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Tulsa City County Library

Customer Service Assistant

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 SummaryAs a Manager, Network Disruption you will be responsible for managing inbound network disruption requests from the CVS Health Sales and Proposals teams in response to Requests for Proposals (RFP) which are used to win new clients and retain existing clients. You will distribute and track requests, review reporting for accuracy, assist in the creation of new tools and processes used to run network disruption reports, and communicate with internal partners in Sales, Account Management, Network Development, and Retail Analysis. You will also work with large claims datasets, analyze differences between current and proposed networks, manage multiple requests/priorities, and produce/develop custom reports for multiple lines of business and specific clients regarding retail pharmacy network accessibility using SQL, SAS, Tableau, Microsoft Access, Microsoft Excel, and other related applications. Key Responsibilities:<ul> <li> Request Management: Manage, distribute, and track network disruption requests from Sales and Proposals teams ensuring timely and accurate responses.</li> <li> Cross-Team Collaboration: Act as a liaison between the Network Disruption team and other internal departments, including Sales, Account Management, Network Development, and Retail Analysis, to ensure seamless communication and collaboration.</li> <li> Data Management: Build queries, perform data imports and extracts, analyze data, compare networks, and create reports to support network disruption requests from internal customers.</li> <li> Innovation: Assist in the development of new tools and processes for network disruption reporting.</li> <li> Custom Reporting: Produce and develop custom reports for various lines of business and specific clients regarding retail pharmacy network accessibility.</li> </ul> Required Qualifications<ul> <li>5+ years of experience in data analysis, network analysis, or a similar role.</li> <li>5+ years experience utilizing SQL, Big Query, Tableau, Microsoft Access, Microsoft Excel, or other related applications.</li> </ul> Preferred Qualifications<ul> <li>Experience in the PBM, healthcare or pharmacy industry.</li> <li>Familiarity with Requests for Proposals (RFP) processes.</li> <li>Advanced proficiency in data analysis and reporting tools.</li> <li>Excellent communication and interpersonal skills.</li> <li>Proven ability to manage multiple priorities and meet deadlines.</li> <li>Experience in network development or retail analysis is a plus.</li> <li>Strong analytical skills with experience in handling large datasets.</li> </ul> Education<ul> <li>Bachelors degree or relevant work experience required.</li> <li>Bachelor's degree in Computer Science, Information Technology, Data Analytics, or related field preferred.</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,300.00 - $145,860.00This 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: 04/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Manager, Network Disruption

