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Current Saint Francis Employees - Please click <a href="http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld" target="_blank">HERE</a> to login and apply. Full TimeDaysNote: Candidates MUST reside within commuting distance of the Warren Clinic Tower in Tulsa, OK to be considered for this position. Onsite training is mandatory for the first few months before going remote.Shift: Monday - Friday 8:30am - 5:00pmJob Summary: The Authorization Specialist I directly impacts the billing and collections functions of the revenue cycle by ensuring accuracy of insurance information and procuring prior authorization and predetermination for scheduled patient appointments as well as inpatient admissions. Timely facilitation of insurance approval contributes to the accuracy of patient estimates and pre-service collections, patient ease of access to care and serves to prevent denials of claims submitted for payment. Authorization Specialists do not have leadership responsibilities, but are expected to perform duties with a high degree of independence, meeting productivity and quality metrics consistently. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: None. Work Experience: 1 - 2 years relevant experience. 1 year of benefits verification or authorization experience or 2 years of pre-registration experience. Post-secondary education may be substituted for 1 year of experience. Knowledge, Skills and Abilities: Basic healthcare and insurance terminology. Basic computer knowledge and skills. Proficient with office machines, including fax, copier and scanner. Ability to navigate insurance websites to access patient, eligibility and payment information. Good communication skills - written and verbal. Phone-based contact center skills involving multiple-line phone systems. Employee must possess the ability to organize and prioritize work; must be detail oriented. Understanding of a professional business environment. Basic knowledge of medical billing and insurance follow-up activity. Essential Functions and Responsibilities: Monitors patient and/or referrals and/or denials work queues to determine encounters that require pre-registration, verification, authorization, or corrections to ensure proper billing. Works encounters according to assignment and consistently meets daily and weekly productivity goals. Evaluates physician referral and authorization requirements and takes appropriate steps to ensure requirements are met prior to date of procedure. Reviews clinical documentation for CPT/diagnosis code information to support authorization/precertification according to payer guidelines. Accurately monitors, reviews and processes authorizations and validates the requests are accurate, within the required timeline, and in compliance with the applicable insurance guidelines. Coordinates as needed with other departments/ancillary areas for special needs or resources. Counsels clinical partners and/or patients to facilitate additional information when required by payer. Coordinates with patient, referring physician's office and/or referring location, scheduled service area, financial counselors, case manager, and others as appropriate to obtain additional information or provide information on patients' financial status. Documents pertinent information and efforts in computer system based upon department documentation standards. Protects the privacy and security of patient health information to ensure that confidentiality is maintained. Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field. Working Relationship: Works directly with patients and/or customers. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None.Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.Pre-Arrival - Yale CampusLocation:Virtual Office, Oklahoma 73105EOE Protected Veterans/Disability

Saint Francis Health System

Authorization Specialist I

U.S. Department of Veteran Affairs

Staff Psychologist - Same Day Access Clinic

Macy's

Warehouse Associate, Tulsa - Full Time (2051)

Senior Licensed  Professional Mental Health Counselor - Same Day Access Clinic

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 The Appeal Supervisor (Meritain Health) develops and manages a team, in an effort to address matters regarding complaints and appeals, ensuring compliance with federal and/or state regulations. Leads the development of policies, procedures, and programs to ensure compliance with policies of all applicable federal and/or state government agencies.In this role, you will:<ul> <li>Manage the overall workflow of appeals as assigned.</li> <li>Provide coaching &amp; mentoring for a team of several analysts, specifically involving the handling of reviews.</li> <li>Ensure that any &amp; all compliance deadlines are adhered to and met.</li> <li>Assist in updating any relevant policies and procedures.</li> <li>Handle various escalated items, specifically related to appeals.</li> </ul>Required Qualifications<ul> <li>3+ years of experience working with appeals, including knowledge of job aids and workflows.</li> <li>2+ years of experience leading a team.</li> <li>Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).</li> </ul>Preferred Qualifications<ul> <li>2+ years of experience working with audits.</li> <li>2+ years of experience in training others.</li> <li>Product knowledge and experience with Appeals Regulatory Requirements.</li> <li>Strong communication skills, particularly with the ability to provide and receive feedback.</li> <li>Excellent time management skills.</li> <li>Ability to work collaboratively across teams.</li> <li>Strong analytical skills, focusing on accuracy and attention to details.</li> <li>Bachelor’s degree.</li> </ul> EducationHigh school diploma or GED.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$43,888.00 - $102,081.00This 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: 06/16/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Appeal Supervisor (Meritain Health)

