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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 SummaryWe are seeking an experienced medical professional to manage strategic initiatives, along with a team of medical coders/nurses supporting Aetna’s Special Investigations Unit.Key Responsibilities:<ul><li>Leadership: Leads a team of coding/nursing professionals who conduct reviews of medical records and claims for suspected healthcare fraud, waste, and abuse. Provides direction and counsel to support coders and progress reviews. Identification and implementation of key initiatives that support effective and efficient scalability along with meeting or exceeding ROI.</li></ul><ul><li>Team Management: Conducts team member evaluations and provides performance feedback to staff. Manages team’s caseload to ensure equitable distribution and exposure to wide range of reviews. Assist with business opportunities aligned to inventory allocation and prioritization.</li></ul><ul><li>Quality Control and Compliance: Maintains oversight of coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of SIU coding quality program.</li></ul><ul><li>Training: Assesses team’s training needs and works with SIU leadership on development plans for team members and SIU coding department. Contributes to the development and delivery of educational awareness and training programs that meet or exceed those required by state mandates. Coordinates ongoing trainings to educate team on updates or modifications to medical codes.</li></ul><ul><li>Presentations: Supports the team of coding/nursing professionals in presenting findings to internal and external stakeholders, including, but not limited to SIU Investigators, Aetna Plan Leadership, Law Enforcement, Legal Counsel, Providers, and State Regulators.</li></ul><ul><li>Collaboration: Develops and maintains close working relationships with Aetna Medical Directors, Nurses, and other clinical staff who conduct medical record reviews. Consults with clinical staff as needed to assist in reviews. Partnership with SIU leadership to deliver key initiatives dedicated to infrastructure build and stabilization.</li></ul>Required Qualifications and Skills:<ul> <li>Minimum of 8 years of experience in medical coding in an SIU setting with at least 5 years in a supervisory or management role.</li> <li>Strong knowledge of industry coding guidelines involving ICD-10, CPT and HCPCS codes.</li> <li>Ability to guide a team of coding professionals with differing levels of coding experience in a variety of medical specialties.</li> <li>Proficiency in Microsoft products including, but not limited to Word, Excel, Outlook, and PowerPoint.</li> <li>Experience in infrastructure build and design to include, but not limited to workforce modeling, efficiency identification and implementation resulting in demonstrated decrease in unit cost, inventory reporting, inventory allocation for Medicare, Medicaid and Commercial (fully insured and ASO) work product, development of standardized coding language, assist with operational dashboard development and execution of department action plans.</li> <li>Understanding of how to implement SIU coding quality programs, to include statistical sampling, IRR testing, building objective comprehension assessments for coding training and coding quality remediation plans.</li> <li>Ability to communicate to a wide range of stakeholders, adjusting the message as appropriate for the recipient(s).</li> <li>Proven experience in overseeing and executing operational projects.</li> <li>Potential to travel up to 10%, (dependent on business needs).</li> </ul>Preferred Qualifications:<ul> <li>Active Registered Nurse (RN) Licensure preferred</li> <li>Experience conducting audits of medical records to substantiate allegations of healthcare fraud, waste, and abuse.</li> <li>Experience leading a team of coding professionals who conduct reviews to substantiate allegations of healthcare fraud, waste, and abuse.</li> <li>Experience with Aetna or other MCO Commercial/Medicaid/Medicare plans</li> <li>Certified Professional Coder</li> </ul>Education:<ul><li>Bachelor's degree preferred or a combination of professional work experience and education.</li></ul>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: 06/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Special Investigations Coding Manager (Aetna SIU)

