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We're looking for a VP/Director of Technical Operations to own the reliability, scalability, security, and operational excellence of Shopmonkey's platform. This is a senior leadership role sitting at the intersection of engineering and infrastructure — responsible for the teams and practices that keep our product running at the highest levels of performance and trust. This is not a title for someone who manages from a distance. You will be deeply embedded in the technical and organizational fabric of the company. You'll bring strong opinions about how infrastructure should be built, how incidents should be managed, how security posture should evolve, and how DevOps culture creates faster, safer product delivery. You'll own multi-year roadmaps, manage and grow a team of strong individual contributors, and partner closely with Product, Engineering, and Security to translate business priorities into operational reality. Please note for San Francisco-based area candidates, this would be a hybrid role with 2-3 days/week in office for collaboration and connection. • Define and enforce SLOs, SLAs, and error budgets across Shopmonkey's production systems., • Lead incident management end-to-end: on-call frameworks, blameless postmortems, and systemic remediation., • Drive observability maturity — OpenTelemetry, Prometheus, and the dashboards and alerts that give every team a clear signal., • Ensure 99.9%+ availability for a platform processing critical business operations for thousands of shops., • Own Shopmonkey's GCP-based cloud infrastructure: provisioning, scaling, cost optimization, and architectural evolution., • Lead the internal platform team that builds developer tooling, CI/CD pipelines, and deployment infrastructure that accelerates every engineering squad., • Champion infrastructure-as-code practices, making our environments reproducible, auditable, and fast to provision., • Partner with senior engineers on scalability decisions as we grow our customer base and data volumes., • Own the engineering infrastructure and software budget as well as vendor relationships., • Own the technical security posture of the platform: vulnerability management, secrets management, network security, and hardening., • Lead compliance programs and certifications relevant to Shopmonkey's enterprise customers and growth trajectory (SOC 2 Type II, and beyond)., • Build a culture of security that is embedded into the development lifecycle — not bolted on at the end., • Treat compliance not as a checkbox but as a multi-pillar investment that compounds trust with customers over time., • Evangelize and operationalize DevOps principles across engineering: CI/CD, feature flags, progressive deployment, automated testing infrastructure., • Drive down time-to-deploy, mean time to recovery (MTTR), and toil across the org., • Partner with engineering leadership to ensure platform investments directly accelerate squad velocity., • Build, retain, and grow a high-performing team spanning DevOps, SRE, Platform Engineering, and Infrastructure., • Define org structure, hiring plans, and career ladders for TechOps disciplines., • Develop managers and senior ICs; establish a culture of ownership, psychological safety, and continuous learning., • Lead with a servant-leadership mindset — remove blockers, amplify great work, and hold the bar high., • 10+ years in infrastructure, platform engineering, SRE, or DevOps — with at least 4–5 years in a senior leadership role (Director or VP level), • Proven experience owning production reliability at a SaaS company with significant scale and uptime requirements., • Demonstrated track record in building and evolving DevOps/platform engineering organizations from the ground up or through significant transformation., • Experience leading cloud-native infrastructure on GCP, AWS, or Azure — with deep familiarity with Kubernetes, container orchestration, and managed cloud services., • Prior ownership of security and compliance programs (SOC 2, ISO 27001, or similar); able to fluently translate security requirements into engineering work., • Experience in companies ranging from growth-stage to mid-scale SaaS ($50M–$500M ARR range), where you've had to build structure while maintaining velocity., • Strong working knowledge of modern observability stacks (OpenTelemetry, Prometheus, Grafana, Datadog, or equivalent)., • Fluency in infrastructure-as-code tooling (Terraform, Pulumi, or equivalent)., • Solid understanding of CI/CD architectures, deployment strategies (canary, blue/green, progressive rollout), and release engineering., • Comfortable reviewing architectural decisions at the system design level and contributing to technical roadmaps alongside principal engineers., • Familiarity with data infrastructure considerations (managed databases at scale, streaming platforms like NATS/Kafka, ClickHouse-style OLAP)., • Exceptional communicator who can contextualize technical risk and infrastructure investment in business terms for a C-suite audience., • Track record of building inclusive, remote-first teams with strong async communication habits and high accountability., • Able to operate in ambiguity — defining the problem, structuring the org, and making progress before the perfect playbook exists., • Sound business judgment: able to sequence investments, make trade-offs between speed and stability, and push back when priorities don't make sense. In the United States the range is typically $200,000 to $260,000 with bonus + equity + benefits. The range provided is Shopmonkey’s reasonable estimate of the base compensation for this role. The actual amount will be based on job-related and non-discriminatory factors such as location, experience, training, skills, and abilities. Consult with your Recruiter during the initial call to determine a more targeted range based on these job-related factors. In addition to this base compensation company stock options and benefits as outlined below are included. Shopmonkey has become an amazing environment where employees feel that they are valued as people, and not just worker bees. To ensure that our team thrives, we invest in the following perks (benefits below are mainly for U.S. based, full-time employees). Other benefits vary upon location outside of the United States, and employment status: • Medical, dental, vision, and life insurance benefits available the 1st of the month following hire date, • Short term and long term disability, • Employee assistance program, • Reimbursement for a personal health and wellness membership, • Generous parental leave, • 401(k) available upon hire, • 11 paid holidays, • Flexible time off - take the time off you need!, • Matching donations for approved charitable organizations, • Group volunteer efforts Check out our ___, ___, or ___ about what it’s like to work at Shopmonkey. Join our team of ___ who love what they do, and change the auto industry by helping every shop thrive. The U.S. is the second largest passenger vehicle market with more than 260 million registered passenger vehicles, and the global car repair market is estimated to be worth more than $500B. Shopmonkey aims to change the status quo and enable auto shops to become more efficient and give their customers a more delightful experience. Shopmonkey is the leading auto-repair shop software company; it is a cloud-based solution that helps auto-repair shops consolidate tools, save time, and streamline their entire operation onto a simple, easy-to-use platform. Headquartered in Silicon Valley and trusted by more than 3,500+ auto shops across the U.S. and Canada, Shopmonkey aims to change the status quo of the car repair market, estimated to be worth more than $500B. In 2021 Shopmonkey ___ a $75 million Series C, supported by top-tier Silicon Valley venture capital firms Bessemer Venture Partners, Index Ventures, Headline, I2BF, and ICONIQ Growth. In 2022, Shopmonkey ___ #4 on Forbes' annual ranking of America's Best Startup Employers list (and #1 in Business Products & Software Services). Shopmonkey was once again named as one of America's Best Startup Employers by Forbes in ______, and ___! Shopmonkey is committed to building a diverse and inclusive team. We are looking for team members from all backgrounds that are committed to the Shopmonkey mission. Shopmonkey provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Shopmonkey is committed to the full inclusion of all qualified individuals. In keeping with our our commitment, Shopmonkey will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact our Talent Team at ___. Please note: Shopmonkey will never request sensitive information such as your social security number, bank account information, or other non-publicly available information during the application and interview process. If an applicant is extended an offer of employment, such sensitive information will be requested at that time. Shopmonkey will never ask you to receive and ship packages or goods as part of the interview. Other practices to be on alert for: • Contact initiated via unsolicited text message or cold call. Shopmonkey does not follow up with candidates through instant messaging applications., • Our Talent Acquisition team only corresponds from email addresses with the domain ‘@Shopmonkey.io’. If a generic email ID ending with Gmail/Yahoo or other domain is used while receiving a job offer or interview call, there is a likelihood of a scammer., • While some of our jobs can be found on third party job sites, all of our current job opportunities and descriptions are posted on Shopmonkey’s ___ page, or our official ___ The U.S. Federal Trade Commission has published helpful articles to help individuals learn more about protecting themselves from ___ and ___. If you believe you were a victim of such a scam, you may contact your local law enforcement agencies. Shopmonkey is not responsible for any claims, liability, losses, damages, or expenses resulting from scammers or impersonators.

Benefits: • Competitive salary, • Flexible schedule, • Opportunity for advancement, • Paid time off, • Signing bonus, • 401(k), • Health insurance Join The Montgomery Agency, a local growing insurance agency in Rochester Hills that is dedicated to providing excellent customer service. As a Licensed Insurance Customer Service Representative you will be the face of our company, ensuring that our clients receive top-notch support and assistance for their insurance needs. At The Montgomery Agency, we value our employees and strive to build a friendly, casual, and fun work atmosphere that helps create long-lasting employment relationships. Join a team of great well-adjusted socially mature co-workers to engage and help you be at your daily best. Team members are always willing to help out in a positive way when you need it. Management philosophy is “have fun while getting it done”; where you will have a variety of experiences and responsibilities to be challenged daily with the trust and freedom to perform your role. Right now, we are looking for a candidate to join our team of insurance professionals to service our customers by helping them protect their homes, cars, and lives. Your role will involve responding to client inquiries, resolving issues, and providing expert guidance on insurance policies and claims procedures. No sales, this is a customer service role. Job Responsibilities of a Customer Service Representative • Provide exceptional customer service to our policyholders, addressing their inquiries and requests promptly and accurately., • Assist clients in understanding their insurance policies, explaining coverage details, and answering any questions they may have., • Process policy changes and endorsements with attention to detail and accuracy., • Collaborate with other team members to resolve customer issues and ensure a seamless customer experience., • Build and maintain relationships with our policyholders, demonstrating empathy, patience, and professionalism at all times., • Excellent verbal and written communication/interpersonal skills., • Property & Casualty License or be willing to obtain insurance license quickly., • Dependable, honest, and hardworking., • Straight-forward communicator with empathy and compassion., • Ability to work independently and as a team member., • Strong organizational skills, attention to detail and ability to multi-task., • Monthly team lunches, • Stocked kitchen with healthy snacks, tasty snacks, hot & cold beverages, • Work-Life balance, • Comprehensive on-the-job training, • Continuous learning and development courses available through our online corporate website, • Positive work environment, • Everything we do at our agency is driven by a shared purpose to protect our customers from life's uncertainties so they can live happier lives knowing they are financially protected. Our daily goal is to provide excellent service and the right coverage. We perform our duties in a professional casual office atmosphere with an understanding that we need to enjoy life and do our best to responsibly guide our customers by combining knowledge and compassion with insurance products for their protection. Flexible work from home options available. Compensation: $40,000.00 - $60,000.00 per year As a licensed sales professional, you'll learn the business inside and out. You'll help grow an Allstate agency and build relationships in your community. And that's just the beginning. Continue your journey and explore other exciting opportunities within the agency and beyond, including potentially becoming an Allstate agency owner. The agency staff opportunity is not an employment opportunity directly with Allstate Insurance Co.; but rather employment as a staff member with Allstate Exclusive Agents, who are independent contractors. ® 2021 Allstate Insurance Co.

Job Description HR Administrator Quality Marine An HR Administrator at Quality Marine assists the HR Manager with documentation, organization, filing, and employee communication. This position will work closely with the HR Manager to learn the company structure and culture in order to ensure constructive communication with managers and employees for positive outcomes with problem-solving, challenges, and changes that may arise. This is a full-time position, 8 hours per day, Monday through Friday. This is not a remote position. Duties include: • Create and maintain both physical and digital employee files, • Conduct new hire orientation, including benefit enrollment, • Assist with the Recruiting process, including ad placement, resumes review, telephone interviews,, • Support payroll functions, including ensuring managers review employees' time punches and submit all documentation in a timely manner, answering employee questions, and communicating to the HR manager any changes or corrections needed, • In conjunction with the HR Manager, manage all aspects of Workers’ Compensation claims, from initial report of injury through investigation and coordination of benefits, • Assist with the administration of the employee benefits program, • Maintain the integrity and confidentiality of HR files, records, and communication, • Stay up to date with state and federal labor law requirements, • Keep all HR filing current, • Miscellaneous projects and assignments, • Other duties as assigned Qualifications and Requirements: • High school diploma, • Human Resource coursework or equivalent experience, • Human Resources Certificate is a plus, • Excellent written and verbal communication skills, • Proficient with Microsoft Office Suite or related software, • Experience with ADP payroll processing, • Flexibility and adaptability and ability to pivot when needed, • Strong interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy, • Ability to prioritize effectively, think independently, and problem-solve to ensure all projects are completed in an effective and timely manner Benefits and Compensation • $25 - $30 per hour (depending on experience), • PTO and Sick pay, • 401k/401k Match, • Medical, dental, and vision insurance, • Flexible spending accounts for medical and dependent care

Overview We are seeking a highly organized and detail-oriented Business Operations Associate to support day-to-day administrative, HR, and operational functions. This role is ideal for someone who thrives in a fast-paced environment, is process-driven, and can manage sensitive information with discretion. Key Responsibilities • Manage employee lifecycle processes, including onboarding, offboarding, and new hire orientation, • Prepare, distribute, and maintain offer letters and employee agreements, • Track and support the employee performance review process, ensuring timely completion, • Maintain accurate and up-to-date employee records; document employee-related matters as needed, • Assist with unemployment claims and employee benefits administration, coordinating with external partners as needed, • Manage and track state registrations and filings to support ongoing compliance requirements, • Support insurance administration, including documentation, renewals, and coordination with providers, • Support HR compliance initiatives, including maintaining required workplace postings and tracking adherence to meal and rest break policies, • Support payroll administration, including reviewing timesheets, ensuring data accuracy, and coordinating payroll through Gusto, • Oversee and complete administrative tasks within the Gusto platform, • Assist with 1099 processing and preparation of year-end tax documentation, • Support recruiting operations, including LinkedIn management, interview coordination, and candidate communication, • Provide general administrative and operational support across departments, • Monitor key business registration, permit and license deadlines and execute required filings, • Support sales tax registration and assist in compiling data for tax reporting Qualifications & Skills · 3–5 years of relevant industry experience required · Highly proficient in Microsoft Excel and comfortable working with data · Financially savvy with a strong understanding of business operations · Strong communication skills, both written and verbal · Highly detail-oriented and process-driven · Quick learner with the ability to adapt in a dynamic environment · Trustworthy and capable of handling confidential and sensitive information Preferred Attributes · Strong organizational and time management skills · Ability to multitask and prioritize effectively · Proactive mindset with a problem-solving approach

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Company parties, • Dental insurance, • Employee discounts, • Free food & snacks, • Health insurance, • Paid time off, • Parental leave, • Training & development, • Vision insurance Responsibilities: • Process and manage electronic claims submissions and follow-up on outstanding claims., • Review and analyze claim data for accuracy and compliance with industry standards., • Collaborate with internal teams to resolve claim discrepancies and rejections., • Utilize EDI software to track claims and maintain detailed records., • Communicate with payers to ensure timely payment and resolution of claims issues., • Stay updated on industry regulations and best practices related to EDI claims., • Provide training and support to staff on EDI processes and procedures., • Generate reports on claims performance and identify areas for improvement.Requirements:, • 2+ years of experience in EDI claims processing within the healthcare industry., • Strong knowledge of HIPAA regulations and medical billing practices., • Proficient in EDI software and claims management systems., • Excellent analytical and problem-solving skills., • Detail-oriented with strong organizational abilities., • Effective communication skills, both written and verbal., • Ability to work independently and as part of a team. This is a remote position.

