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CBRE

Communications Analyst - Remote

Role Value Proposition Account Managers are a key role in the Regional Business service delivery model. The role is a single point of contact for Brokers and provides key support functions across our different Regional Market customer segments, as well as support our sales partners with internal and external pre and post-sale activities associated with the acquisition of new business and in maintaining existing customer relationships. Key Responsibilities <ul> <li>Directly aligned to assigned distributions’ book of business for 2-5K lives</li> <li>Accountable for building and maintaining strong relationships with broker account teams and clients as needed to ensure satisfaction and loyalty</li> <li>Facilitate weekly calls with internal partners who share common broker/customer relationships to ensure deliverables are met</li> <li>Serve as the single point of contact with overall accountability for broker service-related customer inquiries and escalations, and work with internal partners to meet expectations and resolve all concerns including but not limited to experience reports and broker commissions.</li> <li>Accountable for identifying opportunities to cross sell additional products and re-enrollment opportunities to increase participation/revenue, in collaboration with Account Executive, and Underwriting.</li> <li>Accountable for leading and coordinating customer and broker facing meetings either in person or virtually including stewardship and renewals in partnership with Account Executive and Client Service Consultant.</li> <li>Track the performance of the services provided, analyze results and provide insights and recommendation for improvement. Present results, along with other members of the MetLife account team, at Broker Stewardship.</li> <li>Actively participate in finalist meetings for prospective customers and implementation meetings, as needed</li> <li>Demonstrate strong customer-specific product knowledge and provide consultative assistance regarding potential plan changes to customer benefit plans, while staying informed of specific customer activities taking place (acquisitions, divestures, layoffs, budget challenges, etc.) </li> <li>Responsible for book of business renewal oversight and persistency and profitability outcomes, in coordination with Account Executive and Underwriter.</li> <li>Develop and execute targeted marketing and education campaigns showcasing expertise, demonstrating value, and keeping clients engaged.</li> <li>Maintain accurate customer information, references, and account plans in salesforce.com, in collaboration with Client Service Consultant.</li> <li>Ensure timely submission and validation of Broker of Record (BOR) changes.</li> <li>Additionally, ensure all compliance requirements are met.</li> </ul> Required Experience and Skills: <ul type="disc"> <li>3+ years related experience, such as account management or customer service working in a fast paced, complex environment</li> <li>Strong group benefits product knowledge and possess knowledge of plan designs, benefit features and how claims are paid.</li> <li>Proactive customer focused mindset</li> <li>Strong focus on customer satisfaction and obtaining results</li> <li>Proven ability in building relationships both internally and externally with people at all levels of the organization</li> <li>Ability to analyze data to influence and execute on renewal decisions</li> <li>Excellent presentation skills, oral and written communication skills</li> <li>Attention to detail</li> <li>Lead team meetings</li> <li>Critical thinking and problem-solving skills to deliver client focused solutions</li> <li>Strong commitment to meeting metrics </li> <li>Proficient computer navigation skills and ability to work in multiple systems simultaneously (Microsoft suite, different company platforms)</li> <li>Proficient experience using Salesforce</li> <li>High School diploma</li> <li>Must already hold or be able to obtain State Life, Accident and Health license within 90 days of date of hire</li> <li>Regular travel in local market (10% - 20%)</li> </ul> Preferred Experience and Skills <ul type="disc"> <li>Bachelor’s degree in related field</li> <li>5+ years related account management or customer service experience in the insurance industry</li> <li>Strong understanding of industry marketplace and legal developments</li> <li>Strong focus on customer satisfaction and obtaining results</li> </ul>