Overview Responsible for developing and expanding executive-level relationships with strategic, senior living accounts. This position is also responsible for developing and driving strategic plans for each identified referral source, growing market share, and ensuring the continued satisfaction, brand loyalty, and referral activity. Responsibilities <ul> <li>Works directly with senior leadership and Area Vice Presidents (AVP) to identify target accounts and to develop strategies for account pursuit (including identification of goals, key metrics, expected outcomes, etc.).</li> <li>Focuses on developing partnerships with senior living organizations and regional facility chains.</li> <li>Maintains tracking system to communicate to AVPs and other regional Home Health and/or Hospice leaders regarding status of account relationships, as well as identified next steps.</li> <li>Collaborates with regional and corporate leadership to coordinate executive-level sales opportunities.</li> <li>Works collaboratively with local sales and operations teams to ensure seamless account management and follow-through.</li> <li>Develops proposals to enhance business relationships and to expand service offering within assigned strategic accounts, with specific focus on identifying opportunities for embedding of clinical team for referral management.</li> <li>Proactively leads and executes communications strategies with assigned opportunities and relationships, including discovery, business planning, strategic initiatives, project execution as well as measurement and monitoring of post-implementation.</li> <li>Achieves referral and admission volume growth, as defined by VP, in targeted senior living accounts.</li> <li>Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications Required- <ul> <li>Bachelor's degree in marketing, business, or related field; or licensed Registered Nurse.</li> <li>Six (6+) years' healthcare marketing/sales experience.</li> <li>Three (3+) years' home health or hospice marketing/sales experience.</li> <li>Experience working with and selling to C-level executives.</li> <li>Proficient in Microsoft Office Suite (Word, Excel, PowerPoint).</li> </ul> Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Amedisys

Sr Advisor, Senior Living-Mid-Atlantic Region

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 SummaryManage the development, submission, and state approval process for insurance form filings. Key Responsibilities:<ul><li>Drafting and reviewing product filings:</li></ul>Draft Medicare Supplement and short-term limited duration health insurance products (policies, forms, brochures, etc.) to ensure compliance with all applicable laws, regulations, and guidelines.<ul><li>Compliance:</li></ul>Verify that the products meet specific requirements regarding benefits, premium structures, eligibility, and other relevant aspects.<ul><li>Regulatory Updates:</li></ul>Stay abreast of changes in state and federal regulations related to Medicare supplement insurance.<ul><li>Record Keeping:</li></ul>Maintain accurate records of product filings and related correspondence.<ul><li>Coordination:</li></ul>Collaborate with other business areas and stakeholders within the company throughout the product filing and approval process.<ul><li>Specialized Knowledge:</li></ul>Possess a strong understanding of Medicare supplement and short term, limited duration health insurance products including and their benefits. Required Qualifications<ul> <li>Minimum of five (5) years of work experience in insurance product development and a policy forms drafting capacity with a health insurance carrier.</li> <li>Minimum of five (5) years of work experience with, health insurance products, specifically including Medicare Supplement and short-term limited duration health insurance plans, products, applicable regulations, and industry practices.</li> <li>Familiarity with legal research and review of applicable statutes and regulations.</li> <li>Strong analytical skills with the ability to review and analyze complex data and documents.</li> <li>Experience with independently drafting complex health insurance policy documents, applications, policy riders, and outlines of coverage.</li> <li>Strong attention to detail, in particular accuracy and meticulousness in reviewing and processing filings via SERFF.</li> <li>Excellent ability to communicate effectively, both verbally and in writing to effectively coordinate and communicate with internal business partners and insurance departments.</li> <li>Problem-Solving Skills: Ability to identify and resolve issues related to product filings.</li> <li>Software Proficiency: Proficiency in relevant software and databases such as Microsoft Word, Microsoft Teams, Adobe, PowerPoint, and Workfront. </li> <li>Experience with responding to insurance department questions and objections in response to insurance product filings.</li> <li>Extensive knowledge of insurance department rules and regulations governing coverage forms, endorsements, rules, and policy language requirements.</li> <li>Maintains a high level of confidentiality and professional demeanor and approach in the performance of duties.</li> <li>Must possess initiative to work independently without frequent supervisory involvement.</li> <li>Ability to quickly understand new insurance products and product changes.</li> <li>Possess high organizational skills and ability to set and adjust priorities.</li> <li>Ability to make decisions within scope of authority.</li> </ul>Preferred Qualifications Education High School diplomaAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $122,400.00This 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: 05/05/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Analyst, Product & Regulatory Approvals

