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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 Summary: The Lead Director is responsible for leading and optimizing functions within the New Plan Build as well as future operation areas, including all internal resources and outsourced support. This role will administer the strategy for monitoring and improving operational functions aligning policies and procedures with organizational objectives. Controls performance management and contributes to top-level decision making for the Customer Facing Operations Organization. This individual will develop and implement a comprehensive roadmap for Plan Build to enhance client satisfaction, drive operational efficiency, and foster continuous improvement. The ideal candidate will be a strategic leader with a deep understanding of Implementation/Onboarding best practices and technology solutions.Key Responsibilities:<ul> <li>Leads continuous improvement initiatives to enhance Plan Build management processes, increase efficiency, and reduce defects across the organization.</li> <li>Collaborates with various departments, such as Core Operations - Claims, Implementation/Onboarding, Eligibility, Appeals, Compliance and Client Management, to ensure quality considerations are integrated into all aspects of the organization's operations.</li> <li>Collaborate with cross-functional teams, including Client Management, Local Market Development, IT and others to drive a customer-centric culture and improve service touchpoints. Develops and maintains strong collaborative relationships maintain excellent lines of communication and share resources to meet common service center objectives.</li> <li>Establishes and maintains a robust Plan Build quality management system by developing quality policies, procedures, and guidelines that comply with industry standards and regulatory requirements.</li> <li>Analyzes data and generates regular reports on KPIs and metrics using data-driven insights to communicate quality performance to senior management.</li> <li>Manages the budget and allocates resources effectively to support operation and improvement efforts.</li> <li>Provides leadership and guidance to department teams and direct reports, overseeing their work, conducting performance evaluations, and providing training and development opportunities.</li> <li>Responsible for bringing forward new technology and service processes that will result in improved member and provider experiences, while also driving efficiencies in the customer service organization.</li> <li>Manage and optimize relationships with future outsourcing partners to ensure performance, cost-effectiveness, and seamless integration with internal operations.</li> <li>Implement and leverage technology solutions, such AI chatbots and other automation tools, to enhance service capabilities.</li> <li>Sets strategic direction and influencing change that resulted in quantifiable positive outcomes.</li> <li>Ensures regulatory compliance.</li> <li>Develop and implement training programs to ensure teams are equipped with the skills and knowledge to provide exceptional support.</li> <li>Stay informed of industry trends, customer expectations, and emerging technologies to maintain a competitive edge.</li> </ul>Required Qualifications:<ul> <li>5+ years' experience in managing high volume transaction processing, financial management, project delivery, production, systems analysis and application. </li> <li>5 + years' management and leadership experience.</li> <li>Adept at execution and delivery (planning, delivering, and supporting) skills</li> <li>Adept at business intelligence</li> </ul>Preferred Qualifications:<ul> <li>Mastery of problem solving and decision-making skills</li> <li>Mastery of growth mindset (agility and developing yourself and others) skills</li> </ul>Education:Bachelor's degree in a closely related field, or equivalent combination of education and experience.Pay RangeThe typical pay range for this role is:$100,000.00 - $231,540.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/02/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Lead Director, Service Operations

