field_remote_option

field_job_occupational_field_parents_all

job_organization_name

job_upgrade_is_featured

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Creates complex Enterprise-class data assets that provide business insight and aid business decision-making. Assets will include (but are not limited to) reports, visualizations, dashboards, and data extracts. Produces complex reports and performs meaningful quantitative or qualitative analyses addressing impactful business issues or questions. Combines these reports with subject-matter expertise to deliver coherent, insightful takeaways comprehensive read-outs, and advice/recommendations grounded in what our data is telling us.<ul> <li>Develops complex BI solution architecture that accurately translates business requirements to technology solutions and ensures the design will meet business requirements throughout the lifecycle of a change</li> <li>Participates in and implements day-to-day activities related to defining architecture, establishing infrastructure, and implementing standards used to create frameworks/patterns for delivering business intelligence solutions</li> <li>Conducts complex business analysis activities to enable technology solutions that adequately fulfill strategic business needs and objectives</li> <li>Delivers complex project setups, analysis, data flows, designs (wireframes/mock-up), etc., for and in partnership with customers</li> <li>Helps lead the execution of long-term strategic goals for business intelligence development in conjunction with end users, management, customers, and other stakeholders</li> <li>Conducts extensive research and makes recommendations on business intelligence products, services, and standards in support of procurement and development efforts</li> <li>Performs and oversees complex programming, quality assurance reviews, documentation, system deployment, training, and project setup/support</li> <li>Provides timely and appropriate communication to business owners, stakeholders, and users on issue status and resolution</li> <li>Develops, maintains, and implements the business intelligence architecture as a core asset at Centene</li> <li>Collaborates with end users to identify needs and opportunities for improved data management, process efficiency with respect to data and delivery</li> <li>Collaborates with both Enterprise Architecture (EA) and EDAS Solutions Architecture on the solution/service design to ensure it conforms to enterprise architectural standards and future roadmaps</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science). Requires 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills:<ul> <li>One or more of the following skills are desired.</li> <li>Experience with one or more of the following Business Intelligence; Data Analysis; Microsoft Azure; SQL (Programming Language); Tableau (Business Intelligence Software) or Power BI</li> <li>Experience with Data Modeling; Python (Programming Language); Quality Assurance; SQL (Programming Language)</li> <li>Experience with one or more of the following Analytical Techniques; Business Analysis; Quantitative Analysis; Risk Analysis; Root Cause Analysis; Statistical Process Controls</li> <li>Knowledge of Microsoft Visio; User Flows; Workflows</li> </ul> Soft Skills:<ul> <li>Intermediate - Seeks to acquire knowledge in area of specialty</li> <li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li> <li>Intermediate - Ability to work independently</li> <li>Intermediate - Demonstrated analytical skills</li> <li>Intermediate - Demonstrated project management skills</li> <li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li> <li>Intermediate - Demonstrates excellent judgment and decision making skills</li> </ul>Pay Range: $85,300.00 - $158,100.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Oklahoma Complete Health