Overview Are you looking for a rewarding career? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay $22.00 - $26.00 p/h Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. What's in it for you A full benefits package with choice of affordable PPO or HSA medical plans. Paid time off. Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.* Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. 401(k) with a company match. Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. And more. Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. **For full-time caregivers meeting certain requirements. Why Amedisys Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve. Responsibilities As Online Referral Specialist, you will be responsible for monitoring, reviewing, and responding to inquiries on Amedisys company website and for developing the referral relationships within the patient, family and care team in accordance with company policies and procedures. <ul> <li>Serves as the first line of customer service for external and internal customers (care center relationship).</li> <li>Professionally responds to website inquiries regarding company services within the specified time requirements.</li> <li>Evaluates incoming requests and determines whether requestor is homebound and in need of home health/hospice services based on information gathered from inquiry, and coordinates appropriately based on location and need.</li> <li>Performs reverse marketing in coordination with the local BD Leader to reinforce messaging, stay top of mind and present information where it may be of value to customers.</li> <li>Reviews trends on requests and needs of referral sources. Escalates opportunities and customer concerns to manager and BD leaders.</li> <li>Receives and documents patient referrals through website inquiries, ensuring compliance with applicable coverage criteria in accordance with company guidelines.</li> <li>Coordinates and communicates with home health Intake Coordinators or designee(s) to enter referrals into Homecare Homebase.</li> <li>Gathers and communicates pertinent information to the clinical team to assist in scheduling an evaluation visit.</li> <li>Provides the appropriate information from web referral and care transitions conversations to the home health Intake Coordinator to ensure complete referral information.</li> <li>Makes referrals to other community resources as directed by the Director of Operations/designee.</li> <li>Communicates and follows up with Business Development regarding pending admissions or as directed by Director of Operations.</li> <li>If a licensed clinician, may obtain verbal orders from patient's physician on patient's behalf and documents as applicable.</li> <li>Professionally communicates and follows up with referral sources regarding required documentation for a complete referral as appropriate.</li> <li>Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications Required: <ul> <li>Associate's degree or equivalent.</li> <li>Two (2+) years' administrative experience in a healthcare environment.</li> <li>Current, unencumbered license to practice as a Licensed Practical Nurse/Licensed Vocational Nurse specific to the state(s) the employee is assigned to work by the company.</li> <li>Reliable internet service and ability to office from home with minimal disruption to the workday.</li> </ul> Preferred: <ul> <li>Hospice or Home Health intake experience.</li> <li>Homecare Homebase application experience.</li> <li>Proficiency in using Microsoft Office Suite applications for document creation, data entry and email communication. Ability to navigate dual monitors, use desktop shortcuts and participate in video conferencing.</li> </ul> Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Online Referral Specialist - Home Health

