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Manager, Solutions Architect (Customer Engineering)(Remote)Capital One has taken a bold journey to build a technology company while operating in a complex, highly regulated business. We have built out a large engineering organization, moved to the cloud, re-architected our applications and data platforms, and embraced machine learning at scale.Our AI/ML capabilities are now at the forefront of what’s possible in banking. (e.g., Eno). As we uncovered new challenges along the way, we built and battle tested new capabilities to meet those needs. We’ve open sourced several of the software tools we built (e.g., Cloud Custodian, Hygieia) and forged new partnerships with other digital leaders (e.g., MSFT). Through this journey, we've developed a suite of internal solutions uniquely designed to meet the challenges of a digital-first, cloud-first business at scale. The Capital One Software team is exploring how these internal solutions across cloud, data, governance, and applications could serve the needs of other companies born or built in the cloud or migrating to the cloud..The Capital One Software team is looking for experienced and collaborative individual contributors who are technically skilled and can work directly with the customers to engineer, deliver and successfully implement solutions and products within their data ecosystem. In this role, you will need to be technically capable and credible in your own right as well as effective in shaping the customer and solutions-focused skills of your team. We are looking for individual contributors who are passionate about learning and introducing new technology in order to help colleagues and customers embrace and adopt new technology. We need innovators who can look beyond the technology and consider the value our technology creates for our customers, who can help customers embrace the offered technology and solutions, who are obsessed with customer success and can help change how our technology is viewed to enable outcomes.The ideal candidate will have past experience working as a Distinguished Engineers, Solutions Architect, Technology Architect, and a proven track record of hands-on solution implementation in the customer environment and managing and growing customer relationships. You will have an ability to grow your leadership skills as well as diving deep into various hands-on solutions while developing new skills, so you can make strong contributions in architecture transformation discussions.Responsibilities:<ul> <li>Prepare and deliver technical engagements with enterprise customers including envisioning business and technical solutions, delivering architectural design and rapid prototypes.</li> <li>Drive architecture/design reviews focused on business and technical requirements.</li> <li>Analyze, define and document requirements for data, workflow, logical processes, hardware, operating system environment and enterprise system integrations.</li> <li>Plan, manage and deliver customer projects.</li> <li>Support architecture governance by providing subject matter expertise.</li> <li>Work with business and product partners, architects, and other groups to identify technical and functional needs of systems, and determine priority of needs.</li> <li>Travel to customer locations as needed to implement products and solutions, develop and nurture customer relationships, and manage key stakeholder communication.</li> <li>Enforce company policies in areas of development methodology, architecture, security, change and configuration management, compliance, and HR.</li> </ul>Basic Qualifications:<ul> <li>Bachelor's Degree</li> <li>At least 4 years of experience in Software Engineering and Systems Architecture or Technology Solution design</li> <li>At least 2 years of experience creating solutions architectures in a public cloud (AWS, Microsoft Azure, Google Cloud)</li> </ul>Preferred Qualifications:<ul> <li>Master’s Degree in Computer Science, Engineering or Information Technology</li> <li>5+ years of experience in software engineering</li> <li>3+ years of experience as a Solutions Architect in large/complex organizations</li> <li>6+ years of experience architecting, designing, and/or delivering delivering scalable and decoupled systems in a heavily regulated technology environment</li> <li>3+ years of experience in building and managing infrastructure, databases, networking and CI/CD Tooling (K8s, Artifactory, Harness, Docker, ECS, etc.)</li> <li>2+ years of experience working with internal and external business clients</li> <li>2+ years of experience with AWS concepts and implementations</li> <li>Experience to engaging, influencing and driving initiatives by partnering with technology executives</li> <li>1+ years of experience working on data management platforms in areas such as Data Discovery, Data Classification, Data Lineage and Data Catalog.</li> <li>1+ years of experience with Cryptography and Quantum Computing.</li> <li>Experience mentoring software engineers or architects</li> <li>Experience in a regulated environment (HIPAA, PCI, Privacy, etc)</li> <li>Ability to communicate at all levels in the organizations with required technical depth and breadth</li> <li>AWS or equivalent certifications (Cloud Practitioner, Solution Architect-Associate, GCP or Azure)</li> </ul>At this time, Capital One will not sponsor a new applicant for employment authorization, or offer any immigration related support for this position (i.e. H1B, F-1 OPT, F-1 STEM OPT, F-1 CPT, J-1, TN, or another type of work authorization).The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.Remote (Regardless of Location): $175,800 - $200,700 for Manager, Solution Architecture Richmond, VA: $175,800 - $200,700 for Manager, Solution Architecture Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate’s offer letter.This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan.Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at the <a href="https://www.capitalonecareers.com/benefits" target="_blank">Capital One Careers website</a>. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.This role is expected to accept applications for a minimum of 5 business days.No agencies please. Capital One is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, citizenship, immigration status, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City’s Fair Chance Act; Philadelphia’s Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-800-304-9102 or via email at <a href="#">RecruitingAccommodation@capitalone.com</a>. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.For technical support or questions about Capital One's recruiting process, please send an email to <a href="#">Careers@capitalone.com</a>Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).

