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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supervise and coordinate the operations of the network accounts department <ul> <li>Supervise the day-to-day workflow of the network accounts function in compliance with health plan, corporate and state policies, procedures and guidelines</li> <li>Assist with provider contracting activities to minimize contract implementation issues/errors</li> <li>Receive and respond to all escalated provider issues and ensure standards are established, met and maintained</li> <li>Plan, coordinate and participate in scheduled and unscheduled meetings with network account representatives to conduct orientations, train on health plan policies and procedures, deliver materials or inquire about contracting with our health plan</li> <li>Review and audit network accounts documentation for compliance with health plan and State standards</li> <li>Analyze, develop, implement and monitor quality initiatives to achieve healthy outcomes for assigned projects</li> <li>Assist in the resolution of claims payment and provider systems set-up issues</li> <li>Coordinate and host health plan-sponsored events held for network account representatives</li> <li>Assist in the development of policies and procedures and update and maintain the Provider Manuals</li> </ul>Education/Experience: Bachelor’s degree or equivalent experience. 3+ years of network account management, provider contracting or billing experience in a managed care environment. Supervisory or lead experience preferred. Knowledge of managed care and state Medicaid program guidelines. Proficiency in Microsoft Office products. Licenses/Certifications: Current state driver’s license.Pay Range: $55,100.00 - $99,000.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Oklahoma Complete Health

Supervisor, Provider Network

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team.<ul> <li>Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines</li> <li>Monitors and tracks UM BH resources to ensure adherence to performance, quality, and efficiency standards</li> <li>Works with BH utilization management team to resolve complex BH care member issues related to BH</li> <li>Maintains knowledge of regulations, accreditation standards, and industry best practices related to BH utilization management</li> <li>Works with BH utilization management team and senior management to identify opportunities for process and quality improvements within utilization management</li> <li>Educates and provides resources for BH utilization management team on key initiatives and to facilitate on-going communication between BH utilization management team, members, and providers</li> <li>Works with the BH senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services</li> <li>Evaluates BH utilization management team performance and provides feedback regarding performance, goals, and career milestones</li> <li>Provides coaching and guidance to the BH utilization management team for optimal performance management and provides counseling and corrective action when required</li> <li>Assists with onboarding, hiring, and training BH utilization management team members</li> <li>Attends company meetings in absence of people leader</li> <li>Acts as primary contact for escalated calls/issues that require research or special handling</li> <li>Leads and manage others in a matrixed/cross functional environment</li> <li>Leads and champions change within scope of responsibility</li> <li>Presents information and responds to questions from peers, leaders and internal/external customers</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 4+ years of related experience. License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required. Knowledge of BH utilization management principles preferred. Prior supervisory experience preferred preferred. Understanding of medical necessity criteria for a broad range of BH services preferred. License/Certification: <ul> <li>LCSW- License Clinical Social Worker required or</li> <li>LMHC-Licensed Mental Health Counselor required or</li> <li>LPC-Licensed Professional Counselor required or</li> <li>Licensed Marital and Family Therapist (LMFT) required or</li> <li>Licensed Mental Health Professional (LMHP) required or</li> <li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li> <li>Board Certified Behavior Analyst (BCBA) preferred</li> </ul>Pay Range: $73,800.00 - $132,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Supervisor, Behavioral Health Utilization Management

