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<h2 id="jobDescriptionHeading"> Job Description </h2> Overview The hourly rate of pay is $65/hr. Join our team as a temporary contract, night shift, Post Surgical Orthopedics In House Traveler Registered Nurse (RN) in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better <ul> <li>Thrive: We empower our team with career growth opportunities and resources that support your wellness, education, and financial well-being. </li> <li>People-First: We prioritize your well-being with a supportive, inclusive culture where you are valued and cared for.</li> <li>Make Healthcare Better: We use advanced technology to support our team and enhance patient care.</li> </ul> Get to Know Your Team: <ul><li>Hillcrest Hospital South is a full-service 180-bed hospital providing a wide range of inpatient and outpatient services using state-of-the-art technology in a friendly community setting. Consistent performance has helped the hospital be nationally recognized for patient safety.</li></ul> Responsibilities <ul type="disc"> <li> RN in-house traveler is established to enhance the quality of patient care by providing qualified employees to staff the nursing units. In-house travelers will maintain flexibility and availability to supplement hospital-staffing needs. </li> <li> In-house travelers are required to comply with all HHS/HMC policies, procedures, and patient care standards. In-house travelers acknowledge that this is a temporary employment assignment and are not eligible for benefits except those mandated by law. </li> <li> Sign on bonuses or referral bonuses do not apply to the In-house traveler program. </li> <li> The in-house traveler agrees to commit up to a 12 consecutive week assignment of scheduled minimum of 36 hours per week or 72 hours per pay period. </li> <li> The in-house traveler agrees to accept unit, location, and shift assignment by Hillcrest Medical Center and understands that shift, location, and unit assignment may change during the assignment period. </li> <li> Hours are not guaranteed. </li> </ul> Qualifications Job Requirements: <ul type="disc"> <li>ADN required</li> <li>Minimum of 1 year experience (within the last 2 years) as an RN in a hospital setting in the selected area required </li> <li>Current valid OK or Multistate RN License</li> <li>Current BLS, ACLS, and all other required certifications per assigned unit guidelines </li> </ul> Preferred Job Requirements: <ul><li>BSN preferred </li></ul> In-House Travelers acknowledge that this is a temporary employment assignment and are not eligible for benefits except those mandated by law. The In-House Traveler is ineligible for all differentials including critical staffing premiums.

Hillcrest Healthcare System

In House Traveler / RN Post Surgical Ortho Med Surg

TTCU Federal Credit Union

Member Relations Specialist I

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 Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems.Additional Responsibilities: Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals.- Ensures all compliance requirements are satisfied and all payments are made against company practices and procedures.- Identifies and reports possible claim overpayments, underpayments and any other irregularities.- Performs claim rework calculations.- Distributes work assignment daily to junior staff.- Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for claim or reconsideration. Required Qualifications- 18+ months of medical claim processing experience.- Experience in a production environment.- Demonstrated ability to handle multiple assignments competently, accurately and efficiently. Preferred Qualifications- Self-Funding experience- DG system knowledge Education- High School Diploma required- Preferred Associates degree or equivalent work experience.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$18.50 - $42.35This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Claim Benefit Specialist

