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Company:Take 5 Oil ChangeWe invite you to join us at Take 5!Take 5 Oil Change is your neighborhood go-to oil change spot. We've been doing this for over 35 years now and we pride ourselves in our friendly technicians, our oil change expertise, and our efficient process that gets you on your way safely and swiftly. All while letting you stay in the comfort of your car or truck while we change your oil. We're always looking for friendly and energetic team members to join our family. Technicians, managers, and more positions are available across the country. With our Pit Tech to President growth path, Take 5 is where you can invest in yourself while we invest in you. In fact, over 90% of our field leaders are internal promotions!JOB DESCRIPTION: Oil Change Team Member Are you a people person? Self-Motivated? Do you love working with cars? If so, here is good news for you! Take 5 Oil Change is offering an opportunity to showcase your skills and join our growing team of full-time crew members and lube techs! No experience required! We will train you how to be a lube technician who can change oil, replace wiper blades/air filters, fill air in tires, and perform other light maintenance services. All you need to do is be willing to learn, work hard, and bring a positive attitude to the shop! Up to $15/hr with base pay and commissions! Some of our most successful lube technicians are those that joined the team with no experience at all, but many others were once servers, restaurant workers, mechanics, retail employees, landscapers, and other skilled trade workers! Move up fast! Over 90% of our Shop Managers started as lube techs. We provide PAID TRAINING to help our team members advance through the company and become Take 5 leaders who earn salaries and bonuses! What our crew members love about Take 5: <ul> <li>Full-time &amp; flexible schedules are available</li> <li>Earn competitive base pay rates &amp; weekly bonuses</li> <li>SAME DAY PAY available through myFlexPay</li> <li>FREE oil changes! </li> <li>Full-time employees get PAID TIME OFF</li> <li>Health, Vision, &amp; Dental Insurance</li> </ul> As a Take 5 crew member, your job will be to: <ul> <li>Drain motor oil, change oil filter</li> <li>Wash windshield and adjust tire pressure</li> <li>Inspect and top off fluids</li> <li>Perform coolant exchanges </li> <li>Restock and maintain inventory levels on the floor</li> <li>Maintain cleanliness of work environment</li> <li>Provide excellent customer service</li> </ul> All our crew members need to meet the following requirements: <ul> <li>Must be able to lift to fifty (50) pounds</li> <li>Must be able to maneuver in and out of a shallow 3’ deep pit to position yourself safely under cars</li> <li>Must be able to walk, stand, bend, stoop, twist, etc. for extended periods of time and perform activities involving holding, grasping, pulling, and turning</li> <li>Must be willing to work in hot/cold weather conditions if necessary</li> <li>Must have reliable transportation to and from the shop</li> </ul> #LI-DNI #DBHVOL

Driven Brands, Inc.