MetLife

Account Manager

<h2>About the team</h2>The Recruiting Experience and Enablement team at Zillow is a core strategic driver of the company's future success. This team is dedicated to finding the best talent while providing an exceptional experience for candidates, recruiters, and hiring managers. They aim to enable, empower, and mobilize a distributed recruiting team through AI, automation, a best-in-class recruitment technology stack, training, content management, change and communication activities, program design and management, and process improvements or barrier removal. Zillow leverages advanced technology and artificial intelligence (AI) to transform the real estate industry, making it more digital, integrated, and productive. The company uses AI to streamline recruitment processes, enhance candidate experiences, and improve the quality of candidates progressing through the hiring pipeline. LinkedIn AI and CodeSignal help automate follow-ups, increase candidate responses, and provide realistic remote coding environments. Additionally, Zillow is committed to ethical AI usage, ensuring that AI supports but does not replace human judgment in hiring and other processes. This integration of AI-driven solutions helps Zillow lead the digital transformation of the real estate industry, providing innovative tools and technologies that enhance the experiences of both real estate professionals and home shoppers.<h2>About the role</h2><ul> <li>Experienced People Leader: Proven track record of leading and developing successful teams in a global, virtual environment.</li> <li>Experienced Business Leader: Proven track record of leading end-to-end complex, enterprise-wide programs and initiatives.</li> <li>Strategic Thinker: Ability to use research, collaboration, and cognitive skills to identify root causes, think at multiple levels of detail and scope, and assess risks.</li> <li>Effective Communicator: Excellent verbal, nonverbal, and written communication skills across multiple channels and in multicultural contexts. Able to adjust communication style in alignment with different audiences, needs, and modalities.</li> <li>Analytical Skills: Ability to analyze complex qualitative and quantitative data to make business cases and informed decisions—strong problem-solving skills.</li> <li>Collaborative: Ability to work effectively with cross-functional teams and build trusting stakeholder relationships.</li> <li>Innovative: Ability to think creatively and develop creative solutions to complex challenges.</li> <li>Love of Learning and Teaching: This role requires ongoing learning and study to stay current and talent and appreciation for teaching people at all levels and through various modalities. </li> </ul>Key Qualities:<ul> <li>Able to toggle between strategy and execution – i.e., thinking big picture about opportunities but then rolling up your sleeves to partner with stakeholders to deliver.</li> <li>Able to identify and assess new problems/opportunities across an organization and drive continuous improvement and solutions.</li> <li>Able to build strong relationships and teams and lead through influence, embracing cross-functional collaboration to influence peers and executive leadership on complex business topics.</li> <li>Adaptable and able to thrive in ambiguous or changing environments with a desire to succeed in an entrepreneurial environment.</li> <li>Experience/comfort driving outcomes where the answers are not always well defined but always driving towards structure and solutions.</li> <li>Able to leverage multiple data points and perspectives to research, scope, and propose alternatives to accelerate our strategy and vision. Find signal through the noise and distill complex and detailed information into simplified content.</li> <li>Able to bring strong project management skills with the ability to set a plan and manage multiple priorities and cross-functional teams.</li> <li>Understand what is essential to drive high-value outcomes, and independently prioritizeyour efforts based on strategic value add / ROI.</li> </ul>This role has been categorized as a Remote position. “Remote” employees do not have a permanent corporate office workplace and, instead, work from a physical location of their choice, which must be identified to the Company. U.S. employees may live in any of the 50 United States, with limited exceptions.In California, Colorado, Connecticut, Hawaii, Illinois, Maryland, Minnesota, Nevada, New York, Washington state, and Washington DC the standard base pay range for this role is $167,900.00 - $268,100.00 Annually. This base pay range is specific to California, Colorado, Connecticut, Hawaii, Illinois, Maryland, Minnesota, Nevada, New York, Washington state, and Washington DC and may not be applicable to other locations.In addition to a competitive base salary this position is also eligible for equity awards based on factors such as experience, performance and location. Actual amounts will vary depending on experience, performance and location.<h2>Who you are</h2><ul> <li>10+ years of experience in recruiting/talent acquisition.</li> <li>7+ years of People Management Experience.</li> <li>5+ years of experience leading Recruiting and/or HR Programs teams.</li> <li>5+ years of experience working with People Product, People Operations, and/or People tech organizations to advance recruiting enablement.</li> <li>5+ years of experience with recruiting life cycle (planning, engagement, selection, onboarding).</li> <li>Experience monitoring usage and adoptions of recruiting systems, tools, and processes for improvements, replacement, and/or added features.</li> <li>Experience documenting workflows, processes, and procedures.</li> <li>Experience building and restructuring recruiting programs.</li> <li>Experience working with Centers of Excellence (COEs) as the point of contact and decision-maker for prioritization.</li> <li>Demonstrated understanding of the recruitment process and recruiting technology.</li> <li>Experience implementing recruiting programs on a global scale.</li> </ul><h2>Get to know us</h2>Zillow is reimagining real estate to make home a reality for more and more people.As the most-visited real estate website in the United States, Zillow® and its affiliates help movers find and win their home through digital solutions, first class partners, and easier buying, selling, financing and renting experiences. Millions of people visit Zillow Group sites every month to start their home search, and now they can rely on Zillow to help make it easier to move. The work we do helps people get home and no matter what job you're in, you will play a critical role in making home a reality for more and more people.Our efforts to streamline the real estate transaction are supported by a deep-rooted culture of innovation, our passion to redefine the employee experience, a fundamental commitment to Equity and Belonging, and <a href="https://www.zillow.com/careers/benefits/" target="_blank">world-class benefits</a>. These benefits include comprehensive medical, dental, vision, life, and disability coverages as well as parental leave, family benefits, retirement contributions, and paid time off. We’re also setting the standard for work experiences of the future, where our employees are supported in doing their best work and living a flexible, well-balanced life. But don’t just take our word for it. Read recent reviews on <a href="https://www.glassdoor.com/Overview/Working-at-Zillow-EI_IE40802.11,17.htm" target="_blank">Glassdoor</a> and recent recognition from multiple organizations, including: the 100 Best Companies to Work For, Glassdoor Employees’ Choice Award, Bloomberg Gender-Equality Index, Human Rights Campaign (HRC) Corporate Equity Index, and TIME <a href="http://time.com/100companies" target="_blank">100 Most Influential Companies</a> list.Zillow Group is an equal opportunity employer committed to fostering an inclusive, innovative environment with the best employees. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. If you have a disability or special need that requires accommodation, please contact your recruiter directly.Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable state and local law.Applicants who receive job offers from Zillow Group will be asked to sign a Proprietary Rights Agreement which includes confidentiality, intellectual property assignment, customer and employee non-solicitation, and non-competition provisions. If you are contacted for a role at Zillow Group and wish to review a copy of the Proprietary Rights Agreement prior to receiving an offer, you may request a copy from your Recruiter.