Capital One

Manager, Solutions Architect (Customer Engineering)(Remote)

Overview We are seeking a skilled Business Development Trainer to provide in-field training to our account executives, enhancing their existing knowledge. This hands-on approach will drive growth and ensure our team excels in our competitive markets. If you have a strong background in healthcare business development and a passion for mentoring, we invite you to apply. Attractive pay <ul><li>$90,000 - $110,000 (annually based on experience) </li></ul> Location: <ul> <li>75+ % Travel</li> <li>This position will cover locations including TN, SC, NC, KY, MO, KS &amp; NE; candidates must reside in this region, preferably near a major airport</li> </ul> What's in it for you <ul> <li>A full benefits package with choice of affordable PPO or HSA medical plans.</li> <li>Paid time off.</li> <li>Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.</li> <li>Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.*</li> <li>Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.</li> <li>401(k) with a company match.</li> <li>Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.</li> <li>Fleet vehicle program (restrictions apply) and mileage reimbursement.</li> <li>And more.</li> </ul> Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. Responsibilities <ul> <li>Performs in-field orientation of business development team members, collaborating with the business development (BD) training team and leadership to deliver a seamless integration process for liaisons.</li> <li>Crafts and conducts customized field training programs, fostering best practices and continuous learning among BD liaisons.</li> <li>Generates real time coaching documentation, offering immediate guidance and actionable feedback.</li> <li>Works closely with the BD training team to synthesize field insights into innovative learning solutions.</li> <li>Provides BD leadership with coaching feedback to aid in the ongoing development of liaisons.</li> <li>Implements a dynamic learning model that emphasizes knowledge acquisition, retention and timely refreshers.</li> <li>Maintains a current knowledge of industry trends, regulatory updates and advancements in hospice care, adapting training content accordingly.</li> <li>Completes administrative tasks and expense reports in a timely manner.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications <ul> <li>Bachelor's degree in healthcare, education, business or related field; in lieu of degree requirement, three years of relevant experience may be substituted.</li> <li>Three years of experience in home health sales and business development.</li> <li>One year of experience in training and/or coaching.</li> </ul> Preferred <ul> <li>Bachelor's degree in healthcare, education, business or related field.</li> <li>Five years' experience in hospice sales and business development.</li> <li>Experience in analyzing and reporting data.</li> </ul> Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Amedisys

Business Development Field Trainer Mid-Atlantic

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 Senior Analyst, you will be responsible for using SQL, SAS, Tableau, MS Access, MS Excel, and related applications to determine disruption to existing and potential clients when network changes take place to retain and win business. This position involves making high-level decisions, managing multiple requests/priorities, developing new solutions to simplify the reporting process, and producing both standard and custom reports for multiple lines of business and specific clients regarding retail pharmacy network accessibility.Key Responsibilities:Data Management: Build queries, perform data imports and extracts, analyze data, compare networks, and create reports to support network disruption requests from internal customers (including Sales, Account Management, Membership Initiatives, Network Development, and Retail Analysis areas).Network Strategy Support: Support network strategies and initiatives through analytics reporting to project network disruption in various scenarios.Collaboration: Collaborate with team members on reporting initiatives and projects surrounding network disruption.Cross-Team Interaction: Attend meetings with Sales/Proposals and Network Disruption team leadership to clarify any custom requests from external consultants. Required Qualifications- 4 years previous work experience in Network Management or similar role.- Proficiency in SQL, SAS, Tableau, MS Access, MS Excel, and other relevant applications.- Strong analytical and problem-solving skills with the ability to interpret complex data sets.- Excellent verbal and written communication skills to effectively interact with internal teams and external clients.- Ability to manage multiple requests and priorities in a fast-paced environment. Preferred Qualifications- Working experience in the Pharmacy Benefits Management (PBM) or related healthcare industry. EducationBachelor's Degree in Computer Science, Information Technology, Data Analytics, or a related field or equivalent work experience. Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $91,800.00This 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: 03/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Analyst, Network Disruption