Job Description Position Overview Local Candidates only The HR Generalist at National Health Foundation (NHF) is responsible for payroll processing, timecard accuracy, employee relations, and compliance across all NHF sites. This role ensures accurate and timely payroll for multi-site operations, supports leaders in maintaining timecard accountability, and upholds compliance with labor laws and NHF policies. In addition, the HR Generalist will provide guidance on employee relations, onboarding/offboarding, and compliance recordkeeping, while serving as a key partner to managers and site leaders. EDUCATION: • Education: Bachelors Required Key Duties & Responsibilities Payroll Administration • Process payrolls for all NHF sites, ensuring accuracy and timely submission of each pay cycle., • Review timecards for accuracy, identifying errors, missed punches, or policy concerns., • Maintain open communication with site leaders to ensure they are reviewing and approving timecards on schedule., • Serve as a first point of contact for employee relations matters, escalating to leadership as appropriate., • Guide managers on timekeeping, attendance, and conduct expectations., • Support workplace investigations, including documentation, fact-finding, and records management., • Respond to EDD unemployment claims, prepare supporting documentation, and assist with hearings., • Ensure compliance with federal, state, and local labor laws, including wage and hour, FMLA, ADA, and workplace posting requirements., • Support new hire onboarding in ADP, including I-9/E-Verify, background checks, setup, and compliance training., • Conduct HR orientations to review policies and expectations., • Run and analyze reports in ADP to support HR and compliance initiatives., • Partner with P&C leadership on HR projects, audits, and policy implementation., • Bachelor’s degree in human resources, Business Administration, or equivalent HR/payroll experience., • Bilingual (Spanish) a plus, • 4+ years of HR Generalist or payroll-focused HR role experience (multi-site experience preferred)., • Strong knowledge of California and federal labor laws, • Proficiency with ADP/Workforce Now or similar HRIS/payroll system., • Excellent organizational, time management, and attention-to-detail skills., • Strong communication skills with ability to partner effectively with staff and leaders at all levels., • Accuracy & Accountability – Ensures payroll and timecard data are correct and processed on time., • Leadership Support – Proactively partners with leaders to maintain payroll and compliance standards., • Compliance Focus – Upholds HR and labor law requirements consistently across all sites. Strong knowledge of CA and Federal Compliance, • Problem-Solving & Professionalism – Handles sensitive employee matters with discretion and fairness., • Collaboration – Builds trust and strong working relationships across departments and locations

Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and YCombinator. We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment. As a Credentialing Manager (Individual Contributor), you will play a critical role in optimizing our revenue cycle operations. Your primary responsibilities will include: * Payer Network Management: Drive efforts to scale Finni's network of insurance contracts and unblock stalled applications with payers, ensuring efficient onboarding and ongoing relationship management. * Offshore Team Management: Oversee enrollment submission team to ensure productivity expectations are met, active payer follow-up is timely, consistent, accurate, and recorded in the credentialing platform. * Customer Triage: Triage questions around payer enrollment updates, status, and general questions for providers and their respective support staff * Compliance and Quality Assurance: Ensure strict adherence to payer regulations, industry standards (e.g., CMS billing, NCQA Guidelines, Delegated Credentialing), and internal policies, maintaining high service and compliance standards across all RCM functions. * Operational Efficiency and Project Management: Lead workflow optimization initiatives within RCM, manage specific projects, and drive continuous process improvements to maximize reimbursement and minimize denials. * Cross-Functional Collaboration: Collaborate extensively with product, provider success, compliance, HR, finance, and other teams to align RCM efforts with overall business objectives and drive strategic goals. * Additional Responsibilities: Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes. You are a proactive and collaborative individual contributor with a strong background in revenue cycle management, driven by a commitment to operational excellence and financial performance. * Experience: 5+ years of relevant experience in credentialing or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech. Strong understanding of the payer credentialing processes, including core credentialing prerequisites, credentialing blockers and solutions to remediate, roster management, and demographic updates. * Collaborative & Independent Contribution: Proven ability to work effectively within a team environment, contributing to collective success, and independently driving credentialing initiatives. * RCM Expertise: Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing). * Analytical & Problem-Solving: Strong ability to analyze complex RCM data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance. * Process Optimization: Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM efficiency and effectiveness. * Communication & Collaboration: Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers). * Organizational & Time Management: Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment. * Tech Proficiency: Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools. Experience with various EMR/EHR work queue management within RCM is a plus. * Mission Alignment: Passion for Finni’s mission to democratize autism care and empower providers through robust RCM. * Adaptability & Agility: Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset. Ready to make a significant impact at a rapidly growing healthcare startup? We'd love to hear from you!

JOB SUMMARY We are seeking a candidate preferably with experience supporting litigation, with experience in customer service, and Legal assistant experience. Preferably with a background working alongside defense counsel. Success in this role requires a genuinely personable professional who can engage comfortably with clients, maintain a positive presence, and promote long-term relationship building. The ideal candidate brings strong interpersonal skills, communicates with clients in a personable yet professional manner, and can navigate sensitive case matters with discretion, empathy, and sound judgment. The Legal Services customer service representative is a hybrid role that focuses on building client relationships while also providing support to the Operations staff. The position plays an integral role as they are responsible for communication with the customer, reviewer, and staff to ensure a quality report is delivered by the customer's deadline. The Legal Services CSR is responsible for providing a seamless workflow process to ensure a timely completion and the overall completeness of a reviewer report. Completeness is determined by customer requirements, company best practices, and accuracy. Customer service representatives are expected to be able to communicate with clients, reviewers, and be responsible for the receipt of new cases and ensuring proper system drafting and setup. The CSR is also responsible for taking direction and facilitating the case assignment/scheduling process. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results. MAJOR DUTIES & RESPONSIBILITIES Operational Duties and Responsibilities • Assist with Legal inquiries from staff, • Take the lead on any client request, • Train on Workflow processes., • Ensure all Legal client profile instructions are up-to-date and accurate Ability to handle client matters with sensitivity, discretion, and professionalism. Demonstrated ability to engage with clients professionally, provide clear updates, and maintain positive relationships. Handling Receipt of New Cases: • Intake new cases and review/verify information and requests. Draft cases by entering, • information into the Dane Street system., • Work with the client on any information missing pertinent to processing claim., • Sort, organize and create medical document listing - if required by client, and in line with specific special handling. Assignment of Cases: • Assign/schedule new cases to physicians for review with the appropriate physician, based on location, reviewer availability, specific guidelines, jurisdictional requirements and other client requirements., • Ensure that the assigned physician has no conflict of interest with the case assignment. Client Interaction: • Update clients frequently on cases in progress., • May communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer., • Ensure proper documentation for specified cases is provided to the client., • Strong communication Skills, • Assign cases to experts, • Forming relationships with Doctors, • Oversight of Cases: • Monitor, process, and track cases to ensure we meet deadlines., • Update clients frequently on cases in progress., • May communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer., • Ensure proper documentation for specified cases is provided to the client. Additional Duties Work with the Operations Managers and CSR Supervisors to provide initial/follow-up training to the CSR teams as needed. Research/train on new regulations or client requirements with the CSR teams. May provide oversight to the work of the team members. Continuously improves processes that help to facilitate better turnaround time, peer-to-peer success rates, and lessen returned reports by clients for clarification purposes, ultimately resulting in higher client satisfaction. Other duties & special projects, as assigned and based on business needs. EDUCATION/CREDENTIALS: An Associate’s Degree is preferred. JOB RELEVANT EXPERIENCE: Business experience in a healthcare and/or insurance setting is preferred. JOB RELATED SKILLS/COMPETENCIES: Present exceptional communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential. WORKING CONDITIONS/PHYSICAL DEMANDS: Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work. WORK FROM HOME TECHNICAL REQUIREMENTS: Supply and support their own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home position. This job description is subject to change at any time. Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

About Us Siftwell Analytics is a fast-growing company that combines healthcare operator expertise and artificial intelligence to equip community health plans with better insights to drive earlier and more precise health interventions for members. Siftwell was founded with a fundamental commitment to address the unique challenges faced by community health organizations, beginning with Medicaid, Marketplace, and Medicare plans, who are entrusted with the care of our most vulnerable and complex populations. At Siftwell, we are committed to providing a mutually respectful work environment. We believe diversity and inclusion among our teammates are critical to our success. We seek to recruit, develop, and retain the most talented professionals from a diverse candidate pool, and we work to enable a culture in which all talented individuals can develop, have fun, and thrive. Location & Hiring Eligibility This role is remote within the United States. We have an established presence in CO, FL, MA, MD, NC, NJ, NY, PA, and TN, and candidates in these states are encouraged to apply. If you're based elsewhere in the U.S., we'd still love to hear from you, we evaluate out-of-state candidates on a case-by-case basis. This role operates primarily during U.S. Eastern Time business hours. About the Role The Product Manager, Data owns the data layer as a product surface area at Siftwell and is responsible for defining how health plan data enters, maps to, and is represented within the platform. This role ensures that client data is translated into clear, consistent product logic that powers Siftwell’s analytics and operational workflows. This role sits at the intersection of client engagement, product development, and data engineering. The Product Manager, Data works directly with health plan clients to understand their data environments, align how their data should be structured and applied within Siftwell’s platform, and partner with engineering to translate those requirements into scalable product capabilities. Internally, this person owns the data product roadmap across the client lifecycle: defining Siftwell’s canonical data model, building repeatable onboarding and implementation specifications, establishing data quality standards, and translating healthcare domain knowledge into engineering-ready specifications as the platform evolves. Successful candidates for this role are comfortable moving between client conversations and technical product decisions. They are able to reason through messy healthcare data environments, identify the logic behind how data should support real operational workflows, and translate those insights into clear product specifications that scale across customers. This role reports to the Head of Product and may require occasional travel for client engagement and team collaboration. All new hires are subject to a one-time drug screening in accordance with Siftwell’s PHI compliance policies. Responsibilities Client-Facing Data Engagement * Lead technical data discussions with health plan clients to understand data environments and define how client data should map to Siftwell’s platform. * Serve as the primary technical counterpart in client onboarding meetings alongside Customer Success, using deep familiarity with healthcare data standards (EDI 834/837, claims, eligibility, clinical data) to guide productive discussions. * Evaluate client data delivery approaches and guide clients toward formats that align with Siftwell’s platform data model. * Build and maintain a standardized onboarding data playbook defining required data formats, field mappings, and delivery expectations for new clients. * Identify data availability gaps early and work with clients and internal teams to define workarounds or phased implementation approaches. Data Product Ownership * Own Siftwell’s data model roadmap, including the gold-layer schema, condition classification mappings (e.g., AHRQ CCSR), population definitions, and derived metrics. * Define and maintain canonical data specifications that translate healthcare domain knowledge into engineering-ready documentation for areas such as condition mapping, cost calculation logic, quality measure dependencies, and eligibility processing. * Define specifications for new data capabilities as the platform expands into additional healthcare domains (e.g., foster care, D-SNP, behavioral health), including relevant regulatory and definitional requirements. * Define data quality, governance, and validation frameworks that incorporate domain-informed validation of clinical and operational logic. * Write PRDs and technical specifications for data model changes, new data integrations, and pipeline enhancements. Cross-Functional Collaboration * Operate in a pod structure with the data engineering team, owning prioritization and specifications while engineering owns execution and architecture. * Partner with Product leadership to ensure data model decisions align with overall platform strategy and roadmap priorities. * Collaborate with Customer Success to distinguish between onboarding tasks, product feature requests, and out-of-scope client requests. * Translate patterns observed across client onboardings into product improvements — turning recurring bespoke work into repeatable platform capabilities. * Communicate data architecture decisions and onboarding requirements clearly to both technical and non-technical stakeholders, including client executives. Requirements Required * 6+ years of experience in healthcare data, analytics, implementation, or related roles within healthcare technology, analytics, or payer organizations. * Strong knowledge of healthcare data standards and file types, including EDI 834/837 transactions, claims, eligibility, and clinical datasets. * Experience leading client-facing technical discussions during implementation, onboarding, or data integration engagements. * Hands-on experience analyzing healthcare datasets using SQL, Python, or Excel and translating insights into data specifications, models, or mapping requirements for engineering teams. * Experience defining how external client data maps to internal platform data models, including field mappings, transformation logic, and validation requirements. * Familiarity with healthcare quality and operational concepts such as HEDIS, population health, risk adjustment, or medical economics. * Strong product judgment with the ability to distinguish one-off client requests from scalable platform solutions. Preferred * Experience at a healthcare SaaS company, population health vendor, or payer-facing analytics organization. * Familiarity with healthcare classification systems such as AHRQ CCSR, ICD-10, CPT/HCPCS, or CMS specifications. * Experience working with Medicaid, Medicare, or Marketplace health plan data environments. * Experience building repeatable onboarding processes, data playbooks, or implementation frameworks. Application Timeline and Details We anticipate the application window for this opening will close on: April 30th, 2026. Submission does not guarantee selection, and Siftwell reserves the right to modify or close the hiring process at any time. Only shortlisted candidates will be contacted. All applications will be retained for future consideration. Candidates will complete a healthcare data scenario assessment as part of the interview process to demonstrate domain knowledge, data reasoning, and product judgment. Disclosures Benefits Overview At Siftwell, we hire Humble Killers — talented, mission-driven teammates who value impact, collaboration, and ownership. Our goal is to support that commitment through competitive pay, meaningful equity, and benefits that promote well-being, growth, and flexibility. Full-time Employment Opportunities include: * Comprehensive health, dental, and vision insurance * Short-term disability coverage * 401(k) retirement plan with company matching * Unlimited paid time off to rest and recharge * Opportunities for ongoing professional development and learning * Benefits may vary based on location and employment status. Equal Opportunity Statement Siftwell celebrates diversity and is proud to be an Equal Opportunity Employer. We consider all qualified applicants without regard to race, color, religion, sex, national origin, disability status, veteran status, or any other characteristic protected by law. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws, including the California Fair Chance Act. ADA Accommodation Statement If you require a reasonable accommodation during a selection process, please let us know through our general contact form or indicate this in your application. Security Requirements * Adhering to the Company Security and Privacy Policies and the associated security standards * Maintaining the security of the Information assets and resources to which they have been granted access * Ensuring direct reports are aware of and adhere to Company Security and Privacy Policies * Ensuring the security of information and managing risks to assets and resources owned by their functional area * Ensuring that contractors, consultants, partners and other third parties under their sponsorship operate in compliance with Company policy * Monitoring compliance related to business assets owned by their functional area and taking corrective action as necessary

Date Posted: June 18, 2025 The ___ seeks a part-time contract SAS Programmer to support the Research and Cost Trends (RCT) department in updating and maintaining the data infrastructure used to prepare the All-Payer Claims Database (APCD), advise on structural changes to case-mix and evaluate existing tools used in analytic file creation. This is an opportunity for a detail-oriented, skilled SAS coder with previous experience working with health insurance enrollment files, medical claims, and pharmacy claims, as well as datasets maintained by the Massachusetts Center for Health Information and Analysis (CHIA). The SAS Programmer will join the Research and Cost Trends (RCT) department and will report directly to the Manager of Research and Cost Trends. Duties of the position may include, but are not limited to: * Updating programs to allow for changes in new releases of the All-Payer Claims Database (APCD); * Advising and creating best practices to integrate CHIA’s Master Patient Index (MPI) that is updated on a quarterly basis and allows linking across APCD and case-mix; * Integrating the 3M Core Grouping Software into the analytic pipeline; * Integrating the HHS-HCC risk adjustment model into the analytic pipeline; * Validating HPC’s methods for processing MassHealth ACO/MCO/FFS claims; * Helping integrate MassHealth MCO processing into commercial processing such that both sets of claims can be processed simultaneously; * Identify and eliminate outdated SAS code in programs to help reduce confusion for future processors; * Advising HPC on processing Medicare Advantage claims and make changes to existing programs as needed to allow for Medicare Advantage analytic file creation; and * Providing ongoing on-demand support for technical issues The HPC operates a hybrid work schedule, with employees splitting their time between the downtown Boston office and remote work. Desired Qualifications: * Advanced Degree in Computer Science, Information Systems Management, or related field; * At least 5 years of experience with SAS programming, data infrastructure maintenance, and analytic file creation; * Previous experience working with claims data such as Center for Health Information Analysis All-Payer Claims Database preferred; * Excellent oral, written, and interpersonal skills and the ability to work in groups; * The ability to balance multiple and competing priorities in a fast-paced work environment; * A commitment to fostering an inclusive workplace that promotes collaboration amongst diverse viewpoints, facilitates cooperation and teamwork, and supports constructive resolution of conflicts; * A strong interest in public service and desire to advance a more transparent, accountable, and equitable health care system for all Massachusetts residents. Candidates must be eligible to work in the United States. Compensation and Benefits Compensation Range $140-$155 per hour worked, up to 20 hours of work a week. An initial maximum contract obligation of 120 hours. Compensation is commensurate with experience. The HPC may adjust title, responsibilities, and compensation depending on the experience and expertise of the individual selected. This is a contract position for up to one year of work. This position is not eligible for benefits other than limited sick leave. Our Commitment: The HPC is committed to a policy of non-discrimination and equal employment opportunity. We recognize that diversity in the workplace is a source of strength, vital to its ability to effectively advance its mission. The HPC is committed to: * Actively promoting diversity in our workforce, including greater racial and ethnic diversity, at all levels of the organization; * Fostering a work environment in which all employees are inspired to do their best, strengthened by their different perspectives, backgrounds, and experiences; * Ensuring that no employee’s growth, achievement, or advancement is hindered because of race, ethnicity, sex, sexual orientation, religion, age, genetic information, gender identity, pregnancy, veteran status, or disability; * Holding ourselves to a high standard of inclusion and opportunity that will serve as a model for other public and private employers throughout the Commonwealth; * Promoting our core values of equal opportunity, equal justice, and inclusion in HPC actions and initiatives.