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 SummaryHealth is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we’re helping people on their path to better health— from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we’re present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day. Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integrity in everything they do in our pharmacies every day. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician, we have a place for you on our team to use your skills and talents to serve and care for our patients and customers. The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will work in an environment where the highest professional and ethical standards are maintained as well as full compliance with all Federal, State and Local laws and regulations. Pharmacy Technicians take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and maintain patient confidentiality at all times. Success for incumbents in this role includes being able to manage all assigned pharmacy workstations and tasks to support the team’s ability to promptly, safely and accurately fill patient prescriptions all while providing caring service that exceeds customer expectations. If you like working in fast-paced environments and demonstrating compassionate, genuine care for patients and customers, this job is for you! As a new Pharmacy Technician, you are required to complete an extensive CVS Pharmacy Technician Training Program as well as satisfy all registration, licensing and certification requirements according to your State’s Board of Pharmacy guidelines. Your Pharmacy Technician duties will be restricted by your manager at first until you complete all necessary requirements. Once you satisfy all requirements and expand your Pharmacy Technician duties, you have the opportunity to continue to build your clinical, technical and insurance knowledge and expertise by leveraging available tools and training to build your pharmacy career. Are you ready to help people on their path to better health? We are ready to have you join our team and help you on your career path to achieve your goals! Please note in select markets the collective bargaining agreement rules regarding the Pharmacy Technician would apply. DISCLAIMER: The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Based on the role and location, this position may require you to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless you are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated. Proof of vaccination will be required on your first day of employment or within the first few months in the position, depending on the role and location. If you are considered for a role, more information will be provided during the hiring process. Required Qualifications<ul> <li>Must be at least 16 years of age</li> <li>Licensure requirements vary by state </li> <li>Attention and Focus o The ability to concentrate on a task over a period of time without being distracted </li> <li>Customer Service Orientation o Actively look for ways to help people, and do so in a friendly manner o Notice and understand customers’ reactions, and respond appropriately </li> <li>Communication Skills o Use and understand verbal and written communication to interact with customers and colleagues o Actively listening by giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times </li> <li>Mathematical Reasoning o The ability to use math to solve a problem, such as calculating day’s supply of a prescription </li> <li>Problem Resolution o Is able to judge when something is wrong or is likely to go wrong; recognizing there is a problem o Choosing the best course of action when faced with a complex situation with several available options PHYSICAL DEMANDS:</li> <li>Remaining upright on the feet, particularly for sustained periods of time</li> <li>Moving about on foot to accomplish tasks, particularly for moving from one work area to another</li> <li>Picking, pinching, typing or otherwise working primarily with fingers rather than whole hand or arm</li> <li>Extending hand(s) and arm(s) in any direction</li> <li>Bending body downward and forward by bending spine at the waist</li> <li>Stooping to a considerable degree and requiring full use of the lower extremities and back muscles</li> <li>Expressing or exchanging ideas by means of spoken word; those activities where detailed or important spoken instructions must be conveyed accurately</li> <li>Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication </li> <li>Visual Acuity: o The worker is required to have close visual acuity to perform activities such as: transcribing, viewing a computer terminal, reading, visual inspection involving small parts </li> <li>Occasional lifting of up to 30 lbs; exerting up to 30 lbs of force occasionally and/or up to 10 lbs of force frequently, and/or a negligible amount of force constantly to move objects</li> </ul> Preferred Qualifications<ul> <li>Previous experience in a pharmacy, retail, medical, or customer service setting</li> <li>Previous experience as a Pharmacy Technician</li> <li>PTCB National Certification</li> </ul> EducationHigh School diploma or equivalent preferred but not required.Anticipated Weekly Hours32Time TypeFull timePay RangeThe typical pay range for this role is:$16.00 - $24.00This 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/13/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Pharmacy Technician