Oil Change Team Member - Shop#187 - 9280 Farm to Market Road 78

<h2>DESCRIPTION</h2> Come be a part of a rapidly expanding $35 billion-dollar global business. At Amazon Business, a fast-growing startup passionate about building solutions, we set out every day to innovate and disrupt the status quo. We stand at the intersection of tech &amp; retail in the B2B space developing innovative purchasing and procurement solutions to help businesses and organizations thrive. At Amazon Business, we strive to be the most recognized and preferred strategic partner for smart business buying. Bring your insight, imagination and a healthy disregard for the impossible. Join us in building and celebrating the value of Amazon Business to buyers and sellers of all sizes and industries. Unlock your career potential. Do you have a passion for B2B contracts and driving innovation to transform this growing part of Amazon Business? Are you an expert in solving customer problems, identifying new opportunities and building long-term strategies that excite and drive change for established and new customers? The Amazon Business Contracts team is seeking a talented and highly motivated Sr. Business Contracts Manager to work on the Managed Spend &amp; Solutions team supporting our Federal Business. The position has a strong focus on pre and post-award contract management. Responsibilities will include: maintaining contractual opportunities; assisting in the formulation of contract policies; identifying compliance and procurement challenges with an emphasis on public sector regulations; creating procedures, methods, and operating practices; guiding partner teams through the contracting process; and developing performance standards for these contracts. This position requires the candidate to have: an eye for detail; exemplary follow through skills; an ability to identify and drive global process improvements; a willingness to coordinate between sales, operations, and legal, and other stakeholder teams; and excellent communication skills with internal and external customers. Key job responsibilities · Participate in and oversee review of all customer contractual and purchase documents · Coordinate legal activities for contract/agreement negotiation and support the competitive bid process in reviewing RFX and enabling contract compliance · Complete SOP playbook to facilitate overall management of each signed contract · Review each proposed RFx to identify risks and access compliance capabilities; advise on contracting issues and approaches with respect to federal terms and conditions as well as FAR/acquisition policy and regulations · Lead all contract implementation activities including notifying compliance stakeholders and facilitating reporting requirements and fee payments · Develop and launch Go-To-Market plan for each contract to educate the sales team and leverage the contract as a selling vehicle · Facilitate external contract partner meetings; lead communication with customer contracting officials · Maintain contract records/files and manage, track, and insure adherence to all contractual obligations · Develop and implement tools and processes in contracting operations to increase efficiency and sales productivity · Establish internal reporting on contract performance; work with partner teams to create tools and mechanisms to track contract performance <h2>BASIC QUALIFICATIONS</h2> - 5+ years of developing, negotiating and executing business agreements experience - 5+ years of professional or military experience - Bachelor's degree - Experience developing strategies that influence leadership decisions at the organizational level - Experience managing programs across cross functional teams, building processes and coordinating release schedules <h2>PREFERRED QUALIFICATIONS</h2> - Experience interpreting data and making business recommendations - Experience identifying, negotiating, and executing complex legal agreements Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status. Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit <a href="https://amazon.jobs/content/en/how-we-hire/accommodations" target="_blank">https://amazon.jobs/content/en/how-we-hire/accommodations</a> for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner. Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $133,200/year in our lowest geographic market up to $220,200/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit <a href="https://www.aboutamazon.com/workplace/employee-benefits" target="_blank">https://www.aboutamazon.com/workplace/employee-benefits</a>. This position will remain posted until filled. Applicants should apply via our internal or external career site.

Amazon

Sr. Business Contracts Manager, Amazon Business - Managed Spend Solutions

Orkin

B2B Outside Sales Representative

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryAetna is recruiting for a Senior Manager, Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as part of the National Value Based Solutions Specialty Partnership team. You will work collaboratively across the Network and Clinical organizations to ensure speed to market and to support segment leaders with growing our Specialty and Medicaid VBC portfolio.You will make an impact by:· Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners.· Developing relationships with leaders of specialty or Medicaid provider organizations to design and execute on strategies for growth.· Develop and educate leaders on specialty landscapes and what financial models are being used across the industry.· Partnering with finance on the development of financial models and VBC contracts to support portfolio growth.· Partnering with Network and Segment teams to ensure deployment of VBC strategies are executed timely.· Perform market competitive analysis, engage contracting and clinical teams to create innovative value-based payment concepts.· Work with cross functional teams to create and initiate model solution development, pilot models, and ensure initial ROI for enterprise scaling.· Serve as a liaison among internal customers, operations, actuary, product, and analytic teams to ensure reimbursement initiatives meet the needs of internal and external customers.Required Qualifications· 5+ years of experience in value-based care in contracting, provider relations, provider operations and/or solutions.· Experience in Value Based Care financial models.· Experience in Risk-based arrangements and Value-Based care in government services· Adept at execution and delivery (planning, delivering, and supporting) skills.· Strong organization and detail skills working in a highly matrixed environment.· Ability to present and translate complex data into digestible information.Education Requirements· Bachelor’s degree preferred/specialized training/relevant professional qualification.Pay RangeThe typical pay range for this role is:$67,900.00 - $182,549.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/23/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Provider Value Based Contracting Senior Manager National Specialty Care Partnerships

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. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment. Our Commitment​At Zoom, we believe great work happens when people feel supported and empowered. We’re committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know—we’re here to support you at every step.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)