Williams is committed to creating a diverse and inclusive environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, national origin, age, marital status, disability, veteran status, genetic information or any other basis protected under applicable discrimination law.Do something that means something at Williams. This isn’t just a job - it’s an opportunity to explore and discover your passion with coworkers who become friends and mentors who push you to be your best self in and out of the office. At Williams, we make clean energy happen. And you can too, so bring your energy to ours.As Maintenance Technician I, you’ll work with a team of technicians to perform a variety of tasks, including day to day maintenance and operations of the HVAC, plumbing, electrical, and mechanical systems for our headquarters building. As you grow in your career, you’ll gain knowledge of building operations and HVAC systems and a focus on safety will bring success in this role!Your work will challenge you, and with our Core Values to guide you, you’ll quickly learn and grow with us.<h2>Responsibilities/Expectations:</h2><ul> <li>Operates, maintains, and repairs mechanical, electrical, plumbing, HVAC, and other related equipment to ensure its safe and efficient operation</li> <li>Responds to tenant requests in a courteous and efficient manner and report unresolved issues to Foreman/Lead</li> <li>Takes readings on equipment regularly, analyzes readings, and makes adjustments to equipment as needed</li> <li>Assists with maintenance and operation of chillers, boilers cooling towers, and related equipment</li> <li>Solves problems with building fire and energy management systems</li> <li>Inspects and tests elevators, fire pumps, generators, carbon monoxide sensors, and other facility equipment</li> <li>Other duties as assigned</li> </ul><h2>Education/Years of Experience:</h2><ul><li>Required: High School Diploma/GED and six (6) month’s related experience or an Associate’s/Technical school degree</li></ul><h2>Physical and Environment Work Requirements:</h2>The ability to:<ul> <li>Work in extreme temperatures, with loud noises and in enclosed spaces</li> <li>Carry or lift items up to 50 lbs and team lift loads of more than 50 lbs as needed</li> <li>Stand, walk, climb, bend, stoop, and squat, often for long periods of time</li> <li>Work at elevated levels, potentially from man lifts, ladders, scaffolding, and/or small towers, with appropriate PPE (Personal Protection Equipment)</li> <li>Use hand tools</li> </ul><h2>Shift/Work Hours/Travel Requirements:</h2><ul> <li>Must be able to work after hours, on-call rotations, nights, weekend shifts and holiday as needed</li> <li>Examples of rotating shifts include the following:</li> <li>Weekends: 7pm -7am and Thurs. and Fri. 3pm - 11pm</li> <li>Weekends: 7am-7pm and Mon and Tues 3pm - 11pm</li> <li>Mon. – Fri.: 7am-3pm, 3pm - 11pm, 11pm - 7am</li> <li>May be required to work overtime</li> </ul><h2>Other Requirements: </h2><ul> <li>Must obtain and maintain one of the following: Mechanical journeyman license with the State of Oklahoma or a State boiler license and first-class ltd. engineer’s license</li> <li>Must possess valid State Driver’s License and clean driving record</li> <li>Demonstrates excellent organizational/interpersonal skills and safety as the utmost priority</li> <li>Needs basic knowledge of Microsoft Office Application and PC skills</li> <li>Preferred: Mechanical journeyman or engineers’ license</li> <li>Preferred: EPA refrigerant certification</li> </ul>About Tulsa:Our corporate headquarters is located in downtown Tulsa, Oklahoma, the 2nd largest city in Oklahoma and the 47th most populous in the U.S.Tulsa is known as the Mother of "The Mother Road" - Route 66, and boasts impressive art deco architecture, the #1 city park in the U.S. (The Gathering Place) and is a great venue for live music. It's an easy place to get in and out of, with more than 20 non-stop flight destinations offered at Tulsa International Airport. Tulsa is listed on <a href="https://www.cnn.com/travel/article/where-to-travel-best-destinations-2022/index.html" target="_blank">CNN Travel's best destinations to visit in 2022!</a>Tulsa is not only a great place to live, but it's affordable. According to the 2019 Economic Report from Tulsa's Future, the cost of living is 8 percent below the U.S. average. There is no place like T-Town. Check out <a href="https://visittulsa.com/" target="_blank">visittulsa.com</a> to learn more!Why Choose Williams?We are committed to providing our employees with competitive compensation and benefits as part of your Total Rewards package to help protect your current and future physical, emotional, and financial health. We generally offer health benefit programs to our employees and their families that are competitive and flexible enough to meet your needs, and retirement benefits to allow you to invest now for financial security when you retire. With rich learning and development programming and a high internal mobility rate, you are not just applying to a job with Williams; you are embarking on an exciting career!<ul> <li>Competitive compensation</li> <li>Annual incentive program</li> <li>Hybrid work model - one work from home day each week for most office-based roles</li> <li>Flexible work schedule for most field-based roles</li> <li>401(k) with company matching contribution and a fixed annual company contribution</li> <li>Comprehensive medical, dental, and vision benefits</li> <li>Generous company-paid life insurance and disability benefits</li> <li>A consumer-driven health plan option with the potential for a generous company contribution to a Health Savings Account</li> <li>Healthcare and Dependent Care Flexible Spending Accounts</li> <li>Paid time off, including floating and company holidays</li> <li>Wellness Program with annual rewards</li> <li>Employee stock purchase plan</li> <li>Robust employee learning and development</li> <li>High internal mobility (we promote from within)</li> <li>Parental leave (we provide up to 6 weeks for each parent)</li> <li>Fertility coverage and adoption benefits</li> <li>Domestic partner benefits</li> <li>Educational reimbursement</li> <li>Non-profit donation matching contributions and time off to volunteer</li> <li>Employee resource groups</li> <li>Employee assistance programs</li> <li>Technology to make our work more productive and collaborative</li> <li>Regular employee engagement surveys and feedback processes</li> </ul>Williams has a long history of making a significant difference in the communities where we live and work, and we strive to cultivate an environment of employee inclusion, innovation and passion that values all voices and opinions. We help each other succeed and great things happen when people from a diverse set of backgrounds come together. Together, we make clean energy happen.Eligibility and benefits are governed by the terms of the applicable plan or program document which can be amended or terminated at any time.For more information, please visit <a href="https://www.williams.com/careers/total-rewards/" target="_blank">https://www.williams.com/careers/total-rewards/</a>.<h2>Education Requirements:</h2>Skill Requirements:Competency Requirements:

Williams

Maintenance Technician I - TWC

Affirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any hidden fees or compounding interest.We’re looking for a passionate innovator to lead our Manager and Leadership Development practice and take our strategy to the next level. In this highly dynamic and visible role you’ll be equal parts program manager, learning experience designer, facilitator, and coach as you focus on elevating leadership capabilities for all people leaders at Affirm. Collaboration is your middle name; however, you’re still able to roll up your sleeves and be an independent self-starter when needed. It’s on us! You are excited to evolve leadership development experiences for Affirmers in a remote first work environment, and are eager to create a “beyond best practice” leadership development strategy. No fine print here. If you're as excited as we are, please READ ON! <h3>What You’ll Do</h3> <ul> <li>Lead and evolve our Leadership Development practice to ensure we’re providing “the right learning at the right time” for our different levels of leadership, elevating capabilities that drive high performance teams.</li> <li>You will be the driving force, in partnership with the Director of Learning + Development, in crafting a leadership development strategy for new and experienced managers and leaders, in addition to broad-stroke learning programming for all employees.</li> <li>Evolve our manager development programming in our remote first environment, recognizing people come first. You’ll analyze the current program scope and design, perform an ongoing needs assessment to help guide the evolution, and be the lead curriculum designer and facilitator.</li> <li>Partner cross-functionally across the People Team, and ultimately the entire organization to drive future programming and learning opportunities. This includes collaborating with subject matter experts across Affirm in crafting new content and curriculum. You’ll facilitate and/or co-facilitate instructor-led training when appropriate.</li> <li>Write communications, plans, and draft other internal content related to leader learning.</li> <li>Define, measure, and communicate out leadership development success metrics.</li> </ul> <h3>What We're Looking For</h3> <ul> <li>You've designed and delivered Leadership Development experiences and programs that support a growing global workforce for 2000+ employees. </li> <li>You’ve scaled Executive Coaching programs and worked with vendors to measure its effectiveness</li> <li>You’ve built multiyear roadmaps for the moments that matter to leaders</li> <li>You have demonstrated experience in human-centered design, and can build learning experiences based on what you’ve learned from each phase of the process (Empathize, Define, Ideate, Prototype) </li> <li>8+ years of experience highlighting a combination of leadership development program design and management, experience design and facilitation.</li> <li>You’ve developed and delivered curriculum and learning programs from scratch, have partnered with subject matter specialists to do the same, and coached team members on developing those very same skills. </li> <li>Strong analytical and problem-solving abilities, with a data-driven and evidence-based approach to decision-making and influencing.</li> <li>Excellent communication skills, with an appetite for distilling sophisticated information to what matters most. Simpler is better.</li> </ul> <h3>Nice to Haves</h3> <ul> <li>Ideally, you have a coaching certification from ICF, or another accredited organization.</li> <li>A track record of program development that delivers business impact and positive ROI for the organization.</li> <li>Strong relationship-building skills to work collaboratively with partners across the organization.</li> <li>A “how can we make this better?” mentality. You recognize that “perfect” is not an end state, and continually drive for improvement.</li> <li>You’ve built multiyear roadmaps for the moments that matter to leaders</li> <li>You’ve leveraged learning technologies (including but not limited to a Learning Management System and/or Learning Experience Platform) to help it all scale.