About Tala Tala is on a mission to unleash the economic power of the Global Majority – the 4 billion people overlooked by existing financial systems. With nearly half a billion dollars raised from equity and debt, we are serving millions of customers across three continents. Tala has been named by the Fortune Impact 20 list, CNBC’s Disruptor 50 five years in a row, CNBC’s World's Top Fintech Company, Forbes’ Fintech 50 list for eight years running, and Chief's The New Era of Leadership Award. We are expanding across product offerings, countries and crypto and are looking for people who have an entrepreneurial spirit and are passionate about our <a href="http://mission.By" target="_blank">m</a>ission. By creating a unique platform that enables lending and other financial services around the globe, people in emerging markets are able to start and expand small businesses, manage day-to-day needs, and pursue their financial goals with confidence. Currently, over nine million people across Kenya, the Philippines, Mexico, and India have used Tala products. Due to our global team, we have a remote-first approach, and also have offices in Santa Monica, CA (HQ); Nairobi, Kenya; Mexico City, Mexico; Manila, the Philippines; and Bangalore, India. Most Talazens join us because they connect with our mission. If you are energized by the impact you can make at Tala, we’d love to hear from you! The Role We're seeking a highly motivated and analytical Senior Finance Manager to join our Strategic finance team and become a critical business partner to our product team. In this role, you'll play a pivotal part in driving product strategy and profitability by providing insightful financial analysis, forecasting, and strategic recommendations. An ideal candidate operates with significant autonomy and independence, showing high judgment in decisions that have financial, business, operational, or customer implications. This candidate will have advanced financial modeling skills and the ability and the ability to influence the decisions of business partners through effective verbal and written communication.<h3>What You'll Do </h3> <ul> <li> Strategic Business Partnering: Serve as the primary finance partner to the product team, providing financial guidance and support for strategic decision-making.</li> <li> Business Case Development: Partner with product team to create robust business cases for new product initiatives, features, and investments, evaluating potential ROI and financial impact.</li> <li> Financial Modeling &amp; Forecasting: Develop and maintain sophisticated financial models to forecast product revenue, costs, and profitability, ensuring accuracy and alignment with business objectives.</li> <li> Performance &amp; ROI Analysis: Evaluate ROI and analyze product performance against targets, identify key trends, and provide actionable insights to drive product optimization and growth.</li> <li> Reporting &amp; Communication: Prepare and present clear and concise financial reports and insights to senior management, facilitating effective communication and decision-making.</li> <li>Create bridges between teams and ensure shared understanding. Provide ongoing updates to the Finance (Local and Global teams) and leadership team</li> <li>Work closely with accounting to ensure accurate product-related financial reporting.</li> </ul><h3>What You'll Need </h3> <ul> <li>5+ years of experience in business finance, forecast &amp; budgeting, or other finance-focused competency experience</li> <li>Demonstrated experience partnering closely with product managers to build products at scale.</li> <li>Experience in managing multiple competing priorities effectively</li> <li>Strategic thinking with demonstrated business judgement and quantitative skills</li> <li>Expertise in financial modeling, forecasting, and business case development</li> <li>Strong understanding of financial statements</li> <li>Excellent analytical and problem-solving skills, with the ability to translate complex financial data into actionable insights.</li> <li>Exceptional communication and presentation skills, with the ability to influence stakeholders at all levels.</li> </ul>Our vision is to build a new financial ecosystem where everyone can participate on equal footing and access the tools they need to be financially healthy. We strongly believe that inclusion fosters innovation and we’re proud to have a diverse global team that represents a multitude of backgrounds, cultures, and experience. We hire talented people regardless of race, religion, color, national origin, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status.