Senior Business Intelligence Engineer

<h2 id="who-we-are">Who we are</h2> <h3 id="about-stripe">About Stripe</h3> Stripe is a financial infrastructure platform for businesses. Millions of companies - from the world’s largest enterprises to the most ambitious startups - use Stripe to accept payments, grow their revenue, and accelerate new business opportunities. Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead. That means you have an unprecedented opportunity to put the global economy within everyone's reach while doing the most important work of your career. <h3 id="about-the-team">About the team</h3> At its core, Stripe is a treasury company. We are seeking someone great to join our Treasury Finance Transformation team to help us fulfill our mission of building the Global Payments and Treasury Network (GPTN). In order to continue to build novel and powerful products for our users, our own treasury capabilities must be excellent. The Treasury Finance Transformation team comprises execution and delivery experts dedicated to supporting, building, and expanding our treasury capabilities from the ground up. We play a crucial role in analyzing large datasets, evaluating business processes to shape our vision, and driving strategic decision-making to influence business outcomes through cross-functional collaboration. As a project manager on the team, you will ensure seamless coordination and execution by aligning team efforts, managing timelines, and delivering on objectives, ultimately optimizing the efficiency and success of our transformation initiatives. <h2 id="what-youll-do">What you’ll do</h2> We are looking for an experienced PM to play an integral role to lead and drive towards solutions as we develop sophisticated Treasury Finance capabilities. <h3 id="responsibilities">Responsibilities</h3> <ul> <li>Tackle hard, ambiguous questions with rigor and independence, owning projects from problem definition to final recommendation. </li> <li>Lead and manage complex global projects focused on various Treasury topics including capital markets, liquidity management, and financial risk mgmt. </li> <li>Develop and implement project plans, optimize workflows and ensure all stakeholders are informed and engaged throughout the process. </li> <li>Collaborate with cross-functional teams, including legal, finance, and engineering, to assess the impact of AI and crypto products and identify areas for improvement in processes and controls. </li> <li>Monitor project progress, identify potential risks, and proactively implement mitigation strategies to ensure timely and successful project delivery. </li> <li>Establish and maintain effective project governance, ensuring that all project activities, decisions, and key milestones comply with standards and best practices. </li> <li>Prepare materials to present to senior management, internal and external stakeholders. </li> </ul> <h2 id="who-you-are">Who you are</h2> We're looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement. <h3 id="minimum-requirements">Minimum requirements</h3> <ul> <li>A minimum of 8 years of experience in Project Management, demonstrating a consistent track record of excellence. </li> <li>Demonstrated ability to lead complex, cross-functional projects involving multiple stakeholders across various functional areas. </li> <li>Strong analytical skills with a keen eye for detail, capable of building and solving problems through systems. </li> <li>Proficiency in understanding complex technical products and articulating their value to non-technical audiences. </li> <li>A proactive attitude with a clear willingness to "roll up your sleeves" and engage with project details. </li> <li>Flexibility to work independently or within a small team, able to take on various roles such as business analyst and project manager, while collaborating effectively with senior management on complex problems. </li> <li>Comfort with ambiguity and adaptability in unstructured, evolving environments. </li> </ul> <h3 id="preferred-qualifications">Preferred qualifications</h3> <ul> <li>Knowledge of the payments industry and fintech landscape </li> <li>Experience writing complex business and data requirements </li> <li>Experience with SQL, R, or equivalent </li> </ul> A remote location, in most cases, is defined as being 35 miles (56 kilometers) or more from one of our offices. While you would be welcome to come into the office for team/business meetings, on-sites, meet-ups, and events, our expectation is you would regularly work from home rather than a Stripe office. Stripe does not cover the cost of relocating to a remote location. We encourage you to apply for roles that match the location where you currently or plan to live. The annual US base salary range for this role is $129,400 - $194,200. For sales roles, the range provided is the role’s On Target Earnings ("OTE") range, meaning that the range includes both the sales commissions/sales bonuses target and annual base salary for the role. This salary range may be inclusive of several career levels at Stripe and will be narrowed during the interview process based on a number of factors, including the candidate’s experience, qualifications, and location. Applicants interested in this role and who are not located in the US may request the annual salary range for their location during the interview process. Additional benefits for this role may include: equity, company bonus or sales commissions/bonuses; 401(k) plan; medical, dental, and vision benefits; and wellness stipends. Remote locations Remote in United States Team Finance &amp; Strategy, Treasury Job type Full time <a href="#"> Apply for this role </a>

