Cherry Tree Dental Remote jobs

What you can expect We are seeking a Product Adoption Expert to drive deep product adoption and maximize business value across Zoom's diverse product portfolio. This role serves as the expert liaison between Product, Marketing, and Customer Success teams, ensuring best-in-class onboarding, workflows, and use cases are scaled across our customer base while being deployable for high-impact customer engagements. About the Team This role partners closely with Customer Success Managers, Onboarding Managers, and Product teams to accelerate adoption across Zoom's innovative solutions, including Zoom Phone, Contact Center, AI Companion. ResponsibilitiesDeployable Customer-Facing Engagements + Product Subject Matter Expertise: Serve as the adoption expert for assigned Zoom products (e.g., Zoom Phone, Contact Center, AI Companion, Rooms) + Strategic Customer Support: Join customer calls and workshops to map use cases and accelerate product-specific adoption + Cross-Team Collaboration: Partner with Customer Success Managers and Onboarding Managers during critical phases including launch, workflow integration, and renewals + Customer Education: Deliver impactful customer-facing sessions including office hours, deep dives, and workflow clinics Scalable & Programmatic Impact + Asset Development: Collaborate with Product, Product Marketing, General Managers, and Enablement teams to create scalable adoption resources: + Micro-learnings and step-by-step guides + Comprehensive playbooks and success plans + Educational webinars and customer campaigns + Workflow and use case catalogs + Program Management: Execute one-to-many initiatives including ongoing office hours, community forums, and customer champion sessions + Launch Support: Ensure new product launches include adoption-ready materials for immediate CSM and customer use + Product Feedback: Provide strategic feedback to Product teams based on adoption patterns, customer use cases, and implementation blockers Success Metrics & KPIs + Product Adoption Growth: Increase percentage of customers actively using key features and workflows + Time-to-Adoption: Accelerate adoption timelines for new product rollouts + Scalable Asset Reach: Maximize customer engagement through webinars, micro-learnings, and educational content + CSM Enablement Impact: Measure internal adoption of assets and reduction in repetitive support requests + Revenue Impact: Contribute to renewals and expansion opportunities tied to product adoption Products Supported + AI and CAIC + Events and Webinars + Zoom Phone + Revenue Accelerator + Contact Center + Zoom Chat & Productivity Suite (Clips, Whiteboard, Scheduler, Docs, Notetaker, Mail & Calendar) + Zoom Workplace & Microsoft Better Together + Zoom Ecosystem: APIs, RTMs, Webhooks, Integrations Salary Range or On Target Earnings: Minimum: $76,800.00 Maximum: $186,200.00 In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value. Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience. We also have a location based compensation structure; there may be a different range for candidates in this and other locations. Ways of WorkingOur structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting. BenefitsAs part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click Learn (********************************* for more information. About UsZoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars.We're problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment. Our Commitment At Zoom, we believe great work happens when people feel supported and empowered. We're committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know-we're here to support you at every step. We welcome people of different backgrounds, experiences, abilities and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. If you need assistance navigating the interview process due to a medical disability, please submit an Accommodations Request Form (https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&d=1***********3361) and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed. Think of this opportunity as a marathon, not a sprint! We're building a strong team at Zoom, and we're looking for talented individuals to join us for the long haul. No need to rush your application - take your time to ensure it's a good fit for your career goals. We continuously review applications, so submit yours whenever you're ready to take the next step. #LI-Remote We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines

+ Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. + Provides product and service information and identifies opportunities to improve our member and provider experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Supervises a team of employees. Trains, coaches, monitors, and manages the team's performance to meet or exceed company and department performance expectations. + Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure. + Ensures compliance with Contractual and Regulatory requirements. + Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. + Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal responsibility and accountability and leads by example through individual performance. + Support projects and special initiatives as appropriate. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required Experience** + 3-5 years' experience in a call center environment + 1-2 years supervisory experience **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $45,390 - $84,086 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Hospital Coding Specialist III (Remote) Cost Center: 101651098 System Support-Facility Coding Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; day shifts (United States of America) Job Description: May be eligible for a sign-on bonus! JOB SUMMARY The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Diseases (ICD) Official Guidelines for Coding and Reporting and in the Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS-DRG (Medicare Severity-Diagnosis Related Group) or APR-DRG (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical terminology, anatomy and physiology, surgical technology, pharmacology and disease processes. The Hospital Coding Specialist III reviews professional and hospital inpatient medical record documentation and properly identifies and assigns: * ICD CM and PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures. * MS-DRG /APR-DRG * Present on admission indicators * HAC (Hospital Acquired conditions) and when required, report through established procedures * PSI conditions and report through established procedures * Discharge Disposition code * Works collaboratively with the Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignments * Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested JOB QUALIFICATIONS EDUCATION The individual applying must meet the minimum qualifications in all three required sections below to be considered a candidate for interview. Please consider when listing minimum qualifications. Minimum Required: AHIMA or AAPC approved Medical Coding Diploma or Health Information Management Degree or related program. Preferred/Optional: None EXPERIENCE Minimum Required: Three years of progressive inpatient coding experience in an acute care facility. Preferred/Optional: Experience with electronic health record systems. Academic or level I or II trauma experience is a plus. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position Minimum Required: Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) through the American Health Information Management Association (AHIMA); or AAPC (American Academy of Professional Coders) at the time of hire. Preferred/Optional: If AAPC credential, preferred is CIC (Certified Inpatient Coder). May be eligible for a sign-on bonus! Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states: Alabama (limitations in some counties) Arizona (limitations in some counties) Arkansas Colorado (limitations in some counties) Florida Georgia Idaho Illinois (limitations in some counties) Indiana Iowa Kansas Kentucky (limitations in some counties) Louisiana Maine (limitations in some counties) Michigan Minnesota (limitations in some counties) Mississippi Missouri Montana Nebraska Nevada New Hampshire (limitations in some counties) North Carolina North Dakota Ohio Oklahoma Oregon (limitations in some counties) Pennsylvania (limitations in some counties) South Carolina South Dakota Tennessee Texas (limitations in some counties) Utah Virginia Wisconsin Wyoming Marshfield Clinic Health System will not employ individuals living in states not listed above. Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: SHP Pharmacy Benefits Specialist (Remote in WI)) Cost Center: 682891381 SHP-Pharmacy Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; 8:00 am - 5:00 pm (United States of America) Job Description: JOB SUMMARY The Security Health Plan (SHP) Pharmacy Benefit Specialist is responsible for the daily administration of the SHP pharmacy benefits. This individual works closely with the Pharmacy Director, Clinical Pharmacy Specialist, and Operations Manager to provide consistent and accurate pharmacy benefit administration for SHP customers. The SHP Pharmacy Benefit Specialist recognizes and analyzes aberrations in the functioning of benefits to monitor the services and performance of SHP's pharmacy benefits, and to communicate those issues to the appropriate areas. JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: High school diploma or equivalent. Preferred/Optional: Associate or Bachelor's Degree in business administration. EXPERIENCE Minimum Required: Five years' of experience working as a pharmacy technician with knowledge of electronic pharmacy claims processing. Demonstrated proficiency with customer service skills. Preferred/Optional: One year experience in a Health Maintenance Organization (HMO) or insurance industry. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: Certified Pharmacy Technician (CPhT) awarded by the Pharmacy Technician Certification Board required or must attain certification within 6 months of hire date. Preferred/Optional: None Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

