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<h3> Position Summary </h3> Network Firewall Engineer Recruiting for this role ends on May 31, 2025 Work you’ll do Provides engineering, security compliance and administration of the firewalls. The position works closely with other Deloitte groups and vendors to provide exceptional customer support. Including the Deloitte Cyber organization for any requests about security compliance from the different agencies and to mitigate any gaps. Creates configurations and scripts for enterprise deployment of solutions that align business and DT - US strategies. Responsible for providing second level incident support, defining, and updating standards, ensuring compliance on all internal and external projects, enforcing consistent policies and processes. Contributes to the transition of new technologies between Architecture and Engineering and confirms all appropriate documents and processes are developed. Responsibilities: <ul> <li>Manages the day-to-day activities of design, analysis, planning, and implementation.</li> <li>Oversees the development and evaluation of network performance criteria and measurement methods for short-team and long-term needs including capacity.</li> <li>Evaluates network architecture design, in addition to feasibility and cost studies</li> <li>Monitors performance and health, ensures capacity planning is performed, and assesses and makes recommendations for improvement.</li> <li>Provide skilled expertise for the compliance, engineering, administration and 24x7 operations of the firewalls serving the Deloitte Federal practice.</li> <li>Perform routine assessments of system hardening in accordance with DOD security technical implementation guides (STIGs).</li> <li>Ensure the maximum information assurance (IA) compliance of DODIN-N systems</li> <li>Lead service request fulfilment for firewall policy and other security extension changes (VPN, IPS, URL Filtering, Application Control, etc.).</li> <li>Provide visibility and insight to assist customers with firewall activity and usage information.</li> <li>For the Federal firewalls, first responder to monitored alerts, incidents, and issues.</li> <li>Lead the follow through with firm and vendor resources to close out availability, performance, and security incidents that involve firewalls.</li> <li>Accountable for executing tasks according to established standards, procedures, and processes. Assist to develop new standards, procedures and processes.</li> <li>Performs other job-related duties as assigned.</li> <li>Ability to manage support cases with external technology vendors.</li> </ul> The team Deloitte Technology US (DT - US) helps power Deloitte’s success, which serves many of the world’s largest, most respected organizations. We develop and deploy cutting-edge internal and go-to-market solutions that help Deloitte operate effectively and lead in the market. Our reputation is built on a tradition of delivering with excellence. The ~3,000 professionals in DT - US deliver services including: <ul> <li>Cyber Security</li> <li>Technology Support</li> <li>Technology &amp; Infrastructure</li> <li>Applications</li> <li>Relationship Management</li> <li>Strategy &amp; Communications</li> <li>Project Management</li> <li>Financials</li> </ul> Technology &amp; Infrastructure The Technology and Infrastructure Organization works together to transform how DT - US deploys technologies and services to meet the dynamic needs of Deloitte professionals and help increase their productivity. Required Qualifications: <ul> <li>8+ years in supporting infrastructure environments but not limited to security/firewall, networks, systems</li> <li>3+ years of experience in related experience in firewall environments performing engineering (hardware and software) and operations.</li> <li>Bachelor’s degree in Computer Science, Computer Engineering, Business Administration or similar and/or additional relevant professional experience.</li> <li>Ability to travel 0-10%, on average, based on the work you do and the clients and industries/sectors you serve</li> <li>Must be a US Citizen (GPS initiatives)</li> </ul> Preferred Qualifications: <ul> <li>Expert level knowledge of Checkpoint or Palo Alto.</li> <li>Advanced level skill in firewall policy management.</li> <li>Knowledge of monitoring tools and commands to ensure quick resolution to issues.</li> <li>Hands-on experience with security policy and automation tools such as Firemon, Tufin. Algosec...</li> <li>Knowledge on Scripting language.</li> <li>Knowledge of LAN/WAN and network protocols.</li> <li>Experience in security assessments and audits, ensuring compliance with industry standards and best practices, and addressing vulnerabilities proactively.</li> <li>Knowledge of applying DoD STIGs to network equipment</li> <li>Knowledge of information assurance (IA) compliance of DODIN-N systems</li> </ul> Information for applicants with a need for accommodation: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html</a> The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $88,600 to $181,900. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. EA_ExpHire #LH-1 Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our diverse, equitable, and inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/deloitte-inclusion.html" target="_blank">Learn more about our inclusive culture.</a> Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Deloitte

