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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 SummaryUtilization management is a 24/7 operation. Work schedules will include weekend, evening and holiday rotations. Must reside in the PST zoneAs a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.- 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.- 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- Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs- Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization- Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.- Typical office working environment with productivity and quality expectations.- Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.- Sedentary work involving periods of sitting, talking, listening.- Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.- Effective communication skills, both verbal and written Required Qualifications- 2 years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active current and unrestricted RN licensure in state of residence- Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications- 2 years of clinical experience required in med surg or specialty area - Managed Care experience preferred, especially Utilization Management- Preference for those residing in PST zones - Bachelor of Science in Nursing EducationAssociates Degree in NursingAnticipated 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: 05/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Utilization Management, Nurse Consultant

Union Public Schools

Assistant Principal's Secretary (Bi-Lingual preferred)

CBRE

Business Analyst

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 Sr. Analyst will act as a primary resource for all dental products (DHMO, PPO, Medicare) for providers, sales and marketing, and Dental Service Centers to aid in the achievement of Aetna Key Performance Measures. Act as the liaison with the Primary Care Dentists and Specialists in a specific geographic territory responsible for overall maintenance and territory management of the provider network, as a functional subject matter expert, demonstrating a strong understanding of Aetna's Dental Products and market position. Negotiation of contract language and provider compensation. Review quality and service reports with provider and appropriate staff, contacting Dental providers regarding quality reviews conducted where unacceptable results were obtained. Timely response to correspondence from Provider offices, included, but not limited to termination requests, tax id changes, hold requests, claim reimbursement, system, directory accuracy and various contractual issues. Documented resolution and follow through communicated to all parties. Presentation of DHMO and PPO plan design, compensation process, claim / encounter submission, and referral policies during new office orientations and reorientations via the telephone. Knowledge of the competitive market and Aetna's relevant competitive position, to include member appointment access. Presentation of Aetna's electronic capabilities for dental providers to achieve Company goals and targets, promote all EDI initiatives.Required Qualifications 5 years of Experience in a Dental Office and/or payor setting, Sales or Service.Strong verbal and written communication skills. Preferred Qualifications Experience in the dental field and knowledge of PPO, DMO, and Medicare networks. Education - Bachelors Degree or equivalent combination of education and experienceAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $102,000.00This 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: 05/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Analyst, Network Relations Retention (Aetna Dental)

Position Details Req ID req1391 Job Title ACCOUNTANT II Division Corporate Shift First Shift Job Summary Job Summary Applies advanced knowledge of principles, theories, concepts and industry practices, Generally Accepted Accounting Practices and other accounting standards relating to financial accounting. Essential Functions &amp; Key Responsibilities <ul> <li>Develops solutions to a variety of problems of moderate scope and complexity that require judgment and ingenuity referring to policies and procedures for guidance. Work is reviewed for accuracy and adequacy.</li> <li>Installs and implements new and revised accounting systems. Modifies system specifications and documentation and coordinates implementation of accounting systems and accounting control procedures with management and users.</li> <li>Analyzes and reconciles financial information detailing assets, liabilities, and capital. Prepares balance sheets, profit and loss statements, and other reports to summarize and interpret current and projected company financial position for other managers.</li> <li>Audits contracts, orders, and vouchers. Prepares reports to substantiate individual transactions prior to settlement.</li> <li>Conducts studies and submits recommendations for improving the organization's accounting operation.</li> <li>Performs the compilation and analysis of financial information and prepares entries to accounts, such as general ledger accounts, documenting business transactions.</li> </ul> Performs other duties as required. These duties may include assignments in job classifications and departments other than the primary assignment. Minimum Qualifications Education Requirements Minimum 4 Year / Bachelors Degree. Accounting, Finance or another appropriate discipline. If applicable, a combination of experience and training may be substituted for the education requirement.Experience Requirements 2-4 or more years year(s) Related experience and/or training. Experience requirements may be flexible depending upon review of applicants’ specific job history. Public Accounting experience may be weighted heavier than Private Accounting. Skills and Competencies <ul><li>Communicates effectively using electronic media and in written and verbal forms.</li> <li>Makes telephone and direct personal contact with internal and external personnel and makes formal presentations to small or large groups.</li> <li>Operates standard office equipment and demonstrates competence in the use of standard software applications such as Microsoft Word, Excel and Power Point.</li></ul> Skills and Work Requirements <ul> <li>Property Accounting experience a plus</li> <li>Experience with SAP a plus</li> </ul> Physical Requirements Physical Requirements Must be able to work in excess of eight (8) hours per day and five (5) days per week, if required. Additionally, those who work at NORDAM Repair Division must be able to ascend and descend stairs. Demand - Frequency Walk - Frequent Use hands to handle or feel or manipulate - Frequent Reach with hands and arms - Frequent Stoop, kneel, crouch, or crawl - Occasional Talk and hear - Frequent Use close vision, depth perception, and ability to adjust - Constant Travel between facilities (drive) - Occasional Stand - Occasional Climb Stairs - Occasional Weight - Frequency 25 pounds - Occasional Work Environment Work Environment While performing the duties of this job, the Stakeholder is occasionally exposed to moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals, and outside weather conditions. The noise level in the work environment is usually moderate. Supervision Supervision <ul><li>Works under very general supervision.</li> <li>Sound judgment, completeness and accuracy are expected.</li></ul> EEO Statement The NORDAM Group LLC is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity or expression, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Nordam Group