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 Account Executive owns the relationship with the broker. The goal of this role is to build and maintain broker relationships for an exceptional experience for our clients. This is achieved through communicating and demonstrating Meritain's total cost of care, through simplicity, transparency and versatility. Responsibilities of the Account Executive role include: - Relationship management/Consultative services - Prepare and issue renewal proposal - Confirm sold proposal and plan changes - Ensure client is up to date with compliance requirements - Salesforce management - Virtual open enrollment meetings - Attend implementation calls- Stop Loss &amp; Ad-hoc reporting- Point solution upsell - May require travel to offsite locations for in-person meetingsRequired Qualifications<ul> <li>2-5 years Group Health employee benefit experience </li> <li>Renewal process experience</li> <li>2-5 years Client Management experience</li> <li>Excellent verbal and written communication skills</li> <li>Ability to successfully establish and maintain relationships with internal business partners (underwriting, sales, operations, business analytics, etc.)</li> <li>Ability to work collaboratively with both internal and external business partners</li> <li>Exhibit consistency in follow through on outstanding items to point of resolution</li> <li>Demonstrate accuracy in information shared internally and externally</li> <li>Ability to participate and/or successfully host client meetings as appropriate</li> <li>Demonstrate adherence to PHI and HIPPA policies</li> <li>Health/Life Major Lines Producer License (or must obtain post-hire within 90 days) </li> </ul>Preferred Qualifications<ul> <li> Stop-loss/Self-funded Health Insurance Plan experience</li> <li>Understand competitive environment and market opportunities</li> <li>Bachelors Degree </li> </ul>Education:<ul><li>High School Diploma or GED</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$51,686.00 - $101,286.00This 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: 07/04/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Account Executive (Meritain Health)

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: As an Oncology RPh Advisor in Government Services you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. In addition, as an Oncology Pharmacist you will assist front-line colleagues (i.e. Staff Pharmacists and Representatives) with oncology process/procedural support by acting as a subject matter expert and performing any other complex tasks or addressing any escalation cases assigned by leadership. This includes providing on-the-job (OJT) training, answering questions from front-line colleagues, production support, and providing recommendations/solutions to effectively streamline systems and processes. The Pharmacist will be responsible for maintaining the most current oncology therapy knowledge through self-education, continuing education and certification. This position also supports departmental leadership in identifying issues, concerns and trends within the workflow process. The Pharmacist will partner with our Lead Oncology Pharmacist to help develop/deliver formal clinical training sessions, delivering them to staff to enhance their clinical knowledge base in relation to the oncology disease states and therapies. Strong effective communication is required to ensure the thorough distribution, understanding and execution of required knowledge transfer to internal and external stakeholders. The Pharmacist will be expected to work closely with other teams and departments throughout the company including Case Review Unit (CRU), Commercial PA &amp; appeals, internal Medical Directors, Clinical Development, and our Client Liaison team. This is a work-from-home role open to qualified candidates within the United States. Candidate must be willing and able to work 9am-5:30pm EST M-F, with the ability to flex to later or earlier if needed for training, client meetings, or other business needs. PRIMARY DUTIES AND RESPONSIBILITIES: 1. Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design with a focus on oncology reviews. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval &amp; denial management processes. % Time: 70% 2. A Leader in identifying and solving issues, concerns and trends within the workflow process that need to be addressed at a higher level resulting in optimal performance and outcomes. Responsible for assisting front-line colleagues (i.e. Staff Pharmacists and Pharmacy Technicians) with oncology process/procedural support by acting as a subject matter expert (SME) and performing any other complex tasks or addressing any escalation cases assigned by leadership. % Time: 20% 3. Assist with standard or client specific oncology review process changes as needed. % Time: 5% 4. Works collaboratively with internal and external business partners to provide solutions for customers, colleagues, and clients. % Time: 5%EDUCATIONBS in Pharmacy or PharmDRequired: Licensed Pharmacist and Board Certified Oncology Pharmacist (BCOP) REQUIRED SKILLS &amp; OTHER MINIMUM REQUIRED QUALIFICATIONS: • Active pharmacist license in the state of residence that is in good standing.• Board Certified Oncology Pharmacist (BCOP) required • 2+ years clinical pharmacist experience, inclusive of prior authorization experience• Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable. Keyboard skills essential. • Must be able to multitask and utilize multiple system applications simultaneously. • Must be able to utilize available resources independently and provide high quality work. • Must demonstrate problem solving ability and attention to detail. • Demonstrated clinical expertise in the oncology therapy arena, with recent career focus in the oncology area. • Ability to adapt and change with workflow and shifting priorities. • Ability to work effectively in a team environment and provide mentorship to front line staff on the PA team. • Must possess excellent written, verbal, grammar, and listening communication skills. • Must be able to effectively communicate with a diverse customer base (internal and external) in a friendly and confident manner. • Ability to maintain confidentiality of PHI (Protected Health Information). ESSENTIAL FUNCTIONS: 1. Regular and predictable attendance. 2. Colleague will be required to work mandatory overtime/extended work week when needed. 3. Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.4. Adhere to all policies and procedures. 5. Attend on-going training and development meetings. Physical Requirements: 1. Sits at desk for long periods of time. 2. Talking on phone for extended periods of time. 3. Computer use for extended periods of time. 4. Reading a computer screen. WORK ENVIRONMENT: Work from an approved work-from-home location.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$45.43 - $101.54This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/27/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Clinical Pharmacist - Coverage Determinations/Oncology (BCOP Required)

