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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 SummaryAetna, a CVS Health company has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune 6 company? This is a remote Work at Home position and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy &amp; Operations) you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise to provide clinical support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is essential. The Primary Responsibilities of the Medical Director include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject matter expertise in clinical and payment policy to provide clinical support and business direction in these areas. In this role you will: ◾Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct application of Aetna policies and practices to service and payment requests.◾Proactively use data analysis to identify opportunities for quality improvement and positively influence the effective delivery of quality care services. ◾ Be a subject matter expert and internal consultant and payment policy contributor subject matter expertise and internal consultant. ◾Demonstrate the ability to work within and lead as necessary teams comprised of a diverse group of health delivery professionals in order to manage the business objectives of the company. ◾Work Collaboratively with the functional areas. Required Qualifications*Five (5) or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. *Active and current state medical license without encumbrances. *M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience Preferred Qualifications* Health plan/payor experience. * Foundational baseline skills in Medicine, Health Policy, Coding: HCPCS / CPT, Clinical Policy, Reimbursement and Health Care Systems. * Strong communication skills both written and verbal. Education* M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experiencePay RangeThe typical pay range for this role is:$174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 07/14/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Medical Director (Medical Policy & Operations)

Ready to be a Titan? As a CSM Team Customer Success Manager, you play a crucial role in ensuring our customers’ success and satisfaction. You’ll be responsible for building strong relationships with our customers, understanding their needs, and empowering them to set big goals with ServiceTitan as the ultimate tool to achieve the extraordinary in their business.You will serve as the preferred CSM to a designated list of customers assigned to the CSM Team and partner with these customers to optimize their use of ServiceTitan to drive business results. In doing so you will be a key driver ensuring retention and growth of ServiceTitan’s revenue. You will interact with these customers both as their success point of contact and by leveraging tools to consistently engage in proactive touchpoints to continue pacing their journey with ServiceTitan. As a member of the CSM Team, you will be passionate about delivering customer transformations and answering questions like:<ul> <li>What’s the most valuable transformation I can offer my customer?</li> <li>What’s the fastest way I can deliver that value to them?</li> <li>How can my communication make their life easier?</li> <li>How can I build a long-term relationship with them and truly make them feel at home with the ServiceTitan family?</li> </ul> What you'll do:<ul> <li>Account Ownership: Act as a dedicated CSM to approximately 70+ accounts assigned to serving as the main point of contact for the customer, our executive team, and any internal partners regarding these accounts</li> <li>Relationship Management: commit to exceeding customer expectations, maintain long-term, senior-level relationships with your account’s POCs, take ownership of challenging customer situations, manage them effectively, and see them through to resolution</li> <li>Drive Value and ROI: guide customers to maximize their business through an intimate understanding of the ServiceTitan platform, with the ability to resolve complex issues and create comprehensive, customer-facing value plans to demonstrate ROI of ServiceTitan to key stakeholders</li> <li>Reactive Engagement: act as the primary point of contact for customer inquiries and issues, working closely with internal teams to drive timely resolutions</li> <li>Proactive Engagement: Proactively reach out to customers through primarily phone calls as well as written communication to understand their goals, and roadblocks, and ensure their needs are met Utilize reactive and proactive outreach in addition to developing strategies to work with and speak to all customers in your care on a regular cadence</li> <li>Data Analysis: Utilize data to track customer success metrics and leverage user engagement data to design targeted campaigns that proactively engage with customers who are not utilizing key features of ServiceTitan vital to achieving their desired outcomes (digital success campaigns, remote workshops, proactive customer calls, etc.)