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.Requisition Job DescriptionPosition Summary We are excited to invite a highly motivated and detail-oriented Project Manager to join our team. The Project Manager will part of the Network Platform Solutions – Contracts &amp; Pricing Team to support Medicaid Contracting IT projects in Conga and to provide support to Network for Conga contracting needs.Responsibilities Include:<ul> <li>Support of ECOM releases for Conga</li> <li>Assist with ongoing management of Conga system enhancements and fixes</li> <li>Ongoing management may include project planning, documentation of requirements, and review of IT design/development, user acceptance testing, system implementation, and performing post-release checkout</li> <li>Act as Project Manager/subject matter expert on Conga Medicaid Contracting for all Medicaid Network plans and Duals plans</li> <li>Assist in conducting research associated to business system issues and development of workarounds and communications of identified issues</li> <li>Collaborate with L&amp;P on development and delivery of training vignettes for Conga CLM</li> <li>Review of state-approved templates and regulatory compliance addendum documents to ensure clarity, accuracy, and compliance with legal standards and internal policies</li> <li>Maintain reports and dashboards for executive leadership and Medicaid Health Plans</li> <li>Support of internal and external audit requests for Conga Medicaid contracting</li> </ul>Required Qualifications<ul> <li>3 to 5 years Medicaid experience</li> <li>2 to 3 years contract management and processes</li> <li>2 to 3 years project management experience</li> <li>Strong problem-solving and decision-making skills</li> <li>Strong analytical skills and attention to detail</li> <li>Excellent communication and collaboration skills</li> <li>Ability to adapt to changing priorities and work effectively under pressure</li> <li>Demonstrated ability to learn new concepts</li> <li>Demonstrated ability to successfully deliver assigned projects</li> </ul>Preferred Qualifications<ul> <li>Familiarity with Conga CLM</li> <li>Familiarity with Duals contracting processes</li> <li>Demonstrate curiosity when identifying issues and pursuing solutions and providing ideas to improve processes</li> <li>Proficiency in Microsoft: Excel, Word, and Teams</li> <li>QuickBase and SharePoint user experience</li> </ul> Education Bachelor's Degree or equivalent experienceAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,300.00 - $159,120.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/29/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Project Manager-Medicaid Contracts and Pricing