About Lumen Lumen connects the world. We are igniting business growth by connecting people, data and applications – quickly, securely, and effortlessly. Together, we are building a culture and company from the people up – committed to teamwork, trust and transparency. People power progress. We’re looking for top-tier talent and offer the flexibility you need to thrive and deliver lasting impact. Join us as we digitally connect the world and shape the future. <h2>The Role</h2> We are looking for a dynamic HR professional with experience in transformation and change enablement and learning and development. The individuals who take this role will play a critical role in our transformation journey. We are amid a once in a lifetime opportunity to transform Lumen. This role is critical in driving large-scale HR initiatives, focusing on aligning with business objectives and enhancing HR capabilities. <h2>The Main Responsibilities</h2> <ul> <li>Lead transformation projects, including change plan development and implementation.</li> <li>Collaborate with senior business leaders to translate business objectives into effective people strategies.</li> <li>Partner with business leaders to implement organizational models, including operating structures, roles, and responsibilities.</li> <li>Program Planning and Development: Develop, guide, and manage learning programs by identifying organizational needs, securing resources, and prioritizing work. Align learning capabilities with organizational strategy for maximum impact. </li> <li>Program Execution: Lead the implementation of core learning programs and implementation of key programs, including change leadership enablement, leadership learning paths, and other L&amp;D offerings.</li> <li>Collect and incorporate feedback to improve content and ensure successful execution. </li> <li>Work seamlessly across various departments, building strong relationships with key stakeholders to ensure talent initiatives are integrated and aligned with overall business strategy.</li> <li>Manage stakeholder relationships and coordinate with various HR functions to deliver project milestones.</li> <li>Use tools and methodologies to assess readiness, measure effectiveness, and drive continuous improvement.</li> <li>Communicate effectively with all levels of the organization to ensure alignment and engagement.</li> <li>Lead cross-functional project teams to develop and execute HR solutions that drive business impact through innovative talent strategies.</li> </ul> <h2>What We Look For in a Candidate</h2> Qualifications: <ul> <li>Proven HR experience in leading organizational change and organizational effectiveness initiatives.</li> <li>Strong background in developing and implementing people strategies that align with business goals.</li> <li>Experience in planning, designing, leading and implementing learning and leadership programs.</li> <li>Excellent project management skills with the ability to manage multiple stakeholders and deliver on tight timelines.</li> <li>Exceptional communication, ability to coach on EQ / LD and to influence and engage senior leaders.</li> <li>Experience in managing large-scale projects.</li> <li>Ability to work in a fast-paced, dynamic environment and adapt to changing business needs.</li> <li>Bachelor's degree in HR or related field, or equivalent experience.</li> <li>10+ years of progressive HR experience with expertise in learning and development, talent and organizational change, or related fields with 4+ years of leadership experience. </li> </ul> Preferred: <ul> <li>Master’s degree in HR, Organizational Development, or Organizational Effectiveness.</li> <li>Certification as leadership coach. </li> </ul> <h2>Why Join Us</h2> <ul> <li>Opportunity to lead high-impact HR transformation projects and make a significant impact on the organization.</li> <li>Collaborative and supportive work environment with a focus on professional growth and development.</li> <li> Competitive compensation and benefits package. </li> </ul> <h2>Location</h2> This is a fully remote position open to candidates based anywhere in the U.S. Approximately 10% travel (varied dependent upon project needs). <h2>Compensation</h2> This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Individual pay is based on skills, experience and other relevant factors. Location Based Pay Ranges $149,084 - $198,779 in these states: AL AR AZ FL GA IA ID IN KS KY LA ME MO MS MT ND NE NM OH OK PA SC SD TN UT VT WI WV WY $156,539 - $208,718 in these states: CO HI MI MN NC NH NV OR RI $163,993 - $218,657 in these states: AK CA CT DC DE IL MA MD NJ NY TX VA WA Lumen offers a comprehensive package featuring a broad range of Health, Life, Voluntary Lifestyle benefits and other perks that enhance your physical, mental, emotional and financial wellbeing. We're able to answer any additional questions you may have about our bonus structure (short-term incentives, long-term incentives and/or sales compensation) as you move through the selection process. Learn more about Lumen's: <ul> <li><a href="https://jobs.lumen.com/global/en/benefits-statement" target="_blank">Benefits*</a></li> <li><a href="https://jobs.lumen.com/global/en/compensation-information" target="_blank">Bonus Structure</a></li> </ul> #LI-SB1 Requisition #: 337374 Background Screening If you are selected for a position, there will be a background screen, which may include checks for criminal records and/or motor vehicle reports and/or drug screening, depending on the position requirements. For more information on these checks, please refer to the Post Offer section of our <a href="https://jobs.lumen.com/global/en/faq" target="_blank">FAQ page</a>. Job-related concerns identified during the background screening may disqualify you from the new position or your current role. Background results will be evaluated on a case-by-case basis. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Equal Employment Opportunities We are committed to providing equal employment opportunities to all persons regardless of race, color, ancestry, citizenship, national origin, religion, veteran status, disability, genetic characteristic or information, age, gender, sexual orientation, gender identity, gender expression, marital status, family status, pregnancy, or other legally protected status (collectively, “protected statuses”). We do not tolerate unlawful discrimination in any employment decisions, including recruiting, hiring, compensation, promotion, benefits, discipline, termination, job assignments or training. Disclaimer The job responsibilities described above indicate the general nature and level of work performed by employees within this classification. It is not intended to include a comprehensive inventory of all duties and responsibilities for this job. Job duties and responsibilities are subject to change based on evolving business needs and conditions. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Please be advised that Lumen does not require any form of payment from job applicants during the recruitment process. All legitimate job openings will be posted on our official website or communicated through official company email addresses. If you encounter any job offers that request payment in exchange for employment at Lumen, they are not for employment with us, but may relate to another company with a similar name. Application Deadline 03/18/2025