</li> <li>Mitigate Escalations and Churn Risk: Monitor account health and flag risk behaviors to engage with customers proactively before escalations or churn risks arise in addition to owning and defusing challenging customer situations, should they arise, turning them into an opportunity for positive outcomes and increased customer loyalty</li> <li>Facilitate Resolutions: Approach all customer interactions with a positive, can-do attitude, identify customer pain points, and work with cross-functional teams to provide effective solutions,</li> <li>Provide Product Training: Provide training and guidance to customers, ensuring they utilize our software effectively, drive customer engagement in webinars, ember, spark or community</li> <li>Create Promoters: Seek ways to improve customer satisfaction and raise customer advocacy (NPS), by finding new ways to continuously improve our customers’ experience, both in the use of our product and through improved internal processes</li> <li>Project Management: break down complex issues and stay highly organized in managing customer accounts, ensure timely follow-ups, and document interactions</li> <li>Gross Revenue Retention: Monitor customer usage and engage in renewal discussions (both core and pro products) to ensure long-term satisfaction, and account retention and maximize up-selling and cross-selling opportunities</li> <li>Feedback Collection: Gather and relay customer feedback to the product and development teams for continuous improvement.</li> <li>Customer Loyalty: Identify opportunities for customer advocacy, such as success stories, the torch network, and referrals.</li> </ul> What you'll bring: <ul> <li>2+ years in customer-facing roles, customer success/account management, and/or sales experience preferred</li> <li>A customer value, ROI, and business outcome-driven mindset</li> <li>Skills in product training, and comfortable “re-re-selling” the customer on ServiceTitan</li> <li>Strong de-escalation and problem-solving skills.</li> <li>Highly skilled in written and verbal communication</li> <li>Proven ability to multi-task and manage multiple projects at a time with strong attention to detail</li> <li>Self-starter that thrives in an entrepreneurial, fast-paced environment with the demonstrated capacity to lead, motivate and work well with others</li> <li>Quick thinking, fast learning, and solution-oriented, with an ability to think outside the box and see things through to resolution</li> <li>Self-motivated and able to work effectively in a remote setting</li> <li>Highly organized and detail-oriented</li> <li>Project management skills and experience are a plus.</li> <li>Exceptional organizational and time management skills</li> <li>Empathetic with a customer-focused approach</li> <li>Passion for phone-based customer interactions</li> </ul> Preferred Skills and Experience<ul> <li>Project management</li> <li>Sales</li> <li>Data or Business performance analytics</li> <li>Operational use of SalesForce, Gainsight, and Tableau</li> <li>Highly proficient in ServiceTitan workflows and best practices</li> </ul>Be Human With Us:Being human isn’t about checking every box on a list. It’s about the experiences we have, people we meet, and the perspectives we share. So, if you have the skills but are hesitant to apply because of your background, apply anyway. We need amazing people like you to help us challenge the conventional and think differently about the problems that we’re solving. We’re in this together. Come be human, with us. What We Offer: When you join our team, you’re not just accepting a job. You’re making a career move. Here’s how we’ll support you in doing some of the most impactful work of your career:<ul> <li>Flextime, recognition, and support for autonomous work: Flexible time off with ample learning and development opportunities to continue growing your career. We offer a comprehensive onboarding program, leadership training for Titans at all levels, and other programs and events. Great work is rewarded through Bonusly, peer-nominated awards, and more.</li> <li>Holistic health and wellness benefits: Company-paid medical, dental, and vision (with 100% employer paid options and 90% coverage for dependents), FSA and HSA, 401k match, and telehealth options including memberships to One Medical.</li> <li>Support for Titans at all stages of life: Parental leave and support, up to $20k in fertility services (i.e. IUI and IVF), surrogacy, and adoption reimbursement, on demand maternity support through Maven Maternity, free breast milk shipping through Maven Milk, pet insurance, legal advisory services, financial planning tools, and more.</li> </ul>At ServiceTitan, we celebrate individuality and uniqueness. We believe that the convergence of fresh perspectives and experiences from all walks of life is what makes our product and culture so great. We strongly encourage people from underrepresented groups to apply. We do not discriminate against employees based on race, color, religion, sex, national origin, gender identity or expression, age, disability, pregnancy (including childbirth, breastfeeding, or related medical condition), genetic information, protected military or veteran status, sexual orientation, or any other characteristic protected by applicable federal, state or local laws.ServiceTitan is committed to fair and equitable compensation for all of our employees. We thoughtfully consider a wide range of factors when determining individual compensation. The expected salary range for this role for candidates residing in the United States is between $58,400 USD - $78,100 USD. Compensation for candidates residing outside the United States will vary by location and the specific salary range will be discussed during the hiring process. Actual compensation for an individual may vary depending on skills, performance over time, qualifications, experience, and location. In addition to the base salary, the total compensation package also includes an annual bonus, equity and a holistic suite of benefits.