Distribution and Packaging Technical Leader Projects<h2>Job Description</h2>You’re not the person who will settle for just any role. Neither are we. Because we’re out to create Better Care for a Better World, and that takes a certain kind of person and teams who care about making a difference. Here, you’ll bring your professional expertise, talent, and drive to building and managing our portfolio of iconic, ground-breaking brands. In this role, you’ll help us deliver better care for billions of people around the world. It starts with YOU. Incumbent reports to the Enterprise Capital Engineering (ECE) Mill Sustaining Capital Sr Engineering Manager. You will be the KCNA Distribution and Packaging Technical leader driving the development and execution of Distribution and Converting packaging projects along with technical decisions to meet NA business needs using KCNA Project Management Practices (PMP) process. In this role, you will:<ul><li>Effectively collaborate with a cross-functional team that includes NA Distribution teams, Value Streams, mill operations, procurement, equipment suppliers and with a focus on external service providers. </li></ul><ul> <li>Own vendor relationships, including vetting and selection to drive cost effective design and execution for packaging, conveying, palletizing, stretch wrapping and labeling projects.</li> <li>Owns &amp; manages Third Party Technical Service Provider relationships</li> <li>Equipment Capability /Improvement- evaluation evolving technology to meet changing business needs for Tissue and Personal Care. </li> <li>Own and develop roadmaps for obsolescence replacement plans.</li> <li>Support major initiatives such as DC Automation to ensure the Case Handling systems meets their needs, ie. SLPN, Labeling, Double stacking.</li> <li>Work with businesses to add capability and capacity as new machines are added, significant increases in rates due to upgrades or changes to product mix.</li> <li>Connection to PMO’s up front to trigger need to engage with R&amp;D, ECE and Distribution teams</li> <li>Conduct EDR’s including use of modeling to determine bottlenecks and look at proposed solutions.</li> <li>Develop cost estimates, write appropriations &amp; provide leadership for implementation.</li> <li>Work with ECE, DC’s &amp; DC/Staff Capital leads to develop/maintain listing of capital projects to support on-going DC needs including obsolescence.</li> <li>Support development of cost justification &amp; communication with sites/staff to get justification &amp; alignment.</li> <li>Lead projects through execution and startup</li> </ul>About UsHuggies®. Kleenex®. Cottonelle®. Scott®. Kotex®. Poise®. Depend®. Kimberly-Clark Professional®. You already know our legendary brands—and so does the rest of the world. In fact, millions of people use Kimberly-Clark products every day. We know these amazing Kimberly-Clark products wouldn’t exist without talented professionals, like you.At Kimberly-Clark, you’ll be part of the best team committed to driving innovation, growth and impact. We’re founded on more than 150 years of market leadership, and we’re always looking for new and better ways to perform – so there’s your open door of opportunity. It’s all here for you at Kimberly-Clark.Led by Purpose. Driven by You.About YouYou perform at the highest level possible, and you appreciate a performance culture fueled by authentic caring. You want to be part of a company actively dedicated to sustainability, inclusion, wellbeing, and career development. You love what you do, especially when the work you do makes a difference. At Kimberly-Clark, we’re constantly exploring new ideas on how, when, and where we can best achieve results. When you join our team, you’ll experience Flex That Works: flexible (hybrid) work arrangements that empower you to have purposeful time in the office and partner with your leader to make flexibility work for both you and the business.In one of our professional roles, you’ll focus on winning with consumers and the market, while putting safety, mutual respect, and human dignity at the center.To succeed in this role, you will need the following qualifications:<ul> <li>Requires a bachelor’s degree in a science, engineering or related discipline and 10+ years industrial experience or another equivalent combination of education and experience. Experience leading capital projects and portfolios is required.</li> <li>Ability to develop TSPs and other vendors.</li> <li>Ability to work collaboratively and effectively with individuals across all levels of the organization.</li> <li>Flexibility to travel up to 35% as dictated by business need for meetings and machine checkouts.</li> </ul><ul><li>Capital project administration process expertise, project execution, TSP management</li></ul>Preferred (not essential, but desired): <ul> <li>Experience in the design requirements and safe operation of high-speed converting equipment and conveyors through palletizing processes, with an ability to translate that knowledge in support of process, product, and capacity improvements. </li> <li>Distribution functional knowledge is an asset</li> <li>Related technical experience includes various roles at both mill/staff locations and/or cross sector experiences. </li> </ul>Total BenefitsHere are just a few of the benefits you’d enjoy working in this role for Kimberly-Clark. For a complete overview, see <a href="http://www.mykcbenefits.com/" target="_blank">www.mykcbenefits.com</a>. Great support for good health with medical, dental, and vision coverage options with no waiting periods or pre-existing condition restrictions. Access to an on-site fitness center, occupational health nurse, and allowances for high-quality safety equipment.Flexible Savings and spending accounts to maximize health care options and stretch dollars when caring for yourself or dependents.Diverse income protection insurance options to protect yourself and your family in case of illness, injury, or other unexpected events.Additional programs and support to continue your education, adopt a child, relocate, or even find temporary childcare.To Be Considered Click the Apply button and complete the online application process. A member of our recruiting team will review your application and follow up if you seem like a great fit for this role.In the meantime, please check out the <a href="https://www.careers.kimberly-clark.com/en/our-careers/career-areas" target="_blank">careers website</a>.And finally, the fine print…. For Kimberly-Clark to grow and prosper, we must be an inclusive organization that applies the diverse experiences and passions of its team members to brands that make life better for people all around the world. We actively seek to build a workforce that reflects the experiences of our consumers. When you bring your original thinking to Kimberly-Clark, you fuel the continued success of our enterprise. We are a committed equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, age, pregnancy, genetic information, citizenship status, or any other characteristic protected by law. The statements above are intended to describe the general nature and level of work performed by employees assigned to this classification. Statements are not intended to be construed as an exhaustive list of all duties, responsibilities and skills required for this position. Employment is subject to verification of pre-screening tests, which may include drug screening, background check, and DMV check. Salary Range: $128,000 - $158,000 USDAt Kimberly-Clark, pay is just one aspect of our total rewards package, which also includes a variety of benefits and opportunities to achieve, thrive and grow. Along with base pay, this position offers eligibility for a target bonus and a comprehensive benefits suite, including our 401(k) and Profit-Sharing plan. The anticipated base pay range for this role is provided above for a fully qualified hire. Actual pay will depend on several factors, such as location, role, skills, performance, and experience. Please note that the stated pay range applies to US locations only. Veterans and members of the Reserve and Guard are highly encouraged to apply. Kimberly-Clark will support in-country relocation for the chosen candidate for the role. The benefits provided will be per the terms of Kimberly-Clark’s applicable mobility policies. The benefits/policy provided will be decided at Kimberly-Clark’s sole discretion. Salary Range: 127,600 – 157,600 USDAt Kimberly-Clark, pay is just one aspect of our total rewards package, which also includes a variety of benefits and opportunities to achieve, thrive and grow. Along with base pay, this position offers eligibility for a target bonus and a comprehensive benefits suite, including our 401(k) and Profit Sharing plan. The anticipated base pay range for this role is provided above for a fully qualified hire. Actual pay will depend on several factors, such as location, role, skills, performance, and experience. Please note that the stated pay range applies to US locations only.<h2>Primary Location</h2>Neenah - West Office Facility 1<h2>Additional Locations</h2>Beech Island Mill, Chester Mill, Jenks Mill, New Milford Mill<h2>Worker Type</h2>Employee<h2>Worker Sub-Type</h2>Regular<h2>Time Type</h2>Full time