Lead Firewall & Security Engineer

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 SummaryReporting to the Lead Director of Medicare Revenue Integrity, the Sr. Manager, will work closely with various RI Lead Directors and subject matter experts across the Medicare business to establish and champion market level revenue integrity excellence. This position is responsible for supporting all assigned market level risk adjustment activities and processes related to complete and accurate diagnosis capture through provider and member engagement. In support of the RI Medicare Performance Management Office (PMO) this position will lead the work and deliverables of multiple complex projects, focusing on process improvement, production, and data analysis. Individual should have proven project management of multiple complex projects simultaneously and demonstrate understanding of root cause analysis. This position may act as a liaison with other key business areas, internally and externally. The Medicare Risk Adjustment Sr. Manager will play a critical role in extracting, analyzing, and interpreting healthcare and financial data from multiple sources to address business opportunities regarding population health management, health and economic outcomes, and other business needs. Required Qualifications<ul> <li>5+ years of data analytics experience</li> <li>Knowledge of Risk Adjustment, preferably Medicare</li> <li>2+ years of leadership experience</li> <li>Proven ability to manage multiple projects simultaneously and meet deadlines.</li> <li>Strong analytical and problem-solving skills</li> <li>Proficiency in Microsoft suite and data visualization tools</li> <li>Excellent communication, presentation, and writing skills.</li> <li>Highly organized with excellent attention to detail</li> </ul> Preferred Qualifications<ul> <li>Detail-oriented with a disposition to probe into technical details for accuracy and completeness</li> <li>Design and code efficiently in SQL, SAS, or similar programming language</li> </ul> Education Bachelor's Degree or equivalent work experiencePay 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: 05/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Manager, Revenue Integrity Medicare Strategic Programs

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 SummaryBring 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> <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 Education High School Diploma </li> </ul>Anticipated 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: 05/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Health Concierge