CenturyLink

HR Solutions Director & Change Leader Enablement

Ready to be pushed beyond what you think you’re capable of? At Coinbase, our mission is to increase economic freedom in the world. It’s a massive, ambitious opportunity that demands the best of us, every day, as we build the emerging onchain platform — and with it, the future global financial system. To achieve our mission, we’re seeking a very specific candidate. We want someone who is passionate about our mission and who believes in the power of crypto and blockchain technology to update the financial system. We want someone who is eager to leave their mark on the world, who relishes the pressure and privilege of working with high caliber colleagues, and who actively seeks feedback to keep leveling up. We want someone who will run towards, not away from, solving the company’s hardest problems. Our <a href="https://www.coinbase.com/mission" target="_blank">work culture</a> is intense and isn’t for everyone. But if you want to build the future alongside others who excel in their disciplines and expect the same from you, there’s no better place to be. Executive Recruiting Research group is a dedicated recruiting team that partners with our executive leadership and recruiters to identify, cultivate and recruit the best-in-class leadership talent globally. As an Executive Researcher, you will build strategies and processes for talent mapping, intelligence gathering and candidate engagement to bring the industry’s top executives to Coinbase What you’ll be doing (ie. job duties): <ul> <li>Reporting to the Head of Executive Search, you will partner with Executive Recruiters to:</li> <ul> <li>Identify and build a pipeline of potential prospects for Executive roles and assess candidate fit against the specifications of a position</li> <li>Provide an informed perspective on prospects / candidates and how they match against the key selection criteria</li> <li>Provide deep insights on the external talent market </li> <li>Lead and prioritize diversity sourcing efforts to ensure we hire a diverse and inclusive workforce. Shape how we can continue to improve diversity at our leadership levels</li> <li>Assist in the development of the job description, search strategy and target list of companies</li> <li>Gather relevant information regarding the appropriate target companies</li> <li>Help project manage executive searches from start to finish (JD creation, search kickoffs, agency contracts, work with recruiting coordinators, Greenhouse support) </li> <li>Serve as a valued thought partner to Executive recruiting team; provide insightful candidate profiles and recommendations </li> <li>Assist in high level name generation and talent mapping creation; provide commentary on potential candidates.</li> <li>Participate in kick-off meetings with the hiring team in order to assist in the development of the search strategy. </li> <li>Develop industry and/or functional expertise by maintaining an awareness of industry trends and “best in class” leaders/future leaders.</li> </ul> </ul> What we look for in you (ie. job requirements): <ul> <li>Self-starter: the successful candidate will always be looking to learn and take on more responsibility</li> <li>Successful candidates will be self-directed, independent, and able to proactively address the needs of the Executive team, which is often fast-paced, and simultaneously long-term in nature</li> <li>1-2 years experience as an executive sourcer or researcher in a fast-paced, high-growth environment (industry or executive search firm)</li> <li>Strong research skills</li> <li>Excellent communication skills.</li> <li>Strong time management skills.</li> <li>Experience working with high level of discretion and confidentiality</li> <li>Experience with talent mapping strategies</li> </ul> Job #: P68555 Pay Transparency Notice: Depending on your work location, the target annual salary for this position can range from $[Zone 3 Pay] to $[Zone 1 Pay] + target bonus + target equity + benefits (including medical, dental, vision and 401(k)). Pay Transparency Notice: Depending on your work location, the target annual salary for this position can range as detailed below. Full time offers from Coinbase also include target bonus + target equity + benefits (including medical, dental, vision and 401(k)). Pay Range: $95,030—$111,800 USD Please be advised that each candidate may submit a maximum of four applications within any 30-day period. We encourage you to carefully evaluate how your skills and interests align with Coinbase's roles before applying. <h3>Commitment to Equal Opportunity</h3> Coinbase is committed to diversity in its workforce and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sex, gender expression or identity, sexual orientation or any other basis protected by applicable law. Coinbase will also consider for employment qualified applicants with criminal histories in a manner consistent with applicable federal, state and local law. For US applicants, you may view the Know Your Rights notice <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf" target="_blank">here</a>. Additionally, Coinbase participates in the <a href="https://static-assets.coinbase.com/e-verify.pdf" target="_blank">E-Verify program</a> in certain locations, as required by law. Coinbase is also committed to providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process, please contact us at accommodations[at]coinbase.com to let us know the nature of your request and your contact information. For quick access to screen reading technology compatible with this site <a href="https://chrome.google.com/webstore/detail/chromevox/kgejglhpjiefppelpmljglcjbhoiplfn" target="_blank">click here to download</a> a free compatible screen reader <a href="http://www.chromevox.com/tutorial/" target="_blank">(free step by step tutorial can be found here)</a>. <h3>Global Data Privacy Notice for Job Candidates and Applicants</h3> Depending on your location, the General Data Protection Regulation (GDPR) and California Consumer Privacy Act (CCPA) may regulate the way we manage the data of job applicants. Our full notice outlining how data will be processed as part of the application procedure for applicable locations is available <a href="https://www.coinbase.com/legal/applicant_privacy_notice" target="_blank">here</a>. By submitting your application, you are agreeing to our use and processing of your data as required. For US applicants only, by submitting your application you are agreeing to arbitration of disputes as outlined <a href="https://www.coinbase.com/legal/application-arbitration-agreement" target="_blank">here.</a>