Zillow

Director, Talent Acquisition Enablement

Location: Remote, US Hours: Shift-based schedule spanning 6am-2am CT, 7 days a week, including holidays and weekends R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our EMR Specialist, you will be responsible for assisting physicians by pulling patient records from EMR systems. Every day you will review customer records and upload them into a portal. To thrive in this role, prior experience with electronic health information systems, procedures and control techniques associated with confidentiality, integrity and functional knowledge of network defenses, and HIPPA laws and policies is preferred. Attention to detail and proficiency in basic computer skills is essential for excelling in this remote, production-driven position.Here’s what you will experience working as an EMR Specialist:<ul> <li>Maintain working EMR access for navigation and basic troubleshooting.</li> <li>Perform accurate and thorough data entry while maintaining productivity standards.</li> <li>Maintain communication with physician teams regarding cases, case completion, and portal workflow.</li> <li>Attach pertinent clinical information to portal cases and follow cases to completion within service level agreements.</li> </ul>For this US-based position, the base pay range is $16.88 - $25.51 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>#LI-AC01

R1 RCM

EMR Specialist

<h3>Details </h3><ul> <li> Department: Renal Transplant</li> <li> Schedule: FT, Monday - Friday, 8am-4:30pm</li> <li> Hospital: Ascension St. John's Medical Center</li> <li> Location: Tulsa, OK</li> </ul><h3>Benefits </h3>Paid time off (PTO) Various health insurance options &amp; wellness plans Retirement benefits including employer match plans Long-term &amp; short-term disability Employee assistance programs (EAP) Parental leave &amp; adoption assistance Tuition reimbursement Ways to give back to your communityBenefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.<h3>Responsibilities </h3>Supervise, coordinate, and provide leadership while directing activities of clinical/non-clinical or interdisciplinary teams of licensed and non-licensed caregivers and support staff delivering quality patient care and ensuring implementation of clinical objectives in an assigned area.<ul> <li>Assess daily patient care needs and develop and distribute patient care assignments of clinical/non-clinical or an interdisciplinary team of licensed and non-licensed caregivers and support staff, ensuring that population appropriate patient care is given.</li> <li>In accordance with the applicable State Nurse Practice Act, delegate appropriate duties to clinical/non-clinical or interdisciplinary teams of licensed and non-licensed caregivers and support staff based on their assessed skills and abilities.</li> <li>Gather information from other members of the clinical/non-clinical or interdisciplinary team and uses this data to plan for the care of all patients on the unit for the shift.</li> <li>Evaluate the care delivered by other licensed and non-licensed caregivers and support staff by providing direct and immediate feedback and coaching, ongoing verbal and written feedback to the clinical/non-clinical leader on the performance of staff and evaluating the performance trends under his/her direction and recommend and participate in corrective/disciplinary action as required.</li> <li>Participate in the hiring process for new staff members assigned to the shift by conducting interviews and making hiring recommendations to the clinical/non-clinical leader.</li> </ul><h3>Requirements </h3>Licensure / Certification / Registration:<ul> <li>BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.</li> <li>Registered Nurse credentialed from the Oklahoma Board of Nursing required.</li> </ul>Education:<ul><li>Required professional licensure/certification AND 1 year of cumulative job specific experience required.</li></ul><h3>Additional Preferences </h3><ul> <li>BSN preferred</li> <li>Experience in multidisciplinary care a plus but not required</li> <li>1-3 years of leadership experience preferred</li> </ul><h3>Why Join Our Team </h3>Ascension St. John has been serving Northeast Oklahoma with compassionate, personalized care since 1926. Join more than 7,000 associates and find a rewarding healthcare career at one of our 6 hospitals and numerous other sites of care. When you join our care teams, you join a team dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve.Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.