Tala

Senior Strategic Finance Manager

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: Assist with the analysis and correction of data migrated from one provider application to another. Review ongoing provider set up to ensure compliance with standards.<ul> <li>Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily, weekly and monthly reports</li> <li>Analyze reports to determine if data is accurate or requires modification</li> <li>Manipulate existing data, edit current information and validate new entries in database for accuracy</li> <li>Maintain and update the organization's provider data applications and coordinate the data verification process for enrolled providers</li> <li>Update the organization's Provider Data applications</li> <li>Resolve complex provider data issues</li> <li>Assist with Provider projects to meet Service Level Agreement targets</li> <li>Ability to work weekends and overtime as required</li> </ul>Health Insurance (Nice to have)Microsoft Excel (data manipulation)Excellent writing skillsMust reside in FL100% RemoteEducation/Experience: High school diploma or equivalent. 2+ years of data analysis experience, preferably in the healthcare or insurance industry with provider information systems. Auditing, Amisys and/or Portico preferred.Pay Range: $22.79 - $38.84 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

Oklahoma Complete Health

Provider Data Analyst

CompanyCox Automotive - USAJob Family GroupCustomer Care GroupJob ProfileTechnical Customer Care Specialist IManagement LevelIndividual Contributor Flexible Work Option Can work remotely anywhere in the specified countryTravel %NoWork ShiftVariableCompensationHourly base pay rate is $16.15 - $24.23/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate’s knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program.Job DescriptionThis is a fully remote position-must be able to work any shift during business hours, currently Monday - Saturday 5am-6pm Mountain time (hours subject to change to meet business needs).The Technical Customer Care Specialist will work directly with clients via Phone, E-mail, Chat and / or other electronic methods of communication to resolve their application and product issues. In addition, the Technical Customer Care Specialist will also be responsible for routine customer questions relating to product usage within DealerTrack DMS, as well as technical support issues relating to the Cox Automotive suite of products. This role is responsible for leveraging technical knowledge to deliver excellent care to clients while adhering to quality assurance standards.Specific Responsibilities <ul><li>Handle routine customer questions relating to product usage </li></ul><ul><li>Provide technical support on issues through to resolution. </li></ul><ul><li>Maintains expert-level knowledge of [Business Unit] processes and procedures </li></ul><ul><li>Accurately log all customer information in the CRM tool </li></ul><ul><li>Facilitate communication to other departments as needed to resolve client concerns </li></ul><ul><li>Communicate with key stakeholders to identify and resolve inquiries. </li></ul><ul><li>Provide proper follow- up to ensure customer is kept apprised of the issue status </li></ul>Qualifications: ​Minimum-<ul> <li>High School Diploma/GED</li> <li>Generally, less than 2 years’ experience in a related field</li> <li>Working knowledge of Microsoft Outlook, Word and Excel</li> <li>Ability to troubleshoot and document issues related to system performance and functionality. </li> <li>Excellent communication skills (Verbal and Written) </li> <li>Strong problem-solving/troubleshooting skills </li> <li>Strong interpersonal skills and attention to detail </li> <li>Ability to accommodate extended hours, flexible work schedule, and work overtime as needed, including weekend hours </li> <li>Ability to work independently as a team to deliver on individual and business goals </li> </ul>Preferred- <ul> <li>College Degree</li> <li>Technical background</li> <li>Displays strong dependability and reliability. </li> <li>Ability to handle multiple, competing priorities and deliver results in a fast-paced environment. </li> <li>CRM case logging/Salesforce experience </li> <li>Experience with interaction distribution systems such as Genesys Pure Cloud. </li> <li>Automotive industry knowledge. </li> </ul>Drug TestingTo be employed in this role, you’ll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited.BenefitsEmployees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells – or simply uses – cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer – All qualified applicants/employees will receive consideration for employment without regard to that individual’s age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. <h3> </h3>Application Deadline: 03/18/2025

Cox Communications

Technical Customer Care Specialist I (Dealertrack)

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Go to Hillcrest HealthCare System Careers</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/UticaPark" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

Utica Park Clinic

Medical Assistant / MA Gastroenterology

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Ardent Health Careers</a> <a href="https://hillcrest.com/rncareers" target="_blank">Nurse Residency Program</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/hillcrestmedicalcenter" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

Hillcrest Healthcare System

Medical Assistant / MA OBGYN

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.<h2>Position Summary</h2>This position is 100% remote Working hours will be Tuesday-Friday 9:30AM – 6:00PM EST, Saturday 8:00AM - 4:30PM EST. Holidays will be on rotation. No travel is required. Applicants from any state can apply. Job DescriptionUtilizes clinical and critical thinking skills to complete notice of action (NOA) letters members and providers for approved or denied services. Requires LPN/LVN with unrestricted active license. Promotes/supports quality effectiveness of Healthcare Services and benefit utilization Utilizes clinical and critical thinking skills to write and audit notice of action letters to members and providers for approved or denied services. Collects information to support the process of rendering appropriate, member friendly, notice of action letters. Utilizes clinical experience, criteria/guidelines, policies, and procedures in support of ensuring that letters are timely and accurate. We work closely with the utilization management team.Required Qualifications- 1 year of clinical experience required- LPN/LVN with current unrestricted licensure requiredPreferred Qualifications- 2 years managed care experience.- 2 years prior authorization experience.- Prior experience using Quadient and/or MedCompass.- Effective communication and organization skills.- Outpatient Clinical experience- Knowledge of Medicare/Medicaid- Computer literacy to navigate through Internal/external computer systems, including Excel and Microsoft Word. EducationLicensed Practical/ Vocational Nurse diploma/ Associate DegreeAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$21.10 - $43.78This 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: 03/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