ServiceTitan

Customer Success Manager

Muscogee Nation Department of Health

PACS Administrator

Oak View Group

Operations Staff | Full-Time | Arvest Convention Center

Ready to be pushed beyond what you think you’re capable of? At Coinbase, our mission is to increase economic freedom in the world. It’s a massive, ambitious opportunity that demands the best of us, every day, as we build the emerging onchain platform — and with it, the future global financial system. To achieve our mission, we’re seeking a very specific candidate. We want someone who is passionate about our mission and who believes in the power of crypto and blockchain technology to update the financial system. We want someone who is eager to leave their mark on the world, who relishes the pressure and privilege of working with high caliber colleagues, and who actively seeks feedback to keep leveling up. We want someone who will run towards, not away from, solving the company’s hardest problems. Our <a href="https://www.coinbase.com/mission" target="_blank">work culture</a> is intense and isn’t for everyone. But if you want to build the future alongside others who excel in their disciplines and expect the same from you, there’s no better place to be. Coinbase is hiring an Enterprise Risk Manager to help drive the evolution of our risk management capabilities and ensure alignment between enterprise risks and the company’s strategic goals. This individual will work closely with cross-functional teams to identify emerging risks, facilitate risk assessments, and strengthen Coinbase's ability to anticipate, prioritize, and address material risks to the business. The right candidate will combine strategic insight with operational rigor and be comfortable engaging at all levels of the organization, including senior leadership. What you’ll be doing (ie. job duties): <ul> <li>Lead and facilitate risk workshops, aggregate and prioritize risk inputs, and conduct deep dives on emerging and strategic risks.</li> <li>Maintain and continuously improve the enterprise risk taxonomy, risk appetite statements and assessment methodology.</li> <li>Monitor and escalate material risks, trends, and emerging risks/threats to senior leadership and governance forums.</li> <li>Help develop and implement risk metrics (KRIs), dashboards, and reporting routines aligned with key strategic priorities.</li> <li>Partner with key functions (Legal, Finance, Compliance, Product, Country CROs) to embed ERM in decision making.</li> <li>Prepare executive facing material for internal meetings, Board meetings, and regulatory engagements.</li> </ul> What we look for in you (ie. job requirements): <ul> <li>Demonstrated experience designing and scaling ERM frameworks in complex, fast paced environments.</li> <li>Ability to translate risk data into strategic narratives and executive level insights.</li> <li>Strong facilitation and communication skills.</li> <li>Able to engage both technical and non-technical audiences.</li> <li>A pragmatic, risk aware mindset with the ability to challenge constructively and influence outcomes.</li> <li>Experience in driving cross functional alignment on top risks and mitigation plans.</li> <li>Demonstrated success in building trust and influence across a matrixed organization.</li> <li>Comfortable working in ambiguity and evolving priorities.</li> <li>Experience in connecting top down risk insights to bottom up input from functional teams.</li> </ul> Nice to haves: <ul> <li>Experience in financial services, fintech, crypto, or highly regulated tech companies.</li> <li>Familiarity with ERM and risk standards (COSO, ISO 31000, NIST, DORA, Etc,).</li> <li>Hands-on experience with GRC systems.</li> <li>Exposure to KRI/KPI design, risk appetite calibration, or control environment assessments.</li> <li>Professional certifications in Risk Management.</li> </ul> Job #: P70621 Pay Transparency Notice: Depending on your work location, the target annual salary for this position can range as detailed below. Full time offers from Coinbase also include target bonus + target equity + benefits (including medical, dental, vision and 401(k)). Pay Range: $166,345—$195,700 USD Please be advised that each candidate may submit a maximum of four applications within any 30-day period. We encourage you to carefully evaluate how your skills and interests align with Coinbase's roles before applying. <h3>Commitment to Equal Opportunity</h3> Coinbase is committed to diversity in its workforce and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sex, gender expression or identity, sexual orientation or any other basis protected by applicable law. Coinbase will also consider for employment qualified applicants with criminal histories in a manner consistent with applicable federal, state and local law. For US applicants, you may view the Know Your Rights notice <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf" target="_blank">here</a>. Additionally, Coinbase participates in the <a href="https://static-assets.coinbase.com/e-verify.pdf" target="_blank">E-Verify program</a> in certain locations, as required by law. Coinbase is also committed to providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process, please contact us at accommodations[at]coinbase.com to let us know the nature of your request and your contact information. For quick access to screen reading technology compatible with this site <a href="https://chrome.google.com/webstore/detail/chromevox/kgejglhpjiefppelpmljglcjbhoiplfn" target="_blank">click here to download</a> a free compatible screen reader <a href="http://www.chromevox.com/tutorial/" target="_blank">(free step by step tutorial can be found here)</a>. <h3>Global Data Privacy Notice for Job Candidates and Applicants</h3> Depending on your location, the General Data Protection Regulation (GDPR) and California Consumer Privacy Act (CCPA) may regulate the way we manage the data of job applicants. Our full notice outlining how data will be processed as part of the application procedure for applicable locations is available <a href="https://www.coinbase.com/legal/applicant_privacy_notice" target="_blank">here</a>. By submitting your application, you are agreeing to our use and processing of your data as required. For US applicants only, by submitting your application you are agreeing to arbitration of disputes as outlined <a href="https://www.coinbase.com/legal/application-arbitration-agreement" target="_blank">here.</a>