<h1>Financial Services - Data Risk Management, Manager</h1> <h1>Financial Services - Data Risk Management, Manager</h1> <a href="https://pwc.wd3.myworkdayjobs.com/US_Experienced_Careers/job/NY-New-York/Financial-Services---Data-Risk-Management--Manager_619741WD?source=US_EXP_Careers" target="_blank">Apply</a> Job Category Data and Analytics Level Manager Specialty/Competency Data, Analytics &amp; AI Time Type Full time Travel Requirements Up to 60% Job ID 619741WD Location(s) NC-Charlotte, IL-Chicago, DC-Washington, MA-Boston, NJ-Florham Park, NY-New York A career within Data and Analytics services will provide you with the opportunity to help organisations uncover enterprise insights and drive business results using smarter data analytics. We focus on a collection of organisational technology capabilities, including business intelligence, data management, and data assurance that help our clients drive innovation, growth, and change within their organisations in order to keep up with the changing nature of customers and technology. We make impactful decisions by mixing mind and machine to leverage data, understand and navigate risk, and help our clients gain a competitive edge. Our team helps clients navigate various analytics applications to get the most value out of their technology investment and foster confidence in their business intelligence. As part of our team, you'll help our clients implement enterprise content and data management applications that improve operational effectiveness and provide impactful data analytics and insights. To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future. As a Manager, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to: <ul> <li>Develop new skills outside of comfort zone.</li> <li>Act to resolve issues which prevent the team working effectively.</li> <li>Coach others, recognise their strengths, and encourage them to take ownership of their personal development.</li> <li>Analyse complex ideas or proposals and build a range of meaningful recommendations.</li> <li>Use multiple sources of information including broader stakeholder views to develop solutions and recommendations.</li> <li>Address sub-standard work or work that does not meet firm's/client's expectations.</li> <li>Use data and insights to inform conclusions and support decision-making.</li> <li>Develop a point of view on key global trends, and how they impact clients.</li> <li>Manage a variety of viewpoints to build consensus and create positive outcomes for all parties.</li> <li>Simplify complex messages, highlighting and summarising key points.</li> <li>Uphold the firm's code of ethics and business conduct.</li> </ul> The Opportunity As part of the Data and Analytics - Business Intelligence team you are responsible for leading efforts in developing and implementing data-driven strategies to drive business growth and enhance decision-making. As a Manager, you guide and mentor your team, facilitating the successful planning, execution, and completion of projects while maintaining exemplary standards and leveraging team strengths to meet client expectations. You play a crucial role in aligning data initiatives with organizational goals, managing data strategy programs, and embracing technology and innovation to improve delivery. Responsibilities - Oversee the planning and completion of data initiatives, maintaining quality standards - Align data strategies with organizational objectives to drive growth - Leverage team strengths to meet and exceed client expectations - Manage data strategy programs to improve decision-making - Foster a culture of continuous improvement and learning within the team What You Must Have - Bachelor's Degree in Computer and Information Science, Computer and Information Science &amp; Accounting, Economics, Economics and Finance &amp; Technology, Operations Management/Research, or Statistics - 5 years of experience What Sets You Apart - Master's Degree in Computer Science, Computer Engineering, or Engineering preferred - Proficiency in data risk management and technology risk management - Developing data-driven strategies for business growth - Aligning data initiatives with organizational goals - Managing data strategy program success - Programming using Python and SQL - Designing advanced analytics solutions and AI/ML models - Understanding of Master Data Management and Data Governance - Supporting reliable and scalable solutions architectures Learn more about how we work: <a href="https://pwc.to/how-we-work" target="_blank">https://pwc.to/how-we-work</a> PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: <a href="https://pwc.to/H-1B-Lottery-Policy" target="_blank">https://pwc.to/H-1B-Lottery-Policy</a>. All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer. The salary range for this position is: $100,000 - $232,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation and more. To view our benefits at a glance, please visit the following link: <a href="https://pwc.to/benefits-at-a-glance" target="_blank">https://pwc.to/benefits-at-a-glance</a> <h1>Financial Services - Data Risk Management, Manager</h1> <a href="https://pwc.wd3.myworkdayjobs.com/US_Experienced_Careers/job/NY-New-York/Financial-Services---Data-Risk-Management--Manager_619741WD?source=US_EXP_Careers" target="_blank">Apply</a>