At PointClickCare our mission is simple: to help providers deliver exceptional care. And that starts with our people. As a leading health tech company that’s founder-led and privately held, we empower our employees to push boundaries, innovate, and shape the future of healthcare. With the largest long-term and post-acute care dataset and a Marketplace of 400+ integrated partners, our platform serves over 30,000 provider organizations, making a real difference in millions of lives. We also reinvest a significant percentage of our revenue back into research and development, ensuring our employees have the resources to innovate and make a lasting impact. Recognized by Forbes as a top private cloud company and honored as one of Canada’s Most Admired Corporate Cultures, we offer flexibility, growth opportunities, and meaningful work. At PointClickCare, we empower our people to be the architects of a smarter healthcare future; one that is human-first and accelerated by AI to create meaningful and lasting change. Employees harness AI as a catalyst for creativity, productivity, and thoughtful decision-making. By integrating AI tools into our daily workflows, collaboration is enhanced, outcomes are improved, and every team member has the proficiency to maximize their impact. It all starts with our hiring practices where we uncover AI expertise that complements our mission, and we continue to invest in training and development to nurture innovation throughout the employee journey. Join us in redefining healthcare — so it doesn’t just survive, it thrives. To learn more about PointClickCare, check out ___ and connect with us on ___and ___. Travel to Office expectations For Remote Roles: If this role is remote, there will be in-office events that will require travel to and from the Mississauga and/or Salt Lake City office. These will include, but not limited to, onboarding, team events, semi-annual and annual team meetings. For Hybrid Roles: If this role is Hybrid, there will be an expectation to reside within commutable distance to the office/location specified in the job listing. This will include, but not limited to, weekly/bi-weekly/monthly events in the office with your specific team. This is a requirement for this role. In this role, you contribute to the PointClickCare’s data platform vision and strategy, define and own roadmaps, and drive execution and delivery of products to ensure overall success across the entire product portfolio. You represent the needs of customers, healthcare providers, industry partners and other related network members internally and externally. To succeed in this role, you draw upon your extensive knowledge and experience of health data and its uses, data pipelines, governance to deliver clinical and operational data at scale for analytics and AI. You have a track record of building sophisticated solutions – from discovery to implementation to delivery. You bring a collaborative approach to this cross functional leadership role to ensure successful outcomes for our customers, while optimizing time to value. The Principal PM will partner closely with architecture, engineering, data science, clinical, compliance, and infrastructure teams to build a secure, interoperable foundation that supports analytics, AI/ML, care delivery, and new product innovation across the enterprise. This role demands deep expertise in health data domains and a strong ability to rapidly turn complex technical challenges into actionable platform strategy. * Define and drive the longterm strategy for a unified health data platform supporting clinical, operational, and product use cases. * Collaborate to define architecture for ingesting and processing billions of patient data points across diverse systems (EHRs, claims, labs, devices, thirdparty APIs). * Lead platform initiatives that improve data completeness, lineage, governance, and quality. * Partner with product teams to enable them to: define data models and canonical representations to support downstream applications, including AI/ML pipelines. * Partner with engineering to evaluate and adopt technologies for rapid ingestion, streaming, ETL/ELT frameworks, data lakehouse systems, and distributed compute. * Influence infrastructure strategy to improve resiliency, observability, and cost efficiency across the data stack. * Collaborate with clinicians, data scientists, and compliance leaders to ensure platform capabilities align with realworld healthcare needs and regulatory expectations. * Facilitate crossteam decisionmaking, often balancing accuracy, technical feasibility, security, and cost. * 12-15+ years of product management experience, with at least 5 years focused on health data platforms or clinical data systems. * 3+ years of experience working with data pipelines for AI use, including enrichment pipelines, data science use, including use of MCP servers with agents. * Management of Healthcare Data and its use across the range of PointClickCare’s customer segments and users. Work experience with Health Plans, EHRs, and Long Term Post-Acute providers is preferred. * Deep understanding of healthcare data formats, ontologies, and regulatory contexts. * Strong technical fluency across data pipelines, APIs, cloud architectures, and distributed systems. * Experience working with data governance, data catalogs, and stewardship * Experience working with clinical teams and navigating healthcare workflows. * Technical degree preferred (Computer Science, Health Informatics, Information Systems, or related fields). * Systems thinker with the ability to connect clinical data structure, platform architecture, and AI/analytics needs. * Exceptional communicator adept at simplifying complex technical and regulatory concepts for diverse audiences. * Highly autonomous leader comfortable driving multiteam initiatives without direct authority. * Obsessively focused on data quality, reliability, integrity, and endtoend lineage. * Passionate about improving care outcomes, patient experience, and clinician efficiency through highquality health data infrastructure. $170,000 - $189,000 a year At PointClickCare, base salary is one of the many components that make up our total rewards package. The CAD base salary range for this position is $170,000 - $189,000 + bonus or commission + equity + benefits. Our salary ranges are determined by job and level. The range displayed on each job posting reflects the target for new hire salaries for the position across all CAD locations. Within the range, individual compensation is determined by job-related skills and knowledge, relevant experience including professional and lived experience, and/or work location. Your recruiter can share more information about our total rewards package during the hiring process. Why PointClickCare · Market leader: #1 EHR platform for long-term and post-acute care in North America · Massive data advantage: Decades of real-world insights from millions of resident journeys · Mission-driven: Our technology helps caregivers deliver better outcomes for seniors · Growth stage: Senior Living is a strategic priority with significant investment and executive sponsorship · Culture: Collaborative, customer-obsessed, and committed to continuous improvement PointClickCare Benefits & Perks: Benefits starting from Day 1! Retirement Plan Matching Flexible Paid Time Off Wellness Support Programs and Resources Parental & Caregiver Leaves Fertility & Adoption Support Continuous Development Support Program Employee Assistance Program Allyship and Inclusion Communities Employee Recognition … and more! It is the policy of PointClickCare to ensure equal employment opportunity without discrimination or harassment on the basis of race, religion, national origin, status, age, sex, sexual orientation, gender identity or expression, marital or domestic/civil partnership status, disability, veteran status, genetic information, or any other basis protected by law. PointClickCare welcomes and encourages applications from people with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process. Please contact ___ should you require any accommodations. As part of our commitment to a streamlined and equitable hiring experience, PointClickCare uses AI tools to assist with candidate screening and assessment. When you apply for a position, your information is processed and stored with Lever, in accordance with ___. We use this information to evaluate your candidacy for the posted position. We also store this information, and may use it in relation to future positions to which you apply, or which we believe may be relevant to you given your background. When we have no ongoing legitimate business need to process your information, we will either delete or anonymize it. If you have any questions about how PointClickCare uses or processes your information, or if you would like to ask to access, correct, or delete your information, please contact PointClickCare’s human resources team: ___ PointClickCare is committed to Information Security. By applying to this position, if hired, you commit to following our information security policies and procedures and making every effort to secure confidential and/or sensitive information. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Examiner plays a pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners. Essential Job Duties: • Examine, review and process claims according to contractual obligations, federal and state regulations, organizational policies and procedures, or other established quality standards, • Assess appropriateness of returned, denied, or paid claims by reviewing and following contractual obligations, federal and state regulations, organizational policies and procedures, or other established quality standards, • Ensure claim timeliness processing standards are being met, • Work alongside manager to establish and maintain claims processing rules that meet all regulatory and business requirements, • Assist internal and external partners with questions related to claims decisions or claims statuses, • High School Diploma or Equivalency, professional experience may be substituted, • Minimum of three (3) years of experience with processing, researching, and adjudicating claims in a complex managed care environment, • Working knowledge of the health plan insurance industry and CPT/HCPCS procedure codes, and relevant federal and state regulations, • Understanding of Industry pricing methodologies, such as Medicare/Medi-Cal fee schedule, Diagnosis Related Groups (DRG), Multiple Procedure Payment Reduction (MPPR) and benefit interpretation and administration, • In depth experience with Medicare and Medicaid claims processing, • Demonstrated skills within Microsoft Office Applications & electronic claims processing systems, • Medical insurance coverage (Medical, Dental, Vision), • Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time, • Advancement opportunities - We've got a track record of hiring and promoting from within, meaning you can create your own path! At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

Job Description At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. Essential Job Duties: • Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim's aged inventory by verifying various aspects of the system and claim, • Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies, • Move claims free of processing errors through for full adjudication and return claims with errors back to the claims team for corrections, • Minimum of three (3) years of experience processing and auditing Medicare and Medicaid professional, institutional, and dental health insurance claims, • Working knowledge of the health plan insurance industry, CPT/HCPCS procedure codes, ICD-10 codes, and relevant federal and state regulations, • Experience working with CMS and Medicaid healthcare claims highly preferred, • Medical insurance coverage (Medical, Dental, Vision), • Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time, • Advancement opportunities - We've got a track record of hiring and promoting from within, meaning you can create your own path!, • And additional benefits Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications. Compensation Offering$67,829.78—$89,535.30 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Bonus based on performance, • Company parties, • Competitive salary, • Dental insurance, • Employee discounts, • Flexible schedule, • Free food & snacks, • Free uniforms, • Health insurance, • Paid time off Location: 2002 South Hoover Street Los Angeles 90007 Are you a dynamic leader with a passion for excellence in patient care? Do you thrive in a fast-paced environment and excel at managing teams? Restore Dental is seeking an experienced and enthusiastic Bilingual (Spanish) Dental Office Manager to join our thriving practice in Los Angeles, California. About Us: Restore Dental is an associate run practice dedicated to providing exceptional dental care in a warm and welcoming environment. Our commitment to patient satisfaction and our supportive team culture make us a standout practice. As our Dental Office Manager, you will play a pivotal role in maintaining our high standards of care and ensuring the smooth operation of our office. Position Summary: As the Dental Office Manager, you will oversee the day-to-day operations of our practice, ensuring efficiency and excellence in all aspects of patient care and administrative functions. You will lead our team, manage office budgets, handle patient relations, and ensure compliance with dental regulations. Key Responsibilities: • Team Leadership: Supervise and support our administrative and clinical staff, fostering a collaborative and positive work environment., • Office Management: Oversee daily operations, including scheduling, patient flow, inventory management, and office maintenance., • Financial Oversight: Manage office budgets, billing, and financial reporting. Ensure accurate and timely processing of insurance claims and patient payments., • Patient Relations: Address patient concerns and ensure a high level of patient satisfaction. Implement strategies to enhance patient experience and retention., • Compliance: Ensure compliance with dental regulations and standards. Maintain accurate patient records and ensure confidentiality., • Hiring & Firing: You will have the sole responsibility of managing the team including firing and hiring of employees as well as the associates, • Daily Huddle and Reports: You will organize and manage daily huddles and organize daily reporting to provide the ownerRequirements:, • Experience: Proven experience as a Dental Office Manager or in a similar leadership role within a dental practice., • Language Skills: Fluent in both Spanish and English to effectively communicate with our diverse patient base., • Billing Experience: Strong knowledge of dental billing processes and experience with insurance claims., • Software Proficiency: Proficient in Dentrix dental software and office applications., • Leadership Skills: Strong leadership and team management skills with the ability to motivate and guide staff., • Organizational Skills: Exceptional organizational abilities and attention to detail. Ability to multitask and prioritize effectively., • Communication Skills: Excellent verbal and written communication skills.Why Join Restore Dental?, • Professional Growth: Opportunities for professional development and career advancement., • Supportive Environment: Work with a dedicated and supportive team that values collaboration and patient care., • Impactful Role: Make a significant impact on our practice and the well-being of our patients.If you are a motivated and experienced Dental Office Manager looking to join a dynamic team, we want to hear from you! To Apply: Please send your resume and a cover letter to with the subject line "Bilingual Dental Office Manager Application." IMPORTANT: We are NOT currently reviewing any applications that do not have dental experience and that do not speak Spanish Join us at Restore Dental, where leadership meets excellence in patient care!

Job DescriptionJob Title: Claims Compliance AuditorJob Description The Claims Compliance Auditor is responsible for performing audits and compliance reviews related to claims processing, benefit analysis, and authorization validation. This role supports claims management by overseeing workflow, conducting detailed claim reviews, managing special projects, and ensuring adherence to contractual, regulatory, and system requirements. The Auditor identifies potential compliance risks, recommends corrective actions, and develops strategies to reduce adjudication errors while tracking and reporting findings to leadership. Key ResponsibilitiesCase Follow-Up and Tracking • Follow up on cases referred to physicians and update EZ-CAP accordingly, • Manage and track a high volume of open cases, • Ensure accurate documentation and timely resolution of assigned casesAuthorization Validation and Claims Review, • Review institutional claims with existing authorizations to determine if authorization could have been used to process the claim; update EZ-CAP accordingly, • Review professional claims to validate whether prior authorization is required per contract, • Prepare cases for denial and return to examiners when appropriate, • Confirm the validity of attached authorizations for claim processing, • Maintain accurate and compliant updates within EZ-CAPSpecial Case and Sensitive Service Review, • Review sensitive services claims for compliance and authorization requirements, • Review Guardant cases by researching authorization status within REA, • Process administrative denials when appropriate and update EZ-CAPCompliance, Risk, and Reporting, • Identify potential compliance and adjudication risks, • Analyze outcomes of special projects and trending data, • Provide findings, insights, and recommendations to claims management, • Support continuous improvement initiatives related to claims accuracy and complianceRequired Skills & Qualifications, • Strong working knowledge of HMO claims processing, • Experience with claim denials and authorization-driven adjudication, • Proficiency with EZ-CAP (EZCAP) or similar claims systems, • Knowledge of Medicare claims, CPT codes, and Medicare guidelines, • Strong analytical, research, and documentation skills, • Proficiency with Excel and data tracking toolsPreferred Qualifications, • Minimum of 5 years’ experience in claims processing and system configuration within a healthcare environment, • Experience collaborating with management and project stakeholders to identify business process issues, improve operational efficiency, and implement solutions, • Ability to analyze workflows, measure outcomes, and support compliance-driven initiativesExperience Level Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision, • Critical Illness, Accident, and Hospital, • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available, • Life Insurance (Voluntary Life & AD&D for the employee and dependents), • Short and long-term disability, • Health Spending Account (HSA), • Transportation benefits, • Employee Assistance Program The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Job DescriptionHealthcare Configuration Analyst Senior Healthcare Plan Configuration Analyst Position Overview Newly created role as a Configuration Analyst (managed healthcare plans) to configure, test and maintain system setups that power claims processing benefits, eligibility and other critical health plan functions. Key Responsibilities • Configure, test and maintain QNXT system components supporting claims, benefits and eligibility, • Analyze existing configurations and recommend improvements to streamline processing and performance, • Troubleshoot and resolve configuration and processing issues, • Support release management and change control activities, • Ensure system setups align with regulatory and compliance standards, • 3-5+ years of experience with QNXT configuration, administration, or support, • Strong experience with coding and testing: SQL Server, SSIS, SSRS, C# and VB.NET, • Bachelors degree in Information Technology, Health Informatics, or equivalent professional experience 2 Weeks of PTO/Vacation Paid Holidays Employer Paid Medical, Dental, Vision Life Insurance Employer Paid Retirement with 15% Employer Contribution - You do not need to contribute! • For this position, you must be currently authorized to work in the United States without the need for sponsorship for a non-immigrant visa. CyberCoders will consider for Employment in the City of Los Angeles qualified Applicants with Criminal Histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.This job was first posted by CyberCoders on 04/17/2026 and applications will be accepted on an ongoing basis until the position is filled or closed.Everforth CyberCoders is proud to be an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity or expression, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, status as a crime victim, disability, protected veteran status, or any other characteristic protected by law. Our hiring process includes AI screening for keywords and minimum qualifications. Recruiters review all results. Everforth CyberCoders will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable state and local law, including but not limited to the Los Angeles County Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act. Everforth CyberCoders is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. Individuals needing special assistance or an accommodation while seeking employment can contact a member of our Human Resources team at to make arrangements.