</li> </ul> Pay Grade - M Equity Grade - 9 Employees new to Affirm typically come in at the start of the pay range. Affirm focuses on providing a simple and transparent pay structure which is based on a variety of factors, including location, experience and job-related skills. Base pay is part of a total compensation package that may include equity rewards, monthly stipends for health, wellness and tech spending, and benefits (including 100% subsidized medical coverage, dental and vision for you and your dependents.) USA base pay range (CA, WA, NY, NJ, CT) per year: $180,000 - $230,000 USA base pay range (all other U.S. states) per year: $160,000 - $210,000 Please note that visa sponsorship is not available for this position. #LI-Remote Affirm is proud to be a remote-first company! The majority of our roles are remote and you can work almost anywhere within the country of employment. Affirmers in proximal roles have the flexibility to work remotely, but will occasionally be required to work out of their assigned Affirm office. A limited number of roles remain office-based due to the nature of their job responsibilities. We’re extremely proud to offer competitive benefits that are anchored to our core value of people come first. Some key highlights of our benefits package include: <ul> <li>Health care coverage - Affirm covers all premiums for all levels of coverage for you and your dependents </li> <li>Flexible Spending Wallets - generous stipends for spending on Technology, Food, various Lifestyle needs, and family forming expenses</li> <li>Time off - competitive vacation and holiday schedules allowing you to take time off to rest and recharge</li> <li>ESPP - An employee stock purchase plan enabling you to buy shares of Affirm at a discount</li> </ul> We believe It’s On Us to provide an inclusive interview experience for all, including people with disabilities. We are happy to provide reasonable accommodations to candidates in need of individualized support during the hiring process. [For U.S. positions that could be performed in Los Angeles or San Francisco] Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles Fair Chance Initiative for Hiring Ordinance, Affirm will consider for employment qualified applicants with arrest and conviction records. By clicking "Submit Application," you acknowledge that you have read Affirm's <a href="https://www.affirm.com/global-candidate-privacy-notice" target="_blank">Global Candidate Privacy Notice</a> and hereby freely and unambiguously give informed consent to the collection, processing, use, and storage of your personal information as described therein.

Affirm

Senior Manager, Learning

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, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. This is a remote based (work from home) position. Ideal Candidates will reside in Arizona and have a medical license without encumbrances. In this role you will:<ul> <li>Support Mercy Care</li> <li>In the Medical Director role you will provide oversight for medical policy implementation.</li> <li>You will participate in the development, implementation, and evaluation of clinical / medical programs and expand medical management programs to address member needs across the continuum of care.</li> <li>You will support the Medical Management staff ensuring timely and consistent responses to members and providers.</li> <li>As a Medical Director you will focus primarily on overseeing utilization review and quality assurance while being responsible for predetermination reviews and review of claim determinations.</li> <li>This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee participation when needed. </li> <li>The Medical Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary.</li> <li>In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities.</li> <li>The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams.</li> <li>Participate in a weekend, holiday and on-call rotation.</li> </ul>Required Qualifications:*Two (2) or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.*Active and current medical license without encumbrances*M.D. or D.O., Active and Current Board Certification in an ABMS or AOA recognized specialty including post-graduate direct patient care experience.*Overnight travel up to 10%*AZ medical license without encumbrances Preferred Qualifications:Previous UM experience with a Health Plan / Payor.Previous UM experience as a Physician Advisor in a Health / Hospital system. Board Certification in Internal Medicine, Family Medicine, or Emergency Medicine Education: Medical Doctor or Doctor of Osteopathic MedicinePay 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: 05/16/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Director