Financial Services - Data Risk Management, Manager

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Sr. Manager, Clinical AssumptionsPosition Summary:As Sr. Manager, Clinical Assumptions, you will join the Pharmaceutical Forecasting and Analysis team supporting the unified PBM Connected Ecosystem to drive accountability and accuracy across the Caremark Organization. The Sr. Manager, Clinical Assumptions will play a key role in developing, supporting and maintaining PBM Assumptions. In this role you will act as a subject material expert in the Clinical field driving accuracy in financial modeling of the Underwriting Ecosystem by connecting with Business Process Owners and Data Architects to emulate future member behavior with the financial modeling. Primary responsibilities include coordinating with Formulary Management to stay abreast of upcoming strategic changes and decode their financial impact, drive accurate modeling by providing clinical guidance when needed on therapeutic equivalencies or interchangeability, and act as a representative of the Client Financial Analysis and Optimization (CFAO) organization with Trade &amp; Medical Affairs as needed.Additionally, this position will:<ul> <li>Partner with Business resources to gather, refine and evaluate new clinical assumptions that influence the business.</li> <li>Foster strong relationships within the PBM Ecosystem to elevate accurate financial stewardship as it related to clinical assumptions.</li> <li>Support discussions that are highly complex.</li> <li>Drive results utilizing durable and automation focused solutions.</li> <li>Prioritize effectively and efficiently to meet internal and external customer needs.</li> <li>Support the translation market dynamics to usable business intelligence.</li> <li>Participate in peer reviews of high complex data requests to validate that modeled data and related analytic deliverables match and satisfy business requirements.</li> <li>Assist in ad-hoc analysis</li> </ul>The successful candidate will have a track record that demonstrates the following abilities: working successfully in a cross-matrix environment, adapting and performing in a dynamic and changing environment, developing and leveraging a comprehensive understanding of CVS Caremark’s enterprise assets, developing a deep understanding of internal and external assumptions, maintaining high levels of customer satisfaction, constantly striving to innovate and improve processes and applying financial and analytical expertise to make informed recommendations and decisions.Required Qualifications:<ul> <li>7+ years professional clinical and/or financials experience, preferably within a PBM or health plan</li> <li>1+ years experience working with health plans, employer clients, or coalitions/TPAs, with multiple lines of business with different funding arrangements.</li> <li>Able to travel up to 10% of the time.</li> </ul>Preferred Qualifications:<ul> <li>Expertise in Utilization Management and Formulary Management.</li> <li>Knowledge and experience with Microsoft applications (Excel, Power Point, Word, Outlook, Teams).</li> <li>Strong understanding of, or experience with, internal and external facing pricing and analytics teams.</li> <li>Ability to innovate, develop, and implement new products or solutions requiring collaboration with internal partners. Demonstrated success developing effective relationships with key internal partners across the enterprise.</li> <li>Knowledge of relational databases and warehouses, advanced SQL, VBA, OLAP and SAS skills.</li> <li>Experience managing complex projects in a matrix environment.</li> <li>Ability to summarize complex pharmaceutical findings and support recommendations in presentations to Executive Leadership.</li> <li>Ability to work independently in a fast-paced environment and manage tight deadlines.</li> <li>AMCP Fundamentals of Managed Care Pharmacy Certificate or similar professional advancement.</li> <li>Previous PBM Pricing, Underwriting, Data analytics or Financial Analysis experience</li> </ul>Education:<ul> <li>BS Pharmacy or PharmD</li> <li>Licensed Pharmacist</li> </ul>Pay RangeThe typical pay range for this role is:$67,900.00 - $199,144.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Sr Manager, Clinical Assumptions

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems.Additional Responsibilities: Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.- Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals.- Ensures all compliance requirements are satisfied and all payments are made against company practices and procedures.- Identifies and reports possible claim overpayments, underpayments and any other irregularities.- Performs claim rework calculations.- Distributes work assignment daily to junior staff.- Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for claim or reconsideration. Required Qualifications- 18+ months of medical claim processing experience.- Experience in a production environment.- Demonstrated ability to handle multiple assignments competently, accurately and efficiently. Preferred Qualifications- Self-Funding experience- DG system knowledge Education- High School Diploma required- Preferred Associates degree or equivalent work experience.Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$18.50 - $42.35This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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