Manage data strategy programs to improve decision-making - Foster a culture of continuous improvement and learning within the team What You Must Have - Bachelor's Degree in Computer and Information Science, Computer and Information Science &amp; Accounting, Economics, Economics and Finance &amp; Technology, Operations Management/Research, or Statistics - 3 years of experience What Sets You Apart - Master's Degree in Computer Science, Computer Engineering, or Engineering preferred - Proficiency in data risk management and technology risk management - Developing data-driven strategies for business growth - Aligning data initiatives with organizational goals - Managing data strategy program success - Programming using Python and SQL - Designing advanced analytics solutions and AI/ML models - Understanding of Master Data Management and Data Governance - Supporting reliable and scalable solutions architectures Learn more about how we work: <a href="https://pwc.to/how-we-work" target="_blank">https://pwc.to/how-we-work</a> PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: <a href="https://pwc.to/H-1B-Lottery-Policy" target="_blank">https://pwc.to/H-1B-Lottery-Policy</a>. All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer. The salary range for this position is: $84,000 - $202,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation and more. To view our benefits at a glance, please visit the following link: <a href="https://pwc.to/benefits-at-a-glance" target="_blank">https://pwc.to/benefits-at-a-glance</a> <h1>Financial Services - Data Risk Management, Senior Associate</h1> <a href="https://pwc.wd3.myworkdayjobs.com/US_Experienced_Careers/job/NY-New-York/Financial-Services---Data-Risk-Management--Senior-Associate_619742WD?source=US_EXP_Careers" target="_blank">Apply</a>

Financial Services - Data Risk Management, Senior Associate

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 SummaryBring 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> <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 Education High School Diploma </li> </ul>Anticipated 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: 05/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Health Concierge