Department: 13300 Enterprise Revenue Cycle - Group and Service Line Support Surg Hosp Based and Complex Specialties Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Remote Pay Range $37.50 - $56.25 Major Responsibilities: Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making. May participate in Service Line leadership meetings to represent Clinician Services, share updates, propose improvements, and align departmental efforts with organizational strategy. Collaborate with leadership and cross-functional teams-including Coding, CDI, CMD, Integrity Operations, Optimization & Technology, and Clinical Informatics-to identify improvement opportunities and advance documentation practices. Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes. Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines, while adhering to AHIMA's Standards of Ethical Coding. Utilize EHR systems and coding tools proficiently, maintaining data integrity and supporting efficient documentation workflows. Maintains confidentiality of patient records. Reports any perceived non-compliant practices to the Clinician Services leadership or compliance officer. Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development. Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders. Licensure, Registration, and/or Certification Required: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Specialty credential required Education Required: Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required Experience Required: 5 years of experience in expert-level professional and/or facility coding, and experience in collaborating with other teams within an organization, and/or educating/training licensed clinicians. Advanced level of ICD-10- CM/PCS and/or ICD-10-CM/CPT/HCPCS for a large complex health care system or medical group. Knowledge, Skills & Abilities Required: Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications. Proficiency in statistical analysis is essential to examine revenue cycle/reimbursement activities and identify and address related issues. Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems. Ability to deal and work effectively with multiple departments and in matrix organizational structures. Proven ability to influence others not directly reporting to them. Strong negotiating skills. Strong oral and written communication skills. Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment. Highly proficient in problem-solving and analytical thinking with strong attention to detail. Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies Physical Requirements and Working Conditions: Follows organizational and divisional remote work policy and guidelines. Operates all equipment necessary to perform the job. Handles a fast paced and creative work environment moving independently from one task to another. Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis. Physical Requirements and Working Conditions: Advanced training beyond High School that may include the completion of an accredited or approved program in Medical Coding and/or Associate or Bachelor's degree preferred. Specialty credential through AHIMA, AAPC or HFMA This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

**Become a part of our caring community and help us put health first** The Medicaid Process Improvement Professional 2 is responsible for analyzing and evaluating the effectiveness of existing Medicaid business processes, with a focus on eligibility, enrollment, claims, and compliance workflows. This role develops sustainable, repeatable, and measurable improvements that align with Medicaid program requirements and regulatory standards. Assignments are varied and often require interpretation of Medicaid-specific policies and data. The role demands independent judgment to determine the most appropriate course of action, particularly when addressing operational inefficiencies, system discrepancies, or member-level variances. The professional collaborates closely with cross-functional teams, including state agencies, managed care organizations, and internal stakeholders, to drive process enhancements that improve member outcomes and operational accuracy. The Medicaid Reconciliation Professional II supports process improvement initiatives by analyzing and enhancing Medicaid-related financial and operational workflows. This role involves researching best practices within and outside the organization to establish benchmarks and improve reconciliation accuracy, timeliness, and compliance. The ideal candidate should possess strong attention to detail with the ability to identify and resolve discrepancies and the ability to interpret and apply Medicaid policies and procedures. Key responsibilities include: + Data Collection & Analysis: Gather and evaluate Medicaid eligibility data to identify discrepancies and opportunities for process optimization and state submissions + Process Enhancement: Collaborate with the Senior Professional and Leads and recommend and implement business practices that improve reconciliation efficiency, reduce errors, and support regulatory compliance + Technology Integration: Assess how new systems and tools can streamline Medicaid reconciliation processes and support automation efforts + Share feedback with the Senior Business Systems analysis associate for appropriate fix implementation + Strategic Alignment: Understand departmental and organizational goals, ensuring reconciliation processes align with broader Medicaid and healthcare compliance strategies + Decision-Making: Exercise independent judgment in routine tasks and contribute to problem-solving in ambiguous situations with minimal supervision + Guideline Adherence: Follow established procedures while identifying areas for improvement and innovation **Key Performance Indicators (KPIs)** + Reconciliation Accuracy Rate: Percentage of Medicaid claims and payments accurately reconciled without discrepancies + Timeliness of Reconciliation: Average time taken to complete reconciliation cycles within reporting deadlines. + Comply with established due dates + Error Reduction Rate: Year-over-year decrease in reconciliation errors or mismatches + Process Improvement Implementation: Number of process improvement initiatives successfully implemented and sustained + Compliance Rate: Adherence to Medicaid regulations and audit requirements **Use your skills to make an impact** **Required Qualifications** + Undergraduate degree + Minimum 3 years of experience in Medicaid reconciliation enrollment + Minimum 3 years of experience with process improvement initiatives + Demonstrated experience with data analysis and reporting tools (e.g., Excel, Access, or similar) + Proficiency in Microsoft Office Suite, especially Excel (pivot tables, VLOOKUP, formulas) + Familiarity with Medicaid systems, claims platforms, and reconciliation tools **Work-At-Home Requirements** + At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Preferred Qualifications** + Experience with data visualization tools (e.g., Power BI, Tableau) + Familiarity with SQL or other data querying languages + Experience working in cross-functional teams to drive operational efficiency + Proven track record of identifying and implementing process enhancements **Additional Information** + As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you. + If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-23-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

What you can expect The Head of Sales Strategy & Planning is a senior leadership role focused on driving sales strategy, planning, and performance management throughout the organization. This position bridges executive strategy, revenue operations, and execution. As a strategic advisor to the Chief Revenue Officer and executive leadership, responsibilities include strategic planning, territory design, quota setting, compensation frameworks, process optimization, and governance. Collaboration with Sales, Marketing, Finance, and Product leaders is essential to create data-driven strategies, improve sales performance, and equip the sales team to achieve revenue goals. This role is critical for aligning sales operations with organizational objectives. About the Team The Sales Strategy & Planning team establishes the framework for the sales organization's operations, planning, and success metrics. Collaboration spans Sales, Marketing, Finance, Product, and Operations to develop territories, quotas, coverage models, and performance systems informed by data and business insights. This ensures sales teams remain focused, supported, and aligned for success, enabling the company to grow effectively while navigating evolving markets and opportunities. What we're looking for + Demonstrate expertise leading sales strategy, sales/revenue operations, business operations, or consulting work within a B2B or SaaS environment. + Demonstrate extensive knowledge in sales planning and performance oversight, covering forecasting, analytics, compensation structures, territory organization, and market-entry strategies. + Demonstrate ability to connect operational execution to broader business strategy, clearly articulating the "why" behind decisions and trade-offs. + Demonstrate expertise in collaborating with senior leaders and influencing diverse teams using analytical insights and well-organized proposals. + Demonstrate extensive analytical, financial modeling, communication, and problem-solving skills, with experience using CRM and analytics tools to inform decisions. + Demonstrate expertise in building, leading, and developing teams within strategy, planning, analytics, or operations functions to achieve high performance. + Demonstrate experience building, leading, and developing high-performing teams across strategy, planning, analytics, or operations functions. + Support the scaling of a sales team during periods of rapid expansion or substantial organizational change. + Possess expertise in using planning or analytics tools like Salesforce, Tableau, or Anaplan alongside foundational CRM and reporting capabilities. Salary Range or On Target Earnings: Minimum: $184,300.00 Maximum: $403,200.00 In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value. Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience. We also have a location based compensation structure; there may be a different range for candidates in this and other locations At Zoom, we offer a window of at least 5 days for you to apply because we believe in giving you every opportunity. Below is the potential closing date, just in case you want to mark it on your calendar. We look forward to receiving your application! Anticipated Position Close Date: 12/25/25 Ways of WorkingOur structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting. BenefitsAs part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click Learn (********************************* for more information. About UsZoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars.We're problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment. Our Commitment At Zoom, we believe great work happens when people feel supported and empowered. We're committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know-we're here to support you at every step. If you need assistance navigating the interview process due to a medical disability, please submit an Accommodations Request Form (https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&d=1***********3361) and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed. #LI-Remote We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines

Description & Requirements Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ around 5,000 people across the country to deliver services that have a profound impact on people's lives. From assessments and health services to employability programmes and specialist support, we do work that matters with people who care. In this role you will act as the first point of contact for customers who attend the AC to undergo their Assessment with the Health Practitioner (HP). You will be responsible for supporting our customers and claimants who visit the AC along with our HPs who work out of the AC. As an integral part of the PIP team you will primarily be responsible for the day to day running of one of our Assessment Centres (AC) supporting a team of Health Practitioners who conduct PIP assessments from the site. Salary - £24,570 FTC until October 2026. Role is hybrid, you will be based from home and the Doncaster office. • Act as the front face of Maximus managing the customer experience for all visitors and staff attending the AC, working at all times to maintain the highest levels of customer service • Provide support to customers across a variety of activities e.g. answering general questions about the PIP assessment, assisting with enquiries on expenses claims from customers who have incurred costs to attend the AC • Ensure the AC is fully prepared for the start of each day, in terms of equipment/supplies and general appearance - ordering supplies/equipment/stationary as required to ensure sufficient stocks are maintained at all times • Manage the appointment arrivals board ensuring systems keep up to date and in good order • Provide general support to HPs based or attending the AC • Act as the key point of contact for the HPs for any IT issues, ensuring they are escalated to the correct team, monitoring the issue through to resolution - escalating to manager if appropriate • General administration duties; e.g. answering the telephone, copying, documents etc Key Contacts & Relationships: Internal Health Professionals Senior Site Coordinator Service Delivery Manager Qualifications & Experience • Understanding of claimants needs and appropriately responding in a caring manner when required • Excellent communication and interpersonal skills • Excellent planning and organization skills • Proficient in the use of Microsoft office package • Demonstrable influencing skills to support the delivery of an excellent customer experience • Ability to maintain and develop working relationships • Experience of working effectively in a customer facing environment • Resilience and ability to deal with setbacks constructively and work to resolution of issues • Able to demonstrate a clear attention to detail, ensuring that all relevant documentation is collated and correct, • Work cohesively as part of a medical and non medical team of individuals • Willingness to travel as required by the business to cover at alternate ACs for absence Experience of a similar role within healthcare field is desirable EEO Statement Maximus is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal well-being and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic. Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post. We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long-term conditions. The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job. When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme. If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for an interview. YourGuaranteed Interview application will only be shared with the hiring manager and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a requirement for them during the recruitment process. Minimum Salary £ 24,570.00 Maximum Salary £ 24,570.00

INSIDE SALES (Customer Support) Representative | Atos Medical | New Berlin, WI Join us and give people a voice! About Atos Medical Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That's why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users. The Inside Sales (Customer Support) Representative is responsible for building and nurturing relationships with laryngectomy patients within a designated territory. This role involves direct engagement with patients to provide product information, support, and education, ultimately guiding them to make informed purchasing decisions. The Inside Sales Representative will act as a trusted advisor, offering compassionate, patient-centered service while meeting sales objectives. This role also requires managing the territory to optimize outreach efforts, maintaining up-to-date patient records, and collaborating with cross-functional teams to ensure an exceptional customer experience. Success in this position requires empathy, strong communication skills, and a commitment to supporting the unique needs of the laryngectomy community. Main job responsibilities: * Develop and manage sales leads through the sales cycle * Develop and implement Direct to Consumer (DTC) Marketing plans * Work with Territory Sales Managers to plan and organize patient meetings and courses * Complete customer outreach and contact potential new customers referred by outside leads, doctors' orders, insurance info, web shop inquiries, etc. * Proactively contact all customers that have not placed an order in the last month to sell customer new products * Contact customers with up-selling, cross selling and consultative selling opportunities * Contact new customers after first order * Work with outside sales reps on DTC activities * Increase HME sales through customer follow-up * Follow-up on all sample distributions to patients * Solicit new customers through direct leads and cold calls * Respond to every voicemail, email, or internal customer within four hours * Act as a backup to team members when they are out of the office * Process existing customer sales orders according to department instructions and quality procedures * Maintain departmental standards for one-call resolutions and minimal calls to voicemail. Basic Qualifications: * 2 + years of experience of sales experience. * HS Diploma or GED Preferred Qualifications: * Bachelor Degree preferred but not required * Inside Sales experience strongly preferred. * Experience in Healthcare or medical device industry preferred but not required Competencies: * Ability to recognize prospects, present products, and close sales. * Excellent customer service skills and a professional attitude. * Strong communication skills/phone etiquette. * Ability to work in a team environment a must. * Ability to manage multiple tasks, prioritize them and pay attention to detail. * Demonstrated PC and keyboarding skills along with experience in Microsoft Office. We offer: You will be part of an ambitious work environment in which teams work together to continuously grow and develop the business. You will have great opportunities to learn and develop, and you will be offered a competitive salary package and benefits. Atos Medical is a global leader with Swedish headquarters and more than 20 subsidiaries worldwide. We are committed to living our values: we listen - we inspire - we focus - we engage every day. We connect with stakeholders, involving them in our activities and striving to support and empower our users and each other every day. No matter whom we interact with - users, colleagues, health care professionals, business partners - respect and integrity are at the core of everything we do. Additional benefits for Inside Sales (Customer Support) Representative: * Competitive Pay * Health Care Plan (Medical, Dental & Vision) * Retirement Plan (401k) * Life Insurance * Paid Time Off (Vacation, Sick & Public Holidays) * Training & Development * Wellness Resources * State of the Art Facility Atos Medical, Inc. is an Equal Opportunity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. To request reasonable accommodation to participate in the job application, please contact ************. Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox, Provox Life and Tracoe. We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business. Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma. Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S 55591 #LI-AT #LI-Hybrid

Discover. Achieve. Succeed. #BeHere This job is fully REMOTE. FTE: 1.000000 Standard Hours: 40 Shift: 1st Shift Details: Standard office hours are 8am - 4:30pm but there is flexibility with your schedule. Job Summary: Responsible for collecting, analyzing, and distributing denial and write off data for federal, state and commercial payers. Identifies trends and issues related to denials and write offs. Works with other departments including Admitting, Health Information Management (HIM), Case Management, clinical staff, Resource Management and Patient Financial Services (PFS) to implement process improvements for denial and write off reduction strategies. Other duties as assigned. EXPERIENCE: * Minimum of five years of hospital billing office, or utilization review or coding experience in a hospital setting is required. * Experience in denial management is preferred. EDUCATION: * Bachelor's Degree is required. * In lieu of degree equivalent relevant hospital experience is required. Relevant experience would include: team lead or supervisor experience in a hospital billing office, extensive experience leading denial management activities including report writing, leading workgroup activities related to denials, implementing denial reduction tactics, and tracking of outcomes over time. Prior job history should include experience that would be commonly gained through bachelors degree education including writing competency and public presentation. SPECIAL SKILLS: * Analysis and Project management for Denials and Claims, Report writing knowledge, and comfortable presenting In front of C-level executives. * Microsoft Office applications, Document Imaging , Midas, Patient Accounting systems, Knowledge of medical terminology and coding. * Knowledge of the revenue cycle, payer claim adjudication process and payer denial reasons. * Knowledge of managed care contracts and government billing (Medicare & Medicaid) as it applies to reimbursement and denials, appropriate medical necessity documentation in the medical record, ICD-9 codes that apply to CMS's LCD and NCD coverage, CMS and commercial payor regulations and medical necessity criteria for inpatient and outpatient LOC. Compensation, Benefits & Perks at Froedtert Health Pay is expected to be between: (expressed as hourly) $24.05 - $38.48. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process. Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following: * Paid time off * Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities * Academic Partnership with the Medical College of Wisconsin * Referral bonuses * Retirement plan - 403b * Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics * Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation. We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at ************. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at ************. We will attempt to fulfill all reasonable accommodation requests.

The Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of Lakeland Care (LCI). The team's goal is to promote the overall well-being of the members LCI serves by providing high quality, person-centered, outcome-based care. Under general direction of the Care Management Supervisor, this position provides care management and service coordination to LCI members. As a member of the IDT, the Care Manager arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs. The IDT monitors the provision of services based on the member-centered plan per LCI policy and procedures, and Department of Health Services (DHS) contract requirements. Essential Competencies: Accountability As part of an interdisciplinary team (which also includes an RN Care Manager and the member and/or legal representative), conduct a comprehensive assessment of the member's outcomes, needs and risks; and conduct a reassessment as the member's outcomes and/or condition changes. Collaborate with the RNCM to coordinate acute and primary care services, care transitions, and related follow-up care. Develop, coordinate, monitor and evaluate the members' outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers. Coordinate care and benefits to ensure a comprehensive support approach, as well as on-going access to federal and state programs. Critical Thinking Implement risk mitigation strategies to promote the member's health, safety and independence while respecting the member's rights. Educate members of their rights to appeal and grieve decisions and processes and facilitate the member's participation in the appeal/grievance process. Commitment to Excellence Participate in on-going training; maintain current knowledge to ensure compliance with Federal and State regulations, LCI policy and procedure and accepted professional standards. Create and maintain member records as required by the Department of Health Services (DHS) contract and LCI policy. Interpersonal Awareness Coordinate and participate in home visits and care conferences involving the member, their supports, and providers to assess and reassess long-term care needs and coordinate appropriate interventions. Participate in the 24-hour on-call rotation as needed. Relationship Building Participate in team meetings and internal workgroups as required/requested. Organizational Regard Maintain the confidentiality of member information and protected health information (PHI) as required by State and Federal regulations, including the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The duties listed above are typical for this position. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned. Work Relationships and Scope: The Care Management Supervisor provides general direction for this position. Decisions are made within the policies and procedures established by LCI. Significant interaction occurs with other professionals, both inside and outside of LCI. In addition to frequent and direct interaction with LCI members, this position also interacts regularly with LCI staff, and professionals, and medical personnel from outside agencies. Working Conditions: Work will be performed in external locations such as members' homes, assisted living facilities and other like settings, and remotely or in a designated office environment. Work hours are generally during normal business hours of 8:00 am - 4:30 pm; however, unscheduled evening and weekend work may occasionally be necessary to meet members' needs and/or the needs of the organization. Periodically, provides 24-hour on-call support. Travel is required frequently throughout the county where the position is based, as well as occasionally outside of the county. Requirements Qualifications: Certified Social Worker in the State of Wisconsin with a minimum of one (1) year experience working with at least one of the Family Care target populations, or A four-year bachelor's degree or more advanced degree in Human Services or related field with one (1) year experience working with at least one of the family care populations, or A four-year bachelor's degree or more advanced degree in any other area than Human Services with a minimum of three (3) years' experience working with at least one of the Family Care target populations. Working knowledge of computers, computer programs, typing, and data entry. Ability to access members' homes which are not required to comply with the ADA regulations. Ability to multi-task and work in a fast-paced environment. Ability to lift up to 25lbs. Current driver's license, acceptable driving record and proof of adequate insurance. In evaluating candidates for this position, Lakeland Care may consider a combination of education, training and experience which provides the necessary knowledge, skills, and abilities to perform the duties of the position. The education and or the experience requirement for this position may only be waived with the approval of the State as per LCI's contract.

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Manager of Actuarial Services (Remote Option) Cost Center: 682891378 SHP-Actuarial Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: 40 Normal (United States of America) Job Description: JOB SUMMARY The Actuarial Services Manager guides the day to day operations for a team of actuaries and analysts in the assigned area of responsibility. The Actuarial Services Manager ensures alignment between staff and leadership within the unit. This role is accountable for preparing rate filings, annual bid filings, monthly reserving, capitation, budgeting and forecasting. JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: Bachelor's degree in mathematics, statistics, actuarial science or related field. Preferred/Optional: None EXPERIENCE Minimum Required: Five years of progressive actuarial experience. Two years of leadership experience. Preferred/Optional: Experience in pricing, reserving, analysis and other actuarial functions. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) certification awarded by the Society of Actuaries and Member of the American Academy of Actuaries (MAAA). Preferred/Optional: None Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states: Alabama Arkansas Florida Georgia Idaho Illinois (except Chicago; limitations in other counties) Indiana Iowa Kansas Kentucky Michigan Minnesota (limitations in some counties) Mississippi Missouri Nebraska North Carolina North Dakota Oklahoma South Carolina South Dakota Tennessee Texas Utah Wisconsin Wyoming Marshfield Clinic Health System will not employ individuals living in states not listed above. Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

Description & Requirements Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The New Provider Liaison (NPL) is responsible for supporting and guiding newly contracted medical providers on an individually assigned basis. NPLs are the new provider's first point of contact ultimately there to equip our providers with the tools required to become proficient in the performance of Compensation and Pension examinations. Some of the assistance may include providing specified guidance on DBQ worksheets and a comprehensive understanding of VA rating criteria, technical support for providers in the use of the Portal (to include access and research of medical records, and aiding in report completion and submission), and expand upon the initial training, given by the Provider Development and Retention Department, into a broader and more complete overview of each provider's function within VES. - Due to contract requirements, only a US Citizen or a Green Card holder can be considered for this opportunity. Essential Duties and Responsibilities: - Conduct an orientation training with newly contracted providers via a communication platform. - Analyze the first 5 to 10 submitted reports for newly contracted or reactivated providers on an individual basis. - Conduct report review sessions with providers. - Detect and summarize trends of errors in reports. - Conduct remedial retraining sessions with providers that have been identified as needing improvement in report quality by either VA, Medical Advisory Board or VES Leadership. - Provide in depth feedback on progress to providers via phone correspondence. - Evaluate and approve providers to open scheduling when appropriate. - Work closely in cooperation with the Quality Control, Scheduling, and Recruiting departments. - Ability to work a shift of 8:00am-4:30pm CST Monday-Friday required Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment. Home Office Requirements Using Maximus-Provided Equipment: - Internet speed of 20mbps or higher required (you can test this by going to (1) ****************** - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router - Private work area and adequate power source - Must currently and permanently reside in the Continental US - In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and you are required to remain at your designated home location for all work activities. Minimum Requirements - Associate degree required; Bachelor's degree preferred. - 1 year previous VES Quality Analyst experience. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 23.00 Maximum Salary $ 30.30

Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position is also responsible for meeting daily/weekly production goals and maintaining a high level of confidentiality for provider information. **Job Duties** - Evaluates credentialing applications for accuracy and completeness based on differences in provider specialty and obtains required verifications as outlined in Molina policies/procedures and regulatory requirements, while meeting production goals. - Communicates with health care providers to clarify questions and request any missing information. - Updates credentialing software systems with required information. - Requests recredentialing applications from providers and conducts follow-up on application requests, following department guidelines and production goals. - Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants. - Completes data corrections in the credentialing database necessary for processing of recredentialing applications. - Reviews claims payment systems to determine provider status, as necessary. - Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. - Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have sanctions/exclusions. - Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of Medicare. - Reviews and processes daily NPDB Continuous Query reports and takes appropriate action when new reports are found. **JOB QUALIFICATIONS** **Required Education:** High School Diploma or GED. **Required Experience/Knowledge Skills & Abilities** - Experience in a production or administrative role requiring self-direction and critical thinking. - Extensive experience using a computer -- specifically internet research, Microsoft Outlook and Word, and other software systems. - Experience with professional written and verbal communication. **Preferred Experience:** Experience in the health care industry To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: Scheduled Weekly Hours: 40Salary Range: $37.50 - $62.00 Union Position: No Department Details Summary The Product Manager will lead the ongoing analysis, planning, and management of their respective product line or Health Plan or Sanford Health System service and will identify areas of product enhancement or new product development. The Product Manager will interface with external customers and clients, agents, businesses, professional peers, prospects, and members to understand market requirements and translate those requirements into business opportunities for the Health Plan. Job Description Leads the end-to-end product lifecycle, from concept and feasibility through development, launch, and performance evaluation to assure alignment with Sanford Health System and Sanford Health Plan strategic goals. Collaborates with leadership, Performance Excellence, and cross-functional teams to ensure product feasibility, translating market needs into actionable requirements that drive the development of market-driven products and services. Develops and manages comprehensive product plans, including cost-benefit analyses, budgets, schedules, and work plans to support the ongoing success of assigned product lines. Coordinates and leads multidisciplinary teams to assess market opportunities, determine financial viability, and evaluate sales potential. Maintains a strong understanding of marketing strategies including mobile applications, social media, and SEO/SEM to support the Health Plan's digital engagement and overall marketing outreach efforts. Participates in and leads cross-functional initiatives that support Product Development goals, including product performance tracking, enhancement planning, and retirement strategies. Evaluates and integrates data to inform lifecycle decisions and ensure continuous improvement. Develops competitive intelligence tools to assess Sanford Health Plan and Sanford Health System product positioning in the market and identify opportunities for innovation and differentiation. Integrates multiple complex business cases into a cohesive product portfolio strategy, making recommendations to achieve optimal product mix for target market segments. Leads stakeholder engagement throughout the product development lifecycle, establishing regular communication, facilitating discussions, and preparing for executive and governance reviews. Communicates the status of product line strategies and execution to Product Development leadership on an ongoing basis. Ensures that all product offerings comply with applicable regulations by working closely with internal regulatory and legal teams, and when applicable, with external regulators to meet submission, filing, and reporting requirements. Maintains ongoing competency in product management practices and regulatory requirements, ensuring the skills, knowledge, and abilities necessary to perform within scope. Regular attendance and active participation in strategic planning and execution are essential to the role. Qualifications Bachelor's degree in Marketing, Business, or related field required. Master's Degree in Marketing, Business, or related field, preferred. Minimum five to ten years' of relevant experience in healthcare and/or consumer product marketing with emphasis in product management and strategy development. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call ************** or send an email to ************************.

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Please follow this link for a closer look at what it's like to work at Children's Wisconsin: *********************************** **This is a hybrid role suporting our Asthma/Allergy Clinic, offering one remote day per pay period based on the needs of the clinic. The approximate schedule will be Monday-Friday, 8:00-4:30p CST. Job Summary Acts as an active member of the practice management team to support the care management model, standards of pediatric clinical practice, legal regulations, Code of Ethics and established policies of the Practice. Supervises professional, administrative and technical personnel (pediatric nurse practitioners, medical assistant, clinic secretaries,) providing patient care. Partners with Ambulatory Manager on business and financial operations. Essential Functions Exhibits guiding behaviors that reflect Children's values and support our mission and vision. Monitors and evaluates office operations to ensure efficiency including, but not limited to scheduling, billing, patient records, telecommunications, patient referrals, MyChart, etc. Initiates clinical and operation improvement opportunities. Ensures effective communication of information between Ambulatory leadership and clinic staff, and facilitates communication between other site leadership and their staff. Coordinates the scheduling of work, vacations, etc. for direct reports and others to assure that patient care and office duties are completed to maintain an orderly and efficiently run office routine Reviews and approves if assigned, ATS for verification of hours worked. Works collaboratively with providers and staff to implement improvements within the practice to ensure a high caliber of patient care and services. Contributes to developing and attaining long range objectives for the service including but not limited to financial goals, operations improvement, quality improvement, resource utilization and clinical practice enhancements. Recruits, hires, trains and develops staff in conjunction with Human Resources Consultant and Ambulatory Manager. Provides and creates an awareness of professional development activities available for staff. Participates in the preparation of detailed operating budget projections for staff, supplies and equipment. Participates in the analysis of financial data to determine problem areas, potential savings and ways to reduce operating costs and maximizing charge capture. Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development Other duties as assigned People Management Responsibility Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development Education Bachelor's Degree in Nursing Required Applicants who are currently enrolled in a baccalaureate program in nursing with an anticipated graduation date within two years of hire/promotion Preferred Experience 2+ years of outpatient clinical experience. Preference being in Pediatrics Required Prior leadership experience, preferably in supervisory capacity Required Knowledge, Skills and Abilities Good organizational and patient relation skills. Ability to manage a fast-paced patient load while paying attention to detail. High level of communication skills necessary for assessment of patient concerns and processing referrals for appropriate medical care. Ability to read, interpret and enact policies and procedures. Ability to stand and walk approximately 75% of the work time. Licenses and Certifications BLS-Basic Life Support Healthcare Provider - American Heart Association/American Red Cross/National Safety Council required License RN-Registered Nurse (30) - State of Wisconsin required Patient Care Responsibility Provides care appropriate to patient population and as described in applicable policies and procedures. Required for All Jobs This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job. Employment is at-will. This document does not create an employment contract, implied or otherwise. Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law. Certifications/Licenses: BLS-Basic Life Support Healthcare Provider - American Heart Association/American Red Cross/National Safety Council, License RN-Registered Nurse (30) - State of Wisconsin

Job Title: Endovascular / Cardiology Coder (Remote) Company: GetixHealth Employment Type: Full-Time (FTE) Pay Range: $28.00 - $29.00 per hour ( based on experience ) + Quarterly Bonus Eligible Work Environment: Reliable high-speed internet is required and Candidates must successfully complete an internet speed test prior to hire ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Position Summary: The Endovascular/Cardiology Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, HCPCS, and modifier codes for complex endovascular and cardiology procedures. This role requires strong specialty expertise, attention to detail, and adherence to regulatory and client-specific guidelines. Essential Duties & Responsibilities Review electronic health record (EHR) documentation and abstract accurate ICD-10-CM, CPT, HCPCS, and modifier codes Determine appropriate code selection and sequencing in compliance with AMA, CMS, and client-specific guidelines Submit provider queries when documentation clarification is required, following compliance and clinical documentation standards Maintain professional coding conduct and confidentiality standards Consistently meet established production and quality benchmarks Assist with coding denials as needed Participate in monthly quality assurance (QA) reviews Provide training and support to new coding staff as assigned Required Qualifications: CIRCC certification - Required One of the following certifications: CCS, RHIT, or CPC Minimum 2 years of recent coding experience in: Endovascular procedures Cardiology (including open surgery) Minimum 1 year of experience with: Quality assurance reviews Training or mentoring coding staff Hands-on experience with EPIC EHR Strong written communication skills Ability to successfully complete a pre-employment coding assessment Preferred Qualifications: Experience coding for acute care hospitals Familiarity with payer-specific and client-specific coding requirements Strong analytical and problem-solving skills Compensation: $28.00 - $29.00 per hour, commensurate with experience and qualifications About GetixHealth: Founded in 1992, GetixHealth is a trusted leader in healthcare revenue cycle management, with offices across the U.S. and India. We're more than revenue cycle experts-we're a mission-driven team dedicated to helping healthcare organizations improve financial outcomes while delivering compassionate care. With over 1,800 employees, we foster a culture that values professionalism, innovation, and-above all-people. GetixHealth provides comprehensive outsourced medical coding and revenue cycle services to acute care hospitals and physician practices nationwide. We are committed to accuracy, compliance, and delivering high-quality coding solutions to our clients. Why Join GetixHealth: Competitive pay within market range Remote-friendly coding environment (if applicable) Opportunity to work with complex, specialty-level cases Collaborative team culture with growth opportunities Benefits and Incentives: Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment. Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D. 401(k) Retirement Savings Plan: Eligible to participate in the company's 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service. Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment. Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed. Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions. GetixHealth is an Equal Opportunity and E-Verify Employer.

Job Description Black River Health is seeking a highly motivated individual to fill the full-time position of Payer Credentialing Enrollment Specialist. This position is primarily based at our 8th Street Campus. Don't miss out on this opportunity! The Payer Credentialing & Enrollment Specialist manages and executes the full payer credentialing and recredentialing process for healthcare facilities and providers. Ensures timely and accurate enrollment with commercial, Medicare, and Medicaid payers to support reimbursement and maintain compliance with credentialing standards and payer contract requirements. Coordinates required documentation, monitors application progress, and acts as the primary liaison between payers, facilities, and internal departments. This position is: Full-time, 80-hour per pay period, Monday - Friday, benefited This position can be fully remote, hybrid, or office-based. Essential Duties: Prepares, submits, and tracks initial credentialing and recredentialing applications for facility and provider enrollment with commercial, Medicare, and Medicaid payers. Enters and maintains accurate provider data in credentialing databases and systems (e.g., CAQH, PECOS, NPPES). Monitors credentialing application progress and follows up with payers until approval and confirmation of network participation is obtained. Collaborates with Revenue Cycle team members to resolve enrollment issues and provide timely status updates. Maintains confidentiality of provider personal information and adheres to all privacy and regulatory requirements. Tracks key performance indicators, including processing timelines, approval rates, and renewal completion metrics, and identifies trends to support process improvements. Educational Qualifications: High School Diploma or General Education Diploma (GED) Minimum of two years of experience in payer credentialing or hospital billing functions Proficient with computers, electronic databases, and standard office equipment Strong oral and written communication skills Your future starts here. At Black River Health, we're proud to be recognized among the Top 100 Best Places to Work in Healthcare. Guided by our mission- Outstanding and comprehensive healthcare for you and your family, delivered locally with compassion-we invite you to bring your expertise and leadership to our team. Apply today and take the next step in your career-don't wait. "Black River Health, Inc. is an equal employment opportunity employer functioning under an Affirmative Action Plan."

Job Description Company Perks As a team member of Dental Associates, you can expect an excellent compensation, experience on-the-job training, continued education offerings and abundant opportunities for career growth. Benefits Overview: Medical Insurance with optional Health Savings Account through Associated Bank Dental: Diagnostic and Preventive covered at 100%, Basic and Restorative (immediate family) Vision Insurance Life Insurance 401k Company paid short term disability Paid Time Off Paid Holidays FSA Critical Illness Hospital Indemnity Plus opportunities for pay increases and bonuses Job Responsibilities The Care-Plus Member Service Representative is responsible for the accurate and timely explanation of insurance products and supports administrative needs of individual and group CarePlus insurance plans. Manage all aspects of member insurance plans from account management and registration of new member accounts, claims, EOBs, pre-authorizations to resolving discrepancies for Individual and Group policies Answer phone calls from external and internal customers to answer questions and provide assistance on benefit coverage questions, plan provisions, exclusions and limitations Manage all financial aspects of accounts. Collect premium payments, bank downloads, and balancing of daily deposits Complete daily, weekly, monthly reports as assigned State of Wisconsin Accident & Health intermediary license must be obtained within six months of hire Schedule 40 hours per week Monday/Tuesday: 8:30am-5:30pm Wednesday/Thursday: 9:00am-6:00pm Friday 10:00am-4:00pm 1 Saturday a month: 7:00am-12:00pm Hybrid- 2 days remote and 3 days in the office per week Job Requirements Minimum of a high school or equivalent 2 + years of dental, collection, insurance, healthcare or similarly fast-paced, customer-focused environment is preferred Excellent communication skills (verbal/written) and ability to positively resolve conflict Strong mathematical stills and ability to accurately work with finances Technologically savvy, ability to work with several computer applications simultaneously Applicants will be required to obtain WI Accident and Health license The Company At Dental Associates, we foster a culture which invites our patients into our "dental home" and provides our employees with a career, not just a job. Founded in 1974, Dental Associates is Wisconsin's largest family and dentist-owned dental group practice with over a dozen offices throughout the state. Dental Associates is a strong company with the resources to continually invest in our overall growth and talented team members. Be part of a dynamic organization that will make you proud. If you're ready for an exciting, stable career with a growing company apply today! Get to know Dental Associates - ************************ YouTube - *********************************************** Facebook - ******************************************* Twitter - ********************************