<h3>Equal Employment Opportunity Employer </h3>Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.For further information, view the <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf" target="_blank">EEO Know Your Rights (English)</a> poster or <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20.pdf" target="_blank">EEO Know Your Rights (Spanish)</a> poster.As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.<a href="https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf" target="_blank">Pay Non-Discrimination Notice</a>Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.<h3>E-Verify Statement </h3>This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. <a href="https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf" target="_blank">E-Verify</a>

Ascension

RN Registered Nurse - Supervisor of Nursing

Job Summary: As our FL Denials Mitigation Manager, you will be the go-to expert for identifying denial trends and collaborating with internal and external teams to resolve. You will be responsible for managing and leading meetings, analyzing denial data by category and impact, as well as identifying solutions and prevention. To thrive in this role, you must possess time management, critical thinking and analytical skills. Responsibilities:•<ul><li>Weekly initial denial data pulls and reviews to be completed, to identify areas of opportunity by impact. </li></ul><ul><li>Collaborate through regular scheduled meetings with both internal and external partners, to discuss root cause analysis and identify solutions in denials prevention. </li></ul><ul><li>Create and maintain action plans, capturing identified solutions and leading accountability efforts in denial prevention and reduction. </li></ul> <ul> <li>Present and communicate denial reduction efforts through monthly denials steering committee meetings with executive leadership. </li> <li>Review and provide client month end reports.</li> <li>Generate client ad-hoc reports upon request ​​</li> </ul> Required Qualifications: <ul><li> 5+ years of experience in denial management/revenue cycle management working with hospitals. Experience working in business intelligence tools; Power BI, Tableau, or related tools along Experience working with Microsoft Suite Applications, specifically Excel and PowerPoint required. </li></ul> For this US-based position, the base pay range is $75,504.00 - $134,521.77 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 10.00%The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

Denials Mitigation Manager

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Charge Master Description Analyst, you will be focused on operational excellence, providing operational direction and oversight for our client’s charging improvement processes. Every day you will, ensure the client’s CDM is accurate and compliant with Medicare and other federal agency regulations, motivate and mentor CDM Coordinator, reviewing work and providing continual feedback to promote professional growth, and drive team performance to high achievement and high-quality outcomes. To thrive in this role you must, e resourceful, a team player, and manage your time effectively, performing tasks accurately and meeting set timelines.Here’s what you will experience working as a Charge Master Description Analyst: <ul><li>Process CDM requests received from the clinical departments, or others, researching references and regulations to ensure correct coding/charging through the CDM</li></ul><ul> <li> Identify root cause issues and escalate to Manager, as appropriate</li> <li>Work best practice reports and assist clinical departments with billing and compliance issues utilizing the CDM tools available</li> <li>Act as subject matter expert for responsible areas, communicating knowledge to clients and internal staff</li> <li>Effectively facilitates department and/or client meetings, demonstrating a high level of comfort developing agendas and work plans that drive results</li> </ul>Required Skills: <ul> <li>Bachelor's degree or equivalent experience</li> <li>Minimum of 2 years’ experience working as a CDM Coordinator or equivalent role</li> <li>Coding certificate or clinical licensing/certifications (BSN, RN, LPN, RT, RCC, CRTT, RHIA, CPC, CCS, CIRCC, etc.) </li> </ul> For this US-based position, the base pay range is $47,237.00 - $78,919.86 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 5.00%The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>#LI-TJ2022 #Healthcare #Hospital #chargedescription #CPC #RHIA #CCS #CIRCC #CRTT #RCC #RT #LPN #RN #BSN