<h3> Position Summary </h3> Consulting Kinaxis Integration Lead Specialist Master Deloitte is defining the digital landscape. We are pioneering a new model for a new digital world. Do you like to challenge the status quo? Does curiosity feed your soul? Are you addicted to the thrill of creating? Do you want to be your authentic self at work? Then consider a career within our Software Defined Products practice. Creative design, state-of-the-art technology, and your imagination merge here to create lasting impact for our clients. Not to mention make for a pretty fun and meaningful career! The team Our team helps clients transform their value chains into competitive advantages. We drive efficiency, improve flexibility, and increase responsiveness through proactive insights and decision-making. We advise, implement, and operate transformational solutions that bring world-class supply network and operational capabilities to our clients. We provide operational know-how, digital technologies, advanced analytics, and industry-specific hybrid solutions to deliver unprecedented client value. Additionally, we improve operations, product, and material flow across the breadth of the value chain and create greater supply network synergy. Work you’ll do Industry-leading clients. An award-winning culture. Top notch connections. Big opportunities. At Deloitte, you’ll work with the best in the business to solve the toughest problems in business. From learning to leadership, this is your chance to take your career to the next level. <ul> <li>Design, build and deploy effective integrations to validate, synthesize, transform customer data for integrated business planning and analytics. </li> <li>Understand Kinaxis platform’s data model (table structures, linkages, optimal designs) for designing various planning use cases.</li> <li>Review and analyze the data provided by customers along with its technical/functional intent and interdependencies. </li> <li>Lead customer sessions in the technical design, data requirements gathering and making recommendations on best practices, in case of inaccurate or missing data. </li> <li>Design and automate the data loading and insights generation process with intelligent checks and balances for sustained value delivery. </li> <li>Design and support execution of test plans, document issues and track progress at resolving issues. </li> </ul> Required qualifications <ul> <li>Minimum of 3 years of experience in Kinaxis RapidResponse Tools as Integration Architect or Consultant.</li> <li>Minimum of 5 years of experience in Supply Chain Planning.</li> <li>Team lead experience.</li> <li>A Bachelor’s Degree in Industrial or Mechanical Engineering, Computer Science/Computer Engineering, Electrical Engineering or equivalent .</li> <li>Ability to travel up to 50%, on average, based on the work you do and the clients and industries/sectors you serve .</li> <li>Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future </li> </ul> Preferred qualifications <ul> <li>Experience integrating Rapid Response with host ERP systems utilizing middleware for both Inbound and Outbound Interfaces, workflows, Query development, preparation of detailed functional specifications.</li> <li>Experience with Kinaxis Authoring (Level 2/3 author certified), Hierarchical and Versioning Data Base Models, Kinaxis Data Model, Space names and Partitions.</li> <li>Experience with supply chain and demand planning process along with integration experience interfacing with an ERP system.</li> <li>Experience of leading technical design for inbound / outbound processes.</li> <li>ETL tools for data transformations. Python, Bash, and/or PowerShell Scripting; Amazon Web Services (AWS), AZURE, Google Cloud Infrastructures preferred. </li> <li>Experience with T-SQL and related technologies, including MS SQL Server, SQL Server Integration Services (SSIS), development of scripted solutions and stored procedures</li> <li>Experience in Cloud Data Quality, Source Systems Analysis, Business Rules Validation, Source Target Mapping Design, Performance Tuning and High-Volume Data Loads. </li> </ul> The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the range is $137,700 to $229,500. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. Information for applicants with a need for accommodation: <a href="https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html" target="_blank">https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html</a> #EP25 Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. <a href="https://www2.deloitte.com/us/en/pages/careers/topics/recruiting-tips.html" target="_blank">Check out recruiting tips from Deloitte recruiters.</a> Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. <a href="https://www2.deloitte.com/us/en/pages/careers/articles/life-at-deloitte-benefits-and-rewards.html" target="_blank">Learn more about what working at Deloitte can mean for you.</a> Our people and culture Our diverse, equitable, and inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/deloitte-inclusion.html" target="_blank">Learn more about our inclusive culture.</a> Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Kinaxis Integration Lead - Specialist Master

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 SummaryThe primary role of an ID Card analyst consists of designing, auditing, and releasing ID cards for printing and mailing.<ul> <li>Using a system provided by the print vendor, analyst will program the information that will print on a client’s ID cards – customizing as requested. Will use plan documents to determine what information to put on ID card and manually enter that into the vendor system. </li> <li>Work cross functionally to understand unique client requests/needs and work that into the best layout option. Opportunity to work creatively to produce aesthetically pleasing cards for each client.</li> <li>Auditing: Analyst will have both daily and mass mailing cards to audit each day for accuracy. Auditing live cards against approved samples. Identifying problems with live cards and correcting them within the system or coordinating with other departments to correct the data.</li> <li>Complete daily and monthly tracking using Excel and Salesforce. </li> <li>Additional responsibilities include working on process improvements, user testing, and update existing client setups.</li> </ul> Required Qualifications<ul> <li>2+ years in administrative experience.</li> <li>Detail oriented individual that can notice subtle differences between documents.</li> <li>Microsoft Suite experience (Excel, Word, Outlook).</li> <li>Professional written and verbal communication skills.</li> </ul> Preferred Qualifications<ul> <li>Ability to multi-task.</li> <li>Self-driven, problem solver.</li> </ul> Education<ul><li>High School Diploma or GED.</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$17.00 - $34.15This 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: 05/09/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Eligibility Consultant-Electronic