Stripe

Project Manager, Treasury Finance

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. *Remote position. Must reside in Florida. Tampa Bay area strongly preferred.*Two (2) years of leadership, hospital claims, and provider post service appeals experience strongly preferred.Position Purpose: Supervise the day to day operations of the Appeals and Grievance (A&amp;G) staff and functions within the department ensuring productivity and quality metrics are met. Support the team on escalated or complex issues and monitor and distribute case load.<ul><li>Ensure that the Appeals &amp; Grievance department processes all appeals, grievances and complaints in accordance with standards and the corporation’s policies and procedures</li></ul><ul><li>Serve as a resource to the team regarding escalated or complex issues, process and systems issues, and regulatory updates</li></ul><ul><li>Monitor and distribute team’s case load and ensure adequate coverage</li></ul><ul><li>Monitor and evaluate performance standards and provide daily feedback and guidance of problem resolution</li></ul><ul><li>Identify and develop opportunities for process improvements and work with various departments to ensure problems are corrected to prevent recurrences</li></ul><ul> <li>Train and onboard new team members</li> <li>Performs other duties as assigned</li> </ul><ul><li>Complies with all policies and standards</li></ul>Education/Experience: Bachelor’s degree in a related field or equivalent experience. 2+ years of appeals and grievances processing experience in a healthcare or managed care setting preferred. Experience in healthcare law preferred.Pay Range: $55,100.00 - $99,000.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Supervisor, Grievance & Appeals

Axis HealthCare

Med Spa Receptionist

Ready to be a Titan? ServiceTitan is an all-in-one software platform that helps home services companies streamline and grow their business. Founded by the sons of tradesmen who discovered that both of their fathers' professions were vastly underserved by the types of digital tools that were disrupting numerous other industries, ServiceTitan is a truly mission-driven company that takes immense pride in helping contractors become more successful and lead better lives. ServiceTitan is seeking an Event Associate to provide comprehensive support across various event types, including tradeshows, field marketing events, and customer programs. Reporting to the Events Manager, the Event Associate will play a key role in supporting the planning, project management, and logistical aspects involved in the quality execution of our event programs. The ideal candidate will be a highly organized, detail-oriented, and data-driven professional with a background in event planning. This candidate should be passionate about creating engaging, memorable experiences that resonate with attendees, possess energy, creativity, resourcefulness, and be able to remain calm under pressure. **We will consider remote candidates** What you’ll do: <ul> <li>Oversee and maintain the event management registration system, including website development and access portal creation.</li> <li>Provide enhanced reporting support to deliver actionable insights on event registration, lead and campaign tracking, and event calendars.</li> <li>Submit and ensure timely and accurate processing of vendor contracts and invoices for payment.</li> <li>Provide project management support for the User Conference, Ignite.</li> <li>Manage room block management for the largest user conferences, Pantheon &amp; Ignite, in coordination with venues and attendees.</li> <li>Oversee and ensure effective management and responsible operation of event software platforms, including Salesforce, Tableau, Airtable, Captello, and Cvent.</li> <li>Provide extensive support to the Events department, including expense and budget tracking, and various event-related projects.</li> </ul>What you'll bring: <ul> <li>At least 2 years of experience in event management and/or production </li> <li>Collaborative team-player with a customer-service mindset and high energy </li> <li>Exceptional communication skills combined with strong organizational capabilities </li> <li>Proficiency in strategic thinking, quick problem-solving, and generating creative ideas </li> <li>Tech-savvy with a goal-driven attitude </li> <li>Meticulous attention to detail and a disciplined approach to project management </li> <li>Self-motivated and confident in taking ownership of responsibilities </li> <li>Comfortable operating in a fast-paced, startup environment </li> <li>Willingness to engage in physical tasks typical of event roles, such as setting up activations, moving supplies, etc. </li> <li>Engaging interpersonal skills, capable of connecting with diverse individuals </li> <li>Demonstrates resourcefulness in addressing challenges and finding solutions</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 Headspace, Galileo, One Medical, Ginger and more. </li> <li>Support for Titans at all stages of life: Parental leave and support, up to $20k in 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