Coinbase

Enterprise Risk Manager

Full Job Description: <a href="https://drive.google.com/file/d/12E9p1PMzedFONz5j9t6xEKz1lKiFtLuI/view" target="_blank">Administrative Assistant IV, Talent Management</a> Salary/Compensation: Hourly 13 | H-13 Tulsa Public Schools’ existing salary schedules provide career increment adjustments based on education/experience and/or years of credible service. Additionally, our Board of Education recently approved salary &amp; benefit increases for all qualifying positions. We are currently in the process of updating job descriptions and accompanying salary information. For information about salary and benefits for this specific position, please visit our <a href="https://www.tulsaschools.org/careers/comp-benefits" target="_blank">Compensation and Benefits website</a>. Position Summary: This position will serve as the face of the Tulsa Public Schools Talent Management team. The primary responsibility is to operate a welcoming and efficient main office for current and prospective employees. The ideal candidate is a highly personable, systematic, and extremely organized individual who deeply believes in the Tulsa Public Schools mission and is committed to helping build a district of high-performing schools. Minimum Qualifications: Education: • High school diploma or equivalent • Associates degree preferred Experience: • Two (2) years of previous office management/administrative experience Specialized Knowledge, Licenses, Etc.: • Fluency in both English and Spanish • Proficient in Microsoft Office Suite and Google Office Suite About Our District: At Tulsa Public Schools, our mission is to inspire and prepare every student to love learning, achieve ambitious goals, and make positive contributions to our world. We are the destination for extraordinary educators and staff who work with our community and families to ignite the joy of learning and prepare every student for the greatest success in college, careers, and life. Our core values of equity, character, excellence, team, and joy guide how we work and interact with each other and our community.