Coinbase

Executive Recruiting Researcher

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Remote-CA. ***Must reside in California***Healthcare lead experience with claims, appeals, and grievance strongly preferred.Position Purpose: The Supervisor of Appeals &amp; Grievances is accountable for the recruitment, hiring, promotion, counseling, and daily supervision of Grievance and Appeals Specialists and administrative support as they receive, investigate and resolve member complaints, member grievances, and provider disputes. This position is also responsible for the coordination of the resolution of grievance situations requiring competent and effective resolution in compliance with legal and regulatory requirements. This position will also perform initial and ongoing training in necessary skills and knowledge base and will assist Manager of Grievance and Appeals to establish and maintain procedures for Unit to maximize both outcomes and operational efficiency.<ul><li>Provides daily supervision for Grievance and Appeals Unit, including coordination of backup staffing, cross-training and deployment.</li></ul><ul><li>Performs recruiting, hiring, promotion, and performance evaluation tasks and counsels non-clinical Grievance and Appeals staff.</li></ul><ul><li>Orients and trains new Grievance and Appeals Unit members.</li></ul><ul><li>Continually trains Unit members concerning grievances, appeals, and provider disputes/appeals.</li></ul><ul><li>Regularly audits work of G&amp;A Specialists and reports results.</li></ul><ul><li>Coordinates investigation and resolution of complex appeal and grievance issues.</li></ul><ul><li>Provides approval decisions involving grievance and appeal determinations.</li></ul><ul><li>Coordinates maintenance and updates of desktop procedures and manuals for Unit.</li></ul><ul><li>Assists in the establishment of grievance operating procedures.</li></ul><ul><li>Prepares reports as required and performs trend analyses.</li></ul><ul><li>Participates in Health Plan audits as needed.</li></ul><ul> <li>Performs other related duties as required.</li> <li>Performs other duties as assigned</li> </ul><ul><li>Complies with all policies and standards</li></ul>Education/Experience: High School Diploma. Bachelor’s Degree preferred. 5+ years of experience in Managed Care. 2+ supervisory experience preferred.Pay Range: $26.50 - $47.59 per hourCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Supervisor, Appeals Grievance (State)