Senior Distinguished Engineer - CEP Experimentation and Feature Management Platform (Remote Eligible)As a Senior Distinguished Engineer at Capital One, you will be a part of a community of technical experts working to define the future of banking in the cloud.You will work alongside our talented team of developers, machine learning experts, product managers and people leaders. Our Senior Distinguished Engineers are leading experts in their domains, helping devise practical and reusable solutions to complex problems. You will drive innovation at multiple levels, helping optimize business outcomes while driving towards strong technology solutions.At Capital One, we believe diversity of thought strengthens our ability to influence, collaborate and provide the most innovative solutions across organizational boundaries. You will promote a culture of engineering excellence, and strike the right balance between lending expertise and providing an inclusive environment where the ideas of others can be heard and championed. You will lead the way in creating next-generation talent for Capital One Tech, mentoring internal talent and actively recruiting to keep building our community.Senior Distinguished Engineers are expected to lead through technical contribution. You will operate as a trusted advisor for our key technologies, platforms and capability domains, creating clear and concise communications, code samples, blog posts and other material to share knowledge both inside and outside the organization. You will specialize in a particular subject area, but your input and impact will be sought and expected throughout the organization.The Customer Engagement Platform organization at Capital One empowers rapid financial product innovation at scale and delivers developer joy, for all Capital One’s consumer products and organizations, by providing well-managed, self-service, experimentation-driven, and personalized product development vehicles. We are looking for a Senior Distinguished Engineer to define, architect, and lead the development of Experimentation &amp; Feature Management platform. In this role, you’ll drive the technical direction for experimentation systems powering AI-driven adaptive A/B experiments, and feature management and configuration systems for controlled and monitored feature deployment. This will enable high-velocity experimentation-driven product innovation, intelligent feature rollouts, and trustworthy insights at scale.If you are ready to provide thought leadership and build engineering excellence across Capital One's engineering teams, come join us in our mission to change banking for good.Key responsibilities:<ul> <li>Articulate and evangelize a bold technical vision for your domain</li> <li>Decompose complex problems into practical and operational solutions</li> <li>Ensure the quality of technical design and implementation</li> <li>Serve as an authoritative expert on non-functional system characteristics, such as performance, scalability and operability</li> <li>Continue learning and injecting advanced technical knowledge into our community</li> <li>Handle several projects simultaneously, balancing your time to maximize impact</li> <li>Act as a role model and mentor within the tech community, helping to coach and strengthen the technical expertise and know-how of our engineering and product community</li> <li>Define and lead the technical strategy and roadmap for the experimentation and feature flagging platform, ensuring it enables safe, scalable experimentation across web, mobile, and backend systems.</li> <li>Architect an extensible experimentation platform and analysis infrastructure built on a contribution-based metrics framework. One that supports advanced methodologies of sequential testing with contextual multi-arm bandits and ML techniques that blend personalization with experimentation for AI-accelerate experiment outcomes.</li> <li>Build robust APIs and platform services that power real-time experimentation and feature management — enabling progressive rollouts, dynamic targeting, and seamless integration with product surfaces, backend systems, and observability tooling across the company.</li> <li>Design and deliver secure, low-latency systems capable of executing high-volume experiments and real-time feature evaluations, ensuring operational excellence and product velocity.</li> <li>Partner with Data Science, ML, and Infrastructure teams to evolve statistical methodologies, improve experiment efficiency, and incorporate advanced causal inference and targeting techniques.</li> <li>Advance engineering standards and operational excellence through rigorous testing, continuous delivery pipelines, and robust monitoring frameworks.</li> <li>Provide technical leadership across the organization, mentoring engineers, influencing experimentation strategy, and driving cross-functional alignment on platform adoption and best practices to build and scale experimentation-driven product engineering </li> </ul><h2>Basic Qualifications:</h2><ul> <li>Bachelor’s Degree</li> <li>At least 9 years of experience in software engineering and solution architecture</li> <li>At least 2 years of AWS, GCP, or Azure experience </li> </ul><h2>Preferred Qualifications: </h2><ul> <li>Bachelor's or Master's Degree in Computer Science or a related field</li> <li>10+ years of experience with feature flagging systems</li> <li>7+ years of experience building large-scale experimentation platforms, including A/B testing systems, feature flagging frameworks, or experiment analysis tools.</li> <li>10+ years of experience coding in commonly used languages like Java, Python, Go, JavaScript/TypeScript, Swift, etc.</li> <li>10+ years of experience big data tools and streaming systems</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): $280,600 - $320,200 for Sr Distinguished Engineer McLean, VA: $308,700 - $352,300 for Sr Distinguished Engineer New York, NY: $336,700 - $384,200 for Sr Distinguished Engineer Plano, TX: $280,600 - $320,200 for Sr Distinguished Engineer Richmond, VA: $280,600 - $320,200 for Sr Distinguished Engineer San Jose, CA: $336,700 - $384,200 for Sr Distinguished Engineer 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.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).