LPN - Notice Of Action Letter Auditor

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 Medicare Product Implementation department is accountable for ensuring Medicare’s mandatory core Part C benefits and supplemental benefits are administered correctly. On occasion, CMS (Centers for Medicare Medicaid Services) requires regulatory changes during the plan year. The Medicare Benefits Standards &amp; Guidance Lead Director ensures accountability for the implementation, management, and maintenance of the Medicare Part C benefits when regulatory changes are required across Medicare including Individual general enrollment, Special Needs Plans (SNP) and Employer Groups. The Medicare Benefits Standards &amp; Guidance Lead Director acts as the point of contact to our corporate partners, such as Benefit &amp; Product Strategy, Benefits &amp; Product claims configuration, Medicare Service Operations (MSO), Medical Policy &amp; Program Solutions (MPPS), Provider Network, and Compliance. This role is primarily responsible for the project management support for implementing mid-year regulatory changes to Medicare benefits and claims system SNOW tickets that are misaligned to strategic intent. As the Medicare Benefits Standards &amp; Guidance Lead Director, you will be responsible for creating requirement documentation through partnering with Medicare Benefit &amp; Product Strategy that will clearly describe the benefit intent for claims setup and administration. The requirement documentation will be the primary source of truth for claims setup and policy administration. This role is also responsible for assembling testing scenarios, in collaboration with Product Quality Assurance for QA execution and alignment of CMS (Center for Medicare Medicaid Services) regulatory changes. · Provide strategic direction for Medicare benefit claims processing outcome for Medicare regulation changes and SNOW ticket resolution tying back to strategic intent.· Point of contact to Compliance and MSO for Medicare regulation changes to benefits and impacts on Medicare product standards. · Provide strategic insights and recommendations of Medicare regulation changes in collaboration with the Medicare Benefit and Product Strategy department to ensure compliance.· Develops and advances a comprehensive implementation strategy aligned with the organization's goals and objectives to successfully enhance the organization's competitive advantage and brand recognition.· Approves metrics and key performance indicators (KPIs) used to evaluate the product implementation's success and impact while preparing regular reports for management.· Provide project management to ensure required Medicare regulation changes are implemented, tested and approved by Medicare Benefits and Product Strategy department. · Provide project management to ensure required changes due to SNOW ticket resolution is implemented, tested and approved by Medicare Benefits and Product Strategy department.· Ensure the completion of clear and concise benefit intent and member journey as designed by Product Ideation and Strategy are handed over for implementation. · Collaborate with cross-functional teams to define and document clear and detailed claim requirements, ensuring accurate adjudication and payment processes.· Facilitate and document deep-dive discussions with strategy and operational partners to close gaps in benefit design necessary for benefit setup.· Obtain operational partner attestation that benefit design and intent are understood ensuring accurate setup.· Participate in the review of CMS regulatory changes Business Requirements Documentation (BRD) developed by claims configuration partner to ensure the configuration aligns to benefit intent. · Responsible for approving assigned BRD intent so that configuration can commence. · In coordination with Product Implementation leadership, develop a post-production process for continued monitoring of benefit intent alignment by reviewing production reporting and involving escalation protocols to solve claims payment issues and ensuring the correction is completed.· Participate in building test scenarios and QA sign-off of benefit and policy setup for CMS regulatory changes and SNOW ticket solution.· Utilize existing benefit source of truth repository and processes to intake and prioritize work and organize requirement documents.Track and communicate progress. Required Qualifications· 10 years Medicare Advantage experience in any area such as: product, claims, compliance, or operations.· Familiarity of Special Needs Plans (SNP) benefits and cost sharing setup.· Familiarity of the company’s core functions i.e., claim processing, provider billing, benefit configuration, ID Cards, provider set up, etc.· Decision-making, including analysis, creativity, collaboration, and leadership skills.· 6+ years related cross-functional, project management experience.· Must demonstrate strong project management skills: multi-tasking priorities and facilitating/executing multiple projects.· Highly organized and detailed oriented with proof-reading and quality control skills. · Excellent analytical skills.· Proven record of accomplishment of delivery results.· Strong written and verbal communication skills.· Strong interpersonal skills and the ability to work independently and lead in a team environment. Proven ability to collaborate across boundaries. Preferred Qualifications<ul> <li>10 years’ hands-on experience in Medicare benefit development, benefit verification, benefit implementation, claims configuration, claims processing or benefit/clinical policy.</li> <li>Lead multiple team leaders on complex initiatives</li> <li>Intermediate knowledge of the company’s core functions i.e., claim processing, provider billing, benefit configuration, ID Cards, provider set up, etc.</li> <li>PMP (Project Management Professional) or Six Sigma Certification i.e., Lean or Green Belt.</li> </ul> Education· Bachelor's degree or equivalent experiencePay RangeThe typical pay range for this role is:$100,000.00 - $231,540.00 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: 03/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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