Charge Description Master Analyst II

Business Systems Analyst (PMWeb Application Support)

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 SummaryWe are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role is ideal for a data professional with strong skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory &amp; compliance reporting. This is an individual contributor role. Job responsibilities include:<ul> <li>Write robust, efficient code in SQL and Python to extract, manipulate, and analyze large healthcare datasets.</li> <li>Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity.</li> <li>Prepare timely and accurate Medicaid regulatory &amp; compliance reports in accordance with prescribed guidelines and standards.</li> <li>Communicate messages based on data analyses, including preparing easy-to-understand visualizations and other related documents for diverse audiences </li> <li>Collaborate with SIU investigators, Program Integrity Manager, and Compliance to understand business processes and translate them into actionable data requirements.</li> <li>Develop and participate in presentation and consultation with business partners on data, capabilities and performance results</li> <li>Identify data quality issues, perform root cause analysis, and recommend improvements to enhance reporting accuracy and data integrity.</li> <li>Document data logic and methodology used in analyses and ensure reproducibility and transparency of results.</li> <li>Stay informed about changes in Medicaid policy, regulatory requirements, and FWA detection techniques to ensure ongoing compliance.</li> </ul>This is a work-from-home position in the US. supporting standard east coast business hours. Required Qualifications<ul> <li>3+ years of experience in data analytics or data science, preferably in healthcare, health insurance, or Medicaid programs</li> <li>Ability to distill complex data into meaningful insights and present findings to non-technical audiences.</li> <li>Solid understanding and experience interpreting medical claim data</li> <li>Advanced experience in SQL coding sourcing from a data warehouse</li> <li>3+ years of data interpretation and analysis experience</li> <li>3+ years of project leadership experience</li> <li>Strong business as well as systems knowledge</li> <li>Excellent problem-solving, critical thinking, and written communication skills</li> <li>Advanced experience in Excel </li> </ul> Preferred Qualifications<ul> <li>Experience in healthcare fraud, waste and abuse </li> <li>Proficiency in Python coding</li> <li>Knowledge of Medicaid healthcare claims adjudication (QNXT) &amp; regulatory reporting</li> <li>Experience with data visualization tools (e.g., Tableau, Power BI</li> <li>Familiarity with Big Query &amp; Jupyter Notebook</li> </ul> Education<ul><li>Bachelor’s degree or equivalent experience</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$54,300.00 - $145,860.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Manager, SIU Data Analysis (SQL/Python)

About GoodLeap: GoodLeap is a technology company delivering best-in-class financing and software products for sustainable solutions, from solar panels and batteries to energy-efficient HVAC, heat pumps, roofing, windows, and more. Over 1 million homeowners have benefited from our simple, fast, and frictionless technology that makes the adoption of these products more affordable, accessible, and easier to understand. Thousands of professionals deploying home efficiency and solar solutions rely on GoodLeap’s proprietary, AI-powered applications and developer tools to drive more transparent customer communication, deeper business intelligence, and streamlined payment and operations. Our platform has led to more than $27 billion in financing for sustainable solutions since 2018. GoodLeap is also proud to support our award-winning nonprofit, GivePower, which is building and deploying life-saving water and clean electricity systems, changing the lives of more than 1.6 million people across Africa, Asia, and South America. Position Summary The GoodLeap security team is responsible for both business enablement and safeguarding the organization’s information assets; it is involved in virtually all aspects of the business, from product safety and resilience, to building security paved roads, customer, partner, and regulatory trust, managing technology governance and compliance, and ensuring the privacy, and safety of GoodLeap’s customers, partners, and employees information. The product and application senior engineer role provides a unique opportunity to shape the security and resilience of GoodLeap products, services, and applications. In this role, you will work closely with the product, engineering, and business teams within GoodLeap's business units, acting as the key individual with both the authority and responsibility to ensure the safety and resilience of the products and services developed and operated by the business unit. You will be embedded within the business unit and have a dotted-line reporting relationship to the product or business lead for the unit. Your oversight will encompass: Product features:Identifying potential misuse and abuse cases, proposing features to address these scenarios, and defining product features to meet resilience requirements. Build-time controls: Managing application security controls and activities during development. Runtime controls: Overseeing security measures for deployed products. Additionally, you will represent all areas of security for the business unit(s) you are embedded in, spanning governance, risk, and compliance (GRC) to security monitoring. You will also have the authority and ability to involve other security team members as needed. While you will take on multiple responsibilities - from advisor to builder and beyond - your primary focus will be designing and building product security services and processes, creating product and application security patterns and practices, and fostering strong relationships with product, business, and engineering teams. <h3>Essential Job Duties and Responsibilites</h3> <ul> <li>Lead, participate in, and contribute to partnerships between security, engineering, product, and operations teams to build, orchestrate, and automate security controls and services in GoodLeap products and services.</li> <li>Define and refine processes such as threat modeling, embedment models, and the prioritization of features, defects, and vulnerabilities. </li> <li>Assist the red team with ongoing activities, including bug bounty programs and continuous penetration testing platforms. </li> <li>Support or develop components of the security analytics platform. </li> <li>Support the security operations team with the vulnerability management lifecycle for products and services under your purview. </li> <li>Contribute to investigations, threat hunting, and incident response activities in a supporting role. Collaborate with the monitoring and response team to create playbooks for specific incident response scenarios related to the products and services you oversee. These investigations, incidents, and playbooks may address security, fraud, privacy, resilience, and related concerns. </li> <li>Ensure technical alignment for the products and services you oversee with team initiatives, including GRC, security operations, and monitoring and response activities. </li> </ul><h3>Required Skills, Knowledge and Abilities</h3> <ul> <li>Strong communicator with the ability to lead technical architecture discussions, drive technical decisions, and effectively communicate with non-technical audiences. </li> <li>Expertise in agile product lifecycles. Ideally, you have experience in a product manager or engineering manager role and understand how SaaS products (B2B, B2B2C, and B2C) are built, including roadmap planning and feature and defect prioritization. </li> <li>Experience with threat modeling methodologies, with the ability to create efficient and scalable approaches to conducting such assessments. </li> <li>Familiarity with AWS services, including KMS, SST, Container Registry, ELBs, Lambda, API Gateway, CloudTrail, and IAM (knowledge of GCP and/or Azure is a plus). </li> <li>Proven ability to establish credibility and build trust with engineers and operational staff; confident yet humble. </li> <li>Hands-on experience with microservices and associated orchestration tools, such as ECS, EKS, Nomad, and Istio, with an understanding of the operational and security implications of these technologies. </li> <li>Strong understanding of both human and non-human identity management and common enterprise and consumer authentication standards and use cases. </li> <li>Practical experience with CI/CD pipelines and DevOps tools, including Infrastructure-as-Code (IaC) tools like Terraform, Pulumi, or CDK; GitHub and GitHub Actions; artifact management; and secrets management tools like Doppler and HashiCorp Vault. </li> <li>Passionate about learning new technologies. While you're not expected to know everything, you should demonstrate a willingness and ability to learn as needed. </li> <li>Prior experience developing security services for products or enterprise platforms, ideally using Python, <a href="http://Node.js" target="_blank">Node.js</a>, TypeScript, or .NET. </li> <li>Proficiency in writing automation scripts in multiple languages, with prior experience automating security processes in cloud or SaaS environments. </li> <li>Strong understanding of cryptography and key management use cases. </li> <li>Experience overseeing vulnerability and threat management at the platform and application levels. </li> <li>Familiarity with penetration testing and red team exercises, including manual verification, exploitation, and lateral movement. </li> <li>Ability to balance a high-level view of security strategy with attention to detail, ensuring thorough and effective execution. </li> </ul>Additional Information Regarding Job Duties and Job Descriptions: Job duties include additional responsibilities as assigned by one's supervisor or other managers related to the position/department. This job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and other skills required for the position. The Company reserves the right at any time with or without notice to alter or change job responsibilities, reassign or transfer job position or assign additional job responsibilities, subject to applicable law. The Company shall provide reasonable accommodations of known disabilities to enable a qualified applicant or employee to apply for employment, perform the essential functions of the job, or enjoy the benefits and privileges of employment as required by the law. If you are an extraordinary professional who thrives in a collaborative work culture and values a rewarding career, then we want to work with you! Apply today!

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