<h3> Position Summary </h3> Are you interested in working in a dynamic environment that offers opportunities for professional growth and new responsibilities? Are you interested in helping clients drive alignment with their business, improve organizational and human resource performance and establish a culture focused on adding business value? That is what the new generation of human resource transformation is all about. If you are seeking a role that offers you the opportunity to advise Government and Public Services (GPS) clients through critical and complex issues, while allowing you to develop personally and professionally, consider a career in Deloitte’s Human Capital practice. Recruiting for this role ends on March 31st, 2025. Work you’ll do As a Workday Functional Core HR Module Lead on our Human Capital team, you will: <ul> <li>Work on tactical configuration in the Workday cloud-based technology package, specifically Workday HCM Core HR</li> <li>Understand and learn core processes of the business side of an organization, and also understand technology capabilities of underlying systems and look for ways to optimize business processes and functions</li> <li>Bring effective application knowledge, project management, and delivery approaches to implementation and operations projects</li> <li>Configure functionality to guide client conversations</li> <li>Develop and present PowerPoint presentations and utilize Microsoft Excel at a high proficiency</li> </ul> The team Deloitte’s Government and Public Services (GPS) practice – our people, ideas, technology and outcomes—is designed for impact. Serving federal, state, &amp; local government clients as well as public higher education institutions, our team of over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise. The HR Transformation offering (HRT) transforms the way HR enables the business and the workforce. In this world of disruption, we believe that HR has an opportunity to take the lead and own enterprise-wide issues for the organization. From the creation of HR strategy using our leading Oracle-enabled HR Transformation labs, the application of design thinking that allows HR to challenge how work gets done today, to navigating the ever-evolving HR technology landscape to determine the right digital solutions to enable transformation, our HR Transformation practice is focused on helping HR take the lead. Qualifications Required: <ul> <li>5+ years of consulting or industry experience delivering HCM solutions</li> <li>3+ years of experience configuring and implementing Workday HCM</li> <li>Experience as a functional lead on at least 1 full life-cycle implementation of the Core HR module for Workday HCM</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> <li>Ability to travel up to 25-50%, on average, based on the work you do and the clients and industries/sectors you serve</li> <li>Workday HCM Certified</li> <li>Bachelors degree</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 current range is $120,000 to $198,000. 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> 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 inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our clients, our people, and in our communities. We are creating trust and confidence in a more equitable society. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. We are focusing our collective efforts to advance sustainability, equity, and trust that come to life through our core commitments. <a href="https://www2.deloitte.com/us/en/pages/about-deloitte/articles/purpose-at-deloitte-us.html" target="_blank">Learn more about Deloitte's purpose, commitments, and impact.</a> Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

Deloitte

Workday HCM Functional Implementation Lead - Core HR Module

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. *Remote position. Must reside in Florida. Tampa Bay area strongly preferred.*Two (2) years of leadership, hospital claims, and provider post service appeals experience strongly preferred.Position Purpose: Supervise the day to day operations of the Appeals and Grievance (A&amp;G) staff and functions within the department ensuring productivity and quality metrics are met. Support the team on escalated or complex issues and monitor and distribute case load.<ul><li>Ensure that the Appeals &amp; Grievance department processes all appeals, grievances and complaints in accordance with standards and the corporation’s policies and procedures</li></ul><ul><li>Serve as a resource to the team regarding escalated or complex issues, process and systems issues, and regulatory updates</li></ul><ul><li>Monitor and distribute team’s case load and ensure adequate coverage</li></ul><ul><li>Monitor and evaluate performance standards and provide daily feedback and guidance of problem resolution</li></ul><ul><li>Identify and develop opportunities for process improvements and work with various departments to ensure problems are corrected to prevent recurrences</li></ul><ul> <li>Train and onboard new team members</li> <li>Performs other duties as assigned</li> </ul><ul><li>Complies with all policies and standards</li></ul>Education/Experience: Bachelor’s degree in a related field or equivalent experience. 2+ years of appeals and grievances processing experience in a healthcare or managed care setting preferred. Experience in healthcare law preferred.Pay Range: $55,100.00 - $99,000.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Supervisor, Grievance & Appeals