Your work days are brighter here.At Workday, it all began with a conversation over breakfast. When our founders met at a sunny California diner, they came up with an idea to revolutionize the enterprise software market. And when we began to rise, one thing that really set us apart was our culture. A culture which was driven by our value of putting our people first. And ever since, the happiness, development, and contribution of every Workmate is central to who we are. Our Workmates believe a healthy employee-centric, collaborative culture is the essential mix of ingredients for success in business. That’s why we look after our people, communities and the planet while still being profitable. Feel encouraged to shine, however that manifests: you don’t need to hide who you are. You can feel the energy and the passion, it's what makes us unique. Inspired to make a brighter work day for all and transform with us to the next stage of our growth journey? Bring your brightest version of you and have a brighter work day here.At Workday, we value our candidates’ privacy and data security. Workday will never ask candidates to apply to jobs through websites that are not Workday Careers. Please be aware of sites that may ask for you to input your data in connection with a job posting that appears to be from Workday but is not.In addition, Workday will never ask candidates to pay a recruiting fee, or pay for consulting or coaching services, in order to apply for a job at Workday.About the TeamWorkday’s Financial Services and Insurance (FSI) Industry team’s main purpose is to deliver Workday’s consulting services and build an outstanding customer experience by delivering engaging and innovative consulting services. In addition to bring leading practices to our customers, partners, and employees make the most of the Workday system.About the RoleJob DescriptionThe Financial Services &amp; Insurance Industry (FSI) Principal Financials Consultant will be responsible for ensuring the successful implementation of Workday’s Financials solution for our FSI customers and help establish and champion best practices for all FSI deployments. The ideal candidate for this position should have experience within the FSI Industry in General Ledger, Consolidations, Allocations, Currency Revaluations and Translations. Additionally, candidate should have an understanding of financial touch points to Projects, Accounts Payable, Cash Managementand Assets. Key Areas of Responsibility:<ul> <li>Become an expert in the Workday Financials product suite</li> <li>Provide FSI Industry perspective for customer business requirements</li> <li>Ensure FSI Industry best practices are maintained to reflect new industry requirements and trends</li> <li>Perform the following on an engagement: understand client business requirement</li> <li>Serve as a mentor for new Financial Consultants</li> <li>Ensure the client takes advantage of Workday FSI Industry best practices</li> <li>Ensure the client is referenceable once the client is in production</li> <li>Participate in update training and other events that help share one’s product skills with other consultants</li> </ul>About You Basic Qualifications P - 5 <ul> <li>7 years FSI industry - ERP Implementations</li> <li>General Ledger, Consolidations, Allocations, Currency Revaluations and Translations Implementations experience</li> <li> Financial touchpoints to Projects, Accounts Payable, Cash Management and Assets Experience </li> <li>Workday Deployment Experience</li> <li>Ability to travel up to 50% of the time</li> </ul> P- 4 <ul> <li>5 years FSI industry - ERP Implementations</li> <li>General Ledger, Consolidations, Allocations, Currency Revaluations and Translations Implementations experience</li> <li> Financial touchpoints to Projects, Accounts Payable, Cash Management and Assets Experience </li> <li>Workday Deployment Experience</li> <li>Ability to travel up to 50% of the time</li> </ul> Other Qualifications <ul> <li>Ability to learn technology quickly through instruction and self-training</li> <li>Experience mentoring others</li> <li>Proven project management skills</li> <li>Previous consulting experience either as an internal consultant or with a consulting/software company</li> <li>Experience with Workday Accounting Center</li> <li>Experience implementing Workday, SAP, Oracle, PeopleSoft.</li> <li>Bachelor’s degree or relevant experience</li> <li>Passion for customer service.</li> <li>Excellent verbal and written communication skills and the ability to manage multiple projects at a time.</li> <li>Business analysis and requirements gathering abilities</li> </ul> Workday Pay Transparency StatementThe annualized base salary ranges for the primary location and any additional locations are listed below. Workday pay ranges vary based on work location. As a part of the total compensation package, this role may be eligible for the Workday Bonus Plan or a role-specific commission/bonus, as well as annual refresh stock grants. Recruiters can share more detail during the hiring process. Each candidate’s compensation offer will be based on multiple factors including, but not limited to, geography, experience, skills, job duties, and business need, among other things. For more information regarding Workday’s comprehensive benefits, please <a href="http://workdaybenefits.com/us/welcome-to-workday-benefits/prospective-workmates" target="_blank">click here</a>.Primary Location: USA.IL.Chicago Primary Location Base Pay Range: $147,400 USD - $221,100 USD Additional US Location(s) Base Pay Range: $133,300 USD - $236,800 USD Our Approach to Flexible Work With Flex Work, we’re combining the best of both worlds: in-person time and remote. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. We know that flexibility can take shape in many ways, so rather than a number of required days in-office each week, we simply spend at least half (50%) of our time each quarter in the office or in the field with our customers, prospects, and partners (depending on role). This means you'll have the freedom to create a flexible schedule that caters to your business, team, and personal needs, while being intentional to make the most of time spent together. Those in our remote "home office" roles also have the opportunity to come together in our offices for important moments that matter.Pursuant to applicable Fair Chance law, Workday will consider for employment qualified applicants with arrest and conviction records.Workday is an Equal Opportunity Employer including individuals with disabilities and protected veterans.Are you being referred to one of our roles? If so, ask your connection at Workday about our Employee Referral process!

