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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.<h2>This position is 100% remote and can be located anywhere in the United States.</h2><h2>Position Summary</h2><h2>As the Clinical Program Manager in Specialty Pharmacy, you will partner with Specialty Trade and pharmaceutical manufacturer clients to conceive and deliver services that differentiate CVS Health as the premier Specialty Pharmacy provider. Facing dynamic customer needs and an evolving specialty landscape, you will strategically design the patient journey and innovate on value-enhancing omnichannel product delivery solutions related to your specific disease portfolio. You will develop novel strategies to drive value, secure access to limited distribution drugs, successfully launch Specialty drugs across the enterprise, and execute on company initiatives. You will serve as the enterprise clinical subject matter expert for an assigned set of therapies and stay abreast of your portfolio pipeline along with trends in the marketplace to ensure CVS Health has programs that optimize patient care and clinical outcomes. You will collaborate with Trade, Pharmacy Trade Product, Specialty Operations, Account Management, Professional Practice, Prescriber Sales and other entities to ensure alignment of services, review results and identify opportunities to optimize patient, physician, and pharma relationships. A strong clinical background with a high level of independent judgement and initiative is required. Excellent interpersonal skills, a strategic vision, critical thinking, the ability to prioritize, and creativity will aid in your success to drive new opportunities for the business. </h2><h2>Responsibilities include but are not limited to:</h2><ul> <li><h2>Develop relationships and enhance partnerships with pharmaceutical manufacturers and key decision makers</h2></li> <li><h2>Present clinical services and therapy capabilities to external individuals or groups to secure product access and gain incremental market share, effectively adjust presentation style to meet to the needs of a virtual or live audience</h2></li> <li><h2>Generate omnichannel pharmacy care delivery solutions aimed at enhancing value for CVS enterprise and business partners based on evolving marketplace trends</h2></li> <li><h2>Create best-in-class, customizable patient adherence programs that deliver improved clinical outcomes</h2></li> <li><h2>Serve as the clinical expert on key business initiatives and provide insight into strategic planning </h2></li> <li><h2>Analyze clinical trends and projections to formulate concepts for new programs, products and services while collaborating with internal stakeholders to gather feedback and actionable insights</h2></li> <li><h2>Utilize market intelligence, clinical trends/projections, client requests and organic innovation to develop new and novel pharmacy care programs/products that optimize patient care and pharmacy services</h2></li> <li><h2>Work cross-functionally with enterprise partners to identify enhanced value opportunities for strategic manufacturer accounts</h2></li> <li><h2>Creatively leverage enterprise assets to create opportunities and programs to enhance and support our manufacturer client offerings</h2></li> </ul><ul> <li><h2>Manage and optimize assigned therapy portfolio throughout the product life cycle, including drug launches, creation of patient and prescriber centered solutions, solutions for barriers and driving continuity of care</h2></li> <li><h2>Present market intelligence, trend results and continued opportunities at ongoing client-facing business reviews as necessary</h2></li> </ul><ul> <li><h2>Monitor the Specialty pharmaceutical pipeline and maintain full knowledge of all specialty pipeline products within respective therapeutic portfolio seeking FDA approval over the next 3 years</h2></li> <li><h2>Deliver internal and external customer clinical education and awareness across Specialty therapies. Serve as a clinical resource and partner for enterprise colleagues through therapy awareness programs, operational trainings and other clinical education training(s)</h2></li> <li><h2>Elevate market eminence through participation in key industry conferences, staying abreast of market developments, and learning from industry thought leaders</h2></li> <li><h2>Engage with the specialty pharmacy patient community to better understand patient and prescriber challenges to create unique solutions that enhance and improve on their experience with CVS Specialty</h2></li> </ul><h2> Required Qualifications </h2><ul> <li><h2>Active pharmacist license that is in good standing </h2></li> <li><h2>8+ years of healthcare related experience </h2></li> <li><h2>3+ years of Clinical Specialty Pharmacy experience required </h2></li> <li><h2>Proficiency with MS Office including Word, PowerPoint, Visio and Excel </h2></li> <li><h2>Ability to travel approximately 15% of the time</h2></li> </ul><h2> Preferred Qualifications </h2><ul> <li><h2>Excellent interpersonal, verbal, written and communication skills </h2></li> <li><h2>Strong presentation skills are critical for conveying ideas, persuading audiences, and engaging with stakeholders</h2></li> <li><h2>Effectively adjust presentation style to meet to the needs of a virtual or live audience</h2></li> <li><h2>Ability to work across boundaries and collaborate with internal colleagues and external clients </h2></li> <li><h2>Strong clinical background with an aptitude to learn about new therapies and drug products </h2></li> <li><h2>High level of independent judgment and initiative </h2></li> <li><h2>Strategic judgment, critical thinking and creativity </h2></li> <li><h2>Knowledge and confidence to present and interact with leadership and large audiences </h2></li> <li><h2>Strong project management skills including attention to detail, follow-up and working to tight deadlines </h2></li> </ul><h2> Education </h2><h2> • Bachelor's degree in Pharmacy or PharmD </h2>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$135,575.00 - $228,800.00This 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: 05/15/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Pharmacist - Clinical Program Manager - Specialty Pharmacy