Tulsa Public Schools

Administrative Assistant IV, Talent Management

<h2>About the team</h2>The Agent Software and Advertising organization at Zillow Group is at the forefront of revolutionizing the real estate industry. For over two decades, we've been developing cutting-edge technological solutions that simplify real estate transactions and empower professionals across the United States and Canada. Our agent marketing products and software tools are designed to enhance efficiency for all users, helping agents stand out in a competitive market while making the home buying and selling process truly enjoyable for consumers. Within this dynamic organization, the Strategy and Business Operation team plays a crucial role in driving our success. We're seeking talented individuals to join this team and contribute to our strategic initiatives. As a member of the team, you'll be at the intersection of technology, finance, and real estate, working to optimize our revenue streams and enhance our business performance. Our team embodies Zillow's core values and plays a substantial role in the organization's success. We pride ourselves on our ability to adapt to the evolving needs of real estate agents, teams, brokers, offices, associations, and MLSs. By joining us, you'll be part of a dynamic group that's shaping the future of real estate technology and making a significant impact in the market.<h2>About the role</h2>As a Principal Strategy and Business Operations Manager, you will leverage your strong strategic background and deep data analysis experience to:<ul> <li>Spearhead comprehensive market analyses that unlock new growth opportunities and guide strategic investments</li> <li>Architect business models for key products (including pricing and packaging strategies) that maximize revenue</li> <li>Lead high-stakes initiatives that directly impact Zillow's market position and revenue growth</li> <li>Build strategic frameworks that align product development with market demands and business objectives</li> <li>Orchestrate cross-functional collaboration between Product, Data Science, Marketing, Sales, Finance, and Customer Experience teams</li> <li>Mentor and develop junior team members to build a high-performing strategy organization</li> <li>Create learning opportunities and structured development paths for analysts and managers</li> </ul>This role has been categorized as a Remote position. “Remote” employees do not have a permanent corporate office workplace and, instead, work from a physical location of their choice, which must be identified to the Company. U.S. employees may live in any of the 50 United States, with limited exceptions.In California, Colorado, Connecticut, Hawaii, Illinois, Maryland, Minnesota, Nevada, New York, Washington state, and Washington DC the standard base pay range for this role is $148,600.00 - $237,400.00 Annually. This base pay range is specific to California, Colorado, Connecticut, Hawaii, Illinois, Maryland, Minnesota, Nevada, New York, Washington state, and Washington DC and may not be applicable to other locations.In addition to a competitive base salary this position is also eligible for equity awards based on factors such as experience, performance and location. Actual amounts will vary depending on experience, performance and location.<h2>Who you are</h2>Strategic Excellence<ul> <li>Deep expertise in developing and executing business strategies that drive measurable results</li> <li>Proven ability to identify market opportunities and translate them into actionable business plans</li> <li>Track record of leading complex, high-impact initiatives from conception to successful implementation</li> </ul>Analytical Mastery<ul> <li>Advanced capability in analyzing large, complex datasets to extract meaningful business insights</li> <li>Expertise in creating sophisticated financial models and conducting rigorous market analyses</li> <li>Proficiency in translating data into compelling visualizations and clear recommendations</li> </ul>Leadership &amp; Communication<ul> <li>Exceptional ability to influence and align stakeholders across organizational levels</li> <li>Strong track record of leading cross-functional teams and managing complex projects</li> <li>Outstanding presentation skills with experience communicating to executive audiences</li> <li>Demonstrated success in coaching and developing junior talent</li> <li>Experience creating and implementing structured mentorship programs</li> </ul>Required Qualifications:<ul> <li>Bachelor's degree in Business, Economics, Business Analytics, Finance, or related quantitative field</li> <li>10+ years of professional experience, including 3+ years at top-tier management consulting firms and 3+ years in revenue/business strategy or similar data-driven roles</li> <li>Proven track record of developing and implementing successful business strategies across complex organizations</li> <li>Demonstrated excellence in market analysis, competitive intelligence, and financial modeling with ability to translate complex analyses into actionable insights</li> <li>Strong project management skills with experience leading cross-functional teams and managing multiple high-stakes initiatives</li> </ul>Preferred Qualifications:<ul> <li>MBA or advanced degree in a related field</li> <li>Experience transitioning from consulting to in-house strategy roles</li> <li>Expertise in advanced pricing strategies and product packaging methodologies</li> <li>Previous experience building and leading high-performing teams</li> </ul><h2>Get to know us</h2>Zillow is reimagining real estate to make home a reality for more and more people.As the most-visited real estate website in the United States, Zillow® and its affiliates help movers find and win their home through digital solutions, first class partners, and easier buying, selling, financing and renting experiences. Millions of people visit Zillow Group sites every month to start their home search, and now they can rely on Zillow to help make it easier to move. The work we do helps people get home and no matter what job you're in, you will play a critical role in making home a reality for more and more people.Our efforts to streamline the real estate transaction are supported by a deep-rooted culture of innovation, our passion to redefine the employee experience, a fundamental commitment to Equity and Belonging, and <a href="https://www.zillow.com/careers/benefits/" target="_blank">world-class benefits</a>. These benefits include comprehensive medical, dental, vision, life, and disability coverages as well as parental leave, family benefits, retirement contributions, and paid time off. We’re also setting the standard for work experiences of the future, where our employees are supported in doing their best work and living a flexible, well-balanced life. But don’t just take our word for it. Read recent reviews on <a href="https://www.glassdoor.com/Overview/Working-at-Zillow-EI_IE40802.11,17.htm" target="_blank">Glassdoor</a> and recent recognition from multiple organizations, including: the 100 Best Companies to Work For, Glassdoor Employees’ Choice Award, Bloomberg Gender-Equality Index, Human Rights Campaign (HRC) Corporate Equity Index, and TIME <a href="http://time.com/100companies" target="_blank">100 Most Influential Companies</a> list.Zillow Group is an equal opportunity employer committed to fostering an inclusive, innovative environment with the best employees. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. If you have a disability or special need that requires accommodation, please contact your recruiter directly.Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable state and local law.Applicants who receive job offers from Zillow Group will be asked to sign a Proprietary Rights Agreement which includes confidentiality, intellectual property assignment, customer and employee non-solicitation, and non-competition provisions. If you are contacted for a role at Zillow Group and wish to review a copy of the Proprietary Rights Agreement prior to receiving an offer, you may request a copy from your Recruiter.