Description\n \n Position at Jacoby & Meyers\n \n \n \n Want to LOVE where you work and get full training to do it? Jacoby & Meyers is the nation's pre-eminent law firm protecting consumers since 1972. We are currently seeking a smart and determined Demand Negotiator to join our growing team. At Jacoby & Meyers, every single employee gets to make an impact. Our values guide the way we work with each other. It's a culture where you have the freedom to experiment and push your talents as far as they can go. \n Job Title: Demand Negotiator Pay Range: $24.00/hour - $36.00/hour Type of Position: Full Time Location: Fully Remote \n Job Description: Core duties and responsibilities include the following. Other duties may be assigned. \n\n • Review demand writer's demand packages to insurance companies\n, • Sort and read through medical records, insurance correspondence, and settlement releases on behalf of clients\n, • Summarize case facts and create persuasive arguments\n, • Negotiate clients’ entire case with insurance adjusters to obtain the highest settlement possible\n, • Maintain communication with clients to guide them through the settlement process to ultimately settle their case with them\n, • At least 2 years of experience as a Demand Writer in a Plaintiff's PI Firm\n, • Experience reading and understanding medical reports and records\n, • Bachelor's Degree from a 4 year university\n, • Very well organized\n, • Good follow-up and follow through\n, • Strong communication skills\n, • Spanish speaking is a plus!\n\n Computer Skills: To perform this job successfully, an individual should have knowledge of Internet software; Spreadsheet software and Word Processing software. What We Offer: \n\n • Medical, Dental, Vision, and Pet Insurance\n, • Company-paid Life Insurance and AD&D Coverage, Voluntary Life Insurance\n, • Short-term and Long-term Disability\n, • Employee Assistance and Travel Assistance Programs\n, • Paid Time Off, Paid Sick Time, Paid Holidays\n, • Health FSA and Dependent Care FSA\n, • Hospital and Accident Insurance Plans\n, • Commuter Transportation Incentive\n, • Flexible Hours\n, • Fully-paid parking\n, • 401(k) with Company Match\n, • Learning and Development Programs\n, • Remote Positions\n\n About J&M: Jacoby & Meyers was founded in 1972 with the intention of making the legal system more accessible to the average person. Now, more than 50 years later, we continue to help people get the justice and compensation they deserve. Specializing in all types of accident claims, including automobile, motorcycle, bicycle, Uber/Lyft, or trucking accidents, slip and falls, dog bites, construction accidents and other wrongful conduct, the attorneys at Jacoby & Meyers have recovered over a billion dollars for their clients' personal injury and wrongful death claims caused by the negligence of a third party. Required: Resume and References Jacoby & Meyers is an Equal Opportunity Employer

Job Description 986 Degrees Corporation is recruiting on behalf of all 986 Pharmacies. 986 Pharmacy is the hiring entity, not 986 Degrees Corporation. Hiring Locations: • San Gabriel, CA (Retail Pharmacy), • Language Requirement: Mandarin, • Little Tokyo, Los Angeles, CA (Retail Pharmacy) Job Summary: This position is the first point of contact for patients within the pharmacy and is responsible for entering and accessing information from the pharmacy system, processing payments, adjudicating claims with third party payers, and assisting pharmacy staff with processing fills. The Associate may also make deliveries to patients’ homes and medical facilities and handles Provider and Patient Relations. Essential Duties and Responsibilities: Processing Prescriptions • Receive written prescription or refill requests and verify that information is complete and accurate; requests missing information as appropriate and retrieves the patient’s pharmacy record(s) for verification by pharmacist. Process prescription refills to include refill confirmation when appropriate, review pending refills with the supervising pharmacist, generate refill documentation, and process third party claims adjudication., • Completes prior authorizations., • Enter prescription information into computer databases; accesses, processes, and retrieves data from the pharmacy system, including speed codes and drug interaction data, as state and federal laws permit., • Establish and maintain patient profiles, including lists of medications taken by individual patients, and notations for pharmacists’ review., • Transfer medication from vials to the appropriate number of sterile, disposable syringes, using aseptic techniques., • Price and file prescriptions that have been filled., • Clean and help maintain equipment or work areas and sterilize glassware and maintain all required temperature logs, according to prescribed methods., • Prepack bulk medicines, fill bottles with prescribed medications, and type and affix labels., • Highschool Diploma or Equivalent required, • Minimum of 5 years of experience in pharmacy, • Paid Vacation Time, • Paid Sick Time, • Paid Holidays, • 401(k) Retirement Plan with company match up to 4%, • Health Insurance coverage, including Medical, Dental, and Vision If you have any questions regarding this position, please contact (626) 399-0278. Pharmacy Hours of Operation: Mon–Fri: 9:00 AM – 6:00 PM Sat: 9:00 AM – 4:00 PM Sun: Closed

Job Description Hi, we're Oscar. We're hiring a Data Scientist II to join our Data team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves - one that behaves like a doctor in the family. About the role: Oscar's data team is focused on pushing our understanding of this complex landscape of health care and insurance business. Insurance companies sit on a trove of data that is both broad and deep, spanning financial claims, clinical medical records, and rich product interaction data from our members. Connecting the dots across these datasets gives us unique insight into how the healthcare system functions and allows us to improve care coordination, better manage risk, build higher-performing provider networks, and create a standout consumer experience in our product. As a Data Scientist II you will drive data science projects across multiple teams and domains. In this role, you'll take ownership of analytical and modeling work, contribute to technical direction, and partner closely with business, engineering, product and data stakeholders to deliver impactful solutions. This is a mid-level role for data scientists who can operate independently, manage ambiguity, and apply advanced analytics or modeling techniques with minimal oversight. You will report into a leader on the Data team (Senior Data Scientist and above). This posting is representative of multiple roles, and final team placement will be determined during the interview process. Work Location: This position is a hybrid role based in our New York City office, Los Angeles Office, or Tempe Office requiring a hybrid work schedule with 3 days of in-office work per week Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $131,200 - $172,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses. Responsibilities: • Research, develop, and maintain data pipelines, statistical models, and advanced analytical solutions, • Own projects end-to-end, including problem definition, implementation, validation, and iteration, • Deliver high-quality analytical and modeling outputs with limited manager oversight, • Collaborate closely with data science peers and cross-functional partners across business units, • Help ensure data science processes and outputs align with broader team strategies and roadmaps, • Provide guidance or informal mentorship to junior data scientists or analysts when needed, • 3+ years of experience in data science, applied analytics, or a related quantitative field (industry, academia, or both), • 2+ years of experience using SQL and Python and/or R to query, analyze, and manipulate data, • Master's degree in a quantitative or technical field, • Knowledge of or previous work experience in health care or health insurance, • Experience mentoring or supporting junior team members At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job DescriptionDescriptionAbout the Role: We are currently seeking a highly motivated Claims Manager. This role will report to the AVP - Claims Operations and enable us to continue to scale in the healthcare industry. What You'll Do • Responsible for quality and performance metrics of processing teams that are assigned, • Collaborate with other Teams as directed that are newly contracted and need to be implemented, • Manage claims inventory to minimize claims turnaround times and ensure contractual SLAs are met, • Drive continuous improvement efforts to improve claims quality and efficiency, • Resolve processing/system issues within assigned department and across all IPAs, • Prioritize work volumes on a daily basis, • Oversee status of production in assigned department to ensure production and quality goals are being met, • Analyze impact of new implementations on assigned department and reallocate staff duties as necessary, • Onboard a large IPA that has global risk to ensure a successful implementation addressing and working with run out for the group, ensure accuracy, timeliness and meeting all regulatory requirements for a smooth transition, • Training off-shore staff to take on a large IPA that is completely new to the organization and ensuring that there are no issues of non-compliance inaccuracies or problems that are brought to the attention of Astrana-This is a huge lift considering the volume of membership, claims run-out responsibility and ensuring there is no lapse in their claims adjudications and payment processes moving forward, • Utilize claims management systems to provide reports and analysis to management on a regular basis, • Develop team members to ensure accountability for achievement of departmental goals and objectives, • Update and facilitate implementation of process and workflow modifications to improve operational efficiency, • Educate and train claims employees on the overall claims process and best practices for successful outcomes, • Address claim inquiries and claim payments by sensitive providers and members, • JOC meetings-attendance and corrective action response when required, • System updates maintaining the integrity of the Claims Payment Database; working inter-departmentally with other managers, • Off-site Seminars IE: E-Z Cap and HMO Regulatory training., • High level grievances or claim reconsideration request for reimbursable claim reviews as needed, • Evaluate trends in compliance findings to determine root cause and work with Director on remediations such as IDNs, EOBs, and all other findings that need to be addressed with the claims teams or Senior Leadership, • Address non-compliance to Departmental standards with the examiners to include disciplinary actions, PIPs, Training plans and coaching, • Job Descriptions- format a standardized Claim Department Organizational Chart outlining performance responsibilities and requirements for each position, • Performance evaluation- monitors track and documents the annual performance evaluation of each Claim Department staff, • Recruit monitor, and document the attendance, production and work quality of Claim Department staff to include employee counseling and/or termination in accordance with HRIS Guidelines, • Staff analysis and growth potential, • Maintain open and effective channels of communication between staff and management, • Represent DMHC Regulatory and CMS Claims Payment Compliance issues at Management Meetings and with the Executive Board, • Using all tools available ( IE: Industry Communications, Seminars, Internet, Professional Networking) to maintain the most current levels of understanding of trends, occurrences, ideology and law that will affect the operation, compliance and stability of the Claims Department and of Astrana, • Communicate this information timely and effectively to both Claims Department Staff and to Management, • Maintains the strictest confidentially at all times, • Minimum of a Bachelor's degree (B. A.) from a four-year college or university; or four (4) years current Management or equivalent experience with an MSO or IPA Management, • Full knowledge of DMHC, DHS and CMS Regulations and Guidelines, ICD-10, CPT, RV/RBRVS codes, • Experience with contract law and Division Responsibility matrix interpretation, • Comprehensive knowledge in the AB1455 regulations You're great for the role if:, • Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Dental insurance, • Health insurance, • Vision insurance A Hospital Claims Auditor is responsible for the overall quality of claims processes as well as compliance, in accordance with outside regulations and the contractual obligations of the Health Plans and/or Hospital Clients. Research, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is a resource of information to all staff. The Claims auditor also performs special projects and helps department manager and director as needed. They review and audit the Examiners adjudicated claims for accuracy and providing feedback. Duties and Responsibilities: Audit daily processed claims through random selection as outlined by organizational Policies and Procedures. Utilize appropriate system-generated reports applicable to specialty claims. Conduct Claims Examiner training as required. Document training materials and attendees. Conduct in-depth research of contract issues, system-related problems, claims processing Policies and Procedures, etc., to confirm cause of trends. Recommend actions/resolutions to Senior Management. Work with other organizational departments Assist in the development of Claims Department Policies and Procedures. Provide backup for other auditors/trainers within the Department. Perform other tasks as assigned by Senior Management. Promote a spirit of cooperation and understanding among all personnel. Attend organizational meetings as required Adhere to organizational Policies and Procedures. Adhere to MedPOINT Managements core value: Accountability, Community, Celebration, Integrity, Innovation & Collaboration Minimum Job Requirements: High School Diploma required. Three years of experience in a managed care claims adjudication setting e.g., HMO/MSO, required. Expertise in coding structure, ICD-10, CPT-4 and Revenue Codes, required. Definitive understanding of provider and health plan contracting, delineation of risk, medical terminology and standard industry reimbursement methodologies required. Knowledge, Skills and Abilities Required: Strong organizational, analytical and oral/ written communication (English) skills required. Proficiency in PC application skills, e.g., word processing, spreadsheets, preferred Experience in training development and presentation preferred Must be able to follow directions and also perform independently according to departmental standards. This is a remote position.

Job DescriptionBenefits: • 401(k), • Dental insurance, • Employee discounts, • Health insurance, • Paid time off, • Training & development, • Vision insurance Key Identifiers for the Position • Required: 7+ years experience in cost controls/management, • Required: Demonstrated experience in Project Management, Project Controls, and/or Construction Management, or equivalent experience, • Required: Experience using Microsoft software (e.g. Word, Excel, PowerPoint, and Visio) and SAP or similar Enterprise Resource Solutions application., • Required: Experience with Project Controls software (e.g. Project, Primavera and Contract Manager), • Preferred: Utility construction, CA regulated, regulatory, and EPC experience, • Preferred: Knowledge and experience in contract negotiation/management, handling/reviewing claims, and processing/managing change orders., • Develop and maintain project budgets/baselines, short- and long-term forecasts, and expenditure plans for assigned major and/or multi-year project(s) and/or programs., • Develop the aggregation, reconciliation, and update to the budget(s), forecast(s) and spending plan(s) according to jurisdiction splits, asset types, cost drivers, and funding sources., • Create and maintain a risk register; evaluate level of contingency needed using appropriate methods (e.g. Monte Carlo analysis)., • Perform complex and detailed research, updates, and data gathering/analysis in areas of cost controls (e.g. budget, actual, commitment, contingency, earned value, cost per unit, cost impact analysis)., • Collaborate with and obtain data/information from various project stakeholders (e.g. project managers, functional managers, discipline leads, and team members) in a matrixed organizational structure. Flexible work from home options available.

Job DescriptionMission Statement: The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research. Position Purpose: The Medical Biller is responsible for reviewing patient encounters, ensuring billing accuracy, and processing claims for various payer sources. This position plays a critical role in maximizing revenue by adhering to payer guidelines, investigating discrepancies, and ensuring timely payment processing. The Medical Biller will also work closely with the Billing Supervisor to provide updates on billing discrepancies, manage rebills, adjustments, write-offs, and ensure payment posting is up to date. Principal Responsibilities: • Review all patient encounters for discrepancies in a timely manner to prevent submission errors to insurance providers., • Monitor and update patient information in the patient management system as necessary., • Ensure billing accuracy by reviewing all patient encounters across payer sources (insurance, Medicare, Medicaid, etc.) with less than 1% error., • Identify discrepancies and initiate necessary corrections promptly., • Adhere to payer-specific guidelines, ensuring all eligible services are billed correctly, and research coverage and non-coverage for all payer types., • Investigate and resolve issues related to eligibility, documentation, coding, procedures, and diagnoses. Collaborate with administrators to address any discrepancies found., • Post payments accurately for various payers and run reports to verify entries. Track payments, reconcile visits, and apply necessary contractual adjustments or write-offs., • Regularly review accounts to identify potential rebills, adjustments, or write-offs, ensuring accuracy in account management and timely follow-up on unpaid charges., • Provide weekly updates to the Billing Supervisor, including error reports and updates on billing discrepancies. Assist with preparing reports on billing activities, discrepancies, and revenue trends., • Enter and maintain up-to-date patient information in the management system, ensuring accuracy and compliance., • Maintain strict adherence to HIPAA and all other regulatory requirements. Submit weekly encounter verification forms and reports on billing activities., • Work closely with the billing team to streamline the revenue cycle, resolve payment delays, and support continuous process improvements., • High school diploma or GED Certification., • Must possess a Billing Certificate., • Must have at least 1 year of Medical billing and collection experience in a Medical office setting., • Experience with Medicare, Medi-cal, Cross over insurances, HMO, County and Sliding Fee Discount billing and collection., • Typing and computer proficiency skills., • Flexible with schedule, willing to travel to multiple sites as needed., • Knowledge of healthcare reimbursement, payment posting, and revenue cycle management., • Excellent attention to detail with a focus on minimizing errors in billing processes., • Strong analytical and problem-solving skills to identify and resolve discrepancies efficiently., • Effective communication skills for working with administrators, the billing team, and management., • Bi- lingual Spanish and English. Employee Benefits: At JWCH Institute, Inc., we believe in taking care of those who take care of others. If you work 30+ hours per week, you’ll enjoy competitive pay and a robust benefits package that includes: • Medical, Dental, Vision, • Monthly employer-sponsored allowance for assistance with health premiums., • Funded Health Savings Account (up to deductible) to assist with carrier-approved medical expenses., • Paid time off (vacation, sick leave) and 13 paid holidays., • 401(k) Safe Harbor Profit Sharing plan., • Mileage reimbursement., • Short- and long-term disability plans (LTD/STD). JWCH Institute, Inc + Wesley Health Centers is an Equal Opportunity and Fair Chance Employer.