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 SummaryThis position supports the Enrollment Communications Managers on our Enrollment Communications &amp; Services team. Assists with the work and deliverables of multiple enrollment communications campaigns for new and existing Aetna Voluntary customers. This team develops the communication toolkit that provides education to members and potential members of Aetna Accident, Critical Illness and Hospital Indemnity Plans. It is tasked with helping drive participation in those plans through the development of strategic enrollment communications plans. The Enrollment Communication Coordinator will help provide initial enrollment and ongoing communication needs, as well as work on special projects throughout the year. They will work internally with our partners in sales, implementation, and account management, and externally with customers and consultants.Required Qualifications<ul> <li>A minimum of 2 years experience related to insurance products, enrollment technology, customer service and processes, including project management.</li> <li>Strong written and verbal communication skills required.</li> <li>Proven track record in meeting project milestones. </li> <li>Technology experience with Microsoft Office Suite.</li> </ul>Preferred Qualifications<ul> <li>Knowledge and experience marketing voluntary and/or group insurance products</li> <li>Life and health insurance license</li> <li>Graphic design experience</li> <li>Technology experience with Salesforce.com, InDesign</li> </ul>Education<ul><li>Bachelor's degree preferred or a combination of professional work experience and education.</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,300.00 - $159,120.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Enrollment Communication Coordinator

Overview Territory: Rego Park, Kew Gardens Full Time Salary Range: $113,000.00 to $120,000.00, with $20,000 Sign-On Bonus! Are you looking for a rewarding career in homecare? 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. What's in it for you <ul> <li>A full benefits package with choice of affordable PPO or HSA medical plans.</li> <li>Paid time off.</li> <li>Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.</li> <li>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.*</li> <li>Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.</li> <li>401(k) with a company match.</li> <li>Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.</li> <li>Mileage reimbursement.</li> <li>And more.</li> </ul> Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. Why Amedisys? <ul> <li>Community-based care centers with a supportive and inclusive work environment.</li> <li>Better work/life balance and increased flexibility compared to other settings.</li> <li>Job stability and the opportunity to advance with a growing company.</li> <li>The opportunity to make a meaningful impact on the lives of patients and their families providing much needed care where they want to be - in their homes.</li> </ul> Responsibilities <ul> <li>Performs patient assessments and collaborates with the care team to develop and implement a plan of care.</li> <li>Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so.</li> <li>Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.</li> <li>Supervises LPNs and HHAs.</li> <li>Completes documentation timely and accurately.</li> <li>Regularly communicate patient progress to the clinical manager and care team.</li> <li>Plans and provides staff education.</li> <li>Performs on-call responsibilities and on-call services to patients/families as assigned.</li> <li>Participates in clinical development and continuing education programs.</li> <li>Other duties as assigned.</li> </ul> Qualifications <ul> <li>One (1+) year of clinical experience as a Registered Nurse (RN). If less than 1 year clinical experience as a RN, candidate must be approved by VP Clinical.*</li> <li>Current RN license, specific to the state(s) you are assigned to work.</li> <li>Current CPR certification.</li> <li>Valid driver's license, reliable transportation and liability insurance.</li> </ul> *Note - If less than 6 months clinical experience as a RN, candidate must participate in RN Intern program. 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.

Amedisys

Registered Nurse, Home Health- $20,000 Sign-On Bonus- Rockaways

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.**This position can sit anywhere in the United States**Our network solutions team is responsible for supporting custom network arrangements for our broad suite of self-insured customers. We also manage our healthcare vertical strategy for direct to employer arrangements and Value Based Care initiatives. As our Network Performance Manager, you’ll be responsible for network product implementations. With a focus on supporting our Value Based Contract initiatives. The person contributing in this role will work closely with sales, account management, and operations to ensure client, broker, consultant, and provider needs are being met. This can be a customer facing role and you may work with external vendor partners and clients. Our teams scope has continued to grow over the last few years and we’re looking for someone who can help us document and create repeatable process structures that’ll create greater efficiency for the work that we do. Strong communication and presentation skills is a must.<ul> <li>Responsible for the implementation of new network product offerings. This requires project management</li> <li>Manage assigned network product solutions to ensure they are still being utilized, measure success/utilization and make sure all communications and trainings are current.</li> <li>Collaborates cross-functionally to ensure optimal implementation of large provider systems.</li> <li>Support our custom network capability requests and all other general network inquiries.</li> <li>Understand strategy implications in context of other products and business needs.</li> <li>Identify cross-functional support required to achieve business objectives, including areas of tactical and strategic support.</li> <li>Lead and support network initiatives with competing products/projects with effective prioritization and eye for detail.</li> <li>Manage program to measure network performance opportunities.</li> <li>Act as liaison and subject matter expert across organization as it relates to network and Value Based Care.</li> </ul>Required Qualifications<ul> <li>3+ years of project management as well as product development</li> <li>Experience in healthcare, especially with provider networks.</li> <li>Self-motivator, works well independently</li> <li>Strong communication skills</li> <li>Advanced PowerPoint Skills</li> <li>Ability to work with SharePoint Online and Microsoft Teams</li> </ul> Preferred Qualifications<ul> <li>Advanced Excel skills</li> <li>Familiarity with Microsoft Visio and Salesforce</li> </ul> Education<ul><li>Bachelor's degree 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: 05/02/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Specialty and Provider Network Manager-Value Based Care (Meritain Health)