Kimberly-Clark Corporation

Distribution and Packaging Technical Leader Projects

Cherokee Nation Businesses

Federal Business Development Manager Engineering & Manufacturing

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 SummaryProvides leadership and maintains oversight of functions over the Meritain Health Network Operations Team. Executes local strategic and operational plan in support of business segment customer service objectives and initiatives. Plans, directs, and implements procedures that will assure a high level of customer access and satisfaction. Responsible for the quality and effectiveness of own team and related teams, identifying and resolving technical, operational and team problems. Manages a team of professional employees.Required Qualifications<ul> <li>5+ years of being a people leader</li> <li>5+ years of experience in managing high volume operational work with network implementations, network configurations, maintaining provider files/fee schedules, and coordinating online provider directories.</li> <li>Proven strong leadership skills managing high-performance teams, setting strategic direction, and influencing change that resulted in quantifiable positive outcomes.</li> <li>Demonstrated issue resolution with a sense of urgency.</li> <li>3 to 5 years Healthcare industry experience required.</li> </ul>Preferred Qualifications<ul> <li>Network or Provider related experience.</li> <li>Vendor Management.</li> </ul>EducationBachelor's degree or equivalent experience.Pay RangeThe typical pay range for this role is:$67,900.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/16/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Manager, Network Operations

About EarnIn As one of the first pioneers of earned wage access, our passion at EarnIn is building products that deliver real-time financial flexibility for those with the unique needs of living paycheck to paycheck. Our community members access their earnings as they earn them, with options to spend, save, and grow their money without mandatory fees, interest rates, or credit checks. We’re fortunate to have an incredibly experienced leadership team, combined with world-class funding partners like A16Z, Matrix Partners, DST, Ribbit Capital, and a very healthy core business with a tremendous runway. We’re growing fast and are excited to continue bringing world-class talent onboard to help shape the next chapter of our growth journey. Position Summary We are seeking an experienced Director of Accounting Operations to lead and oversee our accounting operations team. This role is critical to ensuring the accuracy, efficiency, and compliance of our financial processes as we scale. The ideal candidate will bring strategic leadership, process improvement expertise, and the ability to drive operational excellence across payroll, accounts payable (AP) and procurement, expense management, and financial systems. This position is open to both remote and hybrid applicants. For those based in Mountain View, this role will require in-office work 2-3 days a week. The US base salary range for this full-time position is $200,000 - $249,000+ equity + benefits. Our salary ranges are determined by role, level, and location. <h3>What You’ll Do:</h3> <ul> <li>Leadership &amp; Team Management</li> <ul> <li>Lead, mentor, and develop a high-performing accounting operations team, including payroll, accounts payable, and financial systems.</li> <li>Establish and monitor KPIs to assess team performance and ensure alignment with department and company goals.</li> <li>Sets strategy and execution plan for department to achieve mid-term team results (&gt; 3 mos). Defines strategy for the team in alignment with stakeholders, company-wide priorities and customer needs.</li> </ul> <li>Operational Excellence</li> <ul> <li>Oversee the monthly close process, ensuring accurate and timely reconciliations of key accounts.</li> <li>Optimize workflows and processes to improve efficiency, reduce manual effort, and mitigate risk.</li> <li>Implement and maintain robust internal controls to ensure compliance with SOX and other regulatory requirements.</li> </ul> <li>Financial Systems &amp; Technology</li> <ul> <li>Drive the effective use of technology, including ERP systems (e.g., NetSuite), expense management tools (e.g., Expensify, Brex), and payroll platforms.</li> <li>Collaborate with IT and finance teams to evaluate, implement, and integrate new systems as needed to support scaling operations.</li> </ul> <li>Process Improvements</li> <ul> <li>Identify and lead initiatives to automate manual processes in payroll, AP, and expense management.</li> <li>Develop and document policies, procedures, and best practices to support scalability and readiness for public company reporting.</li> </ul> <li>Compliance &amp; Reporting</li> <ul> <li>Ensure compliance with GAAP, tax regulations, and other relevant financial reporting standards.</li> <li>Partner with the technical accounting team and external advisors to prepare for IPO readiness, focusing on operational processes and controls.</li> </ul> <li>Collaboration</li> <ul> <li>Partner with treasury, tax, and other stakeholders to align accounting operations with overall company objectives.</li> <li>Support internal and external audits, addressing operational accounting inquiries and ensuring timely resolution of findings.</li> </ul> </ul> <h3>What We’re Looking For:</h3> <ul> <li>Bachelor’s degree in Accounting, Finance, or a related field (CPA preferred).</li> <li>10+ years of progressive experience in accounting operations, with at least 5 years in leadership roles.</li> <li>Strong understanding of GAAP, financial controls, and accounting operations best practices.</li> <li>Experience with ERP systems (NetSuite preferred) and tools like Expensify, Ramp, or Brex.</li> <li>Proven ability to lead process improvements, implement controls, and drive efficiency in a scaling environment.</li> <li>Exceptional communication and interpersonal skills, with the ability to influence and collaborate across teams.</li> <li>Experience preparing for IPO or operating in a public company environment is a plus.</li> </ul> At EarnIn, we believe that the best way to build a financial system that works for everyday people is by hiring a team that represents our diverse community. Our team is diverse not only in background and experience but also in perspective. We celebrate our diversity and strive to create a culture of belonging. EarnIn does not unlawfully discriminate based on race, color, religion, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity, gender expression, national origin, ancestry, citizenship, age, physical or mental disability, legally protected medical condition, family care status, military or veteran status, marital status, registered domestic partner status, sexual orientation, genetic information, or any other basis protected by local, state, or federal laws. EarnIn is an E-Verify participant. EarnIn does not accept unsolicited resumes from individual recruiters or third-party recruiting agencies in response to job postings. No fee will be paid to third parties who submit unsolicited candidates directly to our hiring managers or HR team. #LI-Remote