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.Overview:Aetna, CVS Health is looking for top sales leadership talent! We have an exciting work from home opportunity available for highly motivated individual to manage our Telesales vendor relationships as a Lead Director of Sales Support. The position will lead a team who will manage our Telesales vendor relations. The role will be responsible in ensuring our vendors have a formalized approach on recruitment, training, quality, and managing of the call center staff and activities to achieve superior business performance and sales goals. This role is ideal for candidates that are energetic, empathetic, and looking to become part of a growing business segment. Job Responsibilities:<ul> <li>Manage and lead a sales organization with a high level of focus on selling Aetna’s Medicare products.</li> <li>Oversee and lead daily operations of the call center including, but not limited to, communications, performance management, program and product training.</li> <li>Responsible for executing Telesales operations to scale and grow business across all product lines.</li> <li>Maximize effectiveness and efficiency of the sales leadership and programs (i.e. sales volume) leveraging capacity and productivity, among other levers, to achieve target sales volume.</li> <li>Partner with other functions (ex. Sales operations, training, quality) to ensure that call center staff and operations are well trained and prepared for effective and efficient operations of the team.</li> <li>Deploy daily operating models for team to ensure effective sales operations, high quality program submissions, and achievement of business results.</li> <li>Develop enhanced sales techniques and drives sales through robust knowledge and experience and make improvements to the model.</li> <li>Designs the allocation of resources to support key performance metrics.</li> <li>Controls negotiations with clients in complex financial situations.</li> <li>Other duties as assigned.</li> </ul> Background/Experience desired:At least 5 years in sales leadership role(s) preferably in Telesales and/or Medicare programs.5+ years of managing individual contributors and managers.Demonstrated successful experience in developing internal Telesales capabilities for insurance companies.Superior knowledge of Medicare products desirable.Life &amp; Health insurance license is a plus but not required to be employed. It is required to obtain the license within 60 days from the employment start date.High level of proficiency with Microsoft Office package.Adept at collaboration and teamworkMastery of problem solving and decision-making skillsMastery of growth mindset (agility and developing yourself and others) skillsEducation:The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.LICENSES AND CERTIFICATIONSInsurance/Licensed Life &amp; Health Insurance Agent (GA) is desiredPay RangeThe typical pay range for this role is:$100,000.00 - $231,540.00 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: 06/08/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Lead Director Sales - Medicare

Sr Lead Software Engineer, Back End - Shopping Site Reliability (Remote-Eligible)Do you love building and pioneering in the technology space? Do you enjoy solving complex business problems in a fast-paced, collaborative, inclusive, and iterative delivery environment? At Capital One, you'll be part of a big group of makers, breakers, doers and disruptors, who solve real problems and meet real customer needs.Capital One Shopping is looking for our next Site Reliability Engineer. This position will be a great fit for anyone who wants to optimize, automate and expand business-critical services to a constantly growing customer base. At Capital One Shopping we leverage technology and data to find the best deals for our customers while they shop. To do this we handle huge volumes of data and network traffic; as we grow we need engineers who are ready to help optimize our existing systems and build the next generation of capabilities to support our users and merchants.What You’ll Do: <ul> <li>Lead a portfolio of diverse technology projects and a team of developers with deep experience in distributed microservices, and full stack systems to create solutions that help meet regulatory needs for the company</li> <li>Regularly contribute across multiple code bases to deliver performance, regulatory, reliability and revenue improvements for the business</li> <li>Contribute to platforms that enable the success of developers, account managers, business partners and our customers</li> <li>Improve visibility to business-critical transactions, guide the creation of SLOs and influence the management of error budgets</li> <li>Share your passion for staying on top of tech trends, experimenting with and learning new technologies, participating in internal &amp; external technology communities, mentoring other members of the engineering community, and from time to time, be asked to code or evaluate code</li> <li>Collaborate with digital product managers, and deliver robust cloud-based solutions that drive powerful experiences to help millions of Americans achieve financial empowerment</li> <li>Leverage NodeJS, Docker, AWS, Kafka, Cassandra, Opensearch, Postgres and other technologies to optimize software for ideal business outcomes</li> </ul>Basic Qualifications:<ul> <li>Bachelor’s Degree</li> <li>At least 6 years of experience in software engineering (Internship experience does not apply)</li> <li>At least 1 year experience with cloud computing (AWS, Microsoft Azure, Google Cloud)</li> </ul>Preferred Qualifications:<ul> <li>Master’s Degree</li> <li>9+ years of experience in at least one of the following: Java, Go, or Node.js</li> <li>3+ years of experience with AWS</li> <li>3+ years of experience in security and performance tuning for internet-scale microservices</li> <li>3+ years of on-call experience for internet-scale microservices</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): $204,900 - $233,800 for Sr. Lead Software Engineer McLean, VA: $225,400 - $257,200 for Sr. Lead Software 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 (EOE, including disability/vet) committed to non-discrimination in compliance with applicable federal, state, and local laws. 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