Backend Software Engineer (PHP-Laravel) What you can expect We are looking for a backend engineer to design and develop scalable, secure services using PHP and Laravel. You will build modular front-end and back-end systems, maintain real-time data feeds and APIs, and optimize code for performance. Responsibilities include implementing libraries to improve efficiency, enhancing software robustness, and collaborating with cross-functional teams. You’ll also participate in design discussions, code reviews, and detailed code analysis to ensure high-quality delivery. About the Team Workvivo is a digital experience platform dedicated to amplifying workplace culture and fostering employee inclusion, regardless of location. Committed to customer satisfaction, Workvivo focuses on enhancing employees' working lives across diverse industries globally. As part of Zoom, an intelligent collaboration platform, Workvivo aligns with Zoom's mission to prioritise people. Which allows the enablement of meaningful connections, modern collaboration, and driving innovation in businesses and individual interactions. The Workvivo product &amp; engineering team is a successful, dynamic engineering team developing high quality features. Responsibilities<ul> <li>Designing and Developing Robust Backend Services: Architect and create scalable, secure, and high-performance backend services using PHP and Laravel, ensuring optimal functionality and security.</li> <li>Building Modular and Efficient Systems: Design and implement efficient, modular, and reusable front-end and back-end systems to streamline development and enhance maintainability.</li> <li>Maintaining Real-Time Data Feeds and APIs: Provide ongoing support for real-time data feeds and APIs, ensuring timely and accurate data rendering to meet user requirements.</li> <li>Optimizing Code and Implement Libraries: Identify, implement, and manage code libraries to reduce repetitive code, improve application design, and enhance overall software performance.</li> <li>Enhancing Software Performance: Utilize advanced code optimization techniques to boost the robustness, efficiency, and performance of software solutions.</li> <li>Collaborating with Cross-Functional Teams: Work closely with Product Designers, Customer Success Managers, and other Software Engineers to deliver user-centric, compelling products.</li> <li>Engaging in Development Processes: participate in design discussions, conduct thorough code reviews, and perform detailed code analysis to ensure high-quality software delivery.</li> </ul>What we’re looking for<ul> <li>Possess skills in programming languages such as PHP and HTML with exposure working on Laravel Framework.</li> <li>Experience of at least 5 years in a software development role and working on hosted web application/SaaS.</li> <li>Understand OO programming fundamentals, unit testing, design patterns and web app design principles.</li> <li>Possess knowledge of database design, performance and SQL</li> <li>Possess understanding of versioning tools and contribute in feature planning and designing</li> <li>Experience working with RESTful APIs and third-party integrations.</li> <li>Have the ability to contribute to feature planning and system design discussions.</li> <li>Have experience in React &amp; React Native; AWS Lambda or Firebase; OAuth or JWT; performance optimization and Redis; Jest, PHPUnit, or Selenium would be advantageous.</li> </ul>Ways of Working Our structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting.Benefits As part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click <a href="https://careers.zoom.us/benefits" target="_blank">Learn</a><a href="http://careers.zoom.us/benefits" target="_blank"> </a>for more information.About Us Zoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars. We’re problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Here, you’ll work across teams to deliver impactful projects that are changing the way people communicate and enjoy opportunities to advance your career in a diverse, inclusive environment. Our Commitment​ We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines.We welcome people of different backgrounds, experiences, abilities and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.If you need assistance navigating the interview process due to a medical disability, please submit an <a href="https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&amp;d=1127274756253361" target="_blank">Accommodations Request Form</a> and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed.#LI-Remote

Zoom

Backend Software Engineer (PHP Laravel)