Ro is a direct-to-patient healthcare company with a mission of helping patients achieve their health goals by delivering the easiest, most effective care possible. Ro is the only company to offer nationwide telehealth, labs, and pharmacy services. This is enabled by Ro's vertically integrated platform that helps patients achieve their goals through a convenient, end-to-end healthcare experience spanning from diagnosis, to delivery of medication, to ongoing care. Since 2017, Ro has helped millions of patients in nearly every single county in the United States, including 98% of primary care deserts. The healthcare system today is not designed to help patients achieve their goals. It’s designed around institutions such as hospitals and insurance companies. A patient centric healthcare system is one that is designed around the goals a patient wants to achieve. We’re building healthcare that puts patients in control, provides reactive and proactive care, has transparent pricing and process, is extremely effective and ridiculously convenient, and evolves over time based on patients’ goals. Ro has been recognized as a Fortune Best Workplace in New York and Health Care for four consecutive years (2021-2024). In 2023, Ro was also named Best Workplace for Parents for the third year in a row. In 2022, Ro was listed as a CNBC Disruptor 50. As an Associate Director of Clinical Content and Education, you will play a critical role in ensuring that Ro’s clinical guidelines and patient education materials are accurate, engaging, and impactful. You will collaborate closely with clinical product strategy, medical experts, product teams, marketing, growth, and other cross-functional stakeholders to maintain consistency across provider-facing guidelines while innovating on patient education strategies. Your work will directly contribute to the quality of care we provide and help guide patients through every step of their healthcare journey. This role reports to the Director of Clinical Product Strategy. This role will leverage the technical expertise of the individual, particularly with regard to content creation and education to support initiatives that are the responsibility of Directors and Senior Directors in Clinical Product and Strategy. <h3>What You'll Do:</h3> <ul> <li>Lead the development, maintenance, and optimization of provider-facing clinical guidelines and training materials for Ro’s affiliated medical group.</li> <li>Ensure consistency and accuracy of clinical content in collaboration with cross-functional partners including clinical product strategy, marketing, growth, and product.</li> <li>Translate clinical strategy and scientific literature into patient-friendly educational materials across formats (written, video, tagline, etc.).Use insights from medical experts, product teams, and behavior science principles to create content that supports patients throughout their healthcare journey.</li> <li>Act as a key reviewer and thought partner on projects led by Clinical Product Directors and Senior Directors.</li> <li>Build strong relationships across product, operations, and marketing to identify opportunities for content-driven improvements in patient experience and health outcomes.</li> <li>In the first 90 days: conduct a full audit of current provider and patient-facing content, identify gaps or inconsistencies, and propose a prioritization roadmap for improvements.</li> </ul><h3>What You'll Bring to the Team:</h3> <ul> <li> MD/DO/NP/PA3+ years of practicing medicine in a clinical setting</li> <li>5+ years of writing or creating medical or scientific content</li> <li>A deep understanding of clinical guidelines and evidence-based care principlesStrong ability to craft clear, engaging, and medically accurate educational content</li> <li>Ability to work cross-functionally with product, medical, and operations teams</li> </ul><h3>We've Got You Covered</h3> <ul> <li>Full medical, dental, and vision insurance + OneMedical membership</li> <li>Healthcare and Dependent Care FSA</li> <li>401(k) with company match</li> <li>Flexible PTO</li> <li>Wellbeing + Learning &amp; Growth reimbursements</li> <li>Paid parental leave + Fertility benefits</li> <li>Pet insurance</li> <li>Student loan refinancing</li> <li>Virtual resources for mindfulness, counseling, and fitness</li> <li>We welcome qualified candidates of all races, creeds, genders, and sexuality to apply.</li> </ul>The target base salary for this position ranges from $178,500 - $200,000, in addition to a competitive equity and benefits package (as applicable). When determining compensation, we carefully consider several factors, including location, job-related knowledge, skills, and experience. These considerations may cause your compensation to vary. Ro recognizes the power of in-person collaboration, while supporting the flexibility to work anywhere in the United States. For our Ro’ers in the tri-state (NY) area, you will join us at HQ on Tuesdays and Thursdays. For those outside of the tri-state area, you will be able to join in-person collaborations throughout the year (i.e., during team on-sites). At Ro, we believe that our diverse perspectives are our biggest strengths — and that embracing them will create real change in healthcare. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability and/or any other legally protected classification protected by federal, state, or local law. See our California Privacy Policy <a href="https://ro.co/job-applicant-privacy-policy/" target="_blank">here</a>.

