Trabajos baker en Portland, OregonCrear alertas

We save lives while providing the opportunity for people to realize their healthy selves.: RN/ LPN (Overnight Shift - Weeknights) Monte Nido Rain Rock Springfield, Oregon Monte Nido Rain Rock, located in Springfield, OR, is a residential treatment program exclusively for adults seeking treatment for Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction. Monte Nido’s treatment approach focuses on the restoration of physiological and nutritional balance, implementation of healthy eating and exercise routines, elimination of harmful behaviors, and development of motivation and treatment engagement. Our objective is to help each client achieve a clear understanding of their eating and/or exercise disorder and its effect on their life, as well as an individualized appreciation of what is necessary for their personal recovery. The primary responsibility of the Nurse is evaluation, monitoring, planning, administration, and direct delivery of patient-care services. Maintains a current nursing license in the State of practice. This position is responsible for nursing assessment plans and overseeing the medical and psychiatric management of the patient in coordination with the attending providers. The Nurse is also a member of the Treatment Team and provides input into the development of the Master Treatment Plan. The Nurse functions under the guidance of their State Licensure within the facility in accordance with State and Federal regulations. We are seeking a per diem Registered Nurse/ Licensed Practical Nurse to join the Monte Nido team. Schedule: Per diem, Day and Evening shift availabilty preferred with weekends highly desired #LI-ONSITE Total Rewards:: Discover a rewarding career with us and enjoy an array of comprehensive benefits! We prioritize your success and well-being, providing: • Competitive compensation, • Medical, dental, and vision insurance coverage (___), • Retirement, • Company-paid life insurance, AD&D, and short-term disability, • Employee Assistance Program (EAP), • Flexible Spending Account (FSA), • Health Savings Account (HSA), • Paid time off, • Professional development, • And many more! We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Responsibilities Include:: Essential Duties and Responsibilities • Initiates the admission process by obtaining provider orders upon patient arrival at a residential facility and completing the initial nursing assessment within 24 hours, including assistance with medical intake (patient history and physical)., • Performs vital sign monitoring, including orthostatic vitals and blind weights as ordered by the provider; conducts patient assessments and documents findings in detailed nursing notes., • Monitors and documents patient progress or regression in accordance with established policies and procedures., • Assists providers in facilitating weekly patient consultations., • Offers education and support to help patients develop the skills needed for safe self-administration of medications after discharge., • Ensures accurate placement of medications in the designated medication box and updates the medication administration record (MAR) accordingly., • Supports patients in obtaining medications from the pharmacy, including facilitating initial medication orders., • Coordinates and facilitates the collection of laboratory specimens as ordered, ensures timely receipt of results, and communicates findings to the medical team for appropriate follow-up. Other Duties and Responsibilities • Demonstrates knowledge of medication actions, side effects, and contraindications, and is responsible for researching unfamiliar medications prior to administration to ensure safe and informed care., • Collects and records data in a comprehensive, accurate, and systematic manner., • Responsible for maintaining patients’ records updated in electronic system., • Supports a therapeutic milieu by monitoring patient behaviors, fostering a recovery-focused environment, and collaborating with the treatment team to reinforce structure, safety, and consistency., • Communicates relevant information obtained from patients or families to the interdisciplinary team to support individualized care planning and treatment continuity., • Coordinates with the Primary Therapist on any insurance review information needed., • Works collaboratively with medical and psychiatric teams to provide integrated nursing care in support of eating disorder treatment goals., • Participates in discharge planning with the medical and psychiatric teams to ensure continuity of care and safe transition from eating disorder treatment., • Attend monthly nurse-led meetings and other team meetings as they arise to support effective communication and collaboration., • Provides health education to patients through individual or group sessions when appropriate and documents sessions clearly, accurately, and concisely using the designated form., • Assist patients in the coordination of their outpatient appointments as needed., • Supports the informed consent process by helping patients understand procedures and treatments under the direction of the provider., • Knows Baker Act (Florida Only), • Delivers clinical nursing care in a safe, competent, and professional manner in accordance with established standards and protocols., • Adheres to established standards of nursing practice and organizational policies., • Completes required onboarding and annual training within designated timeframes and attends monthly clinical services training or other training as scheduled, in accordance with organizational policies and procedures., • Demonstrates professionalism and serves as a positive role model for patients and staff within the therapeutic environment., • Promptly reports suspected patient rights violations by established protocols., • In an emergency or declared state of emergency, it may be required to stay on-site as a part of the emergency team until the emergency has ended., • Performs other tasks, as assigned. Qualifications::, • Graduate from an accredited school of nursing is required., • A minimum of one year of experience, preferred., • Valid Nursing licensure required., • Virtual Programs - Multistate Nursing license, preferred., • CPR/First Aid certification required., • Good communication skills, guest relations skills, • Service-oriented, takes initiative, • Good attendance and punctuality; dependability, • Strong safety awareness, • Organized use of time, • Cooperation, working as a team member, and flexibility. #montenido

Baker Sterchi Cowden & Rice LLC, a litigation defense firm with over 200 employees, has an opportunity for an associate attorney with at least three years of experience in all phases of personal injury defense, employment, and commercial litigation. Candidates must be licensed in Oregon or Washington and have the ability to work independently on complex litigation cases. Duties and Responsibilities • Manage file throughout litigation process independently and as a part of the team., • Conduct fact investigations., • Handle document productions and other discovery tasks., • Prepare witnesses for deposition., • Take and defend depositions., • Prepare pleadings, briefs, and motions., • Review and analyze policies, contracts, and other legal documents., • Court hearing preparation and attendance including oral arguments of motions., • Trial preparation and attendance including trial team support and direct and cross examination of witnesses. Baker Sterchi offers competitive compensation and comprehensive benefits, medical, dental, vision, basic and voluntary life insurance, long-term disability insurance, and 401K matching. Committed to promoting diversity within our organization and the legal community, we encourage candidates from all backgrounds. About Baker Sterchi Cowden & Rice LLC Founded in 1982, Baker Sterchi is a civil defense litigation and trial law firm with offices in Missouri, Kansas, Illinois, Washington, Oregon and Wisconsin. The firm provides comprehensive legal services across a broad range of practice areas, including commercial and business litigation, construction, employment and labor, insurance coverage and defense, law enforcement and civil rights, government liability, medical malpractice, premises liability, product liability, professional and management liability, trial practice and consulting, and transportation litigation. With a team of attorneys who bring decades of courtroom experience, Baker Sterchi is widely recognized for its trial skills and commitment to client service. For more information, visit .

Lee's Sandwiches - 4124 SE 82nd Ave Suite 788 - [Kitchen Staff / Food Service] As a Baker at Lee's Sandwiches you'll: Prepare all food items according to recipe standards; Maintain highest quality and appearance of any items sent from the Kitchen; Complete basic production necessary for finished bak