Capital One

Senior Distinguished Engineer - CEP Experimentation and Feature Management Platform (Remote Eligible)

At 2U, we are all in on purpose. We are motivated by our mission – to eliminate the back row in education – and connected by our shared passion to deliver world-class digital education at scale. As the parent company of edX, the world’s leading online learning platform, 2U powers more than 4,000 online higher education offerings – from free courses to full degrees. Together with more than 230 colleges, universities, and corporate partners, we are helping to unlock human potential. 2U’s Placement team is vital in the student enrollment lifecycle in identifying externship sites and matching this real world field work to students as a part of their Master’s curricula. The Placement team is focused on providing top-notch customer service to students and university partners. The Placement Specialist I will form relationships with both students and externship sites where students can acquire hands-on learning and experience in their chosen field. The person in this role will be responsible for building new relationships and maintaining existing partnerships with placement sites through high outreach. Additionally, The Placement Specialist I is focused on building relationships with students to ensure their success and retention in the program by focusing on on-time placement and providing quality, faculty-approved experiences for each student. Responsibilities Include, But Are Not Limited To: <ul> <li>Developing new partnerships and maintaining relationships with sites for placements </li> <li>Matching sites with students and placing them with a sense of urgency to prevent any lapse in class registration </li> <li>Providing exceptional service to students throughout the placement cycle </li> <li>Creating individual strategy for long term placement relationships as well as fulfilling “one off” placement requirements for students with an emphasis on developing placements within a particular region of the country </li> <li>Providing consistent and professional communication to students throughout the entire placement process via phone and email.</li> </ul> Things That Should Be In Your Background: <ul> <li>Bachelor’s degree</li> <li>1-2 years of work experience</li> <li>Strong time management and organizational skills</li> <li>Previous experience in a fast paced, metrics driven environment</li> <li>Previous experience in a customer service oriented environment</li> <li>Comfort in communicating and establishing rapport in a professional manner across the following mediums: phone, email, video conference and in-person</li> <li>Good judgment and excellent organizational, communication (oral and written), and interpersonal skills</li> <li>Highly self-motivated and able to work autonomously</li> <li>Strong sense of system orientation and focus on providing “white glove” service to students and faculty</li> <li>Enthusiasm and the ability to thrive in an atmosphere of constant change</li> <li>Ability to work and contribute in a team environment</li> </ul> Benefits &amp; Culture Our global employee base is a diverse collection of innovators, dreamers, and doers working together to transform lives through higher education. We believe that every employee can advance our shared purpose, and that life at 2U should be fun and meaningful. If you’re excited by the opportunity to provide over 40 million learners and counting with access to world-class online higher education, then join us – and do work that makes a difference. #NoBackRow We offer comprehensive benefits (unique per country) and excellent work/life balance. Full-time, U.S.benefits include: <ul> <li>Medical, dental, and vision coverage</li> <li>Life insurance, disability, and 401(k) employer match</li> <li>Free snacks and drinks in-office</li> <li>Generous paid holidays and leave policies, including unlimited PTO</li> <li>Additional time off benefits include: volunteer days, parental leave, and a company-wide winter break</li> </ul> The anticipated base salary range for this role is ($55,000 - $60,000), with potential bonus eligibility. Salary offers are made based on the candidate’s qualifications, experience, skills, and education as they directly relate to the requirements of the position, budget for the position and cost of labor in the market in which the candidate will be hired. 2U Diversity and Inclusion Statement At 2U, we are committed to building and sustaining a culture of belonging, respect, and inclusion. We are proud of the steps we’ve taken to bring together an employee base that embodies diverse walks of life, ideas, genders, ages, races, cultures, sexual orientations, abilities and other unique qualities. We strive to offer a workplace where every employee feels empowered by what makes us different, as well as by how we are alike. 2U is committed to providing reasonable accommodations during our recruitment process. If you need assistance or accommodations, please reach out to us at: <a href="#">recruitingaccommodations@2u.com</a>. About 2U LLC For more than a decade, 2U, Inc. has been the digital transformation partner of choice to great non-profit colleges and universities delivering high-quality online education at scale. As the parent company of edX, a leading global online learning platform, 2U provides over 45 million learners with access to world-class education in partnership with more than 230 colleges, universities, and corporations. Our people and technology are powering more than 4,000 digital education offerings — from free courses to full degrees — and helping unlock human potential. To learn more: visit 2U.com. About edX edX is the education movement for restless learners and a leading global online learning platform from 2U, LLC. Together with the majority of the world’s top-ranked universities and industry-leading companies, we bring our community of over 45 million learners world-class education to support them at every stage of their lives and careers, from free courses to full degrees. And we're not stopping there — we're relentlessly pursuing our vision of a world where every learner can access education to unlock their potential, without the barriers of cost or location. Learn more at edX.org. Learn more at <a href="https://2u.com/careers/" target="_blank">https://2u.com/careers/</a> #NoBackRow The above statements are intended to describe the general nature and level of work performed by individuals assigned to this position, and are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required. All employees may be required to perform duties outside of their normal responsibilities from time to time, as needed. 2U is an equal opportunity employer that does not discriminate against applicants or employees and ensures equal employment opportunity for all persons regardless of their race, creed, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, marital status, disability, citizenship, military or veterans’ status, or any other classifications protected by applicable federal, state or local laws. 2U’s equal opportunity policy applies to all terms and conditions of employment, including but not limited to recruiting, hiring, training, promotion, job benefits and pay.