Associate Director of Clinical Content and Education

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 At CVS Health, we are dedicated to building a world of health around every consumer, surrounded by passionate colleagues who are committed to transforming healthcare. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels, and a workforce of over 300,000 purpose-driven colleagues. We care for people where, when, and how they choose, in a way that is uniquely more connected, convenient, and compassionate. We do it all with heart, every single day.We are seeking a Senior Manager of Provider Contract &amp; Pricing Testing to join our expanding Testing Center of Excellence. This role requires a dynamic leader with extensive experience in provider and contract testing, test automation, and quality assurance. You will be responsible for managing a team of quality assurance engineers and analysts to implement and maintain effective testing processes, procedures, strategies, and automation tools for delivering high-quality provider contracts and pricing changes to our clients.Key Responsibilities:<ul> <li> Quality Leadership: Oversee the quality assurance of Provider Contracts and Pricing, ensuring that both Provider and Member Experiences meet or exceed expectations through the use of test automation tools.</li> <li> Automation: Collaborate with IT to support a robust testing automation framework for Provider &amp; Contract Testing, driving the adoption and optimization of automation tools and implementing innovative approaches using proven technologies.</li> <li> Team Development: Mentor and motivate team members to reach their full potential while promoting industry best practices in Quality Assurance and Testing.</li> <li> Sr Leadership Reporting: Deliver comprehensive quality reports on Provider &amp; Contract Testing outcomes, making informed recommendations and taking appropriate actions based on the data.</li> <li> Talent Development: Build a high-performing team by providing opportunities, guidance, and constructive feedback, while creating a talent pipeline for future growth.</li> <li> Technical Guidance: Set team direction, resolve challenges, and provide technical support to ensure development objectives are met.</li> </ul>Required Qualifications: The ideal candidate will possess a strong work ethic, be a self-starter, and thrive in a dynamic, collaborative environment. Key attributes include:<ul> <li>5+ years of experience managing quality assurance projects.</li> <li>5+ years of experience in provider contract testing, claims adjudication systems, quality assurance, or related functions.</li> <li>5+ years of experience in managing, collecting, and analyzing testing metrics for reporting and delivery.</li> <li>Proven program and project management experience, including the creation and management of integrated plans to ensure predictable outcomes.</li> <li>Experience leading large integrated project plans and driving IT development to meet specific business needs.</li> </ul>Preferred Qualifications:<ul> <li>Experience with commercial, individual exchange, and Medicare programs.</li> <li>Mastery of problem solving and decision-making skills</li> </ul>Education: Bachelor’s degree required or equivalent work experience.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: 05/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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