Hilton

Banqueting Supervisor at The Plaza Doha LXR Hotels & Resorts

<h2>DESCRIPTION</h2> AWS Security is a global team tasked with keeping the cloud safe. To help deliver for customers on this promise the AWS Bug Bounty team is currently seeking a Sr Technical Program Manager (TPM) with strong software development skills to join our team! As a Bug Bounty TPM you will help us meet the needs of our diverse customer base: internal service owners and engineers, security leadership as well as our external researcher community. This role has high visibility within AWS Security leadership and the broader AWS C Suite. Data driven decisions presented through strong communication is key to being successful. You will provide crystal-clear vision and direction to help define and build the program and communicate that vision to senior leadership. In collaboration with our existing team you will have ample opportunity to define innovative solutions and strategy to current and future challenges. This role is involved in the day to day operations of our Bug Bounty program where you will be expected to dive deep into the trends and discoveries from external researchers to support our holistic and continuous feedback loop with partner teams. In this role, you will be expected to interact directly with external customers and the security research community through transparent, technical and thoughtful responses. Further, you will support our researcher community by identifying new incentives, hosting training and live events for researcher development. Successful candidates will be very comfortable writing automation to perform data analysis for identifying unique program trends. While this role is not an software development role, strong candidates will not shy away from writing code. A Technical Program Manager is expected to understand the systems in their program space, the limitations, scaling factors, boundary conditions, and reasons behind architectural decisions. They are expected to seek out and clearly communicate relevant data to support complex business decisions, and drive the right recommendations in a compelling and effective way. They create plans that have objective, measurable success criteria and clearly communicate progress and outcomes. They anticipate the gaps between teams, processes, and system architectures to help their organization produce the best possible results for our customers. If you are excited by the opportunity to innovate and define strategy for a public facing security program at the world’s largest cloud provider, we are eager to speak with you! Key job responsibilities - Develop, manage and deliver key initiatives and programs - Develop custom automation to perform data analytics and use existing business intelligence tools to find insights and track program health - Manage community development and outreach - Define and track goals over the short and long term with measurable outcomes and communicate program health weekly - Communicate with SVPs, VPs, Directors and domain managers to prioritize and execute remediation plans A day in the life Our mornings typically start by looking at the queue of submitted reports that have already undergone initial triage by our third party partners. We single out reports that need urgent attention and then do a deep dive: reproducing, root causing and where appropriate extending the findings in the report to demonstrate maximum impact. Once done we coordinate with the internal stakeholders to drive the report until remediation. We maintain a close partnership with other security teams across Amazon to surface reports and trend data that are relevant to their mission. About the team Diverse Experiences Amazon Security values diverse experiences. Even if you do not meet all of the qualifications and skills listed in the job description, we encourage candidates to apply. If your career is just starting, hasn’t followed a traditional path, or includes alternative experiences, don’t let it stop you from applying. Why Amazon Security? At Amazon, security is central to maintaining customer trust and delivering delightful customer experiences. Our organization is responsible for creating and maintaining a high bar for security across all of Amazon’s products and services. We offer talented security professionals the chance to accelerate their careers with opportunities to build experience in a wide variety of areas including cloud, devices, retail, entertainment, healthcare, operations, and physical stores Inclusive Team Culture In Amazon Security, it’s in our nature to learn and be curious. Ongoing DEI events and learning experiences inspire us to continue learning and to embrace our uniqueness. Addressing the toughest security challenges requires that we seek out and celebrate a diversity of ideas, perspectives, and voices. Training &amp; Career Growth We’re continuously raising our performance bar as we strive to become Earth’s Best Employer. That’s why you’ll find endless knowledge-sharing, training, and other career-advancing resources here to help you develop into a better-rounded professional. Work/Life Balance We value work-life harmony. Achieving success at work should never come at the expense of sacrifices at home, which is why flexible work hours and arrangements are part of our culture. When we feel supported in the workplace and at home, there’s nothing we can’t achieve.