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The Healthcare Data Analyst is a critical resource in our efforts to manage health care costs, improve quality, and enhance the experience of both the member and the care team, through sophisticated analysis and communication of health care data. This is a FT WFH role. Pay Range $70,579.27 - $88,224.08 annually (depending on experience). *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor’s degree or equivalent experience., • Minimum 3-5 years’ experience in financial analysis or other data analysis role. Experience with health care data preferred., • Demonstrated ability to use data to influence organization strategy, workflows, or results, • Strong analytical and problem solving skills, • Strong verbal, written and interpersonal communication skills., • Experience with using data analysis tools such as SAS, SQL, Microsoft Access, Business Objects, Crystal Reports, or other similar applications., • Strong Microsoft Excel skills., • Ability to work well under pressure and with constantly shifting priorities., • Ability to project a professional image and maintain complete confidentiality. Primary Functions: • Under general supervision, performs complex research and analysis of healthcare claims, enrollment, and other related data, to report on network utilization, cost structure, and/or quality., • Combines and transforms data from multiple tables, databases, and/or systems., • Has a high level of understanding of data sources, flow, and limitations. Is able to develop reports and processes that appropriately integrate data from multiple sources., • Evaluates, writes, presents, and provides recommendations regarding healthcare utilization, quality measure, and cost containment reports., • Meets with internal customers to brainstorm what kind of information/report is needed for each situation., • Thinks creatively about how to solve a problem or meet a specific business need, given the data available., • Makes presentations to internal & external stakeholders about health care cost and utilization., • Presents data in a compelling way that highlights the opportunities at hand – whether in making comparisons to benchmarks, pointing out anomalies, displaying trends over time, or using other creative analytical tools., • Collaborates with the other members of the Analytics team to expand analytical capabilities, methods, and toolkits., • May provide guidance or expertise to less experienced analysts., • Prolong keyboard and PC work in a constant seated position. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The Healthcare Data Analyst is a critical resource in our efforts to manage health care costs, improve quality, and enhance the experience of both the member and the care team, through sophisticated analysis and communication of health care data. This is a FT WFH role. Pay Range $65,682.16 - $98,639.28 annually (depending on experience). *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor’s degree or equivalent experience., • Minimum 3-5 years’ experience in financial analysis or other data analysis role. Experience with health care data preferred., • Demonstrated ability to use data to influence organization strategy, workflows, or results, • Strong analytical and problem solving skills, • Strong verbal, written and interpersonal communication skills., • Experience with using data analysis tools such as SAS, SQL, Microsoft Access, Business Objects, Crystal Reports, or other similar applications., • Strong Microsoft Excel skills., • Ability to work well under pressure and with constantly shifting priorities., • Ability to project a professional image and maintain complete confidentiality. Primary Functions: • Under general supervision, performs complex research and analysis of healthcare claims, enrollment, and other related data, to report on network utilization, cost structure, and/or quality., • Combines and transforms data from multiple tables, databases, and/or systems., • Has a high level of understanding of data sources, flow, and limitations. Is able to develop reports and processes that appropriately integrate data from multiple sources., • Evaluates, writes, presents, and provides recommendations regarding healthcare utilization, quality measure, and cost containment reports., • Meets with internal customers to brainstorm what kind of information/report is needed for each situation., • Thinks creatively about how to solve a problem or meet a specific business need, given the data available., • Makes presentations to internal & external stakeholders about health care cost and utilization., • Presents data in a compelling way that highlights the opportunities at hand – whether in making comparisons to benchmarks, pointing out anomalies, displaying trends over time, or using other creative analytical tools., • Collaborates with the other members of the Analytics team to expand analytical capabilities, methods, and toolkits., • May provide guidance or expertise to less experienced analysts., • Prolong keyboard and PC work in a constant seated position. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The HR Specialist provides assistance and support to the Human Resources team across a range of functions, particularly payroll and project related functions. This is a full-time on-site position based in Portland, Oregon. Pay Range $21.72- $24.43 hourly (depending on experience) *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor’s degree in Human Resources or equivalent., • 2-4 years’ experience working in Human Resources office setting., • Ability to work well under pressure work with frequent interruptions, shifting priorities and independently., • Strong verbal, written and interpersonal communication skills., • Reliable, self-motivated, able to work independently to meet or exceed project goals and deadlines., • Ability to establish and maintain positive relationships with supervisors, internal employees and HR Leadership., • Strong planning and organization skills., • Ability to maintain close attention to details., • Typing skills of 35 wpm net., • Proficiency with Microsoft Office applications., • Team player willing to perform related tasks and duties to meet goals as defined., • Maintain confidentiality and project a professional business image. Adhere to all corporate confidentially guidelines and state and federal laws., • Responsible for payroll for Moda’s companies. Provides support to Payroll Manager as requested., • Complete Termination Letters for employees., • Manage communication with resigning employees for all companies., • Enter employee information into HRIS database and new hire file audits., • Responsible for coordinating projects and supporting the team during project rollouts., • Support all HR team members with recruitment new hire coordination., • Support onboarding/I9 verification., • Respond to employment verification requests., • Respond to unemployment claims for all companies., • Responsible for SAIF reporting and invoices., • Responsible for payroll reporting., • Order HR office supplies, birthday gifts and bereavement baskets., • Provide timely, accurate customer service to employees and visitors while maintaining professionalism and confidentiality., • Perform other duties as assigned. Working Conditions & Contact with Others • Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens., • Internally with employees, leadership team and Human Resources. Externally with candidates and vendors. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Safeway - JobID: 687880 [Kitchen Staff / Pastry Cook] As a Baker at Safeway, you'll: Measure flour, sugar, shortening, and other ingredients to prepare batters, dough, fillings, and icings; Dump ingredients into mixing-machine bowl or steam kettle to mix or cook ingredients according to specificatio

Albertsons - 8145 Southwest Barbur Boulevard - Responsibilities: Bake breads, cookies, and pastries, and decorate cakes; Operate ovens, mixers, slicers, and proofers to bake products; Ensure display cases and shelves are clean, organized, and well-stocked; Help customers and fellow associates as nee

Compass Group - 0615 South West Palatine Hill Road - Responsibilities: Bakes breads, pies, cakes, cookies and other pastries according to recipes and production sheets; Assists in production planning to meet daily requirements; Maintains sanitation and orderliness of equipment, supplies and work are

Bon Appetit + We are hiring immediately for full time BAKER positions.

We wouldn't be much if we didn't have our bagels, and a bagel is only as good as the person who bakes it! The baker is first in our hearts and the first ones in our bakeries. Our Bakers arrive early (as early as 3AM) turn on a podcast or their favorite band and take care of what makes us who we are

Responsibilities: Prepares and bakes a high volume of bakery products according to Costco formulas.

Safely and effectively procures new business and maintains existing customer base.Responsible for soliciting new business and maintaining the existing customer base.This will include the various aspects of the meat, fish, food processing, and restaurant industries for hard material, grease trap serv

Bagel Brands - 6366 Southwest Capitol Highway - Responsibilities: Stock bagel wall and pastry case; Assist with order taking, sandwich making, etc.Ensure quality of the food and beverages we serve; Maintain a safe and clean store environment; Work early hours and weekends.

Bagels - 6366 SW Capitol Hwy [Pastry Cook] As a Baker at Einstein Bros.

Ranch Market - Beaverton store is now hiring a Bakery Clerk!. Bakery Sales- Wrap and pack the items at the customer's request accurately and efficiently. Previous experience working in a bakery or customer service area is preferred.

Work Environment: Production BakeryWholesale bakery staff operate in production areas preparing and organizing bulk orders for distribution. Job Title: Baker Pay Rate: $17. La Provence/Petite Provence is a well-loved Portland based Restaurant and bakery inspired by the flavors and hospitality of Fra

Join Baker Tilly as a Tax Manager with our Portland office! This is a great opportunity to be a valued advisor delivering tax and business advisory services and tax compliance to small business clients. Support the growth and development of team members through the Baker Tilly Care and Teach philoso

Have you seen the headlines that Moss Adams and Baker Tilly have merged to form the #6 public accounting and advisory firm in the US, and are continuing to grow? Would you like to bolster your own career while growing along with us? If yes, consider joining Baker Tilly (BT) as a Private Wealth Tax S

Founded in 2004, 85C Bakery Cafe is a global bakery & beverage retail business. Bakery Associate - Baker/Cake Decorator Salmon Creek WA. Featured on TIME, CNN, NPR, and Travel Channel, 85C Bakery Cafe has become a culinary phenomenon and a new cafe experience for all.

A leading advisory and tax firm is seeking a Tax Manager in Portland, Oregon.Responsibilities include delivering tax compliance and advisory services to small business clients, managing client relationships, and overseeing a talented team.The ideal candidate will have over 5 years of relevant experi

As a Baker, no one day is ever the same. Our Bakers also have the secret ingredient for talking to their customers and take pride in what they are baking, making, and decorating.

Position Summary: The Baker 1 team member is an entry-level role on the Bake team and serves as the primary development pathway into the Baker 2 position. Essential Functions: Assess equipment, tools, and ingredient needs at the start of each assigned project Prepare inclusions for spinning using se

Prepares and bakes a high volume of bakery product according to Costco formulas.