Overview Are you looking for a rewarding career? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay $100,000.00 - $115,000.00 Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. What's in it for you A full benefits package with choice of affordable PPO or HSA medical plans. Paid time off. Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.* Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. 401(k) with a company match. Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. And more. Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. **For full-time caregivers meeting certain requirements. Why Amedisys Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve. Don’t just take it from us “I have worked here just shy of a year and it’s the best job I’ve ever had! We have an awesome team and administration is very supportive. I never felt so appreciated.” – Amedisys caregiver Responsibilities The primary responsibility of this position is to lead the training and development of the Business Development Leadership staff. The key functions of this position are to oversee the BD leadership training program, develop, coordinate and facilitate centralized learning and training for Business Development Leaders, including both new hires and tenured representatives. <ul> <li>Plans, develops and oversees virtual and onsite training programs for both newly hired and tenured business development leaders as well as regional leadership teams across the organization.</li> <li>Designs and oversees continuous learning solutions to meet the identified learning needs of Business Development Leadership, prepares goals and outcome measures to evaluate program effectiveness.</li> <li>Assesses and improves the effectiveness of ongoing leadership training strategies/programs to ensure consistency and quality across the organization.</li> <li>Implements targeted learning solutions and provides support for training and specific skill practice.</li> <li>Conducts needs assessments to determine specific continuous learning needs for tenured Business Development Leaders.</li> <li>Evaluates effectiveness of learning programs and resources and make necessary adjustments to improve learning outcomes</li> <li>Collaborates with senior field leadership to ensure training programs are aligned with business goals and objectives.</li> <li>Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications Required: <ul> <li>Bachelor's degree in healthcare, education, business or a related field or equivalent experience.</li> <li>Five (5+) years' experience in Home Health and/or Hospice practice, or clinical education training.</li> <li>Ten (10) years' experience in training/coaching.</li> <li>Five (5+) years in content writing and development.</li> <li>Two (2) years' experience leading projects, programs or teams.</li> </ul> Preferred: <ul> <li>Master's degree in healthcare, education, or business or related field.</li> <li>Seven (7+) years' experience in the Home Health and/or Hospice field.</li> <li>Experience with programs such as Canva &amp; Vimeo</li> <li>MS Office Suite including Power Point, Teams &amp; Excel</li> <li>Experience in Business Development leadership </li> </ul> Travel: <ul><li>Approximately 25%</li></ul> Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Sales Leader Training & Development Director

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. <h1>***POSITION IS REMOTE***</h1>**THIS TEAM PROCESSES APPEALS ONLY****Appeals Experience HIGHLY Preferred**Position Purpose: Supervise nurses in a highly regulated department responsible for performing medical necessity case reviews for appropriateness of medical care and service. Supervise the day to day clinical operations and functions within the department, ensuring productivity and quality metrics are met.<ul> <li>Provide oversight and interpretation of state/federal regulations and NCQA standards impacting member appeals and grievances from a clinical perspective. Ensure that the clinical Appeals and Grievance department processes all cases in accordance with policies and procedures</li> <li>Utilize clinical expertise to serve as a resource to the team regarding escalated or complex clinical issues</li> <li>Monitor and distribute team’s caseload and ensure adequate coverage</li> <li>Monitor and evaluate performance standards and provide feedback and guidance or problem resolution.</li> <li>Identify and develop opportunities for process improvement and work with various leaders to ensure problems are corrected</li> <li>Train and onboard new team members</li> <li>Audit staff to standards and provide continuous feedback</li> <li>Assist management in committee work, regulatory audits and regulatory reporting.</li> <li>Analyze and interpret state and federal regulatory requirements and NCQA standards and provide guidance to team to ensure adherence</li> </ul>Education / Experience: Bachelor's degree in Nursing preferred. 3+ years of combined nursing and appeal and grievance, or utilization management or case management experience. Previous supervisory experience strongly preferred. Proficient with Microsoft Office applications. Knowledge of coding preferred. Previous Quality Improvement experience preferred. Knowledge of DHCS/DMHC regulations preferred. Licenses, Certifications: LPN Required (RN preferred)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

Oklahoma Complete Health

Supervisor, Clinical Grievance and Appeals

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 SummaryFully remote position. Work from home anywhere in the U.S.A. Shift: Monday through Friday 11:30am to 8pm EST Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health.Utilizes clinical experience and skills in a collaborative process to assess appropriateness of treatment plans across levels of care, apply evidence based standards and practice guidelines to treatment where appropriate.<ul> <li>Coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.</li> <li>Provides triage and crisis support.</li> <li>Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation.</li> <li>Coordinates with providers and other parties to facilitate optimal care/treatment.</li> <li>Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs.</li> <li>Identifies opportunities to promote quality effectiveness of healthcare services and benefit utilization.</li> </ul>Required Qualifications<ul> <li>Must have active current and unrestricted Independent clinical behavioral health license in the state of residence (LPC, LCSW, LMFT, LMHC, etc) </li> <li> 3+ years of behavioral health experience </li> <li>Must be able to talk on the telephone and type at the same time as this is a queue based position.</li> <li>Must be able to work Monday through Friday 11:30am to 8pm EST</li> </ul>​Preferred Qualifications<ul> <li>3+ years of direct clinical practice experience post master's degree, including hospital setting or alternative care setting such as ambulatory care or outpatient program</li> <li>Managed care and utilization review experience preferred.</li> <li>Crisis intervention skills preferred.</li> </ul>Education<ul><li>Master's degree required if social worker, LPC, LCSW, LMFT, LMHC, </li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$60,522.00 - $129,615.00This 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.