Amazon

Sr Technical Program Manager, AWS Security

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.

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)

Finance · Home Office - Virginia Beach · Fully Remote <h1>Operations Specialist</h1> Are you ready to be a big part of something big? At Trader Interactive, we make buying and selling a great experience. We’re a group of go-getters who decided they didn’t want to settle for the status quo. We come together as one team to build value and drive innovation across our industries - but we have fun while we do it and make sure our people are always our #1 priority. When it comes to your career, we want to provide big opportunities to help you make a big impact. But for this to be possible, we strive to feel small. Small enough to quickly change tack, small enough to learn from different teams and small enough to connect authentically with leadership. And one of the best parts? We give you the freedom to work from whatever working location works best for you and your lifestyle - yes, this means you can be 100% remote if you want to be! What We Offer <ul> <li>An inclusive and supportive work environment where you can move your career forward and will have the chance to do work that has real, significant impact on the world.</li> <li>The opportunity to be a part of a global group of digital marketplace businesses (CAR Group) located across Australia, Brazil, Chile and South Korea - collectively we have around 1,800 team members worldwide, and our Global Talent Exchange Program means you might just find yourself working in one of those businesses sometime soon.</li> <li>Plenty of flexible leave options and employee benefits including up to 31 days of paid time off in your first year, continuing education with access to LinkedIn Learning, a full benefits package including medical, dental &amp; vision, 401K with company match, and wellness program.</li> </ul> What You’ll Do The Operations Specialist will be working directly with the Senior Manager of Billing operations to support our businesses. You will call on accounts to help with payments, update credit cards, process credits and debits to accounts, manage accounts receivable for accounts no longer active. You will use your customer service skills to escalate calls to sales and support departments. <ul> <li>Supports the billing operations process including invoicing clients, tracking and collecting payments, and ensuring that all invoices are error-free and paid in full</li> <li>Deliver exceptional customer service through inbound and outbound calls and email requests to ensure prompt and complete resolution to delight our internal and external customers</li> <li>Update and maintain records and accounts and coordinate with finance team to evaluate accounts</li> <li>Compile information from multiple systems and maintain knowledge of relevant software programs</li> <li>May assist in month-end closings, reports, and annual financial audits</li> <li>Document all activity within the appropriate database and tracking systems</li> </ul> What We’re Looking For <ul> <li>3 years of customer service experience</li> <li>Strong computer literacy and knowledge of computer software, such as Microsoft Office, Proficient in Excel and Google Suite</li> <li>Excellent Customer Service skills</li> </ul> Bonus Points <ul> <li>Commercial or Recreational Marketplace Experience-remove</li> <li>Salesforce CRM and Dynamics 365 knowledge</li> <li>Media Planning and invoicing- add</li> <li>Experience in Digital Advertising-remove</li> </ul> So come and join our team - because every role is a big role in our plans to go big. TI proudly supports a diverse workforce, and we encourage candidates from underrepresented groups to apply. Trader Interactive is an equal opportunity employer where hiring is based entirely on business needs, job requirements, and individual merit. <dl> <dt>Department</dt> <dd> Finance </dd> <dt>Locations</dt> <dd> Home Office - Virginia Beach </dd> <dt>Remote status</dt> <dd> Fully Remote </dd> </dl> Finance · Home Office - Virginia Beach · Fully Remote <h1>Operations Specialist</h1> <h2>Already working at Trader Interactive?</h2> Let’s recruit together and find your next colleague.

Trader Interactive

Operations Specialist

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 Virginia