Events Associate

About Lumen Lumen connects the world. We are igniting business growth by connecting people, data and applications – quickly, securely, and effortlessly. Together, we are building a culture and company from the people up – committed to teamwork, trust and transparency. People power progress. We’re looking for top-tier talent and offer the flexibility you need to thrive and deliver lasting impact. Join us as we digitally connect the world and shape the future. <h2>The Role</h2> As a Sr Lead Business Operations Manager, you will work in a dynamic environment, collaborating with AI Governance and AI project teams across various domains and geographic contexts to identify and mitigate AI governance risks. Your experience and passion for AI governance will be essential in continuously improving our program. You will support the testing and evaluation of AI systems, coordinate with stakeholders across the organization, and contribute to thought leadership. <h2>Location</h2> This position is work from home within the US. <h2>The Main Responsibilities</h2> <ul> <li>Coordinate the strategy, planning and successful completion of AI governance business processes. Create, maintain and update the AI governance program content, structure, policies and processes.</li> <li>Coordinate with Internal Audit team and external audit team on AI governance and annual program improvement opportunities</li> <li>Assist AI governance partners in operationalizing AI governance initiatives by managing the AI Review Process, AI governance workflow, and coordinating with group representatives to navigate AI governance complexities.</li> <li>Administer AI governance tools, create workflows, automate solutions, and develop new solutions to integrate with other tools to enhance synergy.</li> <li>Collaborate with program managers from other teams to provide updates on AI governance processes, assist in managing the AI governance lifecycle, and promote AI governance processes.</li> <li>Work with data scientists in the AI governance team on ethical AI assessment tools, responsible AI tools, MLOps, and LLMOps technical frameworks. Communicate these technical frameworks and tools to the business partner team. Contribute to Responsible AI thought leadership, technical tutorials, and tool development.</li> <li>Manage the Risk Management process to identify and mitigate risks for the AI governance team, ensuring alignment with team strategy and processes, and collaborate with AI governance strategists to ensure accurate communication of the team’s message.</li> <li>Provide support to AI project owners throughout the AI lifecycle from an AI governance perspective, ensuring adherence to AI governance principles and guidelines.</li> <li>Thoroughly document all AI governance processes, decisions, and methodologies to ensure transparency, repeatability, and continuous improvement. Maintain comprehensive records for audits, compliance checks, and training purposes.</li> <li>Improve AI governance training and awareness program.</li> <li>Coordinate the update and approvals for AI Policies</li> <li>Manage and complete special projects assigned</li> <li>Perform other duties as assigned</li> </ul> <h2>What We Look For in a Candidate</h2> <ul> <li>Bachelor's or master’s degree in information systems management, Information Technology Management, Computer Science, Data Science, or Risk Management.</li> <li>12 years of experience in business operations within the AI domain, including direct involvement with AI product teams.</li> <li>Strong understanding of the AI lifecycle and governance principles.</li> <li>Exceptional problem-solving abilities and skills in identifying and mitigating risks in business contexts.</li> <li>Proficiency in administering and automating AI governance tools.</li> <li>Familiarity with machine learning techniques, methodologies, and the AI lifecycle, as well as common technologies such as generative AI.</li> <li>Excellent written and verbal communication skills suited for both technical and non-technical audiences.</li> <li>Ability to collaborate with cross-functional teams and manage multiple stakeholders effectively.</li> <li>Proficiency with Microsoft Office tools such as Excel, Word, and PowerPoint.</li> <li>Willingness to learn and take initiative in technical areas related to AI governance.</li> </ul> <h2>Compensation</h2> This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Individual pay is based on skills, experience and other relevant factors. Location Based Pay Ranges: $103,711 - $138,281 in these states: AL, AR, AZ, FL, GA, IA, ID, IN, KS, KY, LA, ME, MO, MS, MT, ND, NE, NM, OH, OK, PA, SC, SD, TN, UT, VT, WI, WV, and WY. $108,896 - $145,195 in these states: CO, HI, MI, MN, NC, NH, NV, OR, and RI. $114,082 - $152,109 in these states: AK, CA, CT, DC, DE, IL, MA, MD, NJ, NY, TX, VA, and WA. #LI-ZM1 Lumen offers a comprehensive package featuring a broad range of Health, Life, Voluntary Lifestyle benefits and other perks that enhance your physical, mental, emotional and financial wellbeing. We're able to answer any additional questions you may have about our bonus structure (short-term incentives, long-term incentives and/or sales compensation) as you move through the selection process. Learn more about Lumen's: <ul> <li><a href="https://jobs.lumen.com/global/en/benefits-statement" target="_blank">Benefits</a></li> <li><a href="https://jobs.lumen.com/global/en/compensation-information" target="_blank">Bonus Structure</a></li> </ul> Requisition #: 337247 Background Screening If you are selected for a position, there will be a background screen, which may include checks for criminal records and/or motor vehicle reports and/or drug screening, depending on the position requirements. For more information on these checks, please refer to the Post Offer section of our <a href="https://jobs.lumen.com/global/en/faq" target="_blank">FAQ page</a>. Job-related concerns identified during the background screening may disqualify you from the new position or your current role. Background results will be evaluated on a case-by-case basis. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Equal Employment Opportunities We are committed to providing equal employment opportunities to all persons regardless of race, color, ancestry, citizenship, national origin, religion, veteran status, disability, genetic characteristic or information, age, gender, sexual orientation, gender identity, gender expression, marital status, family status, pregnancy, or other legally protected status (collectively, “protected statuses”). We do not tolerate unlawful discrimination in any employment decisions, including recruiting, hiring, compensation, promotion, benefits, discipline, termination, job assignments or training. Disclaimer The job responsibilities described above indicate the general nature and level of work performed by employees within this classification. It is not intended to include a comprehensive inventory of all duties and responsibilities for this job. Job duties and responsibilities are subject to change based on evolving business needs and conditions. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Please be advised that Lumen does not require any form of payment from job applicants during the recruitment process. All legitimate job openings will be posted on our official website or communicated through official company email addresses. If you encounter any job offers that request payment in exchange for employment at Lumen, they are not for employment with us, but may relate to another company with a similar name. Application Deadline 03/17/2025