Zillow

Principal Strategy & Operations Manager

<h1>Provider Services - Supervisor Provider Contracting 115-4000 </h1> Tulsa, OK, USA Req #765 Sunday, May 18, 2025 JOB SUMMARY: Responsible for the negotiation, execution and implementation of all HMO, PPO and Government Programs, provider contracts including value based and complex. Responsible for the supervision (planning, execution, implementing and monitoring) of all aspects of the provider contracting staff. Responsible for contract related processes and procedures under the direction of the Director, Provider Relations. Responsible for ensuring provider contracting is performed in compliance with all regulatory requirements and accreditation standards. KEY RESPONSIBILITIES: <ul> <li>Supervises and facilitates contract negotiations, contract document processes and ongoing deliverables for provider contracts for all assigned product lines as directed by Director, Provider Relations in accordance with all regulatory requirements and accreditation standards. Responsible for oversight of production, documentation, audit, implementation, and ongoing contract deliverables related to contracting process. Ongoing assessment of resource allocation to ensure that the process is working as designed with continual awareness of process improvement opportunities. Operationalize contract related projects assigned by Director, Provider Relations.</li> <li>Facilitates and coordinates all value based and complex provider contracting according to and within company guidelines as directed by the Director, Provider Relations. Facilitates reimbursement analysis and recommends provider reimbursement mechanisms. Assists with development of network contracting models including capitation allotment and value-based incentive mechanisms. Develops financial and utilization review report requests. Responsibilities include accurate document development, coordinating with Management and provider, accurate and prompt implementation of all aspects of owned contracts.</li> <li>Supervision and development of contracting staff. Participates in the hiring process. Trains, assigns tasks and supports continuing professional development. Evaluate performance and recommend needed personnel actions. Document appropriately. Monitor staffing needs and workflow and recommend changes as needed. Distribute information to subordinates appropriately and in a timely manner to facilitate their job needs. Delegate tasks/projects appropriately to promote personal growth. Model and promote behavior supportive of a teamwork concept.</li> <li>Participate in the development of new and existing provider networks to ensure appropriate access and availability for all enrolled lives. Participate in assessing requests and initiating requests for addition of services and providers for all product lines. Participates in the assessment of access and availability of services. Support organizational and departmental goals and objectives related to securing appropriate network panels and budget sensitive reimbursement through timely response to administrative and departmental contract requests and projects.</li> <li>Support business operations. Attend information and implementation meetings. Communicate information interdepartmentally and follow through on required action items. Communicate trends and specific incidents impacting company risk management to the appropriate parties. Design and implement policies and procedures contributing to improved efficiency. Monitor departmental compliance to accreditation and regulatory agencies and adjust staffing, policies and procedures as needed. Participate in special projects.</li> </ul> QUALIFICATIONS: <ul> <li>Ability to process and understand complex information. Ability to organize and oversee multiple complex tasks/projects to completion.</li> <li>Ability to coordinate resources in an effective, cost-efficient manner.</li> <li>Excellent communication and interpersonal skills.</li> <li>Ability to interpret and communicate detailed technical and financial information.</li> <li>Demonstrated knowledge of physician and hospital capitation reimbursement methodologies.</li> <li>Familiarity with healthcare and managed care business operation environments.</li> <li>Strong familiarity with managed care terminology.</li> <li>Proficiency with software systems including Amisys, Microsoft Word and Excel.</li> <li>Ability to converse and write fluently in English.</li> </ul> EDUCATION/EXPERIENCE: <ul> <li>Bachelor’s degree plus 3 years work related experience.</li> <li>Supervisory experience required.</li> <li>Demonstrate through past performance and progressive increased in responsibility, the ability to accomplish goals.</li> <li>Excellent oral presentation and writing skills.</li> <li>Previous physician/hospital contracting, claims processing, or reimbursement development and auditing experience.</li> <li>Familiarity with providers and provider issues in a managed care environment.</li> <li>Previous claims software experience, preferably Amisys.</li> </ul> CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin <h2 id="otherDetailsHeader">Other details</h2> <ul> <li> Job Family Commercial </li> <li> Pay Type Salary </li> </ul> <a href="#"> Apply Now </a>