Utilization management Clinician Behavioral Health

<h3> Position Summary </h3> Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Certified Systems Administrator (ECSA) you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you’ll do/Responsibilities We are seeking a highly skilled and certified Epic Client Systems Administrator (ECSA) to join our IT team. The ideal candidate will be responsible for the installation, configuration, and maintenance of Epic systems and related applications. This role requires a deep understanding of Epic infrastructure and the ability to ensure optimal performance and reliability of the Epic environment, preferably in a public cloud environment Key Responsibilities: <ul> <li>Install, configure, and maintain Epic client systems and applications in a public cloud environment</li> <li>Monitor system performance and troubleshoot issues to ensure optimal operation.</li> <li>Collaborate with Epic application teams to support and implement system changes.</li> <li>Manage and maintain system security and compliance with organizational policies.</li> <li>Provide technical support and training to end-users and other IT staff.</li> <li>Perform regular system updates and upgrades in coordination with Epic guidelines.</li> <li>Develop and maintain documentation for system configurations, processes, and procedures.</li> <li>Participate in on-call rotation to provide after-hours support as needed.</li> <li>Independently and collaboratively lead client engagement workstreams focused on improvement, optimization, and transformation of processes including implementing leading practice workflows, addressing deficits in quality, and driving operational outcomes</li> </ul> The Team Our Core Technology Operations (CTO) team offers differentiated operate services for our clients with solutions to help organizations scale and optimize critical business operations, drive speed to outcome, deliver business transformation, and build resilience in an uncertain future. Qualifications Required <ul> <li>Epic Certification: Must possess current Epic Client Systems Administrator (ECSA) certification.</li> <li>3-5 years of experience in IT systems administration, with at least 2 years specifically working with Epic systems.</li> <li>Proficiency in Windows Server and desktop operating systems.</li> <li>Experience with virtualization technologies such as VMware or Hyper-V.</li> <li>Strong understanding of network protocols and configurations.</li> <li>Familiarity with scripting languages (e.g., PowerShell, Python) for automation tasks.</li> <li>Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience</li> <li>Limited immigration sponsorship may be available</li> <li>Ability to work remotely, be on-call (rotation for after-hours support), ability to work flexible hours, including nights and weekends, as needed, travel 10% on average, based on the work you do and the clients and industries/sectors you serve</li> </ul> Preferred <ul> <li>Previous Consulting experience</li> <li>Experience with Epic Hyperspace, Interconnect, and Web BLOB</li> <li>Cloud knowledge such as AWS, GCP, Azure.</li> <li>Previous experience in a healthcare IT environment.</li> <li>Analytical ability to manage multiple projects and prioritize tasks into manageable work products</li> <li>Previous leadership experience preferred.</li> <li>Can operate independently or with minimum supervision</li> <li>Excellent written and communication skills</li> <li>Ability to deliver technical demonstrations</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 $97,875 to $145,000. 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-usdc.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

Epic Certified System Administrator

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary The Analyst will develop test plans, test cases and test scripts for projects, among other assigned duties. The Analyst will perform testing on various software and reporting systems. The Analyst will work closely with PA Admin and Medicare Operations to test and validate the utilization management (UM) criteria, decision trees, drug lists, and letters that are loaded and functioning properly in the PA (MHK) system. Also, the analyst will be responsible for configuration quality control, code testing and test case writing. Additional responsibilities: include ensuring the quality of PA Admin products for internal/external business users by testing cases and doing regression testing. As a Analyst developing and executing formal test plans to ensure the delivery of quality software and to ensure that all information systems products and services meet minimum organization standards and end-user requirements. Required Qualifications - 1 plus years of quality assurances or testing - 5 plus years Software knowledge (MS Office Suite including Access and Project) Preferred Qualifications - PBM Knowledge - Analytical Skills - Ability to work in teams or independent - Time Management skills - Medicare Knowledge - Able to thrive in time sensitive situations - Written and Verbal Communication Skills - IT certification Education Bachelor’s degree or Equivalent work experience Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$43,888.00 - $85,068.00This 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: 03/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Clinical Service Analyst