CenturyLink

Senior Lead Business Operations Manager

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must reside in the state of South Carolina. Position Purpose: Supervise and monitor the performance of Quality Improvement Associates who support all Retention activities to ensure that members receive accurate information and that the standard operating procedures and quality assurance standards are met. Manage the production of the Quality Improvement Associates ensuring effective skill assessment of new and existing staff and to facilitate training to address the gaps identified. Research and use best practices to achieve effective project implementation and outcomes. Investigate exploitation of infrastructure tools to optimize productivity and performance. Collect, analyze, and summarize data to prepare reports and make recommendations.<ul> <li>Supervise a team of Quality Improvement Associates to meet monthly audit performance metrics.</li> <li>Investigate exploitation of infrastructure tools to optimize productivity and performance.</li> <li>Follow organization standards to maintain quality service. Identify obstacles in the call handling process and effectively prevent, resolve and overcome those obstacles.</li> <li>Collect, analyze, and summarize data to prepare reports and make recommendations. Research and use best practices to achieve effective project implementation and outcomes.</li> <li>Identify the training needing to improve performance and provide assistance to Retention Management to ensure consistent levels of service.</li> <li>Strong knowledge of Managed Care and Health Insurance concepts and regulation.</li> <li>Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet.</li> <li>Knowledge of various quality programs, including measures associated with QARR and HEDIS.</li> <li>Ability to lead or coordinate projects within own department.</li> <li>Managing diverse staff; execute corporate function effectively; ability to communicate professionally and with cultural sensitivity.</li> <li>Business Analysis Knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills.</li> <li>Customer Service: Skilled to communicate with all levels of Management, internal and external customers.</li> <li>Ability to work well as a member of a team or alone.</li> <li>Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.</li> </ul>Education/Experience: AA/AS - Associates Degree or equivalent required. One to two years managed care experience required; knowledge of the industry and terminology. One to three years Supervisory experience preferred. One to two years related experience required.Pay Range: $68,700.00 - $123,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Supervisor,  Quality Improvement