Workday

Principal Consultant - Financials, FSI Industry

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 Summary As an Account Executive, you will manage a book of business of Aetna Funding Advantage (AFA) and 51-100 Fully Insured, along with dental/vision. Account Executives act as the liaison between Brokers/GAs and cross-functional internal teams, and are responsible for ensuring timely/successful delivery of customer renewals, and helping manage timely support for broker/customer inquiries. Excellent communication skills are required to ensure we understand our customer's needs and are able to build long-lasting, mutually beneficial relationships with our key business stakeholders. Additionally, Account Executives are expected to demonstrate a high level of customer service through the execution of accuracy, responsiveness, reliability, and professionalism on all interactions. This will include managing the resolution status of routine to complex requests related to our customers' business requirements; including but not limited to:<ul> <li>Accountable for building and maintaining strong relationships with assigned brokers &amp; book of business to ensure case renewal and retention. Responsibilities include delivering &amp; securing renewals and cross-selling dental &amp; vision</li> <li>Determine concerns/barriers for retention of customers; identify top concerns and review mitigation strategy with leadership. Discuss and present solutions and collaborate with internal partners to enhance broker/customer experience.</li> <li>Driving Practical and Creative Solutions- Critically thinking about complex situations to find optimal outcome.</li> <li>Collaborates with account team members and functional support areas on more complex product or service issues to ensure client’s needs are met.</li> <li>Engaging Appropriate Resources - Discuss information at varying degrees of complexity, at varying stages of progression, and engage internal or customer resources to drive issue resolution.</li> <li>Work within deadlines and drive resolution within a timely manner.</li> <li>Responsible for utilizing member-focused strategies to improve member experience and customer satisfaction.</li> <li>Renewal Implementation- Lead implementation of renewal by working with cross-functional internal teams, consultants and customer.</li> <li>Reviews and consultatively presents customer reporting with meaningful analytics, trending and insightful recommendations for additional programs and services.</li> <li>Supports operations and sales teams on ad hoc projects.</li> <li>Required to communicate with internal and external parties telephonically and/or in person. May require travel to offsite locations for in-person meetings and training.</li> </ul>Required Qualifications<ul> <li>3-5 years of client relationship experience within the Heath Insurance Industry.</li> <li>Excellent written and verbal communication skills.</li> <li>Proficiency with Microsoft Office products (Word, Excel, PowerPoint, Teams).</li> <li>Health &amp; Life Insurance license.</li> <li>Medical, Dental and Pharmacy product experience.</li> </ul>Preferred Qualifications<ul><li>2+ years Account Management, Health Insurance Industry experience.</li></ul> Education<ul><li>Bachelor's Degree or equivalent work experience (HS Diploma + 4 years relevant experience).</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $91,014.00This 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. 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: 06/24/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Account Executive (Small Group Account Manager)

At Aspen Dental, we believe in doing just about anything to make our patients smile by going the extra mile. Our practices are committed to treating patients with the compassion and respect they deserve. Together, we’re making dentistry better, allowing more people to access dental care that works with their lives. We value the safety of our patients and employees with our <a href="https://www.aspendental.com/covid-19/safe-smile-promise" target="_blank">Smile Wide and Smile Safe</a> program. Salary: $115000 - $125000 / year Benefits of being part of the AspenOne Team <ul> <li>Career advancement opportunities </li> <li>Paid time off and holidays </li> <li>Health, Vision, and 401(k) savings plan </li> <li>Continuing education opportunities </li> </ul> How You’ll Make a Difference As a Territory Director, you will support practice operations for a group of Aspen Dental-branded practices within a designated territory. You will be responsible for leading the administrative and operations teams within your supported practices and drive a strong culture that will support and help enable all team members to be successful. <ul> <li>Regional travel is required to maintain a consistent presence within practices to help ensure their success </li> <li>Provide training and development support to team members to strengthen service offerings within the practices </li> <li>In partnership with the talent acquisition team and the regional manager, evaluate and communicate staffing needs to enable effective hiring and onboarding experiences for new team members </li> <li>Provide additional support as needed by practice owners </li> </ul> How You’ll Succeed <ul> <li>Ready to be part of a patient-centric team </li> <li>10 years progressive experience managing within a multi-unit retail, restaurant, or service organization </li> <li>Multi-location, retail operations management experience in customer or patient-based industry </li> </ul> <ul> <li>Experience coaching and developing others </li> <li>Excellent verbal and written communication skills and the ability to make decisions independently </li> <li>Knowledge of Microsoft Office business applications </li> <li>Bachelor’s degree </li> </ul> *As this position requires daily travel to assigned offices, you must maintain a valid non-restricted driver’s license and appropriate insurance or the ability to be insured under the employer’s fleet insurance program (for those assigned a Company fleet vehicle). The Company reserves the right to request and review your Motor Vehicle Record at any time, according to state requirements. <a href="https://careers.aspendental.com/us/en/tag-privacy-policy-for-california-employees" target="_blank">View CA Privacy Policy</a>

210 Jobs in Fairfax, VA, USA