Job Description At WelbeHealth, we serve our communities' most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. The Claims Audit Specialist is accountable for ensuring the timely and accurate payment or denial of claims while meeting federal/state regulations, provider agreement terms, and company policies and procedures. This role requires a strong knowledge of health plan operations, including the proper processing of professional, institutional, and dental claims, coding, CMS/Medi-Cal regulations, and in-depth comprehension of provider contracts and agreements. The Claims Audit Specialist collaborates effectively with Plan Operations leadership to identify trends that require escalation and training needs, and suggest process improvements. This role is different because the Claims Audit Specialist at WelbeHealth: • Ensures accuracy and compliance by auditing complex Medicare and Medi-Cal claims, directly impacting financial integrity, regulatory adherence, and provider trust, • Medical insurance coverage (Medical, Dental, Vision), • Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days, • 401K savings + match, • Comprehensive compensation package including base pay and bonus, • Review processed claims for pre and post payment accuracy while maintaining acceptable levels of aged claims inventory, • Ensure claim payment accuracy by verifying various aspects of the claim form, including but not limited to participant eligibility, system configuration, payment accuracy or denial appropriateness, provider records, remark codes, pre-authorization requirements, timely filing limitations, claim history, and W9 receipt, • Maintain detailed documentation of audit findings, including decision methodology, system configuration or manual processing errors, and monetary discrepancies, • Regularly provide feedback to the Oversight & Monitoring Manager on claims processing errors, as well as identify quality improvement opportunities and initiate configuration change requests when applicable, • Accurately process and release high dollar/stop loss claims exceeding $10k, • Participate in annual claims audits to cure any deficiencies in claims system, human error, or possible fraud, waste, and abuse in order to maintain contractual and regulatory compliance, • Bachelor's degree in relevant field; professional experience may be substituted, • Minimum of five (5) years of experience processing, researching, adjusting, and auditing Medicare and Medicaid professional, institutional, and dental health insurance claims, • Experience processing and auditing disputes, appeals and recoveries, • Proficient experience in Microsoft Excel, • Working knowledge of the health plan insurance industry, CPT/HCPCS procedure codes, ICD-10 codes, and relevant federal and state regulations, • Experience working with CMS and Medi-Cal healthcare claims Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications. Compensation Offering$74,612—$98,488 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Dental insurance, • Health insurance Qualifications: The successful candidate must have an excellent understanding of medical billing, which includes Insurance billing and payments processing: EOBs, ICD-10 and CPT coding. Candidates must have a strong understanding and working knowledge of the appeals and denials processes for Medicare, Medi-Cal and other commercial health insurances. Candidate is going to ensure all compliance and quality requirements are met. Candidate can efficiently communicate insurance company, clinical staffs and patients regarding billing issues. In addition, this position is the main link between our facility and our referring clients. In this role, you will maintain a solid rapport with all our clients (case managers and physicians) as well as the referring entities, (IPA, medical facilities, and insurance companies). Therefore, excellent customer service skills are a requirement Major duties and responsibilities: Professional communication speaking and writing skills Maintains HIPPA and OSHA compliance Strong knowledge of electronic billing and financial administration to handle budgets and billing, collections, payables, resubmissions, appeals, and posting payment. Maintaining current knowledge of CPT, HCPCS and ICD, coding systems (including ICD 10), including the appropriate application of procedure code modifiers and NCCI edits Collect insurance information, verify patient's insurance eligibility, and pre-authorizations. Assist with clinical staff for pre-authorizations. Gathering and organizing all necessary data from physicians, hospitals and/or ancillary personnel, determining billing codes and calculating rates. Verifying that CPT, HCPCS and ICD-9 (ICD-10) codes submitted to third-party payers are an accurate representation of the home health care services rendered by the provider(s). Ensure accurate and timely submission of claims submitted to third-party payers. Posting coded services to the appropriate patient account(s) in the software system. Maintain effectively communicate with service providers, clients, and other ancillary personnel Has experience in medical billing processes including charge entry, payment posting and claim follow-up and extensive knowledge of Medicare, HMO, local IPAs, and PPO carriers Has advanced understanding of medical terminology, pharmacology, body systems/anatomy Administrative duties related to credentialing and/or accreditation Administrative operations of the clinic at billing related issues, training, and counseling clinical staff regarding billing related issues. Effectively work with clinical staffs as a team Ability to continue education at work and learn from senior billing specialists and other clinal staffs. Handles and resolves patients' complaints/grievance as per policies and procedures For considerations, please remit your resume. We are an equal opportunity employer. Principals only. Recruiters, please don't contact this job poster. Do NOT contact us with unsolicited services or offers Job Types: Full-time Job Type: Full-time Benefits: • 401(k), • Dental insurance, • Health insurance, • Paid time offAbility to Commute:, • Sherman Oaks, CA 91403 (Required)Ability to Relocate:, • Sherman Oaks, CA 91403: Relocate before starting work (Required)

Job Description Requirements: Manager's Note: Workers Compensation Claims Examiner (3+ years of California WC experience) Work location: Remote in CA. Must have SIP Certification Description: Primary Purpose: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Essential Functions and Responsibilities Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. Prepares necessary state fillings within statutory limits. Manages the litigation process; ensures timely and cost-effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions and Responsibilities Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. Qualification Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations Work Environment When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking Note: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Job Description Position Summary: Provides daily supervision, leadership and coordination in the maintenance of Regal Medical Group’s claims processing system. Supports accuracy of member benefit set up, assignments, claims processing, financial accuracy and data integrity. Education and / or Experience: • In depth knowledge of Health Care and benefit options, • In depth knowledge of Coding and/or certification as it relates to the association to Health plan benefits, • 3-5 years of Claims Adjudication experience, • A bachelor’s degree from a four-year college or appropriate industry experience and/or certification., • Excellent written and verbal communication skills., • Fundamental management skills of planning, organizing and delegation, ability to mentor, coach and council., • In-depth knowledge, experience and understanding of the managed care industry., • Strong track record of success in management positions, experience in provider organization preferred., • Medical group or IPA operations information systems management experience preferred., • 3-5 years of experience in management of Health Care processing systems., • Experience with clinical applications preferred. Essential Duties and Responsibilities include the following: • Provides daily oversight of benefits, • Coordination with IS programming staff to identify components of the benefit data maintenance structure that can be systematically updated., • Develops and Implements data integrity initiatives for all supporting system configuration including fee schedules, provider contracts, benefits, eligibility and any other areas that support the effective operation of internal systems., • Develops standards, policies and procedures to ensure data integrity within the EZCap systems, and distribution of processes to network office as it relates to benefits, • Coordinates with Data Management staff to provide standards be followed and performs random audits and work with Decision Support in creating the audit queries., • Communicates and implements programs within focused area of responsibility., • Communicates, monitors and audits processes and procedures necessary to achieve strategic objectives., • Oversees the department goals, prioritizes work load and priorities within benefit team., • Evaluates and communicates needs for staffing and provides input to the selection, employment, and evaluation of all employees in his/her area of direct responsibilities., • Ensure all systems within their area of responsibility are reliable, responsive and support to the needs of the Regal Medical Group network., • Develops and fosters a customer satisfaction focused, service mentality within department to strengthen and build relationships with Heritage Provider Network and other Regal Medical Group regions and departments and communicates a balanced view of Data Management importance in relation to other departments and business functions., • Attends administrative meetings and provides information to staff as appropriate., • Supports initiatives that are identified, communicates and negotiates projects with the users and management., • Ensures appropriate management of information systems staff, providing the timely completion of performance appraisals and corrective counseling, when necessary., • Achieves successful delivery of data management deliverables meeting internal and external client needs, • Serves as the primary client liaison for data management benefits issues, • Administers and ensures timely completion of all projects, develop work plans and maintains project deadlines, • Reviews data management plans for content and structure The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors. As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success. Full Time Position Benefits: The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life. Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options. Health and Wellness: • Employer-paid comprehensive medical, pharmacy, and dental for employees, • Vision insurance, • Zero co-payments for employed physician office visits, • Flexible Spending Account (FSA), • Employer-Paid Life Insurance, • Employee Assistance Program (EAP), • 401k Retirement Savings Plan, • Vacation Time, • Company celebrations, • Employee Assistance Program, • Employee Referral Bonus, • Tuition Reimbursement, • License Renewal CEU Cost Reimbursement Program, • Business-casual working environment, • Sick days, • Paid holidays

Job Description Job Title: Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Remote in CA Contract Duration: Contract until 08/14/2026 Description: • Workers Compensation Claims Examiner (5+ years of California WC adjusting experience) ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution., • Negotiates settlement of claims within designated authority., • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim., • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level., • Prepares necessary state fillings within statutory limits., • Manages the litigation process; ensures timely and cost effective claims resolution., • Coordinates vendor referrals for additional investigation and/or litigation management., • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients., • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets., • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner., • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships., • Ensures claim files are properly documented and claims coding is correct., • Performs other duties as assigned., • Supports the organization's quality program(s)., • Bachelor's degree from an accredited college or university preferred., • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business., • Excellent oral and written communication, including presentation skills, • PC literate, including Microsoft Office products, • Analytical and interpretive skills, • Strong organizational skills, • Good interpersonal skills, • Excellent negotiation skills, • Ability to work in a team environment, • Ability to meet or exceed Service ExpectationsCompany DescriptionTechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal. We serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness. We also have national recruitingTechLink Systems is a national provider of staffing services with offices all over the USA as well as development and support centers globally. We are a MBE (NMSDC), WBE (WBENC), and WOSB certified minority business that has been awarded 2017 TAPFIN Premier Partner, 2016 Manpower Excellence Award, 2016 TAPFIN Elite Partner, are a Known Tier Supplier for Agile 1, and have been ranked as a Top Women and Minority Owned Company since 2004 by several businesses including Philadelphia Business Journal, Diversity Business, Inc 5000, Inc 500, San Francisco Business Times, Diversity2000, and Los Angeles Business Journal. \r\n\r\nWe serve the contract staffing, direct hire, staff augmentation, recruitment, HR management, and project outsourcing needs of clients nationwide. Striving to create personal relationships with clients, TechLink Systems becomes a virtual extension of clients’ own in-house capabilities to help achieve new levels of growth, productivity, and competitiveness. \r\n\r\nWe also have national recruiting

Job DescriptionDescriptionThe Director - Claims will be responsible for overseeing the end-to-end claims management process, ensuring accuracy, efficiency, and compliance with regulatory standards. This role involves leading a team of claims professionals, optimizing workflows, and driving strategic initiatives to improve claims operations. The ideal candidate is an experienced leader with a deep understanding of healthcare claims, payer-provider relationships, and a commitment to delivering exceptional service. Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Provide strategic direction for the claims department, aligning operations with company goals and regulatory requirements, • Lead, mentor, and develop a high-performing claims management team, • Collaborate with executive leadership to establish and achieve claims-related KPIs and financial targets, • Identify the root cause of any operational weaknesses and implement the best solution, • Serve as a thought partner to internal and external stakeholders to achieve mutual goalsClaims Management Operations, • Oversee end-to-end claims operations, claims processing, adjudication, and resolution to ensure timeliness, accuracy, and compliance, • Develop, implement, review dashboards, reports, policies, procedures, and workflows to optimize efficiency and mitigate errors, • Team accountability for areas such as – timeliness reporting to the health plans, encounter reports, weekly inventory and workflow reports, and IPA claims summary report for board meetings, • Monitor and address claim denial trends, providing actionable insights and corrective strategies, • Manage relationships with payers, third-party administrators, and other key stakeholders Compliance & Reporting, • Ensure compliance with state, federal, and industry regulations, including HIPAA and CMS guidelines, • Prepare and present regular reports on claims performance, trends, and department metrics, • Bachelor’s degree in healthcare administration, business, or a related field, • 8+ years of progressive responsibility, preferably in a managed care setting Knowledge of DMHC, DHS, and CMS regulations and guidelines Proficient in knowledge of CPT, HCPCS, ICD-10, Strong knowledge of MSO operations, healthcare reimbursement models, and payer/provider dynamics, • Expertise in claims processing systems and technologies (e.g., EHR, claims adjudication software) In-depth understanding of healthcare regulations, including HIPAA and CMS guidelines, • Prior experience working in managed care/IPA setting You're great for the role if:, • You have a master's degree, • Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Job DescriptionBenefits and Leave Specialist Reports To: Director of Payroll & Benefits Status: Full-time; Non-Exempt Location: Hybrid – Los Angeles (Little Tokyo Office) or West Covina (SGV Office) Hours of Operation: Monday – Friday 9:00 AM – 5:30 PM; occasional evenings or weekends as needed. Hourly Range: $30.00 - $36.00 per hour (based on experience and qualifications) Are you passionate about supporting a mission-driven organization by ensuring employees have access to the benefits, leave, and retirement resources they need — so they can focus on making a difference in the lives of young people? Who We Are: In 1922, Woodcraft Rangers opened its doors in Los Angeles and began its mission of guiding young people as they explore pathways to purposeful lives. As a progressive organization, Woodcraft has always been responsive to the evolving needs of the communities served, and is notably inclusive, youth-led, and rooted in the Woodcraft Way, a holistic framework that develops body, mind, spirit, and service. Continuously at the forefront of expanded learning opportunities, Woodcraft Rangers has a rich history of making a significant impact in the greater Los Angeles area, believing that all youth are innately good, deserve the opportunity to realize their full potential, and should be an active participant in defining their own path. What We Do: Woodcraft Rangers provides TK-12 expanded learning programs, including before and after school, specialty enrichment, and summer learning. In the past few years, Woodcraft has expanded its menu of services beyond traditional afterschool programs and summer camps to include early learning, environmental and social justice, college access, and inclusion services for youth with intellectual and developmental disabilities. Additionally, we offer LifeCraft, a college and career advancement program to support the development of approximately 2,000 staff. Today, Woodcraft Rangers serves more than 30,000 youth ages 4 to 18 each year across 150 plus Title I schools in Los Angeles, San Bernardino, and Riverside counties, and continues to expand its reach. Ideal Candidate: The ideal candidate brings a genuine enthusiasm for helping employees navigate their benefits and understand their total compensation, with a strong attention to detail and a high level of empathy. They thrive in fast-paced environments, can manage a high volume of administrative responsibilities, and communicate with clarity and professionalism. This individual is comfortable balancing compliance, systems, and employee support, while continuously looking for ways to improve processes and the employee experience. Above all, you treat every employee interaction with empathy, professionalism, and confidentiality, understanding that benefits and leave matters are often among the most personal and important issues for an employee. Why Work for Woodcraft Rangers: • Competitive salary – $30.00 - $36.00 per hour, • Paid vacation & sick time – generous time off to recharge, • Lifecraft program – free college & career advancement for all staff, • Upward mobility – promote-from-within culture, • Kaiser medical plans (majority employer-paid), dental & vision coverage, • Employer-paid life and disability insurance, • 403(b) retirement plan with employer contributions– invest in your future, • Pet insurance – because your whole family matters, • Mission-driven work – impact 30,000+ young people annuallyRole Overview: The Benefits & Leave Specialist supports the day-to-day administration of employee benefits programs and leave of absence processes. This role ensures accurate, timely, and compliant administration while serving as a trusted resource to employees and internal stakeholders. This position partners closely with HR, payroll, and external vendors to deliver high-quality service and support positive employee experience. The Specialist also identifies opportunities to improve processes, workflows, and systems related to benefits and leave administration. Responsibilities: Benefits Administration: • Support employee enrollment in medical, dental, vision, life, and other benefit plans during onboarding, open enrollment, and qualifying life events., • Maintain accurate benefits data in ADP and coordinate with vendors and carriers., • Respond to employee inquiries regarding eligibility, coverage, and claims., • Assist with benefits, billing, reconciliation, and invoice processing., • Support annual open enrollment planning, including communications, system setup, and employee education sessions.403(b) Retirement Plan Administration:, • Assist employees with enrollment, contribution changes, and beneficiary updates., • Coordinate with third-party administrators (TPA) and recordkeepers., • Ensure accurate and timely contribution processing each payroll cycle., • Support required notices, disclosures, Form 5500 preparation, and audits., • Respond to employee questions regarding 403(b) plan features and options., • Stay current on IRS regulations and non-profit-specific 403(b) plan requirements to ensure ongoing compliance.Leave of Absence Administration:, • Administer FMLA, state leave, personal leave, and other leave programs in compliance with applicable laws and organizational policies., • Serve as a primary point of contact for employees requesting leave, providing clear guidance on procedures and documentation requirements., • Track and maintain accurate leave records, ensuring timely notifications and return-to-work coordination., • Coordinate with managers and payroll regarding leave status and pay continuation., • Maintain confidential leave files and ensure compliance with privacy regulations., • Ensure compliance with California-specific leave laws including CFRA, PDL, and Paid Family Leave (PFL).Compliance & Reporting:, • Ensure benefits and leave programs comply with federal and state regulations., • Utilize HRIS systems (ADP) to maintain data integrity and generate reports., • Support audits, compliance filings, and reporting requirements. Employee Support & Communications:, • Develop and distribute clear, employee-friendly communications about benefits and leave programs., • Support new hire orientation and onboarding processes and explain benefits and leave policies., • Associate's or Bachelor's degree in Human Resources, Business Administration, or a related field, OR equivalent combination of education and experience., • 3+ years of experience in benefits, HR operations, or related role, • Experience supporting high-volume or multi-site organizations, • Strong knowledge of benefits and leave laws (FMLA, CFRA, PDL, PFL), • Strong attention to detail and ability to manage sensitive, confidential information with discretion., • Excellent written and verbal communication skills., • Proficiency in Microsoft Office Suite (Word, Excel, Outlook)., • Experience with HRIS systems (ADP or similar) to maintain data accuracy and generate reports to support decision-making., • Demonstrated ability to work collaboratively in a team environment., • Prolonged periods of sitting and working at a computer, including frequent use of keyboard and mouse., • Regular use of hands and fingers to operate office equipment and technology., • Occasional standing, walking, and light movement within the office environment., • Ability to lift and carry light items (e.g., files, documents, or office materials) up to 20 pounds, if needed., • Hybrid schedule with a combination of in-office work at the (TBD) headquarters and remote work, based on business needs and departmental expectations., • Standard Monday-Friday schedule aligned with business operations, with occasional extended hours during payroll processing periods, audits, or year-end activities., • Regular in-office presence required for collaboration, team leadership, and key meetings., • Limited travel may be required for meetings, trainings, or cross-functional collaboration across Woodcraft Rangers sites., • Work is primarily performed using computer systems and payroll software in both office and remote settings., • Stable internet connection required for remote workdays. 85BQpUhBpB