Sr Lead Software Engineer, Back End - Shopping Site Reliability (Remote-Eligible)

SummaryIn this role, you will be part of a dynamic and growing team of professionals that designs comprehensive estate and business plans for clients with complex planning needs. You will provide in-depth case consultation and strategy, and review and analyze legal documents and provide written overviews. You will use your deep planning expertise to develop and deliver customized plans for high-net-worth and ultra-high-net-worth clients and business owners. Deep estate and business planning acumen, strong communication and influence skills, and excellent writing and organizational skills are required.Primary Duties and Responsibilities<ul> <li>Active collaboration with other professionals on the team (attorneys, CFPs, CPAs) and top wealth management advisors to create comprehensive plans for high-net-worth and ultra-high-net-worth clients with an emphasis on estate planning, wealth transfer, business succession, tax mitigation, and executive compensation strategies.</li> <li>Analyze clients’ financial situations to design strategies and drive client decision making.</li> <li>Examine and position solutions with focus on Northwestern Mutual’s approach of integrating investments and life insurance.</li> <li>Lead presentations to advisors and clients to enable client decision making.</li> <li>Collaborate with clients’ outside legal and tax advisors.</li> <li>Responsible for managing workflow in alignment with service level agreements (i.e., delivery of requested analyses and services timely and accurately).</li> <li>Build and leverage relationships with other areas of the company to address unique client circumstances in the high-net-worth and ultra-high-net-worth marketplace and ensure seamless delivery of planning presentation.</li> </ul>Qualifications<ul> <li>JD from an accredited program. Additional advanced degree preferred, such as CFP, CPA, or LL.M.</li> <li>Minimum of 10 years of estate and business planning experience, preferably in a consulting role with clients and/or financial advisors.</li> <li>Extensive experience working directly with high-net-worth clients in advanced estate and business planning, as well as tax planning.</li> <li>Deep knowledge and expertise in planning areas including tax optimization, estate and business succession, and wealth transfer strategies.</li> <li>Series 6 or Series 7 required or obtain within the first 6 months of hire.</li> <li>Home State Insurance License required or obtain within the first 6 months of hire.</li> <li>Strong analytical skills. Requires excellent follow-up, self-management of daily duties, and ability to collaborate with other professionals.</li> <li>Outstanding written and verbal communication skills with the ability to translate complex concepts into client-friendly, understandable, and actionable advice.</li> <li>Proven ability to develop trusting relationships with financial advisors and be a team player.</li> <li>A desire to mentor others is a plus.</li> <li>Experience with planning software (such as MoneyGuidePro, eMoney Advisor, or WealthTec) a plus.</li> </ul>LogisticsWe are open to US-Remote for this role.#LI-Onsite or #LI-Hybrid or #LI-Remote Compensation Range: Pay Range - Start: $149,380.00Pay Range - End:$277,420.00 Geographic Specific Pay Structure: We believe in fairness and transparency. It’s why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you’re living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click <a href="http://careers.northwesternmutual.com/pay-transparency/" target="_blank">here</a> to learn more.Job Posting End Date:The timeline for this job posting may be shortened or extended based on organizational needs.Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now!Northwestern Mutual is an <a href="https://www.northwesternmutual.com/equal-employment-opportunity-policy/" target="_blank">equal opportunity employer</a> who welcomes and encourages diversity in the workforce. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.

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