2U Inc.

Placement 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. Must live in Central or Eastern Time Zone Training Schedule: Mon - Fri 9am-530pm EST Post Training Schedule: Must be available to work 8 hours between 8am-6pm Position Summary Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position SummaryHealth Concierge is the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement. Handles customer service inquiries and problems via telephone, internet, web-chat or written correspondence. Engages, consults and educates members based upon the member’s unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care. Utilizes resources to assist customers in understanding components of the Aetna products including claims, accumulators, usage and balances, and cost sharing.<ul> <li>Answers questions and resolves issues as a “single-point-of-contact” based on phone calls, plan sponsors, PSS/ISO, members and providers.</li> <li>Provides customized interaction based on customer preference and individualized needs, creating an emotional connection with our members by understanding and engaging the member to the fullest.</li> <li>Fully understands the member’s needs by building a trusting and caring relationship with the member. Anticipates customer needs.</li> <li>Provides the customer with related information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc.</li> <li>Uses customer service threshold framework to make financial decisions to resolve member issues.</li> <li>Educates and assists customers on various elements of benefit plan information and available services created to enhance the overall customer service experience with the company (i.e., assistance with member self-service tools, Consultation Opportunities – Simple Steps, Cost of Care Tools, Natural Alternatives Program, etc.).</li> <li>Utilizes all relevant information to effectively influence member engagement.</li> <li>Takes immediate action when confronted with a problem or made aware of a situation.</li> <li>Takes ownership of each customer contact to resolve their issues and connect them with additional services as appropriate.</li> <li>Identifies member needs beyond the initial inquiry by answering the unasked questions.</li> <li>Resolves issues without or with limited management intervention.</li> <li>Provides education to members to support them in managing their health.</li> <li>Responds quickly to meet customer needs and resolve problems while avoiding over-committing.</li> <li>Other activities may include: providing claim status information, benefit coverage interpretations, and explaining plan eligibility.</li> <li>Processes claim referrals, new claim hand-offs, and escalates issues as appropriate through the system for grievances and appeals.</li> <li>Initiates out-reach/welcome calls to ensure constituents expectations are met or exceeded.</li> <li>Identifies trends and any emerging customer service issues and works to develop solutions to address potential problems and/or plan features of interest as an approach to improve understanding of benefit plans and increase post-enrollment member satisfaction.</li> <li>Partners with other departments to deliver client specific presentations.</li> <li>Coordinates efforts both internally and across departments to successfully resolve service issues and develop process improvement intended to enhance the overall delivery of service.</li> <li>Works collaboratively with colleagues to deliver the best customer experience Seeks to understand the customer, including circumstances, problems, expectations and needs.</li> <li>Asks probing questions to identify the underlying customer needs.</li> <li>Appropriately transitions conversations to explore possibilities for extending customer interactions.</li> <li>Guides members to the appropriate health resource Offers alternatives where appropriate.</li> <li>Acts with the best interest of customer in mind and central to all interactions.</li> <li>Collaborates with colleagues and co-workers to deliver a world class customer experience.</li> <li>Serves as SME providing technical assistance when needed on call related issues, products, and/or system applications delivery matters.</li> <li>May participate in preparation and presentation of client specific presentations.</li> <li>May track and trend data.</li> <li>Coaches, trains and assists in the development of call center staff, as required.</li> <li>Participates in and/or leads special projects/initiatives addressing service issues, as necessary.</li> <li>Provides technical or subject matter expertise concerning policies, procedures, and function-related applications/systems tools as needed.</li> <li>Delivers internal quality reviews.</li> <li>Provides appropriate support in third party audits when required.</li> <li>Documents and tracks all contacts, events, and outcomes with clients using appropriate systems and processes.</li> </ul> Required Qualifications<ul><li>Customer Service experiences in a transaction based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate.</li></ul><ul> <li>Effective organizational skills and ability to manage multiple tasks.</li> <li>Effective communication skills, both verbal and written</li> <li>Experience working with computers</li> </ul> Education High School DiplomaAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$17.00 - $25.65This 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. 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: 05/19/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Health Concierge