<h2 id="jobDescriptionHeading"> Job Description </h2> Overview You may be eligible for a sign-on bonus of up to $3000. Join our team as a day shift, full-time, Cardiology Medical Assistant in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better <ul> <li> Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being. </li> <li> People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. </li> <li> Make Healthcare Better: We use advanced technology to support our team and enhance patient care. </li> </ul> Get to Know Your Team: <ul><li>Oklahoma Heart Institute offers 24/7 catheterization labs, cardiac rehabilitation and a heart failure center. In addition, OHI is involved in over 200 cutting-edge research studies across the vast amount of specialties within the system.</li></ul> Learn About a Day in the Life of a Medical Assistant: Responsibilities The Medical Assistant will serve as the first clinical contact for incoming clinic patients and must represent OHI in regards to Code of Conduct, policies, and procedures. Responsibilities include transporting, rooming, and preparing patients for physician, advanced practice provider, and nurse clinic visits. Completion of vital signs, medication reconciliation, allergy review, inquiry of past medical and family history, and documentation of the above in the electronic medical record. The Medical Assistant will participate in completion of provider orders by accurately performing venipuncture and EKGs, appropriately applying ambulatory cardiac monitoring, correctly selecting and documenting medication samples, and patient education of the above as directed by nurse or provider. The Medical Assistant will assist with additional clinic and/or administrative duties as delegated by the nurse, provider, or supervisor. Qualifications Job Requirements: <ul type="disc"> <li>High school Diploma or GED</li> <li>BLS, PALS, or ACLS may be required for certain units</li> </ul> <ul type="disc"><li>Successful completion of a Medical Assistant training program or more than 3 years of working experience as an MA. </li></ul> Preferred Job Requirements: <ul type="disc"> <li>1-3 years of previous experience</li> <li>Vocational / Technical Education</li> <li>Current CMA, RMA or ABR certification </li> </ul>

Medical Assistant / MA Cardiology

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryProvides strategic oversight to client services advocates and the business relationships associated with it. Manages the overall direction of client advocate teams. Drives continuous process improvement and implements strategies and solutions to enhance customer service delivery. Cultivates strong relationships with the Field Account Executives. Account Managers. Brokers and Plan Sponsors. Understand and exceed service levels and expectations, share process improvements, discuss operation of plans, identify gaps in service levels, determine root causes and develops solutions. Identifies customer specific service issues, identifies solutions, and leads resolution issues working with other areas to implementWhat you will do<ul> <li>Communicate direction for client facing individual contributors approximately 8-10 employees, and ensures methods align with organizational goals and objectives.</li> <li>Identifies opportunities for process level design issues and synthesizes findings to generate solutions.</li> <li>Leads projects that deliver solutions to support continuous process improvement.</li> <li>Develops escalation team standards and evaluates operational metrics with key business partners, including business reviews with the executive level.</li> <li>Champions department position while acting as an advocate for clients and brokers.</li> <li>Collaborates with internal and external partners to analyze industry challenges, identify relevant solutions, and stay current with processes that connect operations, account management, clinical services, and claims adjudication, ensuring business continuity across the enterprise.</li> <li>Delivers both short- and long-term strategies, and processes to ensure compliance with enterprise standards and regulatory requirements.</li> <li>Proactively partners with operational departments in troubleshooting and escalating program issues</li> <li>Manages operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs.</li> <li>Mastery of growth mindset (agility and developing yourself and others) skills</li> </ul>Required Qualifications<ul> <li>Minimum 5+ years of Client service/account support experience</li> <li>Healthcare experience and knowledge</li> <li>Proven experience leading teams, projects, or mentoring/training employees</li> <li>Adept at collaboration and teamwork</li> <li>Adept at execution and delivery (planning, delivering, and supporting) skills</li> <li>Mastery of problem solving and decision making skills</li> </ul>Preferred Qualifications<ul> <li>Candidates in Central Region or East Region</li> <li>Proven experience as a People Manager</li> <li>TPA or/and Self-Insurance knowledge</li> </ul>EducationBachelor's degree preferred/specialized training/relevant professional qualification.Pay RangeThe typical pay range for this role is:$82,940.00 - $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: 05/23/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client Advocate Leader Meritain TPA Remote