Job Description The impact you’ll make: The Tier 2 HR Employee Support Representative is responsible for analyzing and answering escalated and complex HR related queries. Ensuring effective execution of HR transactions to support both employees and HR professionals experience within agreed service level. The overall team receive activity through case management, phone calls and chat service. Tier 2 will carry out complex HR processes such as payroll, reporting, escalated queries from Tier 1 (first line employee support) and liaison to resolution of queries with Tier 3 e.g. local HRBPs, HRIS, COEs. Essential duties and responsibilities, shown below, will vary accordingly based on assignment. What you’ll do: <ul> <li>Responds and resolves escalated cases in more complex HR scenarios on multiple channels such as e-mail, phone, case management system. Uses systems to document and escalate as needed following appropriate process.</li> <li>Diagnose problems and leads correction through communication across The Americas.</li> <li>Acts as liaison and escalation point with contacts including local HR, COEs and other key stakeholders.</li> <li>Ensure efficient and accurate resolution of cases within a Shared Service team.</li> <li>Educates employees of HR Services available to them and encourages self-service tools such as the HR Portal and other systems as needed.</li> <li>Researches and resolves all problems in a timely manner. Must be able to work on more than one issue simultaneously and prioritize urgency of requests.</li> <li>Ensures that resolution of escalated requests meet the policy for each process.</li> <li>Utilizes multiple online systems to answer questions, complete requests, and ultimately resolve employee and HR needs.</li> <li>Actively contributes to delivering, maintaining and improving HR services, procedures and processes to increase employee satisfaction, driving performance and achieving results.</li> <li>Responsible for maintaining all compliance requirements of dedicated HR shared service processes.</li> <li>Understands and utilizes HR systems including Workday and the Employee Portal, including Self Service, Knowledge base and Case Management.</li> <li>Performs according to service level agreements.</li> </ul> What we’re looking for: Required Experience and Skills: <ul> <li>Minimum high school degree</li> <li>English fluency required</li> <li>At least two years’ experience in customer service and/ or human resources</li> </ul> <ul> <li>Excellent oral and written communication skills to answer employees’ and other stakeholders queries effectively</li> <li>Excellent problem-solving skills and strong customer service skills</li> <li>Strong organizational skills for tracking and documenting</li> <li>Attention to detail</li> <li>Ability to work both independently and in teams</li> <li>Proficient in Microsoft Office applications</li> </ul> Preferred: <ul> <li>Workday or other HRIS experience</li> <li>Previous experience using an incident/case management system</li> <li>HR Certification</li> <li>Experience in an HR Service Center / Contact Center Operation</li> </ul> Perks you’ll get: <ul> <li>Access to Medical, Dental, Vision, Life and Disability insurance</li> <li>Eligible to elect other voluntary benefits including: Group Auto Insurance, Group Home Insurance, Pet Insurance, Legal Assistance, Identity Theft Protection, FSA, Accident Insurance, Critical Illness Insurance, and additional life insurance coverages</li> <li>401(k) Retirement Plan with company matched contributions.</li> <li>Full training to learn the business and enhance professional skills</li> </ul> <ul> <li>Employee discounts, including discounted prices on the purchase of Avis/Budget cars</li> <li>Access to an Employee Assistance Program for services including counseling, financial and legal consultation, referrals for care service and more</li> <li>Community involvement opportunities</li> </ul> Who are we? Glad you asked! Avis Budget Group is a leading provider of mobility options, with brands including Avis, Budget &amp; Budget Truck, and Zipcar. With more than 70 years of experience and 11,000 locations in 180 countries, we are shaping the future of our industry and want you to join us in our mission. Apply today to get connected to an exciting career, a supportive family of employees and a world of opportunities. The fine print: Avis Budget Group is an equal opportunity employer - M/F/Veterans/Disabled. This advertisement does not constitute a promise or guarantee of employment. This advertisement describes the general nature and level of this position only. Essential functions and responsibilities may change as business needs require. This position may be with any affiliate of Avis Budget Group. TulsaOklahomaUnited States of America

