Availity jobs

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission. We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 12 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. We are seeking a Senior Product Manager with expertise in Utilization Management (UM) and prior authorization workflows. This role will focus on developing and enhancing UM solutions that streamline prior authorizations, medical necessity reviews, and payer-provider workflows while ensuring compliance with regulatory guidelines. The ideal candidate will bridge the gap between business, clinical, and technical teams to optimize utilization management processes and reporting capabilities. Sponsorship, in any form, is not available for this position. Why you want to work on this team: You will have the opportunity to work on a cutting-edge solution that has the potential to reshape the way utilization management processes are handled in the industry. Utilization Management is a hot topic in the healthcare industry and Availity is well positioned as a bridge between payers and providers to make the process better for both parties. The work that the team is doing is one of disruption, accountability, and doing the right thing which equates to meaningful work. To be qualified for this position you have: Extensive experience in utilization management (UM). Candidates without UM experience would not be considered. Strong clinical background: inpatient and outpatient. Strong understanding of prior authorizations workflows, medical necessity reviews, and payer policies. This is required to be considered for the role. Knowledge of EHRs, claims processing systems, and utilization management platforms. Business acumen: ability to contribute to a business case, evaluate feasibility & scalability, ability to assess and drive ROI, background in contracting. Experience with AI-driven UM solutions and automation technologies. Strong understanding of utilization metrics, value-based care models, and population health analytics. Knowledge of regulatory and accreditation requirements. Ability to drive work with limited oversight. Desire to work in a fast-paced environment, with multiple competing priorities. You will set yourself apart with: Healthcare technology background. Product background highly preferred. Proficiency in analyzing data and finding actionable insights. Ability to manage ambiguity in a fast-paced environment. Hands-on experience with Tableau or other tools for reporting, data visualization, and healthcare analytics. Familiarity with coding (CPT codes) and payment accuracy. What you will be doing: Building business requirements for various product enhancements. Prioritizing additional product features to drive client adoption and speed to market. Managing pilot oversight to include working with pilot partners to drive business requirements, creating and monitoring KPI/OKR's, GTM planning, scaling, etc. Liaising to clinical team for CPT and Medical policy questions. Acting as the Utilization Management workflow SME. Prioritizing product feature build based on industry trends, client feedback, speed to value while balancing the overall product roadmap. Revamping standard client reporting package; be a business SME for data team to drive clarity in reporting needs. Building out product performance reporting, including specific client views (foundation for ROI and gainshare) and overall product performance. Serving as a SME for UM benchmarking for client specific opportunity analysis and client reporting against metrics. Supporting sales, marketing and client success teams by providing product demos, training, and analytics driven insights. Working with the delivery team after contract signature. Availity culture and benefits: Availity is a certified “Great Place to Work”! Culture is important to us and there are many ways for you to make your mark here! We have several Diversity & Inclusion teams, a Young Professionals Group, a She Can Code IT group for women in tech, and various ways to engage with fellow Availity associates. Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too! Don't feel like wearing business attire? Cool, you can wear jeans - we are a casual place. We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one! We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits. Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc. Interested in furthering your education? We offer education reimbursement! Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. Want to work for an organization that gives back to the community? You're at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Next steps: After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process. Interview process: Recruiter Recorded Video Pre-Screen Video Interview with Hiring Manager Panel Video Interview Final Video with Hiring Manager Video Camera Usage: Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role. Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants. Disclaimers: Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at *************************** . Click the links below to view Federal Employment Notices. Family & Medical Leave Act Equal Employment Law Poster Pay Transparency Employee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers

**The successful JD applicant will reside in the St. Louis area** Do you enjoy building solid internal and external relationships resulting in growth? Do you enjoy collaborating cross-functionally to deliver on common goals? About our Team LexisNexis Legal & Professional, which serves customers in more than 150 countries with 11,300 employees worldwide, is part of RELX, a global provider of information-based analytics and decision tools for professional and business customers. About the Role As a Solutions Consultant, you'll provide education and support, build preference, and drive usage of our solutions. You will retain and grow revenue within assigned accounts and/or territory while building solid relationships within accounts. You will also understand customer needs, provide high-quality consultation, and generate leads. Responsibilities Providing consultative services to legal customers and prospects ensuring maximized use and understanding of LexisNexis products Collaborating with sales partners on preference, driving strategy, and developing strategic account plans Identifying and sharing leads and opportunities with sales partners and/or Product Specialists Conducting competitor research, analyzing findings, and sharing information with Product, Segment and Marketing Communicating credibly with clients to understand their challenges and provide guidance, education, and consultation to help improvement Collecting feature and function requirements from customers and communicate to appropriate product team members Utilizing all required processes, tools and systems Requirements Have a Juris Doctorate Display excellent verbal and written communication skills Have the ability to build solid relationships internally and externally Have proven training and/or sales experience Experience performing simple and complex research assignments Display impressive organizational skills Be able to travel up to 50% of the time Work in a way that works for you We promote a healthy work/life balance across the organization. We offer an appealing working prospect for our people. With numerous wellbeing initiatives, shared parental leave, study assistance and sabbaticals, we will help you meet your immediate responsibilities and your long-term goals. Working flexible hours - flexing the times when you work in the day to help you fit everything in and work when you are the most productive Working for you We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer: Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits Health Savings, Health Care, Dependent Care and Commuter Spending Accounts Up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice About the Business LexisNexis Legal & Professional provides legal, regulatory, and business information and analytics that help customers increase their productivity, improve decision-making, achieve better outcomes, and advance the rule of law around the world. As a digital pioneer, the company was the first to bring legal and business information online with its Lexis and Nexis services.

Are you passionate about building and delivering compelling sales presentations? Do you thrive at the intersection of law, technology, and strategy - and want to help shape how the legal industry engages with innovation? About our Team: LexisNexis Legal & Professional, which serves customers in more than 150 countries with 11,800 employees worldwide, is part of RELX, a global provider of information-based analytics and decision tools for professional and business customers. Our company has been a long-time leader in deploying AI and advanced technologies to the legal market to improve productivity and transform the overall business and practice of law, deploying ethical and powerful generative AI solutions with a flexible, multi-model approach that prioritizes using the best model from today's top model creators for each individual legal use case. About the Role As a Legal Customer Presentation Expert, you will build compelling, persuasive and customer-specific sales presentations. This role requires 5+ years of sales with a track record of success. Responsibilities: Customizing story and visuals for compelling sales presentations Collaborating with sales to ensure presentations are customized for each sales and customer situation and align with brand standards Transforming complex ideas into clear, concise, and visually engaging slides Staying updated on design trends and best practices to enhance presentation effectiveness and engagement Revising, customizing and editing customer sales presentations based on feedback and evolving sales needs Building and maintaining deep product expertise and understanding our product roadmap and company vision Participating in curriculum design, instructional design, content writing and course development across various formats such as live instructor-led workshops, webinars, office hours, on-demand workshops, eLearning, videos, certification exams, and toolkits Requirements: Has a Juris Doctor (JD) - required Has at least 2 year of practicing or teaching law Has 5+ years of experience, preferably spanning law, business development, or sales Have superb storyteller and presentation skills and the ability to deliver clear, compelling narratives Have strong visual communication skills for building executive-level presentations. Have impressive years of sales Have a strong understanding of the sales process Have the ability to work cooperatively in a team environment and across the organization to achieve team and organizational goals Be able to think strategically, tactically, and analytically Have experience with core Office 365 applications (i.e. Word, Excel, Outlook, PowerPoint, Teams) Have proven project management, time management, and organizational skills Have great oral and written communication skills as well as presentation skills both in-person and virtual Work in a way that works for you: We promote a healthy work/life balance across the organization. We offer an appealing working prospect for our people. With numerous wellbeing initiatives, shared parental leave, study assistance and sabbaticals, we will help you meet your immediate responsibilities and your long-term goals. About the business: LexisNexis Legal & Professional provides legal, regulatory, and business information and analytics that help customers increase their productivity, improve decision-making, achieve better outcomes, and advance the rule of law around the world. As a digital pioneer, the company was the first to bring legal and business information online with its Lexis and Nexis services. Primary Location Base Pay Range: Home based-Ohio $80,700 - $134,600. U.S. National Base Pay Range: $84,900 - $141,600. Geographic differentials may apply in some locations to better reflect local market rates. Base Pay Range for CO is $84,900 - $141,600. Base Pay Range for IL is $89,200 - $148,700. Base Pay Range for Chicago, IL is $93,400 - $155,800. Base Pay Range for MD is $89,200 - $148,700. Base Pay Range for NY is $93,400 - $155,800. Base Pay Range for New York City is $97,700 - $162,800. Base Pay Range for Rochester, NY is $80,700 - $134,600. Base Pay Range for OH is $80,700 - $134,600. This job is eligible for an annual incentive bonus. Application deadline is 01/15/2026. We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer to our US full- and part-time employees working at least 20 hours or more per week: ● Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits ● Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan ● Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs ● Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity ● Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits ● Health Savings, Health Care, Dependent Care and Commuter Spending Accounts ● In addition to annual Paid Time Off, we offer up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form or please contact **************. Criminals may pose as recruiters asking for money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here. Please read our Candidate Privacy Policy. We are an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law. USA Job Seekers: EEO Know Your Rights.

$130,000 - $240,000 OTE Vertafore is a leading technology company whose innovative software solution are advancing the insurance industry. Our suite of products provides solutions to our customers that help them better manage their business, boost their productivity and efficiencies, and lower costs while strengthening relationships. Our mission is to move InsurTech forward by putting people at the heart of the industry. We are leading the way with product innovation, technology partnerships, and focusing on customer success. Our fast-paced and collaborative environment inspires us to create, think, and challenge each other in ways that make our solutions and our teams better. We are headquartered in Denver, Colorado, with offices across the U.S., Canada, and India. JOB DESCRIPTION We are currently seeking engaged, energetic and highly-motivated Account Executives (AE's) to join our Strategic Accounts team. The Strategic Account Executive is responsible for retaining and further developing existing and prospective customer relationships through maintaining and selling Vertafore products and services into designated Vertafore strategic accounts. Core Requirements and Responsibilities: Essential job functions included but are not limited to the following: * Expand Vertafore footprint by selling Vertafore products and services into a named list of accounts and prospects. * Retain existing revenue through building and maintaining high level relationships to improve customer satisfaction. * Develop and Execute Vertafore sales strategy with solid understanding of the marketplace, customer strategic direction, Vertafore products and the solution selling process. * Present complex, solution-selling techniques at the C-Suite level * Develop strong relationships with key senior decision makers and influencers within customers and prospects. * Effectively communicate and solve customer escalations. * Collaborate with cross functional teams to ensure a high level of success and a seamless customer experience. * Regularly perform against individual monthly and/or quarterly activity targets tied to revenue expansion and retention. * Create plans and strategies for developing new business with process, expanding business within existing customers and driving outcomes that support the customers business goals and objectives. * Chart and deliver timely and accurate forecasting and pipeline management. * Ensure value-selling methodologies are leveraged to process and track opportunities. * Create and communicate effectively on the financial aspects of a sale. Knowledge, Skills and Abilities: * Proven track record of achieving goals and quotas. * Maintain a deep understanding of the Vertafore product portfolio, with a focus on solutions provided by Vertafore and similar platforms. * Ability to make recommendations to customers that align business needs to technology and services. * Ability to stay informed on industry trends, market changes and competitor activities. * Demonstrated ability to follow sound business ethics when executing job responsibilities to build and maintain customer confidence. * Excellent verbal, written and interpersonal skills with an aptitude for building strong, meaningful client relationships. * Understanding of Salesforce.com and other key sales technologies used for Business Development, Opportunity creation and activity tracking. * Self-motivated with the ability to work independently. Qualifications: * 6-8 years of related software sales and account management experience, preferably with 2-3 of those years of experience supporting strategic accounts. * Experience within a multi-dimensional operating environment is essential (i.e., not a mono-line, single market environment). * Proven success in professional sales within the InsurTech or Financial Services industry. Insurance experience preferred. * Bachelor's degree preferred. Additional Requirements and Details: * Travel is required up to 75% of the time. * Ability to work remote with a stable internet connection on an as needed basis. * Located and working from an office location (when required). * Occasional lifting and/or moving up to 10 pounds. * Frequent repetitive hand and arm movements required to operate a computer. * Specific vision abilities required by this job include close vision (working on a computer, etc.). * Frequent sitting and/or standing. Is this role not an exact fit for you? Keep an eye on our Careers Page for other positions! Vertafore is a drug free workplace and conducts preemployment drug and background screenings. The selected candidate must be legally authorized to work in the United States. The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all the job responsibilities, duties, skill, or working conditions. In addition, this document does not create an employment contract, implied or otherwise, other than an "at will" relationship. Vertafore strongly supports equal employment opportunity for all applicants regardless of race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, physical disability, mental disability, medical condition, sexual orientation, genetic information, or any other characteristic protected by state or federal law. We do not accept resumes from agencies, headhunters, or other suppliers who have not signed a formal agreement with us.

Job Title QA Engineer About Your Business Area/Department In the Resources and Interfaces Teams, you'll play a key part in transforming airport operations with state-of-the-art technology. Our tools empower airport operators to better manage critical resources like stands, gates, buses, check-in counters, and runways. By improving planning and real-time resource adjustments, we're not just optimizing operations; we're significantly improving the travel experience for passengers worldwide. This role is about giving operational teams the capabilities they need to reduce congestion and ensure smoother journeys for everyone. Summary of the role: Join us on a transformative journey where cutting-edge technology meets the vibrant world of travel. As part of a leading global technology company, you'll help develop innovative solutions that make airports more resource-efficient, moving us towards operations that are not only smarter but also more considerate of our planet. This role is an invitation to those who are ready to tackle the complex challenges of the travel industry with a hands-on approach to problem-solving and a determination to make a real difference. In this role you'll: We are seeking a Quality Assurance Engineer who combines a solid technical foundation with a passion for enhancing airport operations and elevating the travel experience. You should be proficient in test strategy, test expertise, test automation, defect management, and reporting. Your role will involve end-to-end testing, test automation, and working with both the Resources and Interfaces teams to facilitate seamless integration and continuous delivery across the board. You should have an insatiable curiosity and a commitment to continuous learning, fully immersing yourself in the intricacies of software development and operational challenges. You should be able to efficiently use the QA tooling stack and frameworks and be proactive about any issue/change that is likely to affect QA peers' daily job. If you're prepared to contribute to a team that's dedicated to making travel more seamless and enjoyable, and you are ready to be a driving force behind proposals to improve current quality processes within our dynamic SAFe (Scaled Agile Framework) development lifecycle, we look forward to welcoming you aboard. About the ideal candidate: Technical environment: * Programming languages: Java, Python * Tooling environment: Robot Framework, Python, VS Code, Playwright, Octane, Jenkins, JIRA, Confluence. * Database: Oracle and SQL language. * Cloud: Kubernetes, OpenShift, and Microsoft Azure ecosystem. * Practices: SAFe, CI/CD, DevOps, shift-left testing. Common accountabilities: * Works using existing procedures or guidelines and provides inputs to support/influence area decisions. * Makes recommendations on new solutions and proposes improvements by analyzing different sources of information. * Works with a moderate level of guidance and direction from manager. Specific accountabilities: * Test strategy * Attend to specification/architecture reviews (also on customer specification reviews when applicable), and provide feedback along with any potential impact, risk, issue or missed gap based on experience, * Define test strategy and test plan containing test cases (functional and non-functional), ensure traceability with specifications and customer requirements, * Ensure compliance of test strategy with CI/CD guidelines, Green IT guidelines and all quality guidelines (SDL, STDL), QA best practices/standards from the industry (ISTQB..), * Test expertise * Design test cases and write test case scripts. * Prepare test environment, test data, and execute test cases. * Provide sign-off (go/no-go) on tested features based on defined exit criteria, * Continuously assess the need to add/update/remove test cases to existing regression and CI/CD pipeline when new product features are delivered and based on metrics (stabilization, deletion of flaky tests...), * As part of maintenance activities, investigate PTRs, test the fixes, and enrich test suites accordingly, * Test automation * Assess necessity to automate subset of (or all) test scripts, * Use test automation framework and contribute to its improvement. * Defect management * Open defects for software or documentation, assign relevant level of severity based on the importance of the issue, provide relevant investigation and information to fix defects, * Check defect fix, and give go/no-go for the load of production defects, * Reporting * Report and communicate on test activities to the line organization, software developers and product definitions analysts, * Provide visibility on testing campaign/milestones to all stakeholders. What we can offer you: * Get rewarded with competitive remuneration, individual and company annual bonus, vacation and holiday paid time off, health insurances and other competitive benefits. * Work from anywhere: onsite, hybrid or fully remote. * Professional development to broaden your knowledge and enhance your skills with on-line learning hubs packed with technical and soft skills training that allow you to develop and grow. * Enter a diverse and inclusive workplace, join one of the world's top travel technology companies and take on a role that impacts millions of travelers around the globe. Application process: The application process takes no longer than 10 minutes! Create your candidate profile, upload your Resume/CV and apply today! Working at Amadeus, you will find A critical mission and purpose - At Amadeus, you will be powering the future of travel and pursuing a critical mission and extraordinary purpose. A truly global DNA - Everything at Amadeus is global, from our people to our business, which translates into our footprint, processes, and culture. Great opportunities to learn - Learning happens all the time and in many ways at Amadeus, through on-the-job training, formal learning activities, and day-to-day interactions with colleagues. A caring environment - Amadeus fosters a caring environment, nurturing both a fulfilling career and personal and family life. We care about our employees and strive to provide a supportive work environment. A complete rewards offer - Amadeus provides attractive remuneration packages, covering all essential components of a competitive reward offer, including salary, bonus, equity, and benefits. A diverse and inclusive community - We are committed to leveraging our uniquely diverse population to drive innovation, creativity, and collaboration across our organization. A Reliable Company - Trust and reliability are fundamental values that drive our actions and shape long-lasting relationships with our customers, partners, and employees. Diversity & Inclusion Amadeus aspires to be a leader in Diversity, Equity and Inclusion in the tech industry, enabling every employee to reach their full potential by fostering a culture of belonging and fair treatment, attracting the best talent from all backgrounds, and as a role model for an inclusive employee experience. Amadeus is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to gender, race, ethnicity, sexual orientation, age, beliefs, disability or any other characteristics protected by law.

We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, care management interventions are intended to enhance client safety, well-being, and quality of life. These interventions carefully consider health care costs through the professional care manager's recommendations of cost-effective and efficient alternatives for care. Thus, effective care management directly and positively impacts the health care delivery system, especially in realizing the goals of the "Triple Aim," which include improving the health outcomes of individuals and populations, enhancing the experience of health care, and reducing the cost of care. The professional care manager performs the primary functions of assessment, planning, facilitation, coordination, monitoring, evaluation, and advocacy. Integral to these functions is collaboration and ongoing communication with the client, client's family or family caregiver, and other health care professionals involved in the client's care. Description Job Description Location This position is full-time (40 hours/week) Monday-Friday from 8:00am-4:30pm or 8:30am - 5:00pm EST and will be fully remote. What You'll Do: Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of: intensive assessment/evaluation of condition, at-risk education based on members' identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement. Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs. Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal). Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services. To Qualify for This Position, You'll Need the Following: Required Education: Associates in a job-related field. Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience. Required Experience: 4 years recent clinical in defined specialty area. Specialty areas include: oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedics, general medicine/surgery. Or, 4 years utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical. Required Skills and Abilities: Working knowledge of word processing software. Knowledge of quality improvement processes and demonstrated ability with these activities. Knowledge of contract language and application. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft Office. Required License/Certificate: An active, unrestricted RN license from the United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active, unrestricted licensure as counselor, or psychologist from the United States and in the state of hire (in Div. 75 only). For Div. 75 and Div. 6B, except for CC 426: URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager. We Prefer That You Have the Following: Preferred Work Experience: At least 4 years of renal nursing experience. Prior hemodialysis, peritoneal dialysis, nephrology nursing, and/or access management experience. 7 years-healthcare program management. Preferred Education: Bachelor's degree- Nursing Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Thorough knowledge/understanding of claims/coding analysis, requirements, and processes. Preferred Licenses and Certificates: Case Manager certification, clinical certification in specialty area. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. Pay Range Information: Range Minimum $53,462.00 Range Midpoint $77,860.00 Range Maximum $102,258.00 Pay Transparency Statement: Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Location: This role is located at 2401 Faraway Drive, Columbia, SC 29229. There is the potential for remote work. What You'll Do: Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates. Manages records retrieval, release, HIPAA compliance, and all aspects of document management. Serves as expert resource on methodology and procedures for medical records and coding issues. To Qualify for This Position, You'll Need the Following: Required Education: Associates in a job-related field Degree Equivalency: Graduate of Accredited School of Nursing Required Work Experience: 3 years medical record management to include coding and validation review experience. Skills and Abilities: Excellent verbal and written communication, organizational, customer service, and analytical or critical thinking skills. Good judgment. Ability to handle confidential or sensitive information with discretion. Extensive medical records and coding knowledge. Working knowledge of contract evaluations, claims processing and adjudication practices. Required Licenses and Certificates: Registered Records Administrator or Technician, OR active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR Certified Coding Specialist. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Are you interested in applying your deep knowledge of U.S. tax law to create timely, insightful, high-quality legal content? Would you like to shape the future of legal analysis by combining expert insight with cutting-edge AI tools? About the Team LexisNexis Legal & Professional, which serves customers in more than 150 countries with 11,800 employees worldwide, is part of RELX, a global provider of information-based analytics and decision tools for professional and business customers. Our company has been a long-time leader in deploying AI and advanced technologies to the legal market to improve productivity and transform the overall business and practice of law, deploying ethical and powerful generative AI solutions with a flexible, multi-model approach that prioritizes using the best model from today's top model creators for each individual legal use case. About the Role We are seeking a highly collaborative and detail-oriented Attorney Staff Writer to join our Tax Team. In this role, you will be responsible for the high-quality and agile creation of analytical content for our tax industry customers. You will leverage your domain expertise in US tax law, mastery of legal research and writing, including a fluent understanding of AI-assistance in legal research and writing, to produce comprehensive and timely legal analysis and ability to translate complex tax law into practical guidance. This position requires strong project management skills and the ability to work effectively with multiple stakeholders, including content strategy, operations, technical, product, and go-to-market partners. Responsibilities Tax Content Creation and Management Conduct in-depth legal research and write clear, concise, and analytical legal content. Analyze and interpret legislation, case law, rules/regs, legal news and other related materials and incorporate these findings into new and existing online and print analytical content. Write high-quality articles/commentaries on current tax issues for use by practicing attorneys. Ensure accuracy, clarity, and consistency in all legal content produced, and compliance with legal and editorial standards. AI-Assisted Content Development Leverage generative and agentic AI, automation, and data to streamline content development and editorial processes for the creation of short- and long-form content. Craft prompts, evaluate AI outputs, and iterate to achieve optimal results. Track and monitor changes and trends in tax law, as well as advances in legal technology. Project Management and Stakeholder Collaboration Collaborate with Editorial Directors, Legal Editors, Product Managers, and other legal writers to scope, outline, draft and quality check new analytical content. Contribute to the strategy and execution of new content development to deliver high quality, innovative products that meet the needs of our markets. Develop expertise in tax law and its practitioners, as well as the law firm and market ecosystems in which they operate. Identify and recruit authors from cultivated networks to create high-quality legal content. This includes prospecting law firms and individuals, pitching projects, and negotiating author contracts; recommend authors and organizations to support market analysis and product research. Continuous Improvement Contribute to cross-functional initiatives such as new product pilots, tool and process evaluations and standards development. Model a forward-thinking mindset on harnessing technology for legal content creation and practice, driving operational excellence. Requirements Juris Doctor required; advanced tax law degree preferred. At least 2 years of tax practice experience or equivalent Proven analytical, legal research, and original writing skills with the ability to interpret outputs from AI systems and integrate insights into legal content creation. Professional tax-specific legal analysis and writing experience preferred. Technical knowledge: MS Office suite including Word, Excel and PowerPoint; Experience using LLMs to assist in drafting, summarizing Proficiency in Lexis+, Lexis+ AI or other legal research tools highly preferred; experience using data tools such as Tableau and Power BI a plus Strong collaboration, communication, and relationship-building skills to excel in a team-oriented environment Work in a way that works for you We promote a healthy work/life balance across the organization. We offer an appealing working prospect for our people. With numerous wellbeing initiatives, shared parental leave, and study assistance, we will help you meet your immediate responsibilities and your long-term goals. About the Business LexisNexis Legal & Professional provides legal, regulatory, and business information and analytics that help customers increase their productivity, improve decision-making, achieve better outcomes, and advance the rule of law around the world. As a digital pioneer, the company was the first to bring legal and business information online with its Lexis and Nexis services. Primary Location Base Pay Range: Home based-New York $77,300 - $128,900. U.S. National Base Pay Range: $70,200 - $117,100. Geographic differentials may apply in some locations to better reflect local market rates. Base Pay Range for CO is $70,200 - $117,100. Base Pay Range for IL is $73,700 - $122,900. Base Pay Range for Chicago, IL is $77,300 - $128,900. Base Pay Range for MD is $73,700 - $122,900. Base Pay Range for NY is $77,300 - $128,900. Base Pay Range for New York City is $80,800 - $134,700. Base Pay Range for Rochester, NY is $66,800 - $111,300. Base Pay Range for OH is $66,800 - $111,300. Application deadline is 01/31/2026. We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer to our US full- and part-time employees working at least 20 hours or more per week: ● Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits ● Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan ● Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs ● Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity ● Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits ● Health Savings, Health Care, Dependent Care and Commuter Spending Accounts ● In addition to annual Paid Time Off, we offer up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form or please contact **************. Criminals may pose as recruiters asking for money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here. Please read our Candidate Privacy Policy. We are an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law. USA Job Seekers: EEO Know Your Rights.

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission. We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 12 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. Reporting into the Associate General Counsel, the Corporate Counsel will provide comprehensive legal support to Availity, focusing on the intersection of healthcare technology, revenue cycle management, and regulatory compliance. This role involves advising on legal issues, drafting, and negotiating contracts, ensuring compliance with healthcare laws and regulations, and managing risk in the rapidly evolving healthcare technology sector. Sponsorship, in any form, is not available for this position. Location: Remote, US Why you want to work on this team: Work on a team that is collaborative and will offer continuous learning opportunities Enjoy solving complex issues from a legal perspective Be part of a fast-growing technology organization that is dedicated to innovation and transformation To be qualified for this position you: Minimum 5 years at a law firm as a corporate or transactional associate and/or as an in-house corporate or transactional attorney. Healthcare and/or information technology industry experience is strongly preferred. Clearinghouse, Revenue Cycle Management and/or health plan/payer experience is a plus. Juris Doctorate (JD) from accredited law school. Demonstrated knowledge or experience in healthcare law, technology law, cloud computing, SaaS, software license agreements, data privacy, HIPAA/HITECH, Omnibus and other laws, accreditations, and regulations specific to the software and technology industry. Well versed in drafting, reviewing, and negotiating contracts related to healthcare technology, including software agreements, licensing agreements and service contracts. Ability to work effectively in a rapidly changing environment. Strong organizational and time management skills. Ability to adapt to constantly changing priorities in managing a wide variety of projects, while demonstrating initiative, accountability, and leadership. Strategic and analytical thinking. Sound decision-making ability. You will set yourself apart with: Healthcare Technology Experience Well versed in either Clearinghouse, Revenue Cycle Management and/or the health plan/payer space Strong experience in drafting and negotiating complex contracts You will be: Drafting, reviewing, and negotiating contracts related to healthcare technology, including software agreements, licensing agreements, and service contracts Ensuring compliance with federal and state healthcare regulations, including HIPAA, HITECH, and other relevant privacy and security laws. Managing compliance with payer requirements and regulations affecting revenue cycle management. Identifying and mitigating legal risks associated with healthcare technology and revenue cycle management operations. Developing and implementing policies and procedures to manage and minimize legal risks. Managing and resolving legal disputes, including contract disputes, regulatory inquiries, and litigation related to healthcare technology and revenue cycle management. Providing guidance and support to internal teams to ensure understanding and adherence to legal requirements. Working closely with other departments, including compliance, finance, and operations, to support business objectives and ensure legal alignment. Providing legal input in strategic planning and business development initiatives. Availity culture and benefits: Availity is a certified “Great Place to Work”! Culture is important to us and there are many ways for you to make your mark here! We have several Diversity & Inclusion teams, a Young Professionals Group, a She Can Code IT group for women in tech, and various ways to engage with fellow Availity associates. Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too! Don't feel like wearing business attire? Cool, you can wear jeans - we are a casual place. We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits, and a 401k match program that you can take advantage of on day one! We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits. Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc. Interested in furthering your education? We offer education reimbursement! Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. Want to work for an organization that gives back to the community? You're at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Next steps: After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process. Interview process: Recruiter Recorded Video Interview Video Interview with Hiring Manager Video Panel Interview with Legal Leaders Video Panel Interview with Legal Peers Video Interview with Senior HR Business Partner Final Video Interview with Chief Legal Officer Video Camera Usage: Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role. Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants. Disclaimers: Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at *************************** . Click the links below to view Federal Employment Notices. Family & Medical Leave Act Equal Employment Law Poster Pay Transparency Employee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers

Job Title Principal Cloud Service Reliability Engineer All CVs must be submitted in English to be considered. About Your Business Area/Department The ACS Cloud SRE team plays a pivotal role in ensuring the availability, performance, and resilience of Amadeus' cloud-native platforms, which serve over 200 airlines and 6,000 hotel properties worldwide. Operating from key global hubs including Bogotá, Miami, Dallas, and Nice, our team is central to Amadeus' technology transformation-building and scaling OpenShift and Kubernetes platforms across public and private clouds. With a strong focus on automation, proactive monitoring, and continuous improvement, the ACS Cloud SRE team empowers our business units to deliver reliable services 24/7/365 while fostering collaboration, inclusivity, and innovation. Summary of the Role We are seeking Cloud Engineers to join our Cloud Competency Center, where you will help build, configure, operate, and scale our OpenShift and Kubernetes platforms across public and private clouds. These platforms are the backbone of Amadeus' global operations. By joining our team, you will be at the forefront of Amadeus' technology transformation, enabling all our business segments to leverage the capabilities of modern cloud-native applications. In this Role You'll * Collaborate with a global and diverse team of professionals across Nice (France), Miami and Dallas (United States), Bangalore (India), Erding (Germany), and Bogotá (Colombia). * Work with modern technologies such as OpenShift and Kubernetes in an agile, learning-oriented environment. * Share ideas, co-create solutions, and contribute to continuous improvements that make platforms more reliable and resilient. * Grow your career in a global company that values learning, inclusivity, and professional development. * Deploy, configure, and operate PaaS (RedHat OpenShift) platforms in private and public clouds. * Implement monitoring, alerting, and policies as code to strengthen system performance. * Partner with Architects, Engineers, and developers to design and deliver new features and initiatives. About the Ideal Candidate * Bachelor's degree or higher, or equivalent practical experience. * 5+ years of relevant experience in operational service roles, with at least 1+ years in cloud/PaaS and DevOps technologies. * Experience running a large-scale environment (1000+ hosts). * Problem-solving mindset and curiosity for challenges. * Knowledge of scalability, stability, and security in cloud-based applications. * Hands-on experience managing Kubernetes or OpenShift clusters. * Familiarity with Python, Java, Go, Groovy, Terraform. * Strong scripting skills (Shell, Python, Ansible). * Experience with Git and ArgoCD. * Experience troubleshooting network, security, and infrastructure issues is a plus. Core Competencies * Analytical and conceptual thinking * Inclusive communication and collaboration skills * Ability to share technical expertise clearly with diverse audiences * Strong presentation skills * Commitment to continuous learning and adaptability * Customer focus and teamwork mindset * Creativity, proactivity, and autonomy * Proficiency in English, both written and spoken What We Offer: * Competitive compensation, including performance-based bonuses, paid vacation and holidays, health insurance, and other comprehensive benefits. * Flexible work options: onsite, hybrid, or fully remote depending on your needs and location. * Access to professional development tools and training-both technical and soft skills-to support your growth and career progression. * A diverse, inclusive, and collaborative workplace in one of the world's leading travel technology companies-where your work will have global impact. Application Process: The application process takes less than 10 minutes. Create your candidate profile, upload your résumé/CV, and apply today - we look forward to learning more about you! What We Can Offer You * A complete rewards offer - Amadeus provides attractive remuneration packages, covering all essential components of a competitive reward offer, including bonus, equity, pension plan, travel, life and healthcare insurance, as well as lunch and transport allowance and other benefits. * A truly global DNA - Everything at Amadeus is global, from our people to our business, which translates into our footprint, processes, and culture. * Great opportunities to learn - Learning happens all the time and in many ways at Amadeus, through on-the-job training, formal learning activities, and day-to-day interactions with colleagues. * A caring environment - Amadeus fosters a caring environment, nurturing both a fulfilling career and personal and family life. We care about our employees and strive to provide a supportive work environment. * A flexible working model - We want our employees to do their best work, wherever and however it works best for them. * A diverse and inclusive community - We are committed to leveraging our uniquely diverse population to drive innovation, creativity, and collaboration across our organization. * A Reliable Company - Trust and reliability are fundamental values that drive our actions and shape long-lasting relationships with our customers, partners, and employees. * A critical mission and purpose - At Amadeus, you will be powering the future of travel and pursuing a critical mission and extraordinary purpose #LI-AM2025 Diversity & Inclusion Amadeus aspires to be a leader in Diversity, Equity and Inclusion in the tech industry, enabling every employee to reach their full potential by fostering a culture of belonging and fair treatment, attracting the best talent from all backgrounds, and as a role model for an inclusive employee experience. Amadeus is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to gender, race, ethnicity, sexual orientation, age, beliefs, disability or any other characteristics protected by law.

Responsible for the coordination and completion of the audit reviews, reviewing audit work papers and reports completed by department staff, distributing reports to management, coordinating auditor's assignments, mentoring and coaching department staff, and assisting the department manager with the direction of the workflow of various risk management activities and special projects. Description The Lead Medicare Auditor is a part-time remote position. What You'll Do: Independently and objectively helps plan and execute audits in accordance with professional auditing standards. Performs or supports audits focused primarily on operational controls, asset safeguarding, and compliance with procedures, laws, and regulations. Functions as in-charge auditor of the most complex audit reviews and/or cost reports. May conduct reviews of account reconciliations performed by various financial areas. Identifies and analyzes related key processes, systems, and controls to determine effectiveness. Communicates audit status and results to management, with emphasis on discussing deficiencies and recommending corrective actions. Prepares formal written work papers and reports, documenting audit work performed and expressing conclusion. Assesses desk reviews performed by subordinate auditors to ensure that quality audit work is performed and on-the-job training is provided as necessary. Assists in ensuring that all assigned audits are completed and reviewed in accordance with Generally Accepted Accounting Principles, Generally Accepted Auditing Standards and, Government Auditing Standards. Coordinates the completion of these assignments in a manner which results in timely completion of all assignments in accordance with budget performance requirements as well as departmental interim goals. Directs the day-to-day efforts of assigned audit staff by reviewing and planning assignments, training, and providing leadership and guidance. Assists in the development and revision of work instructions, forms, and procedures. Broadens and maintains working knowledge of applicable laws, regulations, and procedures through self-study programs, on-the-job training, attending seminars and network association's formal training programs. Communicates with internal and external areas as necessary to ensure efficient completion of assigned tasks. To qualify for this position, you will need: Required Education: Bachelor's in a job related field Required Work Experience: 7 years auditing or accounting experience with one year leading audits. Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations. Ability to gather information by examining records and documents and to interview individuals concerning those records. Strong interpersonal skills and the ability to work professionally with persons at all levels, and to maintain effective working relationships. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Knowledge of cost accounting standards and General Accepted Accounting Principles. Knowledge and use of auditing standards and statistical sampling techniques. Good planning and organization skills. Required Software and Tools: Microsoft Office. Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA) Work Environment: Typical office environment. Some travel between office buildings. Out of town travel may be required.Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits at the first of the month following 28 days of employment: Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Salary Range: Range Minimum$60,455.00 Range Midpoint$90,815.50 Range Maximum$121,176.00Equal Employment Opportunity StatementBlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.Some states have required notifications. Here's more information. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Builds and maintains effective long-term relationships with internal and external partners. Ensuring high levels of satisfaction and increase revenues through profitable new case pricing and drive renewal add issue sales. Supports reporting evaluation and additional development. Assess knowledge base and supports training/mentoring of the team. Collects and analyzes internal and external feedback to guide continuous improvement of deliverables. Strong customer advocate. *Strongly preferred: Background in group underwriting associated with Life, Disability, Dental, Vision, Worksite, Absence Management. Profit planning. Process flow evaluation and advancement. Prior experience with formalized training initiatives. Experienced in renewal delivery and driving new products. Description Logistics: This is a full-time position working (40-hours/week) Monday-Friday 8:00am - 5:00pm working remotely. What You Wiil Do: Responsible for establishing/maintaining strong service relationships with clients and agents. Researches/compiles presentations and sales materials as needed. Coordinates client and agent input into renewal process. Obtains client signoff on administrative service agreements. Respond to customer issues in a way to provide issue resolution and attention Responsible for helping establish reporting packages. Gathers and analyzes data from client and/or agent to compile, approve and deliver marketing packages. Manages related communications relating to existing account renewals. Provides ongoing account management. Creates demand for ancillary products and services by raising their profile with customers. Enhances business relationships by being attentive to market place needs and changes. Directs/manages office service and administrative staff. Encourages personnel to be proficient in job assignments. Manages and assists in large enrollments or informational meetings. To Qualify for This Position, You Will Need Required Education: Bachelor's in a job related field Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience Required Work Experience: 5 years- account management in insurance industry. Experience to include 1 year of team lead or leadership experience or equivalent in grade E4 or above (may be concurrent with the 5 years) Required Skills and Abilities: Good judgment skills. Effective customer service skills. Demonstrated verbal and written communication skills. Ability to persuade, negotiate, or influence others. Ability to handle confidential or sensitive information with discretion. Ability to direct, motivate, and assess performance of others. Analytical and critical thinking skills. Required Software and Tools: Microsoft Office What We Prefer You to Have: Background in group underwriting associated with Life, Disability, Dental, Vision, Worksite, Absence Management. Profit planning. Process flow evaluation and advancement. Prior experience with formalized training initiatives. Experienced in renewal delivery and driving new products. What We can Do for You: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401K retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance Discounts to movies, theaters, zoos, theme parks and more What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Responsible for ensuring all systems programming decisions maintain the integrity of the overall systems infrastructure. Write or debug programs to maintain and control computer systems software, such as operating systems, networked systems, and database systems. Provide technical and disaster recovery expertise for systems software. Description Logistics: BlueCross BlueShield of South Carolina Location: This remote position is full-time (40-hours/week) Monday-Friday. You will work an 8-hour shift scheduled during our normal business hours of 8:00AM-5:00PM with on-call duties. It may be necessary, given the business need to work occasional overtime. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. Position Purpose: This position is responsible for the day-to-day operations and maintenance of VTAM infrastructure, including troubleshooting connectivity issues, optimizing network configurations, and implementing enhancements to support system performance and reliability. What You'll Do: Diagnose, isolate, and debug software problems and perform problem resolution. Identify issues that the vendor is responsible for and refer those issues appropriately. Review and design system software and hardware builds analyzing system options and the impact on the overall systems infrastructure. Develop and document the framework for integration and implementation for changes to technical standards. Coordinate installation, testing, and maintenance of systems software. Schedule system downtime in a way that minimizes user impact. Review customer requests, security patches, and audit requirements for additions or changes to systems, and evaluate feasibility to determine if/how to handle the request while maintaining an adequate/appropriate overall systems infrastructure. To determine if requested changes are possible, review system capabilities, workflow, and scheduling limitations. Provide technical guidance to project team areas as appropriate. May evaluate vendor-supplied software packages and make recommendations to IT management. In coordination with Project Leads and senior level staff, provide input on proposals that could potentially impact systems. Assist in the establishment and implementation of standards and guidelines that guide the design of technology solutions across the enterprise. Provide technical and disaster recovery support for systems software. Work Environment: Fast paced, multi-platformed environment which may require action and response 24X7 to support the technical business needs of the customer. To Qualify for This Position, You'll Need: Required Education: Bachelor's degree in a job-related field Degree Equivalency: Associate's degree and an additional 2 years of job-related work experience for a total of 10 years of job-related work experience (See Required Work Experience). OR 12 total years of job-related work experience or Required Work Experience: 8 Years IT experience including extensive systems programming experience. Required Skills and Abilities: Strong analytical and logical thinking skills. Thorough understanding of operating systems and foundation architecture. Extensive knowledge of systems programming, graphical user interfaces, control languages, development, quality assurance, and integration methodologies. Advanced knowledge of currently utilized programming productivity tools and their use. Advanced knowledge/skills in analyzing system software and making recommendations for performance enhancements. Required Software and Other Tools: Standard office equipment. We Prefer that You Have: A working knowledge of z/OS networking including VTAM, TCPIP, and SMP/E. Knowledge of CA-TPX, NetView, and Connect:Direct (NDM). Experience installing, configuring, administering, and troubleshooting NetView, Connect:Direct, and TPX. Experience with TIBCO MFT Platform Server (Cyberfusion) on z/OS A working knowledge of SAS and SMF records Advanced Networking Concepts (TCP/IP, Routing, Firewalls, Network Security, Enterprise Extender, APPN) Disaster Recovery experience recovering environments for VTAM and TCPIP communication network for ZOS What we Can Do for You: Our comprehensive benefits package includes: 401(k) retirement savings plan with company match Subsidized health plans and free vision coverage Life insurance Paid annual leave - the longer you work here, the more you earn. Nine paid holidays On-site cafeterias and fitness centers in major locations Wellness programs and a healthy lifestyle premium discount Tuition assistance Service recognition What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who qualify with prioritization given to those candidates who demonstrate the preferred qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

TransUnion's Job Applicant Privacy Notice Personal Information We Collect Your Privacy Choices We'd Love to See: Advisors for various and unanticipated worksites throughout the U.S. (HQ: Chicago, IL). Ensure Product Engineering maintains end-to-end security of product through compliance with policy, standards, regulations and industry best practices. Work with Information Security management to create and implement a program for enabling security standards across products. Guide and advise development teams on secure coding practices, secure software development methodologies, and secure development lifecycle (SDLC) processes. Technical environment: Security integration (design through deployment); threat modeling (STRIDE, PASTA); technical remediation/reviewing and validating code fixes; risk assessment and management; cloud security (AWS/Azure/GCP security principles); API security; validating Pen Testing findings in BurpSuite. Job Requirements *Master's degree in Computer Science, Information Systems, or related field plus 2 years of experience with Information and Application Security required. Required skills: Security integration (design through deployment); threat modeling (STRIDE, PASTA); technical remediation/reviewing and validating code fixes; risk assessment and management; cloud security (AWS/Azure/GCP security principles); API security; validating Pen Testing findings in BurpSuite. 100% telecommuting permitted. (*Bachelor's degree in Computer Science, Information Systems, or related field plus 5 years of progressive experience with Information and Application Security also acceptable.) Benefits & Pay Scale Information: TransUnion provides flexible benefits including flexible time off for exempt associates, paid time off for non-exempt associates, up to 12 paid holidays per year, health benefits (including medical, dental, and vision plan options and health spending accounts), mental health support, disability benefits, up to 12 weeks of paid parental leave, adoption assistance, fertility planning coverage, legal benefits, long-term care insurance, commuter benefits, tuition reimbursement, charity gift matching, employee stock purchase plan, 401(k) retirement savings with employer match, and access to TransUnion's Employee Resource Groups. Spousal, domestic partner, and other eligible dependent coverage is available on select health and welfare plans. The U.S. base salary range for this position is $143,333/yr. -$159,432/yr. annually. Regular, fulltime non-sales positions may be eligible to participate in TransUnion's annual bonus plan. Certain positions may also be eligible for long-term incentives and other payments based on applicable company guidance and plan documents. We are committed to being a place where diversity is not only present, it is embraced. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability status, veteran status, genetic information, marital status, citizenship status, sexual orientation, gender identity or any other characteristic protected by law. #LI-DNI #BI-DNI Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law, including the Los Angeles County Fair Chance Ordinance for Employers, the San Francisco Fair Chance Ordinance, Fair Chance Initiative for Hiring Ordinance, and the California Fair Chance Act. Adherence to Company policies, sound judgment and trustworthiness, working safely, communicating respectfully, and safeguarding business operations, confidential and proprietary information, and the Company's reputation are also essential expectations of this position. Company: TransUnion LLC

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission. We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 12 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. We are seeking a Solutions Engineer to join our Authorization Delivery team, supporting the implementation of prior authorization products to payer organizations. In this highly client-facing role, you will lead the solutioning during the implementation of new and existing health plan clients for Availity's Essentials, Intelligent Gateway, and End to End Authorization products. You will act as a trusted consultant, guiding payers through configuration, workflow optimization, and best practices for leveraging Availity's prior authorization solutions. This is an opportunity to influence platform growth, represent the voice of the customer, and collaborate across teams to ensure successful implementations. Why join this team? Work with a collaborative and growth-focused team that values continuous learning. Support the growth and acceleration of a fast-paced AI-driven solution creating differentiation in the healthcare industry across payers. Influence the future direction of Availity's prior authorization platform. Make a real impact by helping payers and providers reduce administrative burdens. What you'll do? Lead solution design for payer implementations for the End to End prior authorization products, including Essentials and Intelligent Gateway. Conduct client-facing meetings and product demonstrations with internal and external stakeholders. Document business and technical requirements, aligning them with scalable solutions from a multi-payer perspective. Relay technical requirements and solution design review with the authorization engineering teams for collaboration, timeline estimates, and delivery of the optimal solution for both Availity and its payers. Collaborate with Product Management on custom requests and identify opportunities for process improvement. Participate in the sales discovery process, helping shape solutions that meet client needs. Manage multiple concurrent projects across multiple payer clients, ensuring on-time delivery. What you bring: Bachelor's degree or equivalent combination of education and relevant experience. 3+ years in a client-facing solution design role, building strong internal and external relationships. 3+ years working on projects or contracts greater than $1,000,000 ACV. 5+ years of experience in technology consulting, technical implementation, or solutions delivery-healthcare experience required, specifically in the prior authorization space. Only candidates with prior authorizations experience will be considered. Ability to articulate product features and translate payer requirements into scalable solutions. Strong analytical and technical problem-solving skills with an understanding of SDLC and Agile methodologies. Excellent written and verbal communication skills, including business and technical documentation. Proven ability to deliver in time-sensitive engagements and adapt to changing priorities. Technical aptitude with healthcare workflows, high-volume transactions, and emerging technologies. Balance between delivering the right solution to a payer and Availity's goal of scalable, innovative solutions supporting hypergrowth. What will set you apart: Vast experience with prior authorization solutions or utilization management workflows. Prior delivery or solutioning engagements or employment with major payers in the industry. Knowledge and expertise with healthcare data standards such as EDI, X12, FHIR, and APIs. Knowledge of health plan systems and payer operations. Experience delivering enterprise SaaS solutions. Working knowledge of Atlassian (Jira, Confluence), Azure DevOps, Salesforce, or similar tools. Availity culture and benefits: Availity is a certified “Great Place to Work”! Culture is important to us and there are many ways for you to make your mark here! We have several Diversity & Inclusion teams, a Young Professionals Group, a She Can Code IT group for women in tech, and various ways to engage with fellow Availity associates. Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too! Don't feel like wearing business attire? Cool, you can wear jeans - we are a casual place. We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one! We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits. Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc. Interested in furthering your education? We offer education reimbursement! Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. Want to work for an organization that gives back to the community? You're at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Next steps: After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process. Interview process: Recruiter Video Pre-Screen Video Interview with Hiring Manager Video Panel Interview 2nd Video Interview with Hiring Manager Video Camera Usage: Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role. Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants. Disclaimers: Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at *************************** . Click the links below to view Federal Employment Notices. Family & Medical Leave Act Equal Employment Law Poster Pay Transparency Employee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission. We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. The Major Incident Manager in IT is responsible for driving the resolution of critical incidents that have significant impact on business operations, services, or systems. This role acts as the central point of coordination during major incidents, ensuring that restoration efforts are effective, timely, and communicated clearly to all stakeholders. A candidate with strong cloud and observability expertise, a passion for problem-solving, and a desire to be highly visible across the organization-collaborating with all levels of IT to resolve complex issues-will thrive in this role. Technical comprehension and ability to question team actions is a must. Sponsorship, in any form, is not available for this position. Location: Remote, US Role qualifications: Technical Acumen: Strong understanding of SaaS operations, IT infrastructure, AWS/Azure cloud services, monitoring tools Splunk and New Relic, automation, scripting, process improvement, and service management frameworks (e.g., ITIL). Strong Analytical Thinking: Ability to assess complex technical situations and make quick, informed decisions under pressure. Knowing when and where to ask questions ensuring the quickest restoration of service. Apply risk benefit analysis to multiple impacting issues in order to prioritize remediation efforts. Excellent Communication Skills: Skilled at delivering clear, concise information to technical and non-technical audiences verbally and in writing. The ability to negotiate difficult conversations effectively and with ease without concertation. Leadership: Proven ability to lead and drive cross-functional teams in high-stress environments while managing expectations from the c-suite but ensuring restoration activity is not derailed. Problem-Solving: Demonstrated capability to identify solutions and drive resolution in urgent situations. Attention to Detail: Thorough documentation and tracking of incident progress within ServiceNow Major Incident Workbench. Familiarity with observability tools, and skill at interpreting data from those tools. Time Management: Ability to prioritize tasks and manage multiple incidents simultaneously. What you will be doing: Incident Coordination: Lead and coordinate the response to major IT incidents, involving relevant technical teams, vendors, and business stakeholders. Communication Management: Maintain clear and consistent communication with internal teams, senior leadership, and external parties throughout the life cycle of the incident. Initial Root Cause Analysis: prepare post-incident reviews, documenting findings and working with teams to identify initial root causes for customer notifications and preparation for in-depth problem management. Process Improvement: Drive continuous improvement initiatives for incident management processes, policies, and tools. Stakeholder Engagement: Ensure stakeholders are kept informed of incident status, impacts, and timelines for resolution. Documentation: Record all actions taken during the incident, maintain incident logs, and produce incident reports for management review. Compliance & Reporting: Ensure incidents are managed in line with company policies, regulatory requirements, and industry best practices. Availity culture and benefits: Availity is a certified “Great Place to Work”, a “Best Workplaces for Technology Companies”, a “Best Workplaces for Women” and a “Best Workplaces for Millennials”! Culture is important to us and there are many ways for you to make your mark here! We have several Diversity & Inclusion teams and various ways to engage with fellow Availity associates. “AvaiLadies”, “Beyond Black”, “HOLA”, “Availity Pride”, “VetAvaility” a Young Professionals Group and “She Can Code IT” a group for women in tech are some of the groups you can get involved in. Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too! We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one! We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits. Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc. Interested in furthering your education? We offer education reimbursement! Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. Want to work for an organization that gives back to the community? You're at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Next steps: After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process. Interview process: Recruiter video interview Manager resume review Manager video interview Panel video interview Senior leadership video interview #LI-BD1 Video Camera Usage: Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role. Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants. Disclaimers: Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at *************************** . Click the links below to view Federal Employment Notices. Family & Medical Leave Act Equal Employment Law Poster Pay Transparency Employee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we by a powerful mission. We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. Reporting to the Manager, Utilization Management, the UM Nursing Analyst is responsible for the interpretation of payer medical policy guidelines and the construction of NLP/AI-enabled decision trees that accurately reflect medical necessity criteria. The role requires in-depth knowledge of utilization management principles, the role and purpose of medical necessity guidelines and prior authorization adjudication practices. This individual will work in a team environment and will be expected to perform highly complex tasks while collaborating with team members with both clinical and engineering/programming backgrounds. The successful candidate will be detail oriented with strong analytic reasoning skills, demonstrate strong communication and organizational skills while remaining open-minded, embracing change and the spirit of innovation. Sponsorship, in any form, is not available for this position. Why you want to work on this team: Dynamic, collaborative group working on innovative technologies to disrupt the status quo and solve the problem of prior authorization in healthcare. Opportunity to work directly on cutting edge AI technology and its application to the healthcare industry. Role qualifications: Bachelor's degree in nursing. Over 3 years of experience in an outpatient Utilization Management program, either with an insurer or with a healthcare provider OR equivalent clinical experience with familiarity with prior authorization submission practices. This is required to be considered for the role. Strong familiarity with MCG and/or InterQual guidelines. This is required to be considered for the role. Additional experience in fields of billing / coding, claims review or inpatient utilization management, while not necessary, would enhance the application. Familiarity with AI technology. “Computer smart” - General power user of technology and confident with navigating new technologies and applications. Familiarity and understanding of interpreting medical records to be able to identify how physicians may document conditions and findings. You will set yourself apart: If you have exceptional critical thinking and reasoning skills. If you can synthesize complex, abstract problems, and collaborate effectively with team members with diverse skillsets to create solutions. If you are self-motivated and a quick learner with an ability to multi-task. What you will be doing: Reviewing payer Medical Policy Guidelines to identify pertinent medical necessity criteria related to specific Procedural codes or CPT codes. Use programming language to construct attestation questions that reflect medical necessity criteria. Assign coded medical constructs to attestation trees based on clinical relevance to facilitate automation of responses to the questions. Identify medical terms that should be added to the existing vocabulary of coded medical concepts. Serve as Subject Matter Expert and general medical resource to engineering teams and developers Availity culture and benefits: Availity is a certified “Great Place to Work”, a “Best Workplaces for Technology Companies”, a “Best Workplaces for Women” and a “Best Workplaces for Millennials”! Culture is important to us and there are many ways for you to make your mark here! We have several Diversity & Inclusion teams and various ways to engage with fellow Availity associates. “AvaiLadies”, “Beyond Black”, “HOLA”, “Availity Pride”, “VetAvaility” a Young Professionals Group and “She Can Code IT” a group for women in tech are some of the groups you can get involved in. Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too! We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one! We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits. Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc. Interested in furthering your education? We offer education reimbursement! Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. Want to work for an organization that gives back to the community? You're at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Next steps: After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process. Interview process: Recruiter resume review Manager resume review Recruiter video interview Manager video interview Panel video interview Video Camera Usage: Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role. Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants. Disclaimers: Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at *************************** . Click the links below to view Federal Employment Notices. Family & Medical Leave Act Equal Employment Law Poster Pay Transparency Employee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers

TransUnion's Job Applicant Privacy Notice Personal Information We Collect Your Privacy Choices What We'll Bring: At TransUnion, we strive to build an environment where our associates are in the driver's seat of their professional development, while having access to help along the way. We encourage everyone to pursue passions and take ownership of their careers. With the support of colleagues and mentors, our associates are given the tools needed to get where they want to go. Regardless of job titles, our associates have the opportunity to learn new things and be a leader every day. What You'll Bring: 10-15 years of experience in channel management, strategic partnerships, or sales roles, ideally within contact centes, call branding, call authentication or fraud prevention. Proven track record of driving revenue through indirect channels and managing partner ecosystems to achieve annual goals and KPIs. Deep understanding of branded calling, call authentication technologies, STIR/SHAKEN protocols, and other solutions that help contact centers more efficiently interact with the correct consumer. Ability to quickly learn and articulate TransUnion's Trusted Call Solutions portfolio, including how these offerings integrate with partner platforms and solve customer pain points. Strong relationship-building skills with a proactive mindset-able to anticipate partner needs, recommend strategic actions, and support internal teams to accelerate deal closure. Experience working cross-functionally with sales, product, marketing, engineering, and professional services to drive partner success. Impact You'll Make: Identify, own and grow channel partnerships that support the distribution and adoption of Trusted Call Solutions. Develop and execute annual partner plans, including joint go-to-market strategies, enablement programs, and revenue targets. Serve as a subject matter expert on Trusted Call Solutions, guiding partners and internal teams on solution positioning, integration, and value delivery. Collaborate with sales teams to support partner-involved deals, ensuring alignment and maximizing partner contribution to pipeline and revenue. Provide market driven insights and partner feedback to influence product development, marketing, engineering and training initiatives. Craft compelling, data-driven value propositions that resonate with partners and their customers. Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law, including the Los Angeles County Fair Chance Ordinance for Employers, the San Francisco Fair Chance Ordinance, Fair Chance Initiative for Hiring Ordinance, and the California Fair Chance Act. Adherence to Company policies, sound judgment and trustworthiness, working safely, communicating respectfully, and safeguarding business operations, confidential and proprietary information, and the Company's reputation are also essential expectations of this position. This is a hybrid position and involves regular performance of job responsibilities virtually as well as in-person at an assigned TU office location for a minimum of two days a week. Benefits: TransUnion provides flexible benefits including flexible time off for exempt associates, paid time off for non-exempt associates, up to 12 paid holidays per year, health benefits (including medical, dental, and vision plan options and health spending accounts), mental health support, disability benefits, up to 12 weeks of paid parental leave, adoption assistance, fertility planning coverage, legal benefits, long-term care insurance, commuter benefits, tuition reimbursement, charity gift matching, employee stock purchase plan, 401(k) retirement savings with employer match, and access to TransUnion's Employee Resource Groups. Spousal, domestic partner, and other eligible dependent coverage is available on select health and welfare plans. We are committed to being a place where diversity is not only present, it is embraced. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability status, veteran status, genetic information, marital status, citizenship status, sexual orientation, gender identity or any other characteristic protected by law. Additionally, in accordance with Section 503 of the Rehabilitation Act of 1973 and the Vietnam Era Veterans' Readjustment Assistance Act of 1974, TransUnion takes affirmative action to employ and advance in employment qualified individuals with a disability and protected veterans in all levels of employment and develops annual affirmative action plans. Components of TransUnion's Affirmative Action Program for individuals with disabilities and protected veterans are available for review to any associate or applicant for employment upon request by contacting ********************. Pay Scale Information :The U.S. base salary range for this position is $94,000.00 - $148,000.00 annually. This position is eligible for both base pay and commission earnings. TransUnion commission targets are generally 20% - 50% of base salary and may vary based on position. *The salary range for this position reflects a reasonable estimate of the range of compensation for this job. At TransUnion, actual compensation is based on careful consideration of additional factors such as (but not limited to) an individual's education, training, work experience, job-related skill set, location, and industry knowledge, as well as the scope and responsibilities of the position and market considerations.Certain positions may be also eligible for long-term incentives and other payments based on applicable company guidance and plan documents. TransUnion's Internal Job Title: Sr Business Dev Exec, Account Dev - Direct Sales Company: TransUnion LLC

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change. At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission. We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding. Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem. Reporting to the Manager, Software Engineering the Software Engineer III will build network messaging software for Availity's AuthAI teams. This team's work is mostly back-end, using Java and AWS, and occasional front-end projects using React/Vue.js. Sponsorship, in any form, is not available for this position. Location: Remote, US Why work on this team: Experience and Expertise This high-performing team has an array of diverse experiences. You will learn a lot from us, and we also want to learn from you. Engineering Focus Our culture and roots are centered around engineers. Most of your leadership chain are former Software Engineers who love to engage in technical conversations while also giving you and your team a significant amount of autonomy. Positive Work Culture The team promotes a positive and inclusive work culture, prioritizing work-life balance, employee well-being, and fostering a sense of community and belonging. Growth Opportunities Working on this team provides numerous opportunities for professional and personal growth through challenging projects, mentorship, and continuous learning. Role qualifications: Must have a bachelor's degree in computer science, computer engineering or equivalent. 5+ years of progressive work experience in an Agile and/or iterative environment 5+ years leveraging the following languages & frameworks Java SQL databases JavaScript RESTful APIs Web services Knowledge/experience with AWS cloud is a plus. Knowledge/experience with React is a plus. Knowledge/experience with Vue is a plus. Knowledge of the healthcare industry is a plus. You will set yourself apart with: Healthcare industry experience AWS Experience Adherence to engineering best practices What you will be doing: Developing Java software, with other languages where appropriate. Fixing bugs and implementing features, while coaching/mentoring junior engineers Building web services for both internal and external use. Writing unit tests to maintain high coverage percentages. Applying modern software architecture patterns (distributed systems, microservices, etc.) Leveraging CI/CD principles using Git, Jira, and AWS Performing unit testing and complex debugging to ensure quality. Developing well-structured, reusable, maintainable, and intentionally designed code to address requirements and software standards. Writing database queries and required table definition modifications. Actively participating in pair programming and code reviews Analyzing existing programs and modifying the application code to create Innovating and sharing ideas to improve products and processes, big and small. Indirectly speeding up the prior authorization process for patients across the US. Availity culture and benefits: Availity is a certified “Great Place to Work”, a “Best Workplaces for Technology Companies”, a “Best Workplaces for Women” and a “Best Workplaces for Millennials”! Culture is important to us and there are many ways for you to make your mark here! We have several Diversity & Inclusion teams and various ways to engage with fellow Availity associates. “AvaiLadies”, “Beyond Black”, “HOLA”, “Availity Pride”, “VetAvaility” a Young Professionals Group and “She Can Code IT” a group for women in tech are some of the groups you can get involved in. Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too! We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one! We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits. Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc. Interested in furthering your education? We offer education reimbursement! Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents. Want to work for an organization that gives back to the community? You're at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign. Next steps: After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process. Interview process: Manager resume review Recruiter video interview Manager video interview Technical assessment Technical video interview Senior leadership video interview Video Camera Usage: Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role. Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants. Disclaimers: Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at *************************** . Click the links below to view Federal Employment Notices. Family & Medical Leave Act Equal Employment Law Poster Pay Transparency Employee Polygraph Protection Act IER Right to Work Poster Important Notice about Employee Rights to Organize and Bargain Collectively with Their Employers