Job Description Arrowhead Pharmaceuticals, Inc. (Nasdaq ARWR) is a commercial stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, Arrowhead therapies trigger the RNA interference mechanism to induce rapid, deep, and durable knockdown of target genes. RNA interference, or RNAi, is a mechanism present in living cells that inhibits the expression of a specific gene, thereby affecting the production of a specific protein. Arrowhead's RNAi-based therapeutics leverage this natural pathway of gene silencing. Arrowhead is focused on developing innovative drugs for diseases with a genetic basis, typically characterized by the overproduction of one or more proteins that are involved with disease. The depth and versatility of our RNAi technologies enables us to potentially address conditions in virtually any therapeutic area and pursue disease targets that are not otherwise addressable by small molecules and biologics. Arrowhead is leading the field in bringing the promise of RNAi to address diseases outside of the liver, and our clinical pipeline includes disease targets in the liver and lung with a promising pipeline of preclinical candidates. Arrowhead's corporate headquarters is in Pasadena, CA with research and development teams in Madison, WI & San Diego, CA, and a state of the art manufacturing facility in Verona, WI. Our employees are nimble, science-driven innovators who are collaborating to bring new therapies to patients in need. The Position Arrowhead Pharmaceuticals is seeking a dynamic Manager / Senior Manager, Benefits to join our People Services & Culture team and play a key role in shaping the employee experience across our growing organization. Based at our Corporate Headquarters in Pasadena, this individual will lead and enhance our benefits programs for employees in our Pasadena, CA, San Diego, CA, Madison, WI, Verona, WI and our U.S. field teams, ensuring our offerings are competitive, compliant, and aligned with our culture and business strategy. This role combines strategic program design with hands-on operational leadership, overseeing health, 401(k) and equity administration, leave management, vendor partnerships, and regulatory compliance. The ideal candidate is both analytical and people-focused, thrives in a fast-paced environment, and is passionate about delivering benefits programs that attract, support, and retain top talent. This is a full-time, onsite position at Arrowhead's Corporate Headquarters in Pasadena, CA. Responsibilities • Manage benefit enrollments and processing, COBRA, terminations, changes, beneficiaries, disability (leave of absence), accident and death claims (worker's comp) and compliance testing, • Key player in the management of the company's 401K plans, • Key player in the administration process for the company's equity plan, • Design, recommend and implement new benefits programs. Examine possible plan designs and benefits cost changes, • Serve as primary contact for plan vendors and third-party administrators, • Serve as primary contact for employees with leave of absence and benefits questions and/or issues, • Coordinate transfer of data to external contacts for services, premiums and plan administration, • Evaluate and revise internal processes to reduce costs and increase efficiency, • Document and maintain administrative procedures for assigned benefits processes, • Ensure compliance with applicable government regulations. Ensure timeliness and accuracy of required reporting and fees, • Bachelor's degree in human resource management or related field, • 5 years of related benefits or employee benefits administration experience, • Computer proficiency and technical aptitude with the ability to use Microsoft products, including PowerPoint; experience with ADP and benefits databases, • Experience using ADP, • Project and team management/leadership skills and experience, • Proven ability to work effectively in a team environment with associates, • Effective planning and priority setting. Ability to manage several complex projects simultaneously while working under pressure to meet deadlines, • Strong analytical skills and a thorough knowledge of plan designs, • Ability to understand, evaluate and make judgment on proposals (RFPs), • Knowledge of benefits contract language, • Knowledge of all pertinent federal and state regulations, filing and compliance requirements, both adopted and pending, affecting employee benefits programs, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, workers' compensation, Medicare, OBRA, and Social Security and DOL requirements Candidates must have current, valid authorization to work in the country where this role is located. California Applicant Privacy Policy

Job Description At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Senior Claims Examiner plays a pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners. Essential Job Duties: • Examine claim records and forms to investigate and resolve first level disputes, including completion of acknowledgement and determination letters, • Review and process second level claims, such as adjustments and corrected claims, • Work closely with leadership on identified trends related to improper processing and claim-related concerns or discrepancies that result in a dispute, • Assist the team in carrying out departmental responsibilities and collaborate with others to support short- and long-term goals and priorities, • Establish and maintain effective working relationships with team and collaboration with interdepartmental staff and leadership, • Minimum of three (3) years' health plan claims processing experience, and two (2) years' health plan claims dispute experience analyzing and resolving provider claims problems, • Experience in a Managed Care Plan (MCP) or PACE organization (PO) claims processing environment highly preferred, • In depth experience with Medicare and Medicaid claims processing, • Ability to balance competing priorities, exercise discretion, and consider all relevant factors in navigating gray areas and resolving ambiguities, • Proficient in the principles and practices of managed health care, health care systems and medical terminology (e.g., revenue Codes, Current procedural Terminology (CPT), Healthcare Common Procedure Coding system (HCPCS) and Internal Classification of Disease (ICD-10), • Medical insurance coverage (Medical, Dental, Vision), • Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days, • Advancement opportunities - We've got a track record of hiring and promoting from within, meaning you can create your own path! At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to

Job Description Department: Health Services Reports to: Billing Manager Compensation: $21.47-$28.33 per hour, plus $1.75 per hour Shift Differential Premium for hours worked between 6pm-6am Schedule: Monday-Friday 8:00am-5:00pm Status: 100%, Full-Time, Non-Exempt, Union Probation: 90 days Benefits: Medical, Dental, Vision; also including Life Insurance, Long-Term Disability, Employee Assistance Program, and a 403(b) Retirement Plan Center’s Mission: Building a world where LGBT people thrive as healthy, equal, and complete members of society. DEPARTMENT SUMMARY: As the nation’s largest and most experienced provider of LGBTQ medical and mental health services, we help LGBTQ people lead healthier, happier lives, by keeping their minds and body well. All services are free or low cost. We’re also one of the few Federally Qualified Health Centers in the nation with providers who specialize in primary care for LGBTQ people and with a research team working to advance the care and treatment of people in our community. JOB SUMMARY: Under the direction of the Billing Manager the Patient Account Biller will be responsible for providing administrative and clerical support to the Billing Team. These responsibilities include charge entry, payment entry, account reconciliation, claims follow up and denial management in accordance with all accepted billing and collection practices. ESSENTIAL FUNCTIONS: • Charge entry, coding, and cash reconciliation., • Payment entry including processing refunds on paper and/or electronically., • Generating, reviewing, and transmitting patient’s statements and notices on paper and/or electronically., • Monitor patient accounts for appropriate insurance assignments., • Claim follow up and denial management., • Respond to client questions and complaints regarding billing issues and document the outcome in AllScriptsPM., • Attend Center, Health Services and Health Information Services meetings as required., • Other duties as assigned. JOB QUALIFICATIONS AND EXPERIENCE: • Knowledge of or experience working with the LGBTQ community and familiarity with issues of particular relevance to LGBTQ people., • A passion for the Center’s work and its mission to make the world a better place for LGBTQ people., • Working knowledge of current CPT and ICD10 codes., • Knowledge of medical terminology., • Knowledge of reimbursement and denial codes., • Bilingual skills, a plus (English/Spanish fluency preferred)., • Excellent verbal and written communication skills, including strong organizational skills, strong problem-solving skills, and attention to detail., • Computer skills, including a working knowledge of Excel., • Demonstrated ability to work effectively with people of diverse races, ethnicities, nationalities, sexual orientations, gender identities, gender expression, socio-economic backgrounds, religions, ages, English-speaking abilities, immigration status, and physical abilities in a multicultural environment. The Los Angeles LGBT Center is an Equal Opportunity Employer and is committed to fostering diversity within its staff. Applications are encouraged from all persons regardless of their race, color, ancestry, religious creed, national origin, sex, sexual orientation, gender identity, gender expression, medical/physical/mental condition, pregnancy/childbirth and related medical condition, age, marital status, or veteran status. The Center has implemented a mandatory COVID-19 vaccination policy as a condition of employment for all employees who work on the Center’s premises, subject to applicable federal, state, and local laws. For more information, please contact

Job Description Arrowhead Pharmaceuticals, Inc. (Nasdaq ARWR) is a commercial stage biopharmaceutical company that develops medicines that treat intractable diseases by silencing the genes that cause them. Using a broad portfolio of RNA chemistries and efficient modes of delivery, Arrowhead therapies trigger the RNA interference mechanism to induce rapid, deep, and durable knockdown of target genes. RNA interference, or RNAi, is a mechanism present in living cells that inhibits the expression of a specific gene, thereby affecting the production of a specific protein. Arrowhead's RNAi-based therapeutics leverage this natural pathway of gene silencing. Arrowhead is focused on developing innovative drugs for diseases with a genetic basis, typically characterized by the overproduction of one or more proteins that are involved with disease. The depth and versatility of our RNAi technologies enables us to potentially address conditions in virtually any therapeutic area and pursue disease targets that are not otherwise addressable by small molecules and biologics. Arrowhead is leading the field in bringing the promise of RNAi to address diseases outside of the liver, and our clinical pipeline includes disease targets in the liver and lung with a promising pipeline of preclinical candidates. Arrowhead's corporate headquarters is in Pasadena, CA with research and development teams in Madison, WI & San Diego, CA, and a state of the art manufacturing facility in Verona, WI. Our employees are nimble, science-driven innovators who are collaborating to bring new therapies to patients in need. The Position Arrowhead Pharmaceuticals is seeking a dynamic Senior Manager, Benefits to join our People Services & Culture team and play a key role in shaping the employee experience across our growing organization. Based at our Corporate Headquarters in Pasadena, this individual will lead and enhance our benefits programs for employees in our Pasadena, CA, San Diego, CA, Madison, WI, Verona, WI and our U.S. field teams, ensuring our offerings are competitive, compliant, and aligned with our culture and business strategy. This role combines strategic program design with hands-on operational leadership, overseeing health, 401(k) and equity administration, leave management, vendor partnerships, and regulatory compliance. The ideal candidate is both analytical and people-focused, thrives in a fast-paced environment, and is passionate about delivering benefits programs that attract, support, and retain top talent. This is a full-time, onsite position at Arrowhead's Corporate Headquarters in Pasadena, CA. Responsibilities • Manage benefit enrollments and processing, COBRA, terminations, changes, beneficiaries, disability (leave of absence), accident and death claims (worker's comp) and compliance testing, • Key player in the management of the company's 401K plans, • Key player in the administration process for the company's equity plan, • Design, recommend and implement new benefits programs. Examine possible plan designs and benefits cost changes, • Serve as primary contact for plan vendors and third-party administrators, • Serve as primary contact for employees with leave of absence and benefits questions and/or issues, • Coordinate transfer of data to external contacts for services, premiums and plan administration, • Evaluate and revise internal processes to reduce costs and increase efficiency, • Document and maintain administrative procedures for assigned benefits processes, • Ensure compliance with applicable government regulations. Ensure timeliness and accuracy of required reporting and fees, • Bachelor's degree in human resource management or related field, • 7 years of related benefits or employee benefits administration experience, • Computer proficiency and technical aptitude with the ability to use Microsoft products, including PowerPoint; experience with ADP and benefits databases, • Experience using ADP, • Project and team management/leadership skills and experience, • Proven ability to work effectively in a team environment with associates, • Effective planning and priority setting. Ability to manage several complex projects simultaneously while working under pressure to meet deadlines, • Strong analytical skills and a thorough knowledge of plan designs, • Ability to understand, evaluate and make judgment on proposals (RFPs), • Knowledge of benefits contract language, • Knowledge of all pertinent federal and state regulations, filing and compliance requirements, both adopted and pending, affecting employee benefits programs, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, workers' compensation, Medicare, OBRA, and Social Security and DOL requirements Candidates must have current, valid authorization to work in the country where this role is located. California Applicant Privacy Policy

Job DescriptionAbout Zephyr Rail Zephyr Rail is an engineering design and construction management firm based in Orange, CA. We specialize in providing comprehensive solutions in railroad design, construction management, and UAV solutions. We are proud to have earned Zweig Group’s recognition as a "Best Firms to Work For" for three consecutive years, demonstrating our commitment to our team and our industry. Job Summary As an Office Engineer, you will serve as the primary on-site leader for Zephyr Rail. You will be a vital member of the project team, offering crucial administrative and technical support to the resident engineer and field staff. Your responsibilities include managing all project documentation, such as submittals, RFIs, and progress reports. This role acts as a central hub for project coordination and contract administration, ensuring accurate record-keeping and smooth information flow to facilitate the successful execution of complex rail and transportation projects. Responsibilities • Records, prepares, and distributes meeting minutes and weekly progress reports., • Maintains Project Quantities Book., • Maintains current records of contractor progress payments, contract drawings, and other documents as required., • Supervises clerical staff in the field office., • Participates in processing change orders and claims, and coordinates support for estimating, schedule analysis, and engineering associated with changes., • Participates in negotiations and claims settlements as directed by the resident engineer., • Coordinates taking contractor monthly progress photos and monthly resident engineer photos., • Acts as a liaison between the field inspection team and contractor personnel as directed by the resident engineer., • Coordinates receipt of, logs in, and distributes contractor submittals, inspector daily reports, and contractor daily reports., • Bachelor’s degree in civil engineering, construction management, or related field (or equivalent experience)., • 5+ years of experience as an Office Engineer or in project documentation on infrastructure projects., • Rail or transit experience required., • Strong working knowledge of contract documentation, submittals, RFIs, change orders, and pay estimates., • Proficiency in Bluebeam, Procore, MS Excel, and other document management platforms., • Exceptional attention to detail and organizational skills., • Ability to work effectively in a fast-paced, deadline-driven environment with multiple priorities., • Excellent communication and teamwork skills. Benefits Paid Medical, Dental, and Vision, 401(k) Plan (with company match), Paid Time Off (PTO), Paid Holidays, Disability Insurance, Educational Assistance and Licensure Support, Performance-based Bonuses, Service Awards, Flexible/Hybrid Work Arrangements (role-dependent). How to Apply We're excited to hear from you! Feel free to apply directly on our careers page or learn more about the opportunities at . If you don't find exactly what you're looking for, don't hesitate to send your resume to . We would be pleased to consider you as a potential new member of our passionate team! At Zephyr Rail, we're an equal opportunity employer dedicated to fostering diversity and inclusion. Note to Recruiters and Job Placement Agencies We do not accept unsolicited resumes or candidate profiles from recruiters or agencies. We will consider any unsolicited resumes we receive as our property and will process them accordingly. We will only consider direct applicants. #LI-SB1 Powered by JazzHR acF17dXSLF