Earnin

Director, Accounting Operations

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary We are seeking a highly skilled and motivated AI Project Manager to join our team. This role is pivotal in managing the delivery of AI projects, working closely with matrixed business SMEs and technical teams. The ideal candidate will have a strong background in project management, AI, data management, and business testing, with the ability to oversee project timelines, budgets, and deliverables effectively. Additionally, this role will be key in helping business partners identify the art of the possible when it comes to AI.Key Responsibilities include:Manage the Delivery of AI Projects:<ul> <li>Collaborate with matrixed business SMEs and technical teams to ensure successful delivery of AI projects</li> <li>Define project scope, objectives, and deliverables in alignment with business goals</li> <li>Develop detailed project plans, including timelines, budgets, and resource allocation</li> <li>Identify and manage project risks, issues, and dependencies</li> <li>Oversee business testing to ensure the effectiveness and accuracy of AI solutions</li> <li>Act as a liaison with the DDAT team to ensure alignment and integration</li> <li>Monitor and evaluate the effectiveness of data management strategies and make necessary adjustments</li> </ul>Identify the Art of the Possible:<ul> <li>Work closely with business partners to explore and identify innovative AI opportunities</li> <li>Provide insights and recommendations on how AI can be leveraged to achieve business objectives</li> <li>Facilitate workshops and brainstorming sessions to generate AI use case ideas</li> <li>Stay updated on the latest AI trends and technologies to inform business partners of new possibilities</li> </ul> Required Qualifications<ul> <li>7+ years of experience in project management, data management, and business testing</li> <li>Understanding of AI persona development and implementation</li> <li>Solid understanding of AI technologies and their applications in business</li> <li>Excellent project management skills with the ability to manage multiple priorities</li> <li>Strong analytical and problem-solving skills</li> <li>Excellent communication and collaboration skills</li> <li>Ability to work effectively in a matrixed environment</li> <li>Experience with project management tools and methodologies</li> </ul> Preferred Qualifications<ul> <li>Experience with data management tools and technologies</li> <li>Knowledge of change management principles and practices</li> <li>Familiarity with DDAT frameworks and methodologies</li> </ul> Education<ul><li>Bachelor’s degree in Computer Science, Data Science, Business Administration, or a related field</li></ul>Pay RangeThe typical pay range for this role is:$67,900.00 - $182,549.00 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: 05/10/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Manager,  AI Project Management

<h3> Position Summary </h3> Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Certified Professional Billing Expected Reimbursement Contracts Specialist you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you’ll do/Responsibilities <ul> <li>As a Consultant at Deloitte Consulting, you will be responsible for individually contributing to your work / mentor junior team members along with liaising with onsite/offshore teams to understand the functional requirements.</li> <li>Working on Billing and Contracts Reimbursement configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any issues/defects.</li> <li>Participate in the daily calls / scrum meetings with respect to deliverables and build the weekly status reports to be reviewed with leadership. </li> <li>Resolve issues or incidents reported by end users and escalate any quality issues or risks with team leads/scrum masters/project leaders. </li> <li>This position has responsibility within all phases of patient access application support and optimization including design, build, test, and maintenance of the application</li> <li>This role provides outstanding client service and contributes to the organization’s mission of utilizing information technology to improve patient care</li> <li>Troubleshoot problems and address questions from users and provide on-call support on a rotating basis.</li> <li>Make recommendations, review and test changes, enhancements, and each new release as assigned.</li> <li>Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management</li> </ul> The Team Our Core Technology Operations (CTO) team offers differentiated operate services for our clients with solutions to help organizations scale and optimize critical business operations, drive speed to outcome, deliver business transformation, and build resilience in an uncertain future. Qualifications Required <ul> <li>Epic Certification: Must possess current Epic Professional Billing Expected Reimbursement Contracts certification</li> <li>5+ years of experience in IT systems administration, with at least 2 years specifically working with Epic systems.</li> <li>Prior experience working in the Healthcare Industry</li> <li>Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience</li> <li>Limited immigration sponsorship may be available</li> <li>Remote work with the ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve. Also, provide on-call support on a rotating basis.</li> </ul> Preferred <ul> <li>Epic Certification: Current Epic Resolute Professional Billing/Epic Resolute Hospital Billing certification</li> <li>Previous Consulting experience</li> <li>Analytical/ decision making responsibilities</li> <li>Analytical ability to manage multiple projects and prioritize tasks into manageable work products</li> <li>Can operate independently or with minimum supervision</li> <li>Excellent written and communication skills</li> <li>Ability to deliver technical demonstrations</li> </ul> Information for applicants with a need for accommodation: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html</a> Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards-usdc.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Deloitte

Epic Certified Professional Billing Expected Reimbursement Contracts Specialist

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position 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: 04/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Director (Medical Policy & Operations)

Center 1 (19052), United States of America, McLean, VirginiaBusiness Manager, International Strategy and Operations - Capital One Shopping (Remote-Eligible)This is your opportunity to join the fast-growing International team on Capital One’s fast-growing consumer app: Capital One Shopping. Within Capital One, the Shopping team is working on a new consumer product that seeks to change the way people buy things online. Our mission is to deliver a best-in-class shopping and savings experience for our millions of customers while driving incremental and sustainable sales for our merchant partners. The International team is responsible for bringing these best-in-class experiences and partnerships to markets outside the US: Canada and Australia today, and many more to come. Working closely with Capital One Shopping’s Head of International, the international strategy and operations manager will be responsible for the overall success of one of Shopping’s international markets. These markets have significant headroom for growth and optimization, making this a great opportunity to drive impact. The role is highly cross-functional, working with teammates within Shopping and the broader Capital One enterprise. Strong communication and relationship building skills will be essential. This person should have experience that demonstrates success in a range of areas, including highly detailed project management, quantitative analysis, and strategic thinking. Ability to work with leaders to prioritize effectively and work efficiently is also important. To be successful in the role, you will need to be a well-rounded 'business athlete’ - a creative, analytical, and technically proficient problem solver who understands both the dynamics of the business and the tech landscape. The ideal candidate is resourceful, motivated, and self-sufficient, with demonstrated success in spearheading cross-functional projects that drive the growth and success of a business. Summary: As a Business Analysis Manager at Capital One, you will apply your strategic and analytical skills to major company challenges. You'll team with world-class professionals to develop and test strategies that ultimately impact the bottom line. And you will do it all in a collaborative environment that values your insight, encourages you to take on new responsibility, promotes continuous learning, and rewards innovation. General Responsibilities: <ul> <li>Strategic leadership: Develop business strategies that will drive growth, profitability, and competitive success for Capital One in the face of shifting consumer and regulatory demands </li> <li>Leadership: May manage and develop 1-2 analysts. Coaching and mentoring associates with a goal of developing and retaining talent at Capital One </li> <li>Product: Develop and implement new product and pricing strategies for various lending products; lead product level modeling/analytics </li> <li>Marketing: Lead direct-to-consumer marketing efforts for select products, and strategic intent for products distributed through the retail channel. Build targeted insights to inform the design and development of new customer experiences, as well as breakthrough technology and concepts designed to deliver on new go-to-market strategies </li> </ul><ul> <li>Execution: Manage and sequence delivery of business intent, build business requirements and execute against the product strategy. Oversee multiple projects and programs concurrently </li> <li>Partnership: Work closely with colleagues across Capital One including: IT, Sales, Operations, Finance and others to drive improvement in quality, volume, service, and profitability </li> <li>Strategic &amp; analytic orientation: A proven track record of decision making and problem solving based on analytics. Conceptual thinking skills must be complemented by a strong quantitative orientation, given that a large part of the business is based on rigorous analytic marketing &amp; credit risk management </li> <li>Strong business judgment, leadership and integrity: He/she should be a tenacious decision maker, able to bring a healthy, aggressive, yet responsible approach to business </li> <li>Solid people leadership experience: Ability to build and leverage the capabilities of a high-performing team, as well as business partners across the enterprise. He/she should foster innovation, drive critical decisions, hold business partners accountable, and be able to consistently deliver results </li> </ul><ul> <li>Strong executive communication skills: Impeccable written and oral communication credentials, coupled with strategic influencing skills and the ability to drive agreement through intellect, interpersonal and negotiation skills </li> <li>Clear results orientation: display an intense focus on achieving both short and long term goals. He/she should be able to drive and execute an agenda in an uncertain and fluid environment </li> <li>Successful track record of thriving in a fast paced, entrepreneurial and dynamic environment. Previous consulting experience is a plus </li> </ul>Capital One is open to hiring a Remote Employee for this opportunity.<h2>Basic Qualifications:</h2><ul> <li>Bachelor’s Degree in any quantitative field (Business, Math, Economics, Finance, Statistics, Science, Engineering)</li> <li>At least 1 year of experience in analysis</li> </ul><h2>Preferred Qualifications:</h2><ul> <li>Master’s Degree in Business or quantitative field such as Finance, Economics, Physical Sciences, Math, Statistics, Engineering</li> <li>1+ years of experience in Statistical model building</li> <li>1+ years of experience in market research</li> <li>1+ years of experience in SQL querying</li> <li>2+ years of experience in business analysis</li> <li>1+ years of experience in consulting</li> </ul>Capital One will consider sponsoring a new qualified applicant for employment authorization for this position.The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.Remote (Regardless of Location): $144,000 - $164,000 for Business ManagerMcLean, VA (Hybrid On-Site):$158,0400 - $180,800 for Business ManagerCandidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate’s offer letter.This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan." Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at the <a href="https://www.capitalonecareers.com/benefits" target="_blank">Capital One Careers website</a>. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.This role is expected to accept applications for a minimum of 5 business days.No agencies please. Capital One is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, citizenship, immigration status, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City’s Fair Chance Act; Philadelphia’s Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-800-304-9102 or via email at <a href="#">RecruitingAccommodation@capitalone.com</a>. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.For technical support or questions about Capital One's recruiting process, please send an email to <a href="#">Careers@capitalone.com</a>Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).

11 Operations Jobs in Timonium, MD 21093, USA