CommunityCare

Provider Services - Supervisor Provider Contracting 115-4000

About Ingredion:Join Ingredion, where innovation impacts lives worldwide! Without even realizing it, you’ve experienced our work in your favorite chocolate, your pet’s food, the paper you write on, and your everyday snacks. As a global powerhouse across more than 60 industries, we harness the potential of natural ingredients to transform lives. Whether you’re just starting your career or bringing years of experience, there's a place for you here to make a real difference. Be part of our team that values a wide range of perspectives and is committed to shaping a better world with every product we create.LOCATION: Tulsa, OKWORKPLACE TYPE: HybridIngredion is seeking a Supervisor, Customer Billing and Support responsible for leading the Customer Billing and Support team for our Tulsa Location supporting primarily the Americas (United States &amp; Canada). The Supervisor will be responsible for helping execute the Order to Invoice Operations strategy in the US/Canada region to ensure delivery of high-quality service to our Customers, aligned to Ingredion’s Customer Experience commitments (responsive, empathetic, proactive, and innovative). Role will report to our Associate Manager, Customer Contract Pricing and Billing and will have 5 direct reports.This role is essential in supervising the Customer Billing and Support team with the focus of supporting timely and accurate Customer Billing activities to drive improved Customer Experience while mitigating invoicing risks. The Supervisor will also manage projects, support employee career development, and serve as a point of escalation to troubleshoot and quickly resolve Customer issues.This role will be making decisions while supporting the Commercial and Customer Service teams and identifying and implementing processes to increase effectiveness, productivity, and efficiency of the department. This position requires a strong customer service focus, the ability to promptly resolve business issues, and strong aptitude to evaluate data effectively. This position is critical to maintaining and expanding relationships with Ingredion’s Customers and Business Partners.What will you do:Supervise Tulsa SSC Customer Billing and Support Team: Oversee, guide, and direct the end-to-end delivery of Order to Invoice operational services supporting the US and Canada region to ensure efficient operations and timely and accurate delivery and billing.<ul> <li>Supervise Contract Billing and Support team in day-to-day operations</li> <li>Expand and improve Billing automation activities</li> <li>Manage all aspects of ongoing activities and deadlines</li> <li>Support internal customer inquiries escalated as needed with a sense of urgency</li> <li>Hire, Train and Develop Team, especially in the areas of technology capabilities and skills</li> <li>Develop Capability and Skill development plans</li> <li>Provide training to new employees and system users on Policies, SoPs, and Controls</li> <li>Maintain high level of Customer Service</li> <li>Strong ability to set clear goals and manage a high performing team</li> </ul>Enable Order to Invoice Operations Strategy: Collaborate with the Associate Manager, Customer Contract Pricing and Support and Sr. Manager Order to Cash to enhance Order to Invoice Operations strategies aligned with the business needs, Customer experience, and the work and workforce at Ingredion.<ul> <li>Collaborate with Key Business Partners and report on monthly performance</li> <li>Identify issues and process improvements for Steering committee review</li> <li>Continually implement enhancements to further improve and streamline processes, including proper testing and communication to Leadership</li> <li>Suggest adjustments to improve data quality and processing efficiency, including enhancements to the import and export of data between various applications</li> </ul>Monitor SLAs and Reporting: Ensure adherence to Service Level Agreements, produce and review reports on performance, and identify and track any system, process, or performance issues. Escalate issues as necessary for timely resolution.<ul> <li>Ensure that all risk mitigating controls are completed and addressed weekly</li> <li>Conduct all daily, weekly, and monthly activities to drive compliance to policies</li> <li>Support audits and work with Team on remediations as required</li> <li>Enforce and maintain SOX compliance for policies and procedures</li> <li>Assist with month-end and year-end close activities as needed</li> </ul>Project Management: Demonstrated ability to manage multiple projects simultaneously, ensuring delivery of targeted results.Employee Development: Support the career development of employees in the Tulsa SSC Order to Invoice Team. Assess training needs, coach for performance improvement, and facilitate additional assignments and rotations to deepen employees' understanding of Financial Operations processes.What will you Bring:Education: Bachelor's degree in business-related field, preferredContract Pricing and Billing Expertise: Advanced knowledge of the policies, procedures, and controls of Customer Contract Pricing and Billing, including a minimum of two (2) years of Order to Invoice value chain experience with at least one (1) year in a Supervisory role. Demonstrated technical skills with a high level of operational excellence.Computer Proficiency: Strong computer skills including SAP, Salesforce, Microsoft Word, Excel (advanced), PowerPoint, and experience with new technologies to drive automationTeam Management: Ability to manage team members to achieve departmental goals. Proven skill in promoting harmonious working relationships in a team environment.Business Acumen: Solid understanding of business and financial concepts.Who you are:Design Thinking Skills: Strong systems knowledge and passion for advancing technology integration to automate processes with proven technology expertise within the Order to Invoice value chain.Analytical Skills: Proven ability to independently analyze complex problems, research complex issues, draw appropriate conclusions, and develop and implement innovative solutions.Influencing Skills: Exhibit influencing skills and collaborate effectively across multiple levels of the enterprise to produce positive business outcomes with Customers and internal Business Partners.Adaptability and Flexibility: Adapt and remain flexible in dealing with evolving business needs. Effectively manage ambiguity.Prioritization and Time Management: Ability to prioritize and manage competing requests and priorities.Talent Culture: Promote a talent culture that values superior talent, drives performance, coaches transparently, and builds strong teams globally. Continuous improvement attitude to seek out and implement best practices, lead projects, and meet all deadlines.Results Focus: Highly organized with a high degree of attention to detail. Push to drive personal and organizational results, make timely decisions, and benefit Ingredion globally.Communications: Excellent communication, customer service and organizational skills. Exhibit a positive attitude and willingness to interact with Customers and Executive level Business Partners. Presentation skills necessary to effectively communicate, update, persuade and facilitate discussions with all levels of Management.Why Join Ingredion? Discover why Ingredion is the ideal place to advance your career with our exceptional rewards and benefits package designed to help you thrive. Create the future with us and enjoy:<ul> <li> Total Rewards Package – Competitive salary and performance-based pay recognizing your contributions to our success</li> <li> Comprehensive Benefits &amp; Wellness Support – Health, long-term savings, and resources for your physical, mental, and emotional well-being</li> <li> Flexible Work Arrangements – We value flexibility to support you both professionally and personally</li> <li> Career Growth – Learning, training, and development opportunities, including tuition reimbursement</li> <li> Employee Recognition Program – A culture of real-time appreciation, with personalized recognition rewards globally</li> <li> Employee Discount Program – Provides exclusive discounts on everyday products, services, and travel</li> </ul>#LI-BS1We are an equal opportunity employer and value diversity at our company. Ingredion seeks to provide a work environment that is free from harassment and discrimination. We will not tolerate any form of discrimination based on race, color, religion, age, gender, gender identity, gender expression, national origin, ancestry, handicap or disability—mental or physical—marital status, sexual orientation, veteran status, disability resulting from military service, or any other classification protected by law (“protected classifications”). We are committed to establishing and maintaining a work environment where everyone is treated with dignity and respect.Ingredion provides accommodations to job applicants with disabilities throughout the hiring process. If a job applicant requires an accommodation during the application process or through the selection process, we will work with the applicant to meet the job applicant's accommodation needs.Relocation Available:NoPay Range:$74,240.00-$98,986.67 AnnualThis pay range is not a guarantee of compensation or salary. Final base salary will be determined based on several factors which may include but are not limited to responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data and applicable bargaining agreement (if any).Incentive Compensation:As a part of the total compensation package, this role may be eligible for the Ingredion Annual Incentive Plan or a role-specific commission/bonus.Benefits:Full-time roles are eligible for our comprehensive benefits package which includes medical, dental and vision coverage as well as a 401(k) plan with an competitive company match.