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 SummaryAt Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health’s unrivaled presence in local communities and their pharmacy benefits management capabilities, we’re joining members on their path to better health and transforming the health care landscape in new and exciting ways every day.Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&amp;L accountability for the IVL/DSNP products in their market, supporting Sales and customer experience agendas in market as well as Go-To Market planning and acquisition cost. This position is the leader for market performance, cost structure and local execution of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group team for EGWP products to achieve sales and client satisfaction goals) in collaboration with corporate teams. The Market GM will drive local product strategy and local market intelligence, be responsible for achieving target market position, market share growth, and drive cost structure reduction (SAIs) in collaboration with Medicare segment leadership, the market medical teams, Network Management teams and other related teams.You'll make an impact by:<ul> <li>Responsibility for supporting Medicare programs with short-and-long term profitability and growth of the health plan. </li> <li>Spearheading the implementation of new contracts, programs, services, and preparation of bid and grant proposals.</li> <li>Responsibility for the overall financial performance and achievement of the budget of the Medicare plans within the Market.</li> <li>Direction of senior leaders of specific functional areas as assigned. Functional areas may include operations, sales, marketing, provider relations, network development, utilization management, and/or STARS/HEDIS quality improvement, and Revenue Integrity efforts. Coordinating and monitoring functional integration of these areas in cooperation with corporate departments to achieve planned business results.</li> <li>Leading all departments in the development, implementation and maintenance of policies and procedures to ensure compliance with the State and Federal regulatory requirements.</li> <li>Responsibility for the plan performance related to all required State and Federal audits.</li> <li>Responsibility for the management and organization of plan activities at the health plan as it relates to the Medicare business.</li> <li>Monitoring the budget in assigned functional areas and takes corrective actions when necessary.</li> <li>Leading and developing people, preferably leading managers. Proven team leadership experience - leadership skills to build high-performing teams, manage and develop talent, influence, and impact a broad set of stakeholders, engage, and inspire others, and lead by example. Ability to lead teams and drive performance in a dynamic and fast-paced environment.</li> <li>Partnering effectively within the team and across the organization to ensure strategic initiatives stay aligned to plan and elevate solutions to barriers and decisions needed to executive leaders at the highest levels of organization.</li> <li>Creating and executing a sustainable, and profitable-growth strategy.</li> <li>Accountability for working with Medicare segment functional areas for monthly results, bid execution and other MAO responsibilities.</li> <li>Supporting CVS Health in attracting, retaining, and engaging a diverse and inclusive consumer-centric workforce that delivers on our purpose and reflects the communities in which we work, live, and serve.</li> </ul> Required QualificationsThe candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company’s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:<ul> <li>10+ years of relevant experience in line of business management.</li> <li>Deep knowledge of the Medicare business.</li> <li>Must have P&amp;L expertise and possess a strong financial, bottom-line focus.</li> <li>Ability to deal effectively with multiple internal and external clients.</li> <li>Ability to effectively interact with a diverse workforce and cross functional groups.</li> <li>Strong facilitative leadership and business problem solving skills are required.</li> <li>Ability to deal effectively with multiple internal and external clients is required.</li> <li>Knowledge of insurance regulatory and contractual requirements.</li> <li>Knowledge of value based provider contracting.</li> <li>Knowledge of current health care marketplace dynamics and Aetna’s position in the market.</li> <li>Knowledge of Aetna’s operations and marketing processes and strategies.</li> <li>Ability to effectively interact with a diverse workforce and cross functional groups required.</li> <li>Experience leading and developing people, preferably leading managers. Proven team leadership experience - leadership skills to build high-performing teams, manage and develop talent, influence, and impact a broad set of stakeholders, engage, and inspire others, and lead by example. </li> <li>Skilled at collaborating and working across a complex matrixed organization. </li> <li>Residence in/near the market (New York or New Jersey) or willing to relocate.</li> <li>Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.</li> </ul> Education Bachelor’s degree in business, healthcare administration, or a related field.Pay RangeThe typical pay range for this role is:$157,800.00 - $363,936.00 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: 04/11/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