CBRE

Transition Coordinator - Remote /  Eastern Time Zone

Overview Are you looking for a rewarding career? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay $135,000.00 - $145,000.00 Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. What's in it for you A full benefits package with choice of affordable PPO or HSA medical plans. Paid time off. Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.* Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. 401(k) with a company match. Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. And more. Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. **For full-time caregivers meeting certain requirements. Why Amedisys Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve. Don’t just take it from us “I have worked here just shy of a year and it’s the best job I’ve ever had! We have an awesome team and administration is very supportive. I never felt so appreciated.” – Amedisys caregiver Responsibilities You will be responsible for designing, implementing, evaluating, and overseeing learning programs that enhance the skills, knowledge, and competencies of employees and volunteers in conjunction with clinical and operational business leaders. This position plays a pivotal role in shaping the growth and professional development of clinical staff and care center leadership. Strategic Planning: <ul> <li>Partners with the clinical operations leadership team, actively supporting and advancing the company's overall business goals and strategic direction.</li> <li>Works closely with the Business Leadership Team to develop a comprehensive learning and</li> <li>development strategy that aligns with the business unit, overall learning strategy, and company mission and values.</li> <li>Identifies key learning priorities and creates a roadmap for continuous improvement.</li> <li>Provides crucial support to decision-markers in clinical operations by aligning educational initiatives with organizational goals and regulatory requirements.</li> </ul> Program Design and Implementation: <ul> <li>Designs content aligned with strategy.</li> <li>Directs and implements learning content, workshops, and training sessions.</li> <li>Utilizes the e-learning platform effectively to deliver accessible, engaging training content.</li> <li>Ensures that learning programs address both organizational needs and individual employee development plans while adhering to adult learning principles and includes consideration of appropriate content, format, length, and timing.</li> </ul> Staff Development: <ul> <li>Collaborates with departmental managers and stakeholders to assess learning needs across various roles (clinical, administrative, and support staff).</li> <li>Develops targeted training programs to enhance skills, competencies, and overall performance.</li> <li>Fosters a culture of continuous learning and professional growth through innovative blended learning offerings (in-person, virtual, and self-paced training).</li> <li>Assists enterprise leadership in planning, directing, organizing, and facilitating individual and group education across the organization. Aligns training program development and delivery with business needs and goals.</li> <li>Mentors and coaches employees to achieve their defined goals and objectives, utilizing performance assessments and feedback to drive accountability.</li> </ul> Quality and Continuous Improvement: <ul> <li>Monitors the effectiveness of learning programs through continuous feedback, assessments, and performance metrics, making data-driven adjustments to improve program outcomes.</li> <li>Stays informed about industry trends and best practices in learning and development to ensure programs remain relevant and impactful.</li> <li>Communicates program success metrics, feedback, and recommendations to stakeholders.</li> </ul> Compliance and Regulatory Training: <ul> <li>Ensures all staff members receive mandatory training related to business unit regulations, safety, compliance and organizational required learning content and training.</li> <li>Collaborates with relevant departments to maintain compliance with state and federal requirements, as well as the Amedisys Compliance Program and other internal policies and procedures.</li> </ul> Collaboration: <ul> <li>Partners with the People Team to integrate learning initiatives into overall talent management processes.</li> <li>Builds and maintains meaningful relationships with stakeholders to understand its training and educational needs and gain buy-in for strategic plans.</li> <li>Leads and develops a high-performing team, fostering collaboration, accountability, and professional growth to achieve organizational goals.</li> <li>Collaborates with external training providers, educational institutions, and industry associations to supplement internal capabilities.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications Required: <ul> <li>Current, unencumbered license to practice as a Registered Nurse.</li> <li>Bachelor's degree in education, business, or a related field.</li> <li>Ten (10+) years of experience in learning and development, preferably in healthcare or home health/hospice settings.</li> <li>Five (5+) years' supervisory experience.</li> <li>Strong understanding of adult learning principles and instructional design.</li> <li>Proficiency in utilizing e-learning platforms and development research tools.</li> <li>Excellent communication, leadership, and collaboration skills.</li> <li>Passion for supporting the growth and well-being of staff.</li> <li>Ability to manage and balance multiple, highly visible projects simultaneously.</li> </ul> Preferred: <ul> <li>Master's degree in education, health or business or related field.</li> <li>Experience working with electronic documentation systems and/or other home health software systems.</li> </ul> Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Sr Director, Clinical Learning & Development - Home Health