Sr Business Analyst, Business Planning Analyst - Capital One Shopping (Remote-Eligible)This is your opportunity to join Capital One's fast-growing consumer app. Within Capital One, the Shopping team is working on a new consumer product that seeks to change the way people buy things online. Our mission is to deliver a best-in-class shopping and savings experience for our millions of customers while driving incremental and sustainable sales for our merchant partners.The Strategic Planning team is looking to hire a Business Planning Analyst, who will play a crucial role in shaping our growth trajectory. This is an exciting opportunity to contribute to our success by focusing on strategic hiring planning and optimizing capital allocation in a fast paced environment. You will serve as a key partner to leadership and delivery teams, providing insights and support to achieve our ambitious goals.To be successful in the role, you will need to be a well-rounded 'business athlete’ - a creative, analytical, and technically proficient problem solver who understands both the dynamics of the business and the tech landscape. The ideal candidate is resourceful, motivated, and self-sufficient, with demonstrated success in spearheading cross-functional projects that drive the growth and success of a business.General Responsibilities: <ul> <li>Develop and maintain comprehensive investment plans aligning with business objectives and growth projections</li> <li>Build business cases and conduct analysis to assess the potential and performance and of R&amp;D investments</li> <li>Create and manage financial models to forecast product level revenue and ROI metrics</li> <li>Work closely with Sales, Growth, and Product teams to understand and influence revenue impacts from operational strategies</li> <li>Partner with talent acquisition and department leaders to ensure effective execution of growth plans and delivery goals</li> <li>Establish and track key performance indicators (KPIs) to monitor team progress and delivery against commitments</li> <li>Develop and maintain reporting dashboards to provide real-time visibility into portfolio performance</li> <li>Work closely with colleagues across Capital One including: IT, Sales, Operations, Finance and others to drive improvement in quality, volume, service, and profitability </li> <li>A proven track record of decision making and problem solving based on analytics</li> <li>Strong business judgment, leadership and integrity: He/she should be a tenacious decision maker, able to bring a healthy, aggressive, yet responsible approach to business </li> <li>Solid people leadership experience: Ability to build and leverage the capabilities of a high-performing team, as well as business partners across the enterprise. He/she should foster innovation, drive critical decisions, hold business partners accountable, and be able to consistently deliver results </li> <li>Strong executive communication skills: Impeccable written and oral communication credentials, coupled with strategic influencing skills and the ability to drive agreement through intellect, interpersonal and negotiation skills </li> <li>Clear results orientation: display an intense focus on achieving both short and long term goals. He/she should be able to drive and execute an agenda in an uncertain and fluid environment </li> <li>Successful track record of thriving in a fast paced, entrepreneurial and dynamic environment. Previous consulting experience is a plus </li> </ul>Capital One is open to hiring a Remote Employee for this opportunity.Basic Qualifications:<ul> <li>Bachelor’s Degree in any quantitative field (Business, Math, Economics, Finance, Statistics, Science, Engineering)</li> <li>At least 1 year of experience in analysis</li> <li>At least 1 year of experience in SQL querying</li> </ul>Preferred Qualifications:<ul> <li>Master’s Degree in Business or quantitative field such as Finance, Economics, Physical Sciences, Math, Statistics, Engineering</li> <li>1+ years of experience in Statistical model building</li> <li>1+ years of experience in market research</li> <li>2+ years of experience in SQL querying</li> <li>2+ years of experience in business analysis</li> <li>1+ years of experience in consulting</li> </ul>Capital One will consider sponsoring a new qualified applicant for employment authorization for this position.The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.New York, NY: $118,900 - $135,700 for Sr. Business Analyst Remote (Regardless of Location): $99,100 - $113,100 for Sr. Business Analyst McLean, VA: $109,000 - $124,400 for Sr. Business Analyst Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate’s offer letter.This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan.Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at the <a href="https://www.capitalonecareers.com/benefits" target="_blank">Capital One Careers website</a>. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.This role is expected to accept applications for a minimum of 5 business days.No agencies please. Capital One is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, citizenship, immigration status, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City’s Fair Chance Act; Philadelphia’s Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-800-304-9102 or via email at <a href="#">RecruitingAccommodation@capitalone.com</a>. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.For technical support or questions about Capital One's recruiting process, please send an email to <a href="#">Careers@capitalone.com</a>Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).

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