ACCOUNTANT II

Aide- Skillbuilder (7.5 HRS/DAY)

<h1>About Prove </h1> As the world moves to a mobile-first economy, businesses need to modernize how they acquire, engage with and enable consumers. Prove’s phone-centric identity tokenization and passive cryptographic authentication solutions reduce friction, enhance security and privacy across all digital channels, and accelerate revenues while reducing operating expenses and fraud losses. Over 1,000 enterprise customers use Prove’s platform to process 20 billion customer requests annually across industries, including banking, lending, healthcare, gaming, crypto, e-commerce, marketplaces, and payments. For the latest updates from Prove, <a href="https://www.linkedin.com/company/proveidentity/" target="_blank">follow us on LinkedIn.</a> Prove is driving the future of digital identity. We are looking for Provers who know how to make an impact. We’re talking self-starting professionals who thrive in a fast-paced environment, process information quickly, and make intelligent decisions. The work is challenging and requires not only smart but natural curiosity and tenacity. Teamwork is also important to us – we work together and play together. Prove has big plans, and we’re excited about the future. If this sounds like the place for you – come join our team! Title: Fraud Strategy Analyst Reports to: VP, Product Management Location: New York, NY; Remote FLSA Status: F/T Salaried Exempt Position Summary The Fraud Strategy Analyst has experience in fraud prevention and has a knack for understanding bad actor motivations, fraud vulnerabilities, and control recommendations that favor consumer experience. They will ensure Prove products effectively verify identities and mitigate fraud by setting the policy which is enforced through our products. This role will interface with clients from time-to-time to understand fraud trends, make recommendations to the client on how to mitigate fraud using Prove products as well as relay new requirements to help shape Prove Policy as well as Prove Products. This person is critical to the success of the products by investigating fraud attacks, low pass rates with respect to identity verification, understanding root cause, and prescribing recommendations. Success is measured by maximizing client pass rates with effective fraud mitigation. Key Responsibilities: <ul> <li>Partner with Data Science team to refine and enhance Prove Global Fraud Policy through fraud expertise contributions</li> <li>Work with clients on fraud trends including analysis, client communication, recommendations to the client while partnering with leadership</li> <li>Support Platform Product Manager and Data Partnerships to recommend and prioritize new data sources</li> <li>Investigate client pass rate issues through using internal tools and partnership with Data Science and Client Success</li> <li>Create and maintain internal product documentation as well as support Product Marketing to create customer-facing product documentation and marketing collateral</li> <li>Create and maintain client dashboard to measure pass rate and fraud rates </li> <li>Contribute to the success of Prove led client forums to receive client and industry feedback</li> <li>Promote solutions in the market through bylines, webinars, and social media</li> </ul> Qualifications and Experience: <ul> <li>3+ years of fraud risk management, operations, or investigation or related experience.</li> <li>Bachelor's Degree in a relevant field, such as Computer Science, Operations, Business, Mathematics or Finance </li> <li>Demonstrated ability to stay organized and meet deadlines while managing multiple priorities</li> <li>Experience working in a fast-paced environment with a high degree of ambiguity</li> <li>Strong quantitative data analysis and critical thinking skills</li> <li>Ability to communicate effectively with both technical and non-technical individuals.</li> <li>Strong interpersonal skills, including written and oral communication skills</li> <li>Experience in a high growth startup with quickly expanding teams and aggressive revenue growth plans</li> <li>Promoting, maintaining and enhancing our cultural values of humility, passion, inclusion and leadership</li> <li>Exhibiting a strong passion for learning our products and markets through in-house and external training</li> </ul> The salary range for this role in New York City is $100,000-$115,000 plus company bonus. Offered salary will be determined by the applicant’s education, experience, knowledge, skills, geo-location and abilities, as well as internal equity and alignment with market data. Benefits &amp; Perks for FTE Provers: <ul> <li>Competitive salaries &amp; Bonus Plan (for eligible roles) and Equity Plan</li> <li>Modern Health for financial, mental, and physical wellness</li> <li>401(k) Retirement Plan &amp; Match (US Offices) and Local Country Pension (International Offices)</li> <li>Unlimited Vacation and Flexible hours</li> <li>Comprehensive medical benefits for you and your family ❤️</li> <li>Emotional &amp; Physical Wellness – Access to wellness services (EAP &amp; Prove Well-Being Reimbursement)</li> <li>Bottomless snacks &amp; beverages for certain office locations</li> <li>Daily GrubHub stipend for lunch if coming into the office (US Offices)</li> <li>A great place to work and connect with other talented Provers like yourself!</li> </ul> Don’t meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Prove we are dedicated to building a diverse, inclusive and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles. Equal Opportunity Employment: Prove is an equal opportunity employer committed to providing equal employment opportunity for all people regardless of race, color, religion, gender or sexual orientation, age, marital status, national origin, citizenship status, disability, veteran status or other personal characteristics Privacy &amp; Data Protection: When you are applying for a job at Prove, we collect and use your personal information in the job application process. To understand more about how Prove uses your personal information, please see our <a href="https://www.prove.com/legal/overview#Recruitment-Privacy-Policy" target="_blank">Recruitment Privacy Policy</a> on our website.

Prove

Fraud Strategy Analyst

Regent Bank

CASH ROOM COUNTER

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Electrical Engineer

HSE Manager (West Coast)

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