AVP, General Manager - Medicare - NY/NJ

American Airlines

Member Services Representative, AACU Branch Operations

Affirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any hidden fees or compounding interest.Affirm's mission is to deliver honest financial products to improve lives. We do this by (i) using modern technology to re-imagine and re-build core components of financial infrastructure from the ground up and (ii) forming strong partnerships with existing financial services firms, banks, payment networks and data partners. The Procurement Lead is a key player on our Procurement Operations team and works alongside our Financial Partnerships team. The Procurement Lead is responsible for ensuring Procurement Operations are running seamlessly and in accordance with company policy, as well as guiding Affirm’s business owners through the purchasing process. We value experience, intelligence, creativity and critical thinking in addition to all of the traits necessary to represent Affirm in the payments and FinTech ecosystem. What You’ll Do <ul> <li> Manage the pipeline of procurement requests and ensure that all stakeholder teams (e.g. Legal, Information Security, Strategic Finance) conduct timely review and approval </li> <li> Manage vendor onboarding in our P2P system, collecting supplier details and for proper review </li> <li> Manage the purchase requisition and purchase order process </li> <li> Conduct beginning to end procurement process (contract collection to signatures) in contract review in partnership with vendor legal </li> <li> Assist in process improvement projects ​ </li> </ul> ​What We Look For <ul> <li> You have 3-5 years of recent experience in Procurement Operations and Procurement Tools (preferably Coupa and Zip) </li> <li> You will have great attention to detail </li> <li> You are adaptable and will enjoy working in a rapidly growing company </li> <li> You are curious to find new ways of understanding problems or improving processes </li> <li> You demonstrate strong analytical and problem-solving skills and can communicate your thinking clearly </li> <li> You have excellent time management, project management, and organizational skills, with aptitude for prioritizing </li> <li> You enjoy working cross-functionally </li> </ul> Base Pay Grade - I Equity Grade - 5 Employees new to Affirm typically come in at the start of the pay range. Affirm focuses on providing a simple and transparent pay structure which is based on a variety of factors, including location, experience and job-related skills. Base pay is part of a total compensation package that may include equity rewards, monthly stipends for health, wellness and tech spending, and benefits (including 100% subsidized medical coverage, dental and vision for you and your dependents.) USA base pay range (CA, WA, NY, NJ, CT) per year: $115,000 - $155,000 USA base pay range (all other U.S. states) per year: $102,000 - $142,000 Please note that visa sponsorship is not available for this position. #LI-Remote Affirm is proud to be a remote-first company! The majority of our roles are remote and you can work almost anywhere within the country of employment. Affirmers in proximal roles have the flexibility to work remotely, but will occasionally be required to work out of their assigned Affirm office. A limited number of roles remain office-based due to the nature of their job responsibilities. We’re extremely proud to offer competitive benefits that are anchored to our core value of people come first. Some key highlights of our benefits package include: <ul> <li>Health care coverage - Affirm covers all premiums for all levels of coverage for you and your dependents </li> <li>Flexible Spending Wallets - generous stipends for spending on Technology, Food, various Lifestyle needs, and family forming expenses</li> <li>Time off - competitive vacation and holiday schedules allowing you to take time off to rest and recharge</li> <li>ESPP - An employee stock purchase plan enabling you to buy shares of Affirm at a discount</li> </ul> We believe It’s On Us to provide an inclusive interview experience for all, including people with disabilities. We are happy to provide reasonable accommodations to candidates in need of individualized support during the hiring process. [For U.S. positions that could be performed in Los Angeles or San Francisco] Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles Fair Chance Initiative for Hiring Ordinance, Affirm will consider for employment qualified applicants with arrest and conviction records. By clicking "Submit Application," you acknowledge that you have read Affirm's <a href="https://www.affirm.com/global-candidate-privacy-notice" target="_blank">Global Candidate Privacy Notice</a> and hereby freely and unambiguously give informed consent to the collection, processing, use, and storage of your personal information as described therein.

338 Operations Jobs