CBRE

Sr HSE Director - 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.Sr. Manager, Clinical AssumptionsPosition Summary:As Sr. Manager, Clinical Assumptions, you will join the Pharmaceutical Forecasting and Analysis team supporting the unified PBM Connected Ecosystem to drive accountability and accuracy across the Caremark Organization. The Sr. Manager, Clinical Assumptions will play a key role in developing, supporting and maintaining PBM Assumptions. In this role you will act as a subject material expert in the Clinical field driving accuracy in financial modeling of the Underwriting Ecosystem by connecting with Business Process Owners and Data Architects to emulate future member behavior with the financial modeling. Primary responsibilities include coordinating with Formulary Management to stay abreast of upcoming strategic changes and decode their financial impact, drive accurate modeling by providing clinical guidance when needed on therapeutic equivalencies or interchangeability, and act as a representative of the Client Financial Analysis and Optimization (CFAO) organization with Trade &amp; Medical Affairs as needed.Additionally, this position will:<ul> <li>Partner with Business resources to gather, refine and evaluate new clinical assumptions that influence the business.</li> <li>Foster strong relationships within the PBM Ecosystem to elevate accurate financial stewardship as it related to clinical assumptions.</li> <li>Support discussions that are highly complex.</li> <li>Drive results utilizing durable and automation focused solutions.</li> <li>Prioritize effectively and efficiently to meet internal and external customer needs.</li> <li>Support the translation market dynamics to usable business intelligence.</li> <li>Participate in peer reviews of high complex data requests to validate that modeled data and related analytic deliverables match and satisfy business requirements.</li> <li>Assist in ad-hoc analysis</li> </ul>The successful candidate will have a track record that demonstrates the following abilities: working successfully in a cross-matrix environment, adapting and performing in a dynamic and changing environment, developing and leveraging a comprehensive understanding of CVS Caremark’s enterprise assets, developing a deep understanding of internal and external assumptions, maintaining high levels of customer satisfaction, constantly striving to innovate and improve processes and applying financial and analytical expertise to make informed recommendations and decisions.Required Qualifications:<ul> <li>7+ years professional clinical and/or financials experience, preferably within a PBM or health plan</li> <li>1+ years experience working with health plans, employer clients, or coalitions/TPAs, with multiple lines of business with different funding arrangements.</li> <li>Able to travel up to 10% of the time.</li> </ul>Preferred Qualifications:<ul> <li>Expertise in Utilization Management and Formulary Management.</li> <li>Knowledge and experience with Microsoft applications (Excel, Power Point, Word, Outlook, Teams).</li> <li>Strong understanding of, or experience with, internal and external facing pricing and analytics teams.</li> <li>Ability to innovate, develop, and implement new products or solutions requiring collaboration with internal partners. Demonstrated success developing effective relationships with key internal partners across the enterprise.</li> <li>Knowledge of relational databases and warehouses, advanced SQL, VBA, OLAP and SAS skills.</li> <li>Experience managing complex projects in a matrix environment.</li> <li>Ability to summarize complex pharmaceutical findings and support recommendations in presentations to Executive Leadership.</li> <li>Ability to work independently in a fast-paced environment and manage tight deadlines.</li> <li>AMCP Fundamentals of Managed Care Pharmacy Certificate or similar professional advancement.</li> <li>Previous PBM Pricing, Underwriting, Data analytics or Financial Analysis experience</li> </ul>Education:<ul> <li>BS Pharmacy or PharmD</li> <li>Licensed Pharmacist</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: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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