Overview Are you looking for a rewarding career as a Payor Contract Manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay <ul> <li>$80 - $112K</li> <li>Bonus eligible</li> </ul> Enjoy many perks and benefits <ul> <li>A full benefits package (with affordable health insurance options.)</li> <li>401k with a match.</li> <li>Up to $500 in wellness rewards and up to $1,200 in free healthcare services paid for by Amedisys yearly.</li> <li>Mental health support.</li> <li>Infertility coverage, adoption reimbursement and paid parental leave.</li> <li>Paid time off and paid holidays.</li> <li>And more.</li> </ul> Don't just take it from us "After working for Amedisys for almost 5 years I feel that from the CEO on down, there is a culture of sincerely wanting to be a great employer - and it shows. The pay is above average, the benefits are great, and the paid time off is generous."- Amedisys employee Why Amedisys Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve. Responsibilities <ul> <li>Responsible for achieving prioritized contracting targets for market.</li> <li>Collaborates with director and payor contracting to achieve regional/market goals and contract targets.</li> <li>Accountable for a service line strategy (e.g., home health, hospice, personal care or ACO), including understanding and informing standard rate logic, language, and business requirements to inform and influence portfolio strategies.</li> <li>Ensures successful execution of projects for the payor contracting team including, but not limited to, payor contracting initiatives that are associated with global contract/coding updates and merger/acquisition activity.</li> <li>Completes contracting efforts associated with addition/termination of locations/markets.</li> <li>Reviews, vets, and prioritizes requests for new contracts.</li> <li>Preps initial due diligence documentation and recommended action plan for regional leadership team/director/senior vice president as required.</li> <li>Conducts market research to proactively identify risks/opportunities to inform market strategies.</li> <li>Maintains relationships with vendors, payors and other third parties in order to enhance strategic relationships.</li> <li>Monitors and maintains database and related contracting information system payor files for accurate and timely claims processing.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications Requirements <ul> <li>Bachelor's degree in business or related field.</li> <li>Five years of experience in managed care contracting and contract-related accountabilities in or around home health, hospice, health plan or large health care system.</li> </ul> Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

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