Description We are seeking a detail-oriented and experienced Claims Quality Supervisor to lead our audit and quality assurance initiatives across all aspects of claims operations. This role is responsible for ensuring accuracy, efficiency, and compliance with contractual and regulatory requirements.Key responsibilities include: • Developing and implementing internal quality assurance monitoring systems and reporting tools., • Overseeing audit programs to maintain high standards of compliance and performance., • Managing the customer service functions within the Claims Administration Department., • Leading and staffing the customer service team to meet established service goals and performance objectives., • Provide direct supervision and guidance for Quality Control and Customer Service staff and provide developmental and training opportunities for team members. Salary Range: $78,500 - $163,600/AnnuallyQualifications • Minimum of 5 years claims experience in a managed care environment required, • Minimum of 2 years' experience in supervising staff required, • Must have comprehensive knowledge of claims processing and regulations., • Must have strong ability to problem solving skills. Ability to analyze problems and formulate plans, solutions and a course of action., • Ability to successfully execute many complex tasks simultaneously., • Ability to set own priorities and to work as a team member as well as independently., • Ability to perform comfortably in a fast paced, deadline-oriented work environment., • Proficient computer skills in Internet search capabilities, Microsoft Word, Excel, Access and Managed Care software (i.e. Diamond)., • Thorough knowledge of health care industry, benefit plans, contracts and flow of related information., • Knowledge of professional and facility provider reimbursement/contracting methodologies., • Excellent interpersonal and verbal/written communication skills. Effective presentation skills., • Ability to maintain confidentiality of patient and business records., • Ability to work Business hours

Description The patient biller position is critical to ensure the timely and accurate processing of medical billing and insurance claims, which directly impacts the organization's revenue cycle management. Filling this role is essential to maintain efficient billing operations, reduce claims denials, and ensure compliance with healthcare regulations. Without a dedicated patient biller, there is a risk of delayed payments, increased errors, and potential revenue loss, which could negatively affect the financial stability and operational efficiency of the practice. In this role, you will: • Accurately process inpatient and outpatient claims to third-party payers, adhering to all mandated billing guidelines., • Ensure compliance with Timely Filing guidelines and maintain quality control for paper claims., • Handle tracers, denials, and related correspondence, including initiating appeals and drafting appeal letters addressing coding issues., • Utilize patient accounting systems to perform all required billing and account-related tasks., • Provide exceptional customer service, addressing and resolving patient concerns in a professional manner., • Manage a high volume of incoming customer service calls in a call-center environment., • Support business office functions with general knowledge and expertise. We're seeking detail-oriented, self-directed professional with: • Required - Minimum two years of recent medical billing experience in physicians' office or clinic with Medi-Cal, Medicare, Managed Care, and PPO insurances, • Detailed knowledge of medical terminology and its applications, • Skill in reading correspondence, charged documents, EOB's and all other insurance forms, • Knowledge of on-line registration procedures including payor data and financial classes, • Frequent use of computer, fax, copier, printer, calculator, telephone, other general office appliances, • Knowledge of MS Word and MS Excel software

This is an exciting opportunity to work for one of the top law firms in the U.S.! Davis Wright Tremaine LLP is looking for a Business Intake Researcher to join our team in our Seattle, Portland, San Francisco, Los Angeles, New York, or Washington D.C. offices. This position is responsible for performing a variety of tasks related to the screening of potential client engagements in accordance with the firm's risk management procedures and policies. This position offers the flexibility to be fully remote while working within reasonable commuting distance from any of our offices.At Davis Wright Tremaine, you will find challenging assignments, opportunities for professional growth and community involvement, and a culture of inclusion. DWT fosters inclusiveness and authenticity. Regardless of position, everyone here has a voice and the support is unparalleled.On a typical day you will: • Gather and analyze financial information, regulatory and litigation histories, and recent news from external corporate and governmental databases (such as Dun and Bradstreet, TLO, Bloomberg, Lexis, SEC, etc.) from a risk management and due diligence perspective, • Work with intake attorneys and reviewing attorneys (Practice Group heads and Partners in Charge) responsible for new client and new matter intake in evaluating risk management issues related to new clients and matters. Work with litigation partners to assess financial viability of potential new matters through external corporate research and analysis, • Run special searches as needed, to identify potential risk management or business issues with respect to incoming lateral attorneys, potential mergers, and other special circumstances, • Participate in special projects involving new business intake best practices and risk management initiatives within the Information Governance department, • Assist the Conflicts team as needed in assessing whether a conflict of interest exists under the applicable Rules of Professional Conduct, • Partner with the Quality Assurance Committee (QAC) Paralegals to assist the Claims Counsel and General Counsel with interpreting and executing Litigation Holds, Subpoenas, and Protective Orders; and assist in the Outside Counsel Guidelines (OCG) intake process, • 5+ years' experience with compiling and analyzing risk assessment reports, • Prior experience with corporate risk assessment research and analysis and/or investigative due diligence, including the ability to analyze, cross-reference and summarize findings from third-party proprietary databases and public records such as Dun and Bradstreet, Lexis, TLO, Bloomberg, etc., • Bachelor's Degree; Advanced legal or business degree or KYC/AML compliance certification preferred, • Understanding of KYC/AML requirements; ability to read financial statements; knowledge of and ability to analyze SEC filings; familiarity with current trends in the legal and financial services industries, • Strong communication skills, verbal and written, • Strong attention to detail, analysis, proofreading and organizational skills, • Strong interpersonal skills, team player able to work in a fast-paced environment, • Strong customer service skills, including understanding and responding quickly to a variety of inquiries, • Ability to contribute ideas for process improvements, • Ability to work under pressure and meet project deadlines with expedited turnaround times, • Choice of health and vision insurance plans, • 2 paid volunteer days for qualifying community service work, • Dental plan, • Fertility and adoption benefit, • Paid sabbatical after 13 years of service, • Tuition reimbursement, • Commuter benefits, • Retirement contributionThis job description intends to describe the general nature and level of work being performed by individuals assigned to this position. It is not intended to include all duties and responsibilities. Washington StateThe annualized salary range for this position in Washington is $86,000 to $92,000 ($44.10 to $47.18 hourly).Actual pay will be adjusted based on the candidate's education, training, experience and other job-related factors permitted by law. Full time employees may be eligible for a bonus, health insurance with an optional HSA, long term disability, dental insurance, vision care, telemedicine and virtual short term solution based counseling services, life insurance, Healthcare and Dependent Care Flexible Spending Accounts, subsidized backup care and caregiving resources, 401(k), vacation, sick time, 11 paid holidays each year and an employee assistance program. For full-time employees, the initial vacation benefit is 15 days per year and 11 days of sick leave per year, accrued bi-weekly. Additional voluntary programs include: voluntary accident insurance, voluntary life, voluntary disability, voluntary long term care, and pet insurance. Commuter and Transit programs are also available.CaliforniaThe annualized salary range for this position in Los Angeles is $86,000 to $92,000 ($44.10 to $47.18 hourly); and in San Francisco is $96,000 to $103,000 ($49.23 to $52.82 hourly). Actual pay will be adjusted based on experience and other job-related factors permitted by law. Full time employees may be eligible for a bonus, health insurance with an optional HSA, long term disability, dental insurance, vision care, telemedicine and virtual short term solution based counseling services, life insurance, Healthcare and Dependent Care Flexible Spending Accounts, subsidized backup care and caregiving resources, 401(k), vacation, sick time, and an employee assistance program. Additional voluntary programs include: voluntary accident insurance, voluntary life, voluntary disability, voluntary long term care, and pet insurance. Commuter and Transit programs are also available.New YorkThe annualized salary range for this position in New York City is $86,000 to $92,000 ($47.25 to $50.55 hourly). Actual pay will be adjusted based on experience and other job-related factors permitted by law. Full time employees may be eligible for a bonus, health insurance with an optional HSA, short term disability, long term disability, dental insurance, vision care, telemedicine and virtual short term solution based counseling services, life insurance, Healthcare and Dependent Care Flexible Spending Accounts, subsidized backup care and caregiving resources, 401(k), vacation, sick time, and an employee assistance program. Additional voluntary programs include: voluntary accident insurance, voluntary life, voluntary disability, voluntary long term care, and pet insurance. Commuter and Transit programs are also available.District of ColumbiaThe annualized salary range for this position in Washington D.C. is$85,000 to $89,000 ($43.59 to $45.64 hourly).Actual pay will be adjusted based on experience and other job-related factors permitted by law. Full time employees may be eligible for a bonus, health insurance with an optional HSA, short term disability, long term disability, dental insurance, vision care, telemedicine and virtual short term solution based counseling services, life insurance, Healthcare and Dependent Care Flexible Spending Accounts, subsidized backup care and caregiving resources, 401(k), vacation, sick time, and an employee assistance program. Additional voluntary programs include: voluntary accident insurance, voluntary life, voluntary disability, voluntary long term care, and pet insurance. Commuter and Transit programs are also available.Davis Wright Tremaine LLP fosters a culture where all talented individuals-including those who are traditionally underrepresented in the legal profession-can have, and can see, paths to success.Our commitment to diversity, equity, and inclusion sits on four pillars: Community, Growth, Education, and Engagement.Learn more about the firm's commitment to DEI here:___. Davis Wright Tremaine provides reasonable accommodations for those who need them to complete the application or recruiting process and for employees who need reasonable accommodations to perform the essential functions of their positions due to a disability or for religious reasons. If you need to request accommodation during the application or recruiting process, please email ___. #LI-AF1

Description Play a vital role on our Claims leadership team, you will manage a team of claim examiners, auditors, and support staff toward operational excellence. The Claims Manager of the Medicare Advantage Plan will: • Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business processes and maximize the accuracy of claims payments., • Foster a positive, high-performing team culture focused on quality and exceptional customer service, • Identify opportunities to enhance workflows, resolve complex claim issues, and develop practical standard operating procedures Note: This position is flexible-hybrid. Qualifications We're seeking a self-motivated, service-driven leader with: Required: • Bachelor's degree in business, health care or a related field and/or equivalent work experience, • Five or more years of claims operations experience in a Medicare Advantage or related environment, • Three or more years of managing personnel in a claims processing environment, • In-depth knowledge of physician and facility billing practices, CPT coding initiatives, ICD-10 coding standards, and revenue/HCPCS coding, • Understanding of provider network/IPA arrangements and reimbursement methodologies, etc., • Knowledge of standard electronic and paper claim formats, • Familiarity with AMA and Centers for Medicare and Medicaid Services coding guidelines, • Computer proficiency with Microsoft Office Suite and data visualization tools, • Knowledge of HIPAA, DMHC, AB1455, and CMS reporting requirements, • Background with claims editing software (e.g., Optum CES, Web Strat, McKesson, etc.), • Experience in implementing and managing Prospective Payment System vendor application (Optum PPS, MicroDyn, 3M, etc.). (preferred), • Expertise with one or more of the following managed care transaction systems: EPIC (Tapestry Module), EZ Cap, Facets, QNXT, • Excellent problem identification, resolution, and analytical abilities, • Strong communication, interpersonal, and analytical skills, • Ability to develop, implement, and evaluate methods/systems to improve efficiency, • Ability to lead and facilitate cross-functional workgroups, • Proficiency in achieving compliance with regulatory requirements, • Ability to travel/attend off-site meetings and conferences Preferred:, • Certified Professional Biller (CPB), • Certified Revenue Cycle Representative (CRCR)

Full-time Description About the Role Are you a detail-driven professional who takes pride in accuracy and problem-solving? CareM Support Services in Albuquerque is looking for a Home Health Billing Representative to join our centralized support team. In this vital role, you'll ensure accurate claim submissions, support cash flow operations, and contribute to the financial integrity of a growing healthcare network. If you’re looking for a role that blends autonomy with teamwork — and offers purpose beyond paperwork — this is your opportunity to support a mission that matters: to bring out the courage in others. Key Responsibilities • Process, verify, and submit healthcare claims accurately and on schedule, • Monitor payments from payers and follow up on unpaid invoices, • Complete pre-bill audits and ensure compliance with Medicare, Medicaid, and other payer guidelines, • Respond to billing inquiries from patients, staff, and insurance companies with professionalism and clarity, • Maintain accurate AR (accounts receivable) records and provide cash flow updates to leadership, • Assist with monthly reporting and revenue cycle improvement initiatives, • Participate in ongoing staff training, department meetings, and compliance reviews, • Maintain confidentiality and adhere to HIPAA and company privacy standards Requirements What We’re Looking For • 2+ years of home health billing or reimbursement experience required, • Familiarity with third-party payer systems, medical coding, and claims processing, • Strong organizational skills and high attention to detail, • Ability to work independently and prioritize multiple tasks in a fast-paced setting, • Proficiency in business software, spreadsheets, and billing platforms, • Excellent communication skills for interfacing with both internal teams and external partners, • A team mindset with a proactive, solutions-oriented approach Why Join Us CareM Support Services is part of a bold, values-driven healthcare organization serving patients across home health, hospice, and personal care. As a centralized business unit, we keep the engine running — and we do it with heart. Here’s what sets us apart: • Mission-first culture rooted in compassion, courage, and excellence, • Supportive leadership that values your contribution and promotes from within, • Team camaraderie where ideas are welcomed and wins are shared, • Opportunities for professional growth and cross-functional learning, • A commitment to work-life balance, well-being, and doing work that matters

Department Summary Aspiring to be a community of faculty, staff, students and patients, where a sense of belonging and respect is felt by all, is a culture that's deeply ingrained into our daily actions. And encouraging an environment of engagement and productive dialogue helps to foster our core values of compassion, tolerance, and mutual respect. Position Summary The UCLA School of Dentistry seeks an organized, reliable and resourceful person to serve as the Oral Radiology Clinic Administrative Assistant. The incumbent supports the clinic by providing efficient patient relations, appointment scheduling, insurance coordination, and front office administrative support. This role ensures accurate patient registration and records management, verifies insurance eligibility and benefits, and serves as a point of contact for patients by answering phones and assisting walkin visitors in accordance with established clinic policies and procedures. Salary & Compensation *UCLA provides a full pay range. Actual salary offers consider factors, including budget, prior experience, skills, knowledge, abilities, education, licensure and certifications, and other business considerations. Salary offers at the top of the range are not common. Visit ___ to discover benefits that start on day one, and ___ to calculate the total compensation value with benefits. Qualifications • Experience working in a dental or medical office. (Required), • Working knowledge of current dental terminology, materials, equipment and procedures related to dentistry so as to respond to student, patient and faculty requests. (Required), • Spanish verbal and written skills to communicate with patients and translate for residents, faculty and staff. (Preferred), • Ability to work independently, organize workload, prioritize tasks, follow through on assignments, and perform effectively in a fastpaced environment with frequent interruptions. (Required), • Demonstrate reliability, including punctuality, consistent work schedule, excellent attendance, and adherence to professional business attire standards. (Required), • Strong interpersonal skills to interact respectfully and effectively with staff, faculty, students, patients, and other departments, including individuals from diverse cultural backgrounds and patients who are young, elderly, traumatized, or disabled. (Required), • Demonstrate professionalism and discretion, including knowledge of HIPAA regulations and the ability to maintain strict confidentiality of sensitive patient, faculty, resident, student, and staff information. (Required), • Effective communication skills, including speaking clearly, distinctly, and courteously. (Required), • Demonstrate organizational skills to enforce clinic policies by following established procedures and maintaining accurate patient information related to appointments, billing, and reports. (Required), • Demonstrate ability to handle multiple demands, fluctuating workloads, and frequent interruptions while maintaining a professional demeanor. (Required), • Basic math skills with demonstrated ability to screen patient accounts, process payments, perform cashiering duties, and identify potential billing discrepancies. (Required), • Demonstrate knowledge of and experience with dental front office procedures and computerized dental and medical billing systems. (Preferred), • Demonstrate knowledge of insurance processing, including dental benefits for oral radiology procedures and claims submission for carriers such as DentiCal, MediCal, Medicare, and Delta Dental. (Preferred), • Background Check: Continued employment is contingent upon the completion of a satisfactory background investigation., • Live Scan Background Check: A Live Scan background check must be completed prior to the start of employment., • Age Requirement: Candidate(s) must be 18 years or older to be eligible to be hired., • TB Test: Continued employment is contingent upon the completion of a satisfactory TB test., • COVID and Flu Vaccinations: The position is subject to providing evidence of inoculation. 8:00 a.m. to 5:00 p.m. Union/Policy Covered CX-Clerical & Allied Services Complete Position Description