Will assist in picking of orders and staging for daily shipping of bakery and pastry items to stores. May assist with large-batch from-scratch production of bakery and pastry menu items. Produces bakery items in accordance with company and regulatory agency standards.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary Provides supervision, coaching and support to Claim Support staff. Establishes goals, procedures and provide direction to ensure prompt and accurate support services. Ensures department reports are prepared and quality assurance conducted. The ideal candidate resides near or within commuting distance of our Portland, Oregon office to support a hybrid work arrangement, however, remote status will be considered for out-of-area candidates. Pay Range $64,394.27 - $80,498.01 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • High School diploma or equivalent., • 10 years of claim experience including claim processing and/or customer service and/or claim support., • Excellent oral and written communication skills and the ability to interact professionally, patiently, and courteously both in person and over the phone., • Demonstrated strong, effective, diplomatic interpersonal skills with external clients as well as employees of all levels., • Strong analytical, problem solving, and decision-making skills with demonstrated ability to handle and resolve complaints, correct errors and resolve departmental issues in accordance with Moda Health contracts and Moda Health Inc. policies., • Strong knowledge of Microsoft Office products including Word and Excel., • Strong reading, writing and verbal communication skills., • Possess strong interpersonal skills necessary to deal with difficult issues and people., • Possess analytical, problem solving and decision-making skills., • Computer word processing and spreadsheet knowledge helpful., • Must maintain confidentiality and project a professional business presence and appearance., • Ability to come into work on time and daily., • Must be able to work well under the pressure of supervising Sr. Level Processors and other class level staff responsible for a wide variety of key, non-routine functions requiring broad knowledge and excellent organizational and decision-making skills. Primary Functions: • Review and advise on the team’s response to provider inquiries, appeals, vendor pricing, and denials. Coordinate research for response with other departments., • Ensure the timely and accurate response to written correspondence or phone calls on a wide variety of subjects including medical necessity for durable medical equipment appeals, subrogation, APC claims, vendor edits, and rental network pricing etc., • Review and approve requests to change or revise benefit programming or contract wording resulting from claim processing problems., • Log, track, and follow-up to ensure UPM revisions are completed., • Oversee Quality Assurance Review and reporting. Ensure consistency in Q/A procedures and reporting., • Oversee clerical staff responsible for reject queue, fax/copier/printer maintenance, supplies, interoffice/interdepartmental mail., • Oversee RxPricing claims and pharmacy code edit process., • Review and determine equitable settlement on Third Party Liability/Subrogation claims., • Responsible for Department Reporting., • Responsible for ensuring prompt and accurate response to inquiries to Moda Health Website., • Work closely with La Grande for Quality Assurance, complaints, appeals, and other claim support services., • Ensure PPO pricing is performed promptly and accurately., • Monitor Claim Support phone service and ensure adequate backup for Customer Service., • Personnel administration including timekeeping, performance appraisals, interviewing and hiring, counseling, etc., • Work with HealthCare Services and providers to obtain preauthorization., • Perform other duties as assigned including membership in interdepartmental committees and projects. Working Conditions: • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need., • Internally with Customer Service, Claims, Healthcare Services, Sales/Service, Membership Accounting, Benefit Configuration, Actuarial, IT, and Provider Relations. Externally with members, providers, policyholders, and vendors. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary Responsible for timely and accurate payment of Commercial and Medicaid inpatient hospital claims. Answer internal questions from various departments and respond to correspondence from providers when necessary. This is a FT WFH role. Pay Range $19.43 - $21.86 hourly (depending on experience) *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • High School diploma or equivalent., • 1-2 years medical claims processing experience., • 10-key proficiency of 135 wpm., • Type a minimum of 35 wpm., • Knowledge of medical terminology, CPT codes and ICD-10 codes., • Strong verbal, written, and interpersonal communication skills., • Analytical, problem solving and organizational skills., • Ability to work well under pressure., • Maintain confidentiality and project a professional business image, • Ability to maintain balanced performance in areas of production and quality. Primary Functions: • Review, process and adjust Commercial and Medicaid inpatient claims., • Review claims data, interpreting coding and understanding medical terminology in relation to diagnosis and procedures., • Review, analyze, price, and resolve inpatient claims through the utilization of available resources for moderate to complex inpatient claims, adjustments, and file reviews., • Process Commercial and Medicaid inpatient claims for all types of contracts (e.g., DRG, per diem, case rate, % of CMS)., • Analyze and apply plan concepts to claims that include deductible, coinsurance, copay out of pocket, etc., • Examine claims to determine if further investigation is needed from other departments and routes claims appropriately through the system., • Contact providers and other outside sources for additional information., • Adjudicate claims to achieve quality and production standards applicable to the position., • Release claims by deadlines to meet company, state regulations, contractual agreements, and group performance guarantee standards., • Review Policy and Procedures (P&P) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements., • Perform all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines., • Perform other duties as assigned. Working Conditions & Contact with Others • Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need., • Works internally with Healthcare Services, Membership Accounting, Customer Service, Hospital Auditors, Provider Correspondence, and Professional Relations. Works externally with providers and vendors. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our email.

Job Description • We are hiring immediately for full time BAKER positions., • Location: Lewis & Clark College - 0615 South West Palatine Hill Road, Portland, OR 97219. Note: online applications accepted only., • Schedule: Full time schedule. Days and hours may vary. More details upon interview., • Requirement: 1 to 2 years of previous baking experience is preferred. We Make Applying Easy! Want to apply to this job via text messaging? Text JOB to 75000 and search requisition ID number 1513175. The advertised program is a conversational recruiting assistant that helps you apply to jobs with Compass Group. Message frequency varies. Message and data rates may apply. Text STOP to opt out or HELP for help. Terms and conditions: Diversity of thought and inclusion for all is what drives our success - we invite you to start your journey with us today! Are you looking for a job with competitive wages and benefits, one in which you can learn and grow while making a difference in the world? We’re hiring! Bon Appétit Management Company operates more than 1,000 cafés around the country for corporations, universities, and museums, as well as a few dozen public restaurants. We’ve led the industry in socially and environmentally responsible sourcing, from sustainable seafood to cage-free eggs. We cook everything from scratch using fresh, local ingredients. Learn more about careers with Bon Appétit: Job Summary Summary: Prepares baked goods according to recipes and production specifications. Essential Duties and Responsibilities: • Bake breads, pies, cakes, cookies and other pastries as necessary per the provided production and catering sheets; assists in production planning to meet daily requirements., • Ensures proper food preparation by utilizing approved recipes, following prescribed production standards and use of proper equipment., • Assists with the completion of production records to include waste tracking, used/unused portions and product shortages; informs supervisor when supplies are low., • Ensures proper presentation, food quality, portion control and maintenance of proper serving temperatures., • Maintains sanitation and orderliness of all equipment, supplies and utensils within work area., • Handles foods items appropriately and with all safety regulations in mind during preparation and service., • Cleans equipment and workstation thoroughly before leaving the area for other assignments. Keeps display equipment clean and free of debris., • Interacts with customers and resolves customer complaints in a friendly and customer-service oriented manner. Relays relevant concerns from customers directly to supervisors., • Consistently exhibits the ability to keep up with peak production and service calmly, accurately and efficiently., • Checks to ensure that all food is presented, served and displayed per standards., • Follows principles of sanitation and safety in handling food and equipment, ensuring corporate and OSHA safety standards are followed., • Completes shift work, as assigned, in a timely and thorough manner in accordance with department standards. Full-time and part-time positions offer the following benefits to associates: Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft Protection, Pet Insurance, Voluntary Benefits, including Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Legal Services, and Choice Auto and Home Program Full-time positions also offer the following benefits to associates: Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee Assistance Program, Flexible Spending Accounts (FSAs) Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here or copy/paste the link below for paid time off benefits information. About Compass Group: Achieving leadership in the foodservice industry Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. Certain positions may require Florida Level 2 background screening. Details: Applications are accepted on an ongoing basis. Bon Appetit maintains a drug-free workplace. [[filter4]]

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The Operations Data Analyst II supports the Claims department by analyzing medical and pharmacy claims, provider, membership, and enrollment data. Functions include auditing contract performance, reviewing policies and procedures, building reports for audit teams, supporting clinical editing operations, and providing technical assistance and ad hoc analysis for various departments. Some tasks are routine while others evolve with organizational needs, offering opportunities to learn and improve processes. The position allows for creative problem-solving and encourages the analyst to utilize their knowledge, experience, and ideas to enhance deliverables. This is a FT WFH position. Pay Range $78,911.43 - $98,639.28 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor’s degree required and master’s degree preferred in Data Analytics, Mathematics, Computer Science, Finance, or related quantitative fields., • Minimum of 2 years of experience with healthcare billing and claims data., • Advanced statistical, analytical, and problem-solving skills with the ability to work with complex data., • 5 years of experience using data analysis tools such as SAS, MS SQL, MS Access, decision support systems, or other business intelligence tools., • Advanced proficiency in MS Excel and other MS Office products., • Effective written and verbal communication., • Ability to work well under pressure and with shifting priorities., • Maintain confidentiality and project a professional business image. Primary Functions: • Create and analyze complex healthcare utilization reports under limited supervision using relational databases, Excel, and Tableau to support multiple departments., • Evaluate the impact of reimbursement methodologies for medical claims using data models built in SAS, MS SQL, and Excel. Methodologies include CMS based (RBRVS, DRG, ASC), per diem, percentage of charge, and capitation., • Audit vendor and provider contracts and reimbursement policies to ensure correct payments and translate audit findings into financial impacts., • Identify cost-saving opportunities by optimizing reimbursement methodologies and configuration, automating processes, and improving operational efficiency., • Collaborate with various departments to implement new programs and policies for claims savings and process improvement., • Build and maintain complex reporting required for government and regulatory compliance., • Develop and maintain pricing tools to support accurate adjudication of complex claims., • Manage large audit projects, including facilitating work groups and presenting findings., • Assist department staff with technical functions including the manipulation and interpretation of large data sets., • Conduct ad hoc analysis for departmental leadership., • Perform other duties as assigned. Working Conditions: • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need., • Internally with Claims, Configuration, Customer Service, SIU, Data Science, Compliance, Account Services, Medicaid and Provider Relations. Externally with vendors, healthcare providers and government staff. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary Investigates and processes claim adjustments for all medical lines of business and COB claim adjustments for Medicare/Medicaid plans. Also processes adjustments related to overpayment recovery, underpayment adjustments and other corrections. Performs COB updates (excluding Commercial), file reviews, issues adjustment related letters to members and providers, performs payment offsets and also validates and completes stop payment requests. Assists in customer service inquiries regarding contractual and administrative policies and applies excellent customer service when a phone call is needed to complete an adjustment or other support work. This is a FT WFH role. Pay Range $20.88 - $23.49 hourly, DOE. *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • High School diploma or equivalent., • Minimum of 6 months medical claim processing or customer service dealing with all types of plans/claims and consistently exceeding performance levels, • At least 12 months experience as a Processor I and consistently performing at an exceeding level of performance. Support Processor I designation may also be obtained through equivalent work experience and knowledge level at Moda Health or when recruiting externally., • Professional and effective written and verbal communication skills, • 10-key proficiency of 135 wpm net on a computer numeric keypad., • Type a minimum of 35 wpm net on a computer keyboard., • Ability to show a pattern of maintaining balanced performance, which consistently exceeds expectations in areas of production and quality., • Strong and proficient organizational abilities and the ability to handle a variety of functions, • Ability to efficiently multitask and work well under pressure and meet timelines., • Ability to maintain confidentiality internally and externally and project a professional business image always., • Strong analytical, problem solving, decision making and detail-oriented skills with ability to shift priorities as needed., • Strong proficiency in claims processing systems; Facets, Word, and Excel., • Excellent knowledge and understanding of Moda Health administrative policies affecting claims and customer service., • Demonstrates work habits that consistently exceeds Moda Health standards of attendance and punctuality as well as high flexibility., • Consistently communicates in a positive and effective manner, both written and verbal, to co-workers and management., • Receives and carries out tasks in a cooperative manner and demonstrates a spirit of teamwork. Primary Functions: • Performs basic and moderately complex claim adjustments within the system while interpreting coding and understanding medical terminology in relation to diagnosis and procedures as well as member plan benefits., • Review, analyze, and resolve claims issues through the utilization of available resources for moderately complex claims., • Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, COB, and out of pocket, etc., • Examines claims to determine if further investigation is needed from other departments and routes claims appropriately through the system., • Adjudication and adjustment of claims to achieve quality and production standards applicable to this position., • Release claims and adjustments by deadline to meet company, state regulations, contractual agreements, and group performance guarantee standards., • Reviews Policies and Procedures (P&Ps) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements., • Monitors and maintains unit inventory through adjustments, refunds, telephone calls and reports., • Prepares and sends refund requests and other form letters., • Reviews files, analyzes results, and organizes multiple adjustments and/or accumulator updates as needed., • Processes voided checks, reissues payment or manual checks, and works stop payments of checks. Issues follow up correspondence letters as needed., • Communicates via telephone with claimants, policyholders, providers, and other insurance carriers., • Thoroughly documents actions as required by internal procedure and market conduct guidelines., • Assists internal departments with programming issues as needed., • Responds and follows up using Facets, Content Manager and E-mail., • Provides back up to Medical Customer Service, COB and Medical Claims when requested., • Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines., • Perform other duties as assigned. Working Conditions & Contact with Others: • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need., • Internally with Claims, Customer Service, Healthcare Services, Membership Accounting, Information Technology, and Professional Relations. Externally with Providers, Members, Vendors, and Insurance companies. May serve on committees and appeals. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email. #INTONLY

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary Provides backup support to Supervisor for reports, questions policy development and maintenance, and identification/implementation of process improvements. Oversees department workflow and provides assignments as needed. Assists with external audits. This is a FT WFH position. Pay Range $20.88- $23.49 hourly, DOE. **Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Requirements: • High School diploma or equivalent., • Minimum of 2 years of experience as a Claims Auditor., • Excellent reading, verbal and written communication skills and ability to interact professionally, patiently, and courteously., • Strong analytical, problem solving, and decision-making skills with demonstrated ability to handle and resolve complaints, correct errors, and resolve departmental issues in accordance with Moda contracts and company policies., • 10-key proficiency of 105 wpm net on a computer numeric keypad., • Type a minimum of 25 wpm net on a computer keyboard., • Ability to work well under pressure in a complex and rapidly changing environment., • Ability to maintain confidentiality and project a professional business image., • Working knowledge of all plan types, contract and policies affecting claims and customer service., • Proficiency in all internal claims systems and Microsoft Office applications., • Demonstrated ability to consistently organize work and time to meet deadlines and complete work in a timely manner., • Ability to come to work on time and daily., • Ability to work with frequent interruptions and demonstrate professional leadership., • Demonstrated strong, effective, and diplomatic interpersonal skills with employees of all levels, and ability to participate effectively as a team player., • Maintain confidentiality and project a professional business presence and appearance., • Be flexible and accepting of change. Primary Functions: • Provide back up and support to supervisor of unit. Includes monitoring of assignments and overtime, evaluating performance, training, communicating policy to staff, and answering questions from Claims Auditors and Reinsurance Specialists., • Ability to analyze situations and communicate effectively in a fast-paced environment that includes a wide variety of job duties., • Provide accurate information in a professional manner., • Exercise judgment, initiative, and discretion in confidential and sensitive matters., • Assists in planning, organizing, and directing the activities and workflow of the department., • Responsible for quality and continuous improvement within the job scope., • Answer inquiries from other departments to include: Customer Service, Claims, Billing & Eligibility, Accounting, and HealthCare Services., • Perform related duties:, • Communicate concerns, issues, and ideas for improvement to Supervisor, • Develop, document, and maintain department policies and procedures., • Claim adjustments and file reviews., • Assist with External Audits, • Monitor and maintain unit spreadsheets., • Assist with Reinsurance, Auditing and Claims Processing as needed., • Contact physicians, dentists, hospitals, and other providers when necessary to answer questions and obtain or provide information., • Review, update and become familiar with new and revised benefit information or claim processing policies and procedures., • Assist in monitoring large projects received from other departments., • Other duties as assigned. Contact with Others Internally with Claims, Customer Service, HealthCare Services, Billing & Eligibility, Benefit Configuration, Accounting, Underwriting, Corporate, Information Services, Corporate Data and Professional Relations. Externally with Providers, Members, Vendors, Insurance companies, Reinsurance carriers, Case Management organizations and Brokers. Working Conditions Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Job Title: Production Baker Location: Too Sweet Cakes, Lake Oswego Anticipated Schedule: 8am - 4:30pm Job Type: Part-time (16-24 hrs/week) Looking to fill 2-3 positions, each person would either work 2 or 3 days in a row Example 1: Sat, Sun, Mon or Wed, Thurs, Fri Example 2: Wed and Thurs, or Fri and Sat, or Sun and Mon Join Our Growing Team! At Too Sweet Cakes, we’re looking for a passionate and skilled Production Baker to join our team. In this role, you’ll execute daily and weekly wholesale account orders from our kitchen, utilizing your baking expertise and experience to prepare ingredients, assemble products, and follow essential procedures for production. If you’re dedicated to producing high-quality baked goods and thrive in a collaborative, fast-paced environment, we want to hear from you! Job Responsibilities: • Collaborate: Communicate proactively with the Back of House Manager during all shifts. Be comfortable asking for help and working as part of a team., • Follow Procedures: Adhere to established recipes, procedures, and guides, including assembly, equipment SOPs, weights and measures, and sanitation guidelines., • Meet Production Goals: Ensure timely completion of orders while maintaining high standards of quality for all Too Sweet Cakes products., • Maintain Cleanliness: Keep a sanitary, organized work environment at all times., • Storage and Shelf Life: Monitor proper storage and shelf life for all products., • Health & Safety Compliance: Follow all appropriate health and safety regulations, food safety guidelines, and cleanliness requirements., • Baking Equipment: Use kitchen tools and equipment, including mixers, dough sheeters, and ovens, efficiently and safely., • Quality Control: Monitor baking processes to ensure products meet Too Sweet Cakes’ quality standards and make necessary adjustments as needed., • Work with Purpose: Approach tasks with a sense of urgency to meet daily, weekly, and long-term goals., • Experience: 1-2 years of baking or pastry experience is preferred but not required., • Pastry Skills: Understanding of proper pastry methods, techniques, and industry standards., • Food Handler Certificate: Food Handlers Certificate required., • Passion for Baking: A strong interest in high-quality baked goods and the food industry., • Time Management: Excellent ability to manage time and meet deadlines efficiently., • Physical Requirements: Must be able to lift up to 25 lbs frequently and up to 50-75 lbs occasionally., • Attention to Detail: A keen eye for detail and quality control., • Schedule Flexibility: Open availability and schedule flexibility is a MUST. A dynamic team environment where collaboration is key. Opportunity to work at a growing local bakery known for its high-quality products. Ready to Get Baking? If you're excited about bringing your baking skills to Too Sweet Cakes, we can’t wait to meet you! For more information about our bakery, check us out online or follow us on Instagram. • Instagram: @toosweet_cakes

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The Healthcare Data Analyst is a critical resource in our efforts to manage health care costs, improve quality, and enhance the experience of both the member and the care team, through sophisticated analysis and communication of health care data. This is a FT WFH role. Pay Range $78,911.43 - $98,639.28 annually (depending on experience). *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor’s degree or equivalent experience. Master’s degree preferred, • Minimum 6 years’ experience in financial analysis or other data analysis role. Experience with health care data required., • Demonstrated ability to use data to drive organizational change in strategy, workflows, or results, • Strong analytical and problem solving skills, • Strong verbal, written and interpersonal communication skills., • Experience with using data analysis and visualization tools such as SAS, SQL, PowerBI, Microsoft Access, Business Objects, Crystal Reports, or other similar applications., • Strong Microsoft Excel and SQL skills., • Ability to work well under pressure and with constantly shifting priorities., • Under general direction, performs complex research and analysis of healthcare claims, enrollment, and other related data., • Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Implements data driven decisions, strategies, and process changes for department / division., • Has a deep understanding of data sources, flow, and limitations. Is able to develop reports and processes that transform and integrate data from multiple tables, databases, and/or systems., • Consults with department / division managers in the use of analytical and reporting tools to develop effective cost, quality, and satisfaction outcomes., • Participates in and may facilitate work groups and committees. May provide a limited amount of project management., • Meets with internal customers to brainstorm what kind of information/report is needed for each situation., • Thinks creatively about how to solve a problem or meet a specific business need, given the data available., • Makes presentations to internal & external stakeholders about health care cost and utilization., • Presents data in a compelling way that highlights the opportunities at hand – whether in making comparisons to benchmarks, pointing out anomalies, displaying trends over time, or using other creative analytical tools., • Collaborates with the other members of the Analytics team to expand analytical capabilities, methods, and toolkits., • Provides guidance or expertise to less experienced analysts., • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary We are currently seeking a skilled and dedicated pharmacist to join our clinical pharmacy team. In this role, you will have the exciting opportunity to focus on the vital prior authorization functions of our work. Your primary responsibilities will involve making coverage determinations and completing appeal requests, using your clinical expertise to provide coverage decisions based on established criteria, guidelines, and specific plan design. By joining our team, you will be part of a dynamic environment where you can make a significant impact on patient care and contribute to the overall success of our healthcare organization. This is FT WFH position. Pay Range $103,893.01 - $132,461.48 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Current active and unrestricted Oregon Registered Pharmacist license, or eligible for Oregon licensure which is to be obtained within 60 days of hire date, • Effective communication and interpersonal skills to interact with healthcare providers, internal teams, and external stakeholders, • Commitment to service, organizational values, and professionalism through appropriate conduct and demeanor always, • Works well under pressure with frequent interruptions and shifting priorities, • Doctor of Pharmacy degree (Pharm.D.), • Experience in clinical therapeutics for specialty drugs, • Evaluate medication requests for coverage (e.g., prior authorization reviews, non-formulary requests, step therapy exceptions), conducting thorough clinical reviews and assessing their compliance with established clinical guidelines, formularies, and policies, • Provide prior authorization pharmacist coverage for rotating weekends and holidays, • Provide ad hoc or on call support for urgent medication requests and provide internal pharmacist support to the pharmacy team, appeals unit, and customer services department, • Perform coverage determination reviews for all lines of business (i.e., commercial, exchange, government) for pharmacy and medical (physician-administered or home infusion) medications, • Participate in the appeals and grievances process by providing clinical expertise and reviewing medication-related appeals and complaints, • Complete medical literature evaluation using primary, secondary, and tertiary drug resources to support coverage decision-making and recommendations, • Perform peer-to-peer reviews with providers when requested, • Make recommendations on medication edit improvements (e.g., programming) and coverage criteria, based on utilization and findings during coverage determination reviews, • Provide clear, comprehensive, and timely responses to requests for drug information to members, clients, providers, and internal staff via detailed and thorough documentation within coverage determinations, appeal documentation, and email inquiries, • Organize workload, set priorities, complete assignments in a timely manner and utilize resources appropriately while complying with department program standards, • Participate in and support department quality assurance and ongoing improvement practices, • Remain current on all communications and updated processes relayed through multiple team communication channels and apply to daily duties and responsibilities, • Support staff training and development as required, • Review, update, and maintain applicable policies and procedures related to clinical pharmacy services, • Performs all other related duties as assigned by departmental managers Working Conditions & Contact with Others • Remote, office environment, and/or hybrid with extensive close PC and keyboard work, and constant sitting. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business needs. May require occasional travel to conferences or offsite business meetings., • Internally with Clinical Pharmacy, Analytics, Marketing, Sales & Account Services, Actuary & Underwriting, Healthcare Services, Medicare and Medicaid Programs, Benefits, Legal, Regulatory Affairs, and Compliance. Externally with PBM, medical management vendor, pharmaceutical and biotechnology manufacturers, consultants and benefit managers, clients, providers, and pharmacists. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The Medical Provider Configuration Analyst I is responsible for performing configuration activities, assisting in research and resolution of configuration issues, and supporting system testing and projects. This position focuses on learning and applying provider configuration principles in Facets or similar systems. This is a FT WFH position. Pay Range $23.34 - $26.26 hourly (depending on experience) *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor's degree or equivalent combination of education and experience., • 0-2 years of experience in health insurance or a related field., • Proficient in Microsoft Office, especially Excel; eagerness to learn advanced Excel functions for data analysis., • Basic SQL knowledge., • Basic knowledge of healthcare provider data and claims processing preferred., • Strong analytical and critical thinking skills with the ability to apply business rules to configuration tasks., • Basic understanding of data integrity and quality assurance practices., • Ability to follow standards for data validation and spreadsheet preparation., • Strong attention to detail, organizational skills, and ability to manage multiple priorities effectively., • Ability to learn new concepts quickly and adapt to changing processes., • Good written and verbal communication skills., • Ability to work well in a remote team environment., • Maintain a professional appearance and demeanor in all internal and external interactions. Primary Functions: • Analyze and configure provider information in the system following established procedures and business rules., • Perform data analysis and validation using Excel, including formulas, data sorting and VLOOKUP functions., • Prepare and validate provider rosters for Robotic Automation System (RAS) processing., • Identify and resolve provider configuration errors using SQL., • Report data issues to the lead or supervisor., • Participate in projects with guidance from senior team members., • Assist in documenting configuration processes and updating department manuals., • Conduct quality reviews of configuration work and submit for timely auditing., • Attend training to improve skills and knowledge., • Follow quality standards and help with quality checks., • Perform other duties as assigned. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary Enters the processing system all claims received by mail or route claims as directed to processing specific data entry queues. Interrogates data on claims received electronically where member or provider information does not match Moda records. This is a FT WFH role. Pay Range $17.34 - $18.92 hourly (depending on experience) *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • High school diploma or equivalent., • Six months data entry experience., • 10-key proficiency of 135 spm net on a computer numeric keypad., • Typing ability of 35 wpm net., • Proficiency with Microsoft Office applications and an understanding of basic claims processing rules., • Strong problem solving and detail orientation skills., • Medical terminology helpful., • Ability to adapt to frequent changes in instructions., • Ability to come into work on time and on a daily basis., • Maintain confidentiality and project a professional business image. Primary Functions: • Data enters claims accurately using Moda computer systems. Reassigns claims appropriately as outlined by Medical Claims processing guidelines., • Resolves claims that pend with errors in the processing system by matching claims received to Moda providers or member records., • Research and problem solve basic claims data., • Identifies and communicates trends., • Performs other duties as assigned. Working Conditions & Contact with Others • Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 37.5 hours per week, including evenings and occasional weekends, to meet business need., • Internally with Membership Accounting, Medical Claims, and Professional Relations. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary Responsible for selling new business and renewing existing accounts in all employer group size segments and lines of business at appropriate rates to support the financial performance and membership growth of Moda Health and its affiliates in the Idaho market. The Sales Executive will work with senior management to position Moda as the leading insurance carrier in the marketplace. This is a FT WFH position. Pay Range $65,682.16 - $82,107.97 annually (depending on experience). This position is eligible for an incentive. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor’s degree in a related field, or an equivalent combination of education and at least 5 years of relevant experience in health insurance or sales., • Active Idaho health insurance license., • Ability to work independently with minimal supervision and maintain reliable, on time attendance., • Valid driver’s license, acceptable driving record, and eligibility for coverage under the corporate auto policy., • Demonstrated consultative selling skills, including presenting, negotiating, and closing new group business., • Knowledge of medical and dental insurance, including self-funding, alternative funding, and related contracts and benefit materials., • Understanding of core insurance operations, including claims, billing, customer service, and related workflows., • Strong interpersonal communication skills and ability to work effectively with a variety of individuals and groups, representing Moda professionally in the communities served., • Proficiency with Microsoft Office and ability to learn internal systems and reporting tools., • Ability to travel within assigned territory and to sales meetings as required., • Ability to use a pushcart and lift up to 40 lbs. in and out of a car trunk. Primary Functions: • Drive new medical and dental group sales in the assigned segment, including lead generation, prospecting, and closing., • Maintain strong relationships with assigned producers, groups, and community partners through regular virtual and field meetings and ongoing consultative support., • Build and execute acquisition plans for high value prospects, including account strategy and proposal development., • Deliver presentations and enrollment meetings for groups of varying size and respond to questions accurately and professionally., • Advise on plan design and funding strategy, aligning solutions to business needs and underwriting guidelines., • Coordinate with internal partners, including Underwriting and Implementation, to ensure accurate information flow and a smooth handoff after close., • Monitor competitor offerings and market trends and adjust sales approach accordingly., • Maintain required activity and pipeline reporting. Build sales skills and product knowledge through training and feedback., • Identify process and tool improvements and escalate or partner to resolve compliance risks., • Perform other duties as assigned. Working Conditions & Contact with Others • Internally within Sales, Membership Accounting, Underwriting, Business Implementation Unit, Document Services, Marketing, and other departments as needed. Externally with producers, members, vendors, and various customer contacts., • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Occasional travel. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The CCA Configuration Analyst III is responsible for the analysis, design, and maintenance of the Clinical Care Advance system and other assigned systems, serving as a subject matter expert who identifies and resolves configuration issues, recommends improvements, and ensures high quality work. The role works closely with peers and management to troubleshoot system issues, support requirements and updates, and ensure interdepartmental needs are met, while also maintaining working knowledge of related enterprise systems such as Facets. The position provides recommendations for vendor system enhancements, tests delivered enhancements, and integrates them into ongoing configuration strategies. This is a FT WFH position. Pay Range $71,990.85 - $89,988.57 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor’s degree in business or healthcare related field. Equivalent education and experience may be considered., • Minimum of 5 years of experience in a Systems Configuration, Claims, or Operations department within a healthcare organization., • 2 to 5 years of experience working with clinical and care management systems such as the CareAdvance Enterprise Application., • Working knowledge of enterprise systems such as Facets., • Advanced knowledge of health plan configuration, including healthcare services, medical management, population health management, and industry care guidelines such as Milliman Care Guidelines., • Knowledge of configuration change management methodologies, standards, and best practices., • Experience with project management methodologies and the ability to manage projects and initiatives independently end to end., • Proficiency in Microsoft Office products., • Ability to understand business needs at both clinical and technical levels and translate them into configuration requirements., • Ability to analyze processes, document workflows, perform gap analysis, and develop future state standardized workflows., • Strong communication and meeting facilitation skills, with the ability to collaborate effectively with peers, management, and vendors., • Strong analytical, organizational, and time management skills, with the ability to meet agreed upon timelines with accuracy., • Ability to work well under pressure with constantly shifting priorities., • Ability to maintain regular attendance, confidentiality, and a professional business image. Primary Functions: • Gather and document requirements, perform analysis, and develop configuration design to meet business needs., • Manage complex system configuration and related documentation. Serve as a subject matter expert for configuration change management testing and best practices. Facilitate production controls and system configuration data codification., • Monitor and review system edits and conduct advanced root cause analysis to identify issues and provide clear recommendations for resolution, including issues requiring multi-disciplinary technical skills., • Identify and facilitate the implementation of process improvements and best practices., • Interface and collaborate with peers and management throughout Healthcare Services and the organization to support configuration management best practices and system configuration life cycle management. Support project and program plans and tracking of configuration changes, operational issues, and resolutions., • Represent the team on internal and external committees related to the system solution., • Provide system-based recommendations regarding enhancement requests and the implementation of enhancement features., • Lead and manage configuration project timelines to meet agreed upon deliverables., • Coordinate the preparation and execution of test plans to validate that configuration updates and system fixes are complete and accurate and that enhancements function as designed., • Perform other duties as assigned. Working Conditions: • Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need., • Internally with multiple departments. Externally with vendor and other health plans. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Job Summary: Provides phone, email and chat-based customer service to members of certain Performance Guarantee (PG) and Moda 360 groups by analyzing caller’s needs and providing timely and accurate responses. Answers inquiries from policyholders, members, agents, providers, hospitals, pharmacists, dentists and others regarding a wide variety of issues and questions related to a member’s benefits and health program options. This position requires staff to be flexible with their work schedule to meet the client’s needs. This is FT WFH role. Pay Range $21.30- $23.96, DOE. **Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position: Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid HolidaysRequirements:, • High school diploma or equivalent., • Ability to complete training as a Customer Service Representative with Moda Health., • Claim processing experience, prior customer service experience or other related experience such as medical/dental office or pharmacy preferred., • Practical knowledge of medical, dental and/or pharmacy terminology desired., • Knowledge of diagnosis and procedure coding helpful., • Excellent oral and written communication skills. Ability to interact professionally, patiently, and courteously with customers over the phone and in writing., • Excellent analytical, problem solving and decision-making skills., • 10-key proficiency of 105 kpm net on a computer numeric keypad., • Type a minimum of 25 wpm net on computer keyboard., • Ability to work well under pressure in a complex and rapidly changing environment., • Ability to maintain excellent attendance and punctuality., • Maintain confidentiality and project a professional business presence., • Ability to work with multiple applications across multiple monitors at once and learn new applications as needed., • Experience using Microsoft Office products including Outlook, OneNote and Teams., • Experience with TriZetto Facets helpful., • Ability to learn independently and take initiative to constantly improve skills., • Though open to both internal and external candidates, internal candidates must be Fully Meeting performance expectations in their current position. Exceeding in Accuracy and Customer Service Skills is preferred., • Applicants will handle either medical, dental or pharmacy inquiries or a combination of two of these, depending on existing skills and training. Opportunity for promotion to Health Navigator II upon learning all three lines of business., • Answer medical, dental and/or pharmacy claim, authorization and benefit questions from customers on specific groups. Provide solutions to problems, confirm eligibility and explain benefits and plan coverage., • Handle inquiries received via phone, email, voicemail and/or online chat., • Respond to members via phone, online chat, SMS and email., • Complete detailed research and follow-up as needed. May include use of multiple resources, contact with internal departments and multiple phone calls to providers, pharmacies and other carriers to resolve a situation completely., • Work with internal departments via email, phone or meetings to resolve member issues and ensure clear communication of the member’s needs., • Repeatedly analyze situations and communicate effectively in a fast-paced environment that includes working with frustrated or angry callers., • Use the Moda 360 Navigator Console to review recommended health actions and programs, recommend programs based on personalized member data and assist members in understanding and setting up programs or completing recommended health actions., • Use multiple resources simultaneously to research member issues. These could include Facets, Benefit Tracker, Content Manager, eviCore portal, Navitus, CoverMyMeds, Moda 360 Navigator Console and other internal and external websites depending on the line(s) of business., • Provide complete and accurate information in a professional manner both verbally and in writing., • Talk on the phone or respond via chat while simultaneously researching the caller’s questions and documenting the interaction., • Apply mathematical skills to determine correct benefit and claim information and manually calculate and update dental incentive levels when needed., • Exercise judgment, initiative, and discretion with confidential and sensitive subject matter., • Provide thorough resolution when at all possible for members by using critical thinking skills, extending yourself and reducing effort on the part of the caller. This could include reaching out to internal and external sources (including service providers) to assist in resolving the issue for the member and making multiple follow-up calls to the member until the issue is resolved., • Perform related duties:, • Review, update and become familiar with new and revised benefit information., • Build and maintain proficiency in claim processing procedures to determine whether a claim was processed or adjusted correctly. Communicate reasoning to callers in language appropriate to the caller’s experience level., • Request claim adjustments required due to processing or configuration errors or new information and determine which incorrect processing is the result of a configuration error versus a processing error. When a configuration error is encountered, communicate with leadership to have it corrected., • Identify confusing or incomplete information in all internal and external resources, plan documents and member communications and make suggestions for improvements., • Update and enter primary care physician selections based on plan benefits (medical only)., • Complete provider searches that may include calling several providers to locate providers who are in-network, available and meet the member’s care needs., • Work with internal departments to help resolve member gaps in care when possible, including work with the Healthcare Services or Pharmacy teams on exceptions and authorizations for those trained in medical or pharmacy, respectively., • Advocate on behalf of members when they encounter issues with obtaining covered care or medications from providers and/or pharmacies., • Place overrides to allow pharmacies to dispense medication at the point of service when appropriate based on plan details and internal policies (pharmacy only)., • Address and explain complaints, appeals, and grievances., • Provide customer service to walk-in members., • Send emails or text messages to members to follow up on call details or provide forms, website links or other plan documents., • Send faxes to providers to allow them to submit medication authorization requests (pharmacy only)., • Provide timely follow up and return calls when these are required., • Answer calls within PG service level agreement., • Complete continuing education on excellent customer service skills., • Perform other related duties and projects as assigned by lead, supervisor or manager. Contact with Others & Working Conditions: • Constant sitting and telephone use. Close PC monitor and keyboard work. Must be able to work with multiple applications open on multiple monitors and to type documentation and research while speaking with a caller. Constant interaction with others on the phone, in writing and in person. Video calls via MS Teams when required by supervisor or manager., • Inside the company with Medical Claims, Healthcare Services, Dental Claims, Dental Provider Relations, Marketing, Group Integration, Medical Provider Relations, Pharmacy Operations, Case Management and others based on the line of business and as needed to resolve the customer’s issue. Outside the company with members, providers, attorneys, policyholders, brokers, service providers, pharmacies and other insurance carriers. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The Regulatory Analyst reviews and analyzes new and existing laws, regulations, and policies to determine their impact on commercial group and individual health and dental insurance plans, as well as self-funded plans. This role is responsible for managing policy documents, certificates of coverage, and other regulatory filings, and supports the organization’s compliance with regulatory requirements. The position facilitates adherence to state and federal regulations, internal processes, and filed documents. The Regulatory Analyst also drafts and reviews filed materials and internal documents to ensure alignment with state, federal, and organizational standards; prepares and submits required filings and reports; and serves as a liaison to internal departments and state and federal regulators. This is a FT WFH position. Pay Range $65,682.16 - $82,107.97 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor’s degree or at least 3-5 years of experience in the health insurance industry required, including experience in contract drafting and interpretation or regulatory filings., • At least two years of experience in regulatory compliance, drafting contracts, contract interpretation and submission of required filings, or equivalent experience preferred., • Ability to work and think independently in researching, analyzing, interpreting, and disseminating information about complex insurance law and contracts., • Ability to identify areas of compliance concern and develop recommendations for resolving compliance issues., • Ability to advise and direct all departments, including senior and executive positions, on the interpretation and implementation of regulatory requirements and contracts., • Strong audit skills to provide regulatory feedback on any subject matter from internal departments, including the ability to compare multiple documents and trouble shoot problems., • Ability to organize and prioritize large workloads with competing demands in an efficient and timely manner., • Detail oriented with good organizational and problem-solving skills., • Strong and effective verbal and written communication skills., • Ability to maintain confidentiality and project a professional business image., • Computer proficiency with Microsoft Office applications, Adobe Acrobat and internet research., • Ability to come into work on time and daily. Primary Functions: • Prepare and file annual form filings with the State Insurance Divisions and CMS, including initial filings, amendments, and required responses to regulator requests or questions., • Research and interpret compliance requirements, including state and federal laws and regulations, and apply knowledge to company operational issues., • Review marketing materials, plan change notices, and other regulated communications for compliance., • Collaborate with other departments within the organization regarding compliance with contracts and state and federal regulations, including effective communication and education about state and federal regulations, implementation of benefit changes and process and procedure changes., • Evaluate sufficiency of, and interpret, contract benefits based on insurance law and internal standards and policies., • Assist with daily question workload regarding federal and state rules and regulations., • Review internal and external documents and content, including Request for Proposal responses, for compliance., • Maintain a tracking system to retain historical information on benefit, contract, and regulatory interpretations to ensure accurate and consistent treatment., • Work with Contract Services in the production of contracts after State approval., • Audit internal departments for contract and regulatory compliance., • Perform other duties as assigned. Working Conditions: • Office environment with extensive close PC and keyboard use, constant sitting, and phone communication. Must be able to navigate multiple computer screens. Hybrid (in the Portland metro area) or work-from-home (outside the Portland metro area). A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business needs., • Internally with all areas of the organization, including operational teams such as Sales, Product, Claims, Customer Service, Benefit Configuration, Underwriting & Actuarial, Contract Services, Membership Accounting, Pharmacy, Quality Programs, Healthcare Services, Informational Services, and Marketing. Externally with legal counsel, professional colleagues, state insurance regulators and federal regulatory agencies. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary The Executive Assistant II provides executive-level administrative support to the Medicaid and Medicare Senior Vice President, Medicaid Services leadership, and the Eastern Oregon Coordinated Care Organization (EOCCO) Owner and Board of Director’s groups. This position exercises good judgment in a variety of situations and requires strong written and verbal communication, administrative, and organizational skills, as well as the ability to maintain a realistic balance among multiple priorities. The Executive Assistant II must be able to work independently on projects from conception to completion and manage a wide variety of activities and confidential matters with discretion, often under pressure. This is a FT onsite role based in Portland, Oregon. Pay Range $23.34- $26.26 hourly (depending on experience) Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • Bachelor’s degree preferred. Relevant higher education or vocational training in administrative support, travel coordination, or office supervision is desirable., • 5-10 years of experience in a fast-paced office environment., • Ability to type a minimum of 50 wpm net., • Proficiency in Microsoft Office applications., • Strong organizational skills with the ability to balance multiple tasks while maintaining attention to detail., • Strong verbal, written and interpersonal communication skills., • Ability to work well under pressure with frequent interruptions and shifting priorities., • Consistent and reliable attendance., • Ability to maintain confidentiality and project a professional business image. Primary Functions: • Provides administrative support to the Medicaid and Medicare Senior Vice President, department leadership, clinical consultants, and EOCCO Owner and Board of Director’s groups., • Organizes and coordinates all aspects of EOCCO events, including Board meetings, VIP events, and our annual EOCCO conference with over 200 attendees., • Coordinates EOCCO sponsorship of events statewide and ensures consistent and accurate brand representation., • Manages complex travel arrangements for the Medicaid team, clinical consultants, and the EOCCO Owner and Board of Directors., • Prioritizes conflicting needs; handles matters expeditiously and proactively; follows through on projects to successful completion, often under deadline pressure., • Fulfills health-related service requests for Medicaid., • Coordinates fulfillment and payments to multiple vendors., • Manages and tracks department budget., • Coordinates meetings for the EOCCO Owner, Board of Directors, and subcommittees., • Takes meeting minutes for EOCCO Owner, Board, and subcommittee meetings., • Completes weekly, monthly and quarterly reporting., • Performs other duties as assigned. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Job Summary: This position provides customer service to members of multiple benefit plans by analyzing the caller’s needs and by providing timely and accurate responses. Answer calls from policyholders, agents, members, providers, and others regarding benefits, eligibility, claims, premiums, or other issues. This is a full-time WFH position. Pay Range $18.39 - $20.58, hourly DOE. **Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position: Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • Monday - Friday, • Full time minimum 7.5 work days with 37.5 work weeksRequirements:, • High school diploma or equivalent., • Practical knowledge of medical or dental terminology preferred but not required., • Knowledge of diagnosis and procedure coding preferred but not required., • Prior customer service experience, other related experience such as medical/dental office experience, or customer support experience., • Strong reading, verbal and written communication skills. Ability to interact professionally, patiently, and courteously with customers over the phone., • Good analytical, problem solving and decision-making skills., • Type a minimum of 25 wpm net on computer keyboard., • High speed internet (cable or fiber), • Must be proficient with Microsoft Office applications with the ability to open and navigate multiple windows at the same time., • Ability to achieve and maintain quality standards., • Ability to work well and independently under pressure in a complex and rapidly changing environment., • Ability to meet the attendance and punctuality policy of Moda Health., • Ability to remain focused and on task in a work from home environment., • Maintain confidentiality and project a professional business presence and appearance., • Ability to repeatedly analyze situations and communicate effectively in a fast-paced environment that includes dealing with escalating queries and concerns., • Ability to organize and remain up to date on changing and new information., • Ability to troubleshoot and follow protocols for reporting internet or technological issues.Primary Functions:, • Answer a high volume of inbound phone calls regarding dental claims, benefits, premiums, and eligibility involving employer groups, Oregon Health Plan (OHP) and Individual products. Provide solutions to problems, confirm eligibility, explain benefits and/or plan coverage., • Provide accurate information in a professional manner., • Apply mathematical skills to determine correct benefit information and premium amounts for Individual plans., • Exercise judgement, initiative, and discretion in confidential and sensitive matters., • Perform related duties:, • Follow HIPAA guidelines to protect member health information., • Document all aspects of a call in a clear and concise manner., • Keep up to date on new and revised benefit information, claim processing procedures, or system updates., • Gather banking details so monthly premium for members on Individual plans can be collected., • Identify and request claim adjustments when necessary., • Resolve and record complaints, appeals, and inquiries., • Contact providers, other insurance companies or state agencies when necessary to answer questions and obtain or provide information., • Provide timely follow-up and return calls within department guidelines., • Answer calls within service level time., • Perform other duties as assigned by Manager/Supervisor/Lead. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Job Description Let’s do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together. Position Summary Provide exceptional customer service to contracted providers by being the liaison between the contracted provider and the Health Plan. The Provider Relations Representative is responsible for presenting, promoting, and resolving concerns and issues brought forward by the providers or the Health Plan. This is a FT WFH role. Pay Range $54,668.32 - $68,340.67 salary (depending on experience) This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. Benefits: • Medical, Dental, Vision, Pharmacy, Life, & Disability, • 401K- Matching, • FSA, • Employee Assistance Program, • PTO and Company Paid Holidays Required Skills, Experience & Education: • College degree or equivalent work experience in the health insurance industry, • 2-4 years’ experience as a Provider Relations Rep with a Health Plan or 2-4 years’ experience as a Provider Relations Rep I with Moda., • Strong facilitation skills with an ability to run provider meetings with prioritized specific topic agendas reflecting entire provider support., • Strong relationship building skills., • Demonstrated strong verbal, written, and interpersonal communication skills., • Possess analytical, problem-solving, and attention-to-detail skills., • Knowledge of medical insurance reimbursement methodologies including but not limited to DRG and APC pricing., • PC proficiency, preferably with Microsoft Word and Excel and FACETS., • Ability to work well under pressure, work with frequent interruptions and shifting priorities., • Maintain confidentiality and project a professional business image., • Identify root causes of claim problems and trends while participating in the development of potential solutions., • Strong ability to work within a team environment as well as independently. Primary Functions: • Identify root cause of claims problems, trends, and participate in developing solutions. This includes performing research through available systems, policies and departments ensuring timely resolution., • Develop and review Dashboard metrics (quality, financial, triple AIM) and translate into actionable items based on group specifics., • Ability to provide actionable financial and operational data and to ensure action plans are implemented to achieve performance goals., • Work in a consultative role with various departments locally creating effective information and analyses to optimize the market’s strategic objectives for providers., • Provide timely responses to all provider inquiries, within in three business days., • Conduct regular on-site provider visits to create strategic provider partnerships to improve health efficiencies, and foster provider experience while ensuring cohesion across product lines with Moda’s policies. All providers should be provided with an invitation for such on-site visits. There should be a minimum of 36 visits on average per year (three per month)., • Educate providers on their health plan contract language ensuring consistent interpretation., • Organize, prepare, and present annual Provider Workshops. Workshops are our opportunity to foster relationships, provide education and represent Moda in a positive light., • Participate in ongoing Moda committees with the expectation of providing feedback and recommendations from the Provider Relations perspective while bringing back pertinent information., • Utilize necessary resources, tools and navigate systems efficiently to provide accurate and timely responses to inquiries, • Represent Moda in a positive and professional manner at all times., • Collaborate with other teams, peers, and management to identify areas of inefficiency and process improvement opportunities., • Other duties as assigned Working Conditions & Contact with Others • Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need., • Internally with Health Services, Sales, Contracting, Network Adequacy, Compliance, Customer Service, Marketing, Underwriting, Claims, Claims Support, and Document Services. Externally with contracted providers, clinic administrators, hospital executives, provider billing staff and IPA administrators. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our email.

Provides support as a member of the Grocery team to include receiving and preparing product, maintaining the grocery floor and displays, and selling product in support of WFM standards.Performs all functions related to breaking down deliveries and stocking shelves.All Whole Foods Market Retail jobs