Ingredion Incorporated

Supervisor, Customer Billing and Support - US and Canada

<h2 id="jobDescriptionHeading"> Job Description </h2> Overview Join our team as a day shift, full-time, Clinical Assistant in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better <ul> <li> Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being. </li> <li> People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. </li> <li> Make Healthcare Better: We use advanced technology to support our team and enhance patient care. </li> </ul> Get to Know Your Team: <ul><li>Oklahoma Heart Institute offers 24/7 catheterization labs, cardiac rehabilitation and a heart failure center. In addition, OHI is involved in over 200 cutting-edge research studies across the vast amount of specialties within the system.</li></ul> Responsibilities <ul> <li>The clinical assistant is responsible for transporting, rooming, and preparing patients for physician, advanced practice providers, and nurse clinic visits. </li> <li>In addition to performing the job duties assigned to the Clinical Assistant will provide additional support to the RN with participation in clinic preparation and chart abstraction as delegated by the RN. </li> <li>The Clinical Assistant is willing and able to travel and function independently in other clinics. </li> <li>The Clinical Assistant will be responsible for additional clinical responsibilities such as supply inventory and/or cardiac monitor appointment scheduling and inventory. </li> <li>The Clinical Assistant will not administer any immunizations or injectable drugs.</li> </ul> Qualifications Job Requirements: <ul type="disc"> <li> A minimum of two (2) years of experience in a Medical Assistant role or a graduate of a Medical Assistant Program.</li> <li>For OHI, graduate of a Certified Nurse Assistant Program and a competency checklist will be considered.</li> </ul>

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