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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryAetna, a CVS Health company has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune 6 company? This is a remote Work at Home position and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy &amp; Operations) you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise to provide clinical support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is essential. The Primary Responsibilities of the Medical Director include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject matter expertise in clinical and payment policy to provide clinical support and business direction in these areas. In this role you will: ◾Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct application of Aetna policies and practices to service and payment requests.◾Proactively use data analysis to identify opportunities for quality improvement and positively influence the effective delivery of quality care services. ◾ Be a subject matter expert and internal consultant and payment policy contributor subject matter expertise and internal consultant. ◾Demonstrate the ability to work within and lead as necessary teams comprised of a diverse group of health delivery professionals in order to manage the business objectives of the company. ◾Work Collaboratively with the functional areas. Required Qualifications*Five (5) or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. *Active and current state medical license without encumbrances. *M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience Preferred Qualifications* Health plan/payor experience. * Foundational baseline skills in Medicine, Health Policy, Coding: HCPCS / CPT, Clinical Policy, Reimbursement and Health Care Systems. * Strong communication skills both written and verbal. Education* M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experiencePay RangeThe typical pay range for this role is:$174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 04/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Medical Director (Medical Policy & Operations)

<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 clients' 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 people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more.</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 SummaryCollaborates with the plan sponsor implementation team to gather and analyze client requirements, assist in developing implementation plans, and work with internal departments to ensure the successful execution of implementation projects. Interacts directly with plan sponsors, addresses inquiries, and provides guidance during the implementation process, contributing to the overall success of plan sponsor onboarding. What you will do<ul> <li>Facilitates and oversees the management of Renewal process and programs, ensuring successful implementation, execution, and delivery.</li> <li>Manages Daily Case Calls to review complex cases in Salesforce</li> <li>Facilitates mutually beneficial relationships with members of Client Management, serving as a primary point of contact throughout the Renewal process.</li> <li>Coaches team members with training and education sessions to ensure successful adoption of Renewal process and case requests.</li> <li>Confers with internal and external stakeholders to gather and analyze requirements, identify potential risks, and develop mitigation strategies.</li> <li>Defines regular status updates to stakeholders, addressing and escalating any concerns or issues that may arise, for swift resolution.</li> <li>Determines process improvements and best practices to enhance the efficiency and effectiveness of the Renewal process.</li> <li>Delivers leadership and mentorship to the implementation team, fostering a collaborative and high-performing work environment.</li> </ul> For this role you will need Minimum Requirements<ul> <li>5 to7 years of Reporting experience</li> <li>3 to 5 years’ experience with Salesforce software and the insurance renewal process</li> <li>3 to 5 years health insurance- group based plan benefits experience</li> <li>Adept at problem solving and decision-making skills</li> <li>Adept at growth mindset (agility and developing yourself and others) skills</li> <li>Adept at execution and delivery (planning, delivering, and supporting) skills</li> </ul>Preferred Requirements<ul> <li>DG experience</li> <li>Tableau experience</li> </ul> Education<ul><li>Bachelor's degree preferred/specialized training/relevant professional qualification.</li></ul>Anticipated 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.

Renewals Operations Reporting Manager

Cherokee Nation Businesses

Federal Business Development Manager Engineering & Manufacturing

Gen Ops Agent: West Coast, Velocity Black (Remote)Velocity Black, a Capital One company, harnesses the power of artificial intelligence, the warmth of human experts and the convenience of the latest interfaces to help high-performance people actualize the full potential of their lives. It's concierge, reimagined for the digital age.By harnessing 24/7 chat, AI, and mobile payments, we help our customers do more and be more in the digital age. From access to the hottest restaurants to guaranteed upgrades at the world’s finest resorts. Make a custom request through the app and you will be chatting to our team within 1 minute, 24/7/365.What unites us are the values we share: the relentless pursuit and celebration of excellence, actualizing the full potential of our lives, and impacting the world in a positive way.Capital One provides a fast paced, dynamic environment where you can excel in your career. At Capital One, diversity, inclusion &amp; belonging are valued at our core, sparking and enabling us to do good for our associates, customers and communities. Guided by our shared values, we thrive in an environment where collaboration and openness are valued. We nurture an environment that attracts and develops talent from all backgrounds and experiences, and empower our associates to do great work by creating a culture of belonging that values diverse perspectives, fosters collaboration and encourages innovative ideas – and are routinely recognized as one of the best companies to work for.We are looking for someone passionate about customer experience with strong existing knowledge of what it takes to be the most high-value-add concierge. The ideal candidate will be an energetic, ambitious, and determined person who wants to take their career in the customer service and concierge space to the next level.General Responsibilities:<ul> <li>Communicating with clients, restaurants, vendors, and team members to deliver great service across dining, experiences, travel and luxury goods. </li> <li>Sourcing content ideas to submit to our Content Team on a weekly basis</li> <li>Completing end-to-end member requests</li> </ul>What we are looking for:<ul> <li>Adaptability and multitasking</li> <li>‘Yes first’ mentality</li> <li>General knowledge of high end experiences, luxury goods, and restaurants </li> <li>Experience working with high net worth individuals and clients</li> <li>Entrepreneurial, problem-solving attitude</li> <li>Excellent, clear and effective verbal and written communication skills</li> <li>Experience in a collaborative and transparent environment</li> <li>Ability to work in high-pressure environment with tight deadlines</li> <li>Flexible working hours - available to work on evenings and weekends</li> </ul>Basic Qualifications: <ul> <li>High School Diploma, GED, or Equivalent Certification </li> <li>At least 1 year of Retail, Sales, or Customer Service experience </li> </ul>Preferred Qualifications: <ul><li>2+ years of experience in Retail, Sales, or Customer Service</li></ul>At this time, Capital One will not sponsor a new 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): $56,800 - $64,800 for Premium Customer Agent I Richmond, VA: $56,800 - $64,800 for Premium Customer Agent I Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate’s offer letter.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).

Capital One

Gen Ops Agent: West Coast, Velocity Black (Remote)

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.

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