Avis Budget Group

HR Services Specialist II

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must reside in the state of South Carolina. Position Purpose: Supervise and monitor the performance of Quality Improvement Associates who support all Retention activities to ensure that members receive accurate information and that the standard operating procedures and quality assurance standards are met. Manage the production of the Quality Improvement Associates ensuring effective skill assessment of new and existing staff and to facilitate training to address the gaps identified. Research and use best practices to achieve effective project implementation and outcomes. Investigate exploitation of infrastructure tools to optimize productivity and performance. Collect, analyze, and summarize data to prepare reports and make recommendations.<ul> <li>Supervise a team of Quality Improvement Associates to meet monthly audit performance metrics.</li> <li>Investigate exploitation of infrastructure tools to optimize productivity and performance.</li> <li>Follow organization standards to maintain quality service. Identify obstacles in the call handling process and effectively prevent, resolve and overcome those obstacles.</li> <li>Collect, analyze, and summarize data to prepare reports and make recommendations. Research and use best practices to achieve effective project implementation and outcomes.</li> <li>Identify the training needing to improve performance and provide assistance to Retention Management to ensure consistent levels of service.</li> <li>Strong knowledge of Managed Care and Health Insurance concepts and regulation.</li> <li>Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet.</li> <li>Knowledge of various quality programs, including measures associated with QARR and HEDIS.</li> <li>Ability to lead or coordinate projects within own department.</li> <li>Managing diverse staff; execute corporate function effectively; ability to communicate professionally and with cultural sensitivity.</li> <li>Business Analysis Knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills.</li> <li>Customer Service: Skilled to communicate with all levels of Management, internal and external customers.</li> <li>Ability to work well as a member of a team or alone.</li> <li>Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.</li> </ul>Education/Experience: AA/AS - Associates Degree or equivalent required. One to two years managed care experience required; knowledge of the industry and terminology. One to three years Supervisory experience preferred. One to two years related experience required.Pay Range: $68,700.00 - $123,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Supervisor,  Quality Improvement

At Mitratech, we are a team of technocrats focused on building world-class products that simplify operations in the Legal, Risk, Compliance, and HR functions of Fortune 100 companies. We are a close-knit, globally dispersed team that thrives in an ecosystem that supports individual excellence and takes pride in its diverse and inclusive work culture centered around great people practices, learning opportunities, and having fun! Our culture is the ideal blend of entrepreneurial spirit and enterprise investment, enabling the chance to move at a rapid pace with some of the most complex, leading-edge technologies available. Given our continued growth, we always have room for more intellect, energy, and enthusiasm - join our global team and see why it's so special to be a part of Mitratech! As an Account Executive, you will contribute to the growth and success of Mitratech by identifying, qualifying and closing net new opportunities within your assigned territory, focused on our Talent Solutions platform. Essential Duties &amp; Responsibilities: · Managing full-cycle sales process, from prospecting, qualifying, and developing pipeline to closing net new sales opportunities within a defined territory · Maintaining daily KPI activity and attending weekly 1:1’s with leadership · Consistently meet or exceed quota · Utilizing sales enablement tools including Salesforce.com, Salesloft, LinkedIn Navigator, and ZoomInfo · Develop new logo account penetration strategies and close business · Ensuring seamless transition from sale closing to implementation for customer onboarding · Learning industry trends, product capabilities and competitive information · Proactively developing sales skills and learning new tactics to improve results · Actively participating in meetings to understand how team members have implemented best practices and successful sales strategies · Traveling for relevant conferences, tradeshows, or team meetings and other events as required · Other duties as assigned Requirements &amp; Skills: · Degree, sales certification or equivalent combination of education and related experience · 1-3 years sales experience with proven track record of consistent quota attainment, preferably in SaaS or HCM industry · Highly organized with strong time management skills · Strong communication skills both verbal and written · Ability to influence and negotiate at the C-Level · Ability to work in fast paced, high transaction volume environment · Ability to prioritize and handle multiple responsibilities simultaneously · Knowledge of SalesForce.com and other enablement tools Mitratech is proud to be an EEOE, M/F/D/V, and we are committed to diversity both in practice and spirit at the corporate level. Mitratech participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: <a href="http://everify.com/" target="_blank">everify.com</a> We are an equal-opportunity employer that values diversity at all levels. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, or veteran status.

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