Description We are looking for a knowledgeable and patient-centered team member to join our dynamic specialty Pediatrics team! This position will support general pediatrics and multiple specialties. As a Patient Service Representative, you will support the Children's Health Center in Westwood by providing vital administrative support to our pediatric patients and physicians. You will help guide patients through the health system and collaborate closely with physicians to ensure patients receive comprehensive timely care. Responsibilities include, but are not limited to: • Obtain prior authorizations, • Advocate for patients in insurance claims, • Referral processing, • Address in-basket messages, • Appointment scheduling, • Review of provider schedules, • Coordinate hospital admissions and/or proceduresSalary Range: $30.36-43.49 Hourly Qualifications Our ideal candidate will have strong background in authorizations, referral coordination, and direct collaboration with providers, ideally gained within a fast-paced medical setting, who can effectively navigate complex clinical environment. Required: • Skill in setting priorities which accurately reflect the relative importance of job responsibilities., • Ability to establish and maintain productive working relationships with Faculty, Staff, Administration and patients from various social, cultural and economic backgrounds., • Ability to creatively integrate competing demands into a productive working environment., • Skill in verbal communications to clearly convey complex problems in both formal and informal situations., • Experience with medical insurance and authorization/referral processing., • Experience working with in-baskets., • Knowledge of specific specialty practice and/or large medical institutions.

Dick's Sporting Goods - - Responsibilities: Greet customers and proactively assist athletes to understand their needs; Assist with unloading trucks and processing freight; Execute transfers, RTVS, claims, freight processing, etc.Maintain merchandising and presentation standards in the store; Keep b

Be a part of the newest luxury hotel in downtown LA,Conrad Los Angeles ()! As part of the billion-dollar project,The Grand LA (), this is the 7thConrad Hotel in the U.S. and the 1stin California. Located in Downtown LA's cultural corridor, Conrad Los Angeles is the city's newest luxury destination, featuring over 300 rooms, a world-class spa, a 16,000-square-foot rooftop pool deck, 12,000 square feet of event space, and three dynamic dining experiences-including our signature restaurant, San Laurel, all in partnership with Chef Jose Andres' award-winning restaurant group, JoseAndresFoodGroup () . Want to get an inside look? Take avirtual tour (). In this role as the Assistant Director of Human Resources you would be responsible for assisting the Director in the direction of administration of the Human Resources function in the hotel's continuing effort to deliver outstanding guest service and financial profitability. The ideal candidate will have a minimum of (3) years of experience in Human Resources management/leadership role. Experience managing a union property and experience with mediations &arbitrationsis required. Luxury hospitality is preferred. A high school diploma or equivalent is required, a 4 year college degree is preferred. Considerable knowledge of Federal/State labor laws including but not limited to FMLA/CFRA/ADA as it pertains to leave of absence and reasonable accommodations. Working knowledge of Federal and local regulations relating to OSHA and worker's compensation. Ability to supervise/direct both subordinates and non-subordinate personnel. Must be able to manage conflict and problem resolution, conduct investigations, and manage the hotel's employee relations programs. Ability to speak, read, and write Spanish preferred. What will I be doing? • Assist in overseeing, administering and communicating pertinent information regarding all Human Resources functions to include, but not limited to, recruiting, training and development, wage/benefit administration, compliance with statutory requirements, team member relations, labor relations and contract compliance, performance evaluations, workers compensation and safety, employment processes and general leadership guidance and support, • Manage and supervise the daily activities of the Human Resources department, Manage relations with union representatives., • Manage workers compensation program., • Manage and leaves of absences, FMLA ,and personal leaves., • Participate in and facilitate meetings and monitor and develop team member performance to include, but not limited to, providing supervision and professional development, conducting counseling and evaluations and delivering recognition and reward, • Lead the hotel quality initiative, as needed., • Manages conflict and problem resolution, conduct investigations and leads all Team Member relations., • Ensure Affirmative Action Plan compliance by training management on the hotels goals and interview and selection methods., • Leads the hotel's quality program which involves a complete understanding of the standards and reporting format as well as the creation/design of related training and incentive programs to encourage consistent guest service by all team members. Analyzes reports to determine areas where continuous improvement methods can best be utilized., • Manages the hotel's employee relations programs, including picnics, holiday parties, health fairs, employee communication sources, etc. and coordinates and directs staff through detailed oral and written instruction to facilitate successful completion of all related events/programs. Designs and implements new programs as may be needed for special promotions, events, or programs (e.g. safety, Olympics, blood drives)., • Oversee the overall function of TMX HRIS System including, but not limited to all PAF data entry, separations, report generating, and other related functions. Responds to and negotiates on behalf of the hotel, all claims for unemployment., • Supervises departmental and hotel staff regarding all issues relating to worker's compensation to endure minimum exposure by the hotel to related expenses., • Assists in or prepares periodic reports relating to the Human Resources function (e.g. EEO, labor turnover, payroll analysis, operational budget) through the use of a moderately complex computer system and written reports., • Assists in the recruitment, selection and training of new personnel, utilizing internal and external sources/programs to attract and train qualified candidates., • Assist in the administration of all employee benefit programs, assuring timely processing of all related claims and employee awareness of available benefits., • Assist Training Manager in the development of all hotel personnel by developing or using predetermined programs and/or instruction staff in the skills and techniques required to perform their job in accordance to the standard determined by the corporation or the hotel. Since being founded in 1919, Hilton has been a leader in the hospitality industry. Today, Hilton remains a beacon of innovation, quality, and success. This continued leadership is the result of our Team Members staying true to our Vision, Mission, and Values. Specifically, we look for demonstration of these Values: • Hospitality - We're passionate about delivering exceptional guest experiences., • Integrity - We do the right thing, all the time., • Leadership - We're leaders in our industry and in our communities., • Teamwork - We're team players in everything we do., • Ownership - We're the owners of our actions and decisions., • Quality, • Productivity, • Dependability, • Customer Focus Hilton is the leading global hospitality company, spanning the lodging sector from luxurious full-service hotels and resorts to extended-stay suites and mid-priced hotels. For nearly a century, Hilton has offered business and leisure travelers the finest in accommodations, service, amenities and value. Hilton is dedicated to continuing its tradition of providing exceptional guest experiences across itsglobal brands (). Our vision "to fill the earth with the light and warmth of hospitality" unites us as a team to create remarkable hospitality experiences around the world every day. And, our amazing Team Members are at the heart of it all! The Benefits - Hilton is proud to have an award-winning workplace culture ranking#1 Best Company To Work For in the U.S.We support the mental and physical wellbeing of all Team Members so they can Thrive personally and professionally in a diverse and inclusive environment, thanks to innovative programs and benefits.Hilton offers its eligible team members a comprehensive benefits package including: • Access to your pay when you need it through DailyPay, • Medical Insurance Coverage - for you and your family, • Mental Health Resources, • Best-in-Class Paid Time Off (PTO), • Go Hilton travel discount program, • Supportive parental leave, • Matching 401(k), • Employee stock purchase program (ESPP) - purchase Hilton shares at 15% discount, • Debt-free education: Access to a wide variety of educational credentials (ex. college degrees, high school completion, English-language learning, digital literacy, professional certificates and more), • Career growth and development, • Team Member Resource Groups, • Recognition and rewards programs, • Available benefits may vary depending upon property-specific terms and conditions of employment and the terms of the collective bargaining agreement if applicable. The annual salary range for this role is $105,000 - $115,000 and is based on applicable and specialized experience and location. We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. Job: Human Resources Title: Assistant Director of Human Resources - Conrad Los Angeles Location: null Requisition ID: HOT0CG55 EOE/AA/Disabled/Veterans

Lead Authorization Technician Job Category: Administrative, HR, Business Professionals Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12979 Salary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Lead Authorization Technician is responsible for assisting the UM Manager to develop a successful and cohesive unit, with high level of productivity to achieve the department's overall performance metrics. The position supports the UM Manager by serving as a department and staff resource in managing day to day referral management, information system/technology and operational issues. The position is responsible for monitoring the daily UM inventory reports/staff queues and ensuring cases are processed within the established timeframe requirements. The position also assists in triaging identified issues, resolving applicable issues and escalates appropriate issues to UM Manager. The position also acts as a point person for ad hoc projects involving other departments such as Claims and Member Services. The Lead Authorization Technician supports the UM Specialist by handling all administrative functions of the authorization process including intake, logging, tracking and status follow-up. The Lead Authorization Technician is responsible for making significant contributions to development and deliver proactive innovative service approaches, which will contribute to high member and provider satisfaction. In addition, the lead will support the UM Manager and Medical Management Training and Compliance Specialist with analysis of internal audits to identify training opportunities. Responsible for the daily workflow and leading the work of assigned staff. This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff. Duties Functional Elements: Maintenance and review of daily UM Open and Census reports: First-level triage of issues identified by Authorization Technicians. Technical Support to UM Specialist: Processing of time sensitive authorization and pre-certification requests to meet department timeframes and regulatory requirements; Computer Input; Accurately and completely processing referrals/authorizations in the MHC system and distributing a complete file to UM Specialist within 2 hours of receipt; Identify duplicate requests using the claims and CSIM system to verify existing authorization. Independently identifying and appropriately returning to claims or member services any file that is a duplicate to one already processed in the system; Appropriately documenting what information was used in making this determination. Within 4 hours of receipt; Appropriate identification and timely notification of time sensitive requests: Appropriately identifying for the staff which you support; request that are priority based on date of receipt and established TAT criteria for compliance; Accurate Filing/Maintenance of confidential member information. Creating secure, complete, files; Develop reports as required; analyzes results; formulate recommendations. (30%) Functions as the lead of all authorization technician staff in UM referral management responsible for daily operational activities, including staffing, productivity, and work quality. Contributes to the hiring decisions, coaching and counseling and performance evaluation of assigned staff. Manages complex projects, engaging and updating key stakeholders, developing timelines, leads others to complete deliverables on time and ensures implementation upon approval. (30%) Assist in the preparation of member and provider communications for referral determinations, including, but not limited to preparing template letters for members and providers (authorization approval, denial, deferral, modification and pay/education). (20%) Monitors the internal Member Services email communication and reports for urgent or unresolved member issues. (5%) Support UM Committee and Audit activity via Department performance reporting. (5%) Perform other duties as assigned. (10%) Duties Continued Education Required High School Diploma/or High School Equivalency Certificate Education Preferred Experience Required: At least 1 year of experience in managed care authorization processes and/or claims. At least 3 months of leading process, program, or staff experience. Skills Required: Knowledge of medical terminology and AMA coding process (ICD-10, HCPC and CPT codes). Strong verbal and written communication skills; computer literacy with proficiency with Microsoft Word, Excel, and Access. Excellent organizational skills. Adaptability to computer learning. Good interpersonal and time management skills. Must be detail-oriented and an enthusiastic team player. Ability to work independently. Ability to solve complex issues and identify creative solutions. Persuasion Skills: Must be able to interface with members, medical personnel and other internal and external agencies and sometimes convince/persuade others to comply with L.A. Care requirements such as submitting requested information in a timely manner. Also to use the approved referral request forms with complete medical information (i.e. DX codes, CPT, HCPC codes). Licenses/Certifications Required Licenses/Certifications Preferred Certified Medical Assistant (CMA) Medical Coding Certification Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including * Paid Time Off (PTO) * Tuition Reimbursement * Retirement Plans * Medical, Dental and Vision * Wellness Program * Volunteer Time Off (VTO)

Director, Configuration Job Category: Management/Executive Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $135,136.00 (Min.) - $175,676.00 (Mid.) - $216,218.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Director, Configuration develops and leads the strategy, execution, and continuous enhancement of authorization, benefit, pricing, provider, and configuration governance framework across L.A. Care's core administrative platforms (QNXT) and associated tools. This position ensures that configuration is accurate, efficient, and designed to function as a preventative control mechanism mitigating downstream defects by strengthening upstream processes, validating requirements, and building predictable, repeatable system behaviors. The Director oversees the full configuration life cycle – from impact assessment and requirements analysis through design, build, testing, and post-implementation validation, ensuring that changes are implemented with discipline and high reliability. The Director partners closely with cross-functional teams and other operational departments to ensure configuration supports a high-performing claims environment with strong control points, reduced rework, and timely, accurate adjudication. The Director is responsible for directing all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports. Develops strategic plans, drives change and influences critical business outcomes. The Director drives skill development, accountability, and operational consistency within the team. This position also serves a key role in supporting enterprise initiatives that require coordinated, scalable, and well-governed configuration changes. Duties Develops, and implements standards, quality gates and governance frameworks. Ensures that the core system configuration is executed with rigor, transparency, and precision. Strengthens upstream quality and operational readiness by leading disciplined change processes, anticipating downstream impacts, and establishing a consistent framework that reduces defects, improves accuracy, and enhances the reliability of the claims environment. Through active planning, structured governance, and strong cross-functional partnerships, ensures configuration supports a more standardized, predictable, and efficient operational ecosystem. Oversees the end-to-end configuration life cycle including analysis, requirements validation, design, build, testing, migration, and post-deployment monitoring. Establishes standardized processes, documentation requirements, and quality gates to ensure accuracy, traceability, and reliable execution of configuration changes. Ensures configuration solutions support accurate adjudication and align with operational needs, regulatory requirements, and enterprise readiness. Leads development and maintenance of configuration standards, controls, and governance frameworks that promote consistency and reduce manual rework. Collaborates with cross functional teams on configuration priorities, impacts, and implementation timelines. Partners in configuration quality assurance (QA) activities to validate accuracy, completeness, and compliance with internal standards and regulatory expectations and to ensure clarity of requirements, appropriate test scenarios, and full understanding of configuration logic. Supports operational readiness by coordinating clarification, defect research, requirement updates, and post-deployment validation support. Ensures configuration work meets established quality gates. Leads issue identification and root-cause analysis for configuration-related errors, ensuring sustainable upstream fixes. Establishes and monitors process-level controls that prevent recurring defects and improve configuration accuracy over time. Tracks and trends configuration errors, collaborating on remediation planning, systemic improvements, and prevention strategies. Duties Continued Oversees benefit configuration, pricing methodologies, provider reimbursement logic, and other adjudication rules requiring technical precision. Ensures configuration environments support stable performance, controlled releases, and effective integration with system enhancements and updates. Partners with key stakeholders to support migrations, module updates, automation opportunities, and system changes that strengthen functional performance. Develops goals, objectives and actions plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees. Foster and promote a culture of transparency, continuous improvement, accountability, and shared ownership of enterprise goals. Develops, and manages budgets, utilizing resources effectively. Conducts strategic planning to utilize resources in order to meet current and future departmental and Enterprise-wide goals. Identifies and actualizes enhancements to support company vision. Develops and maintains relationships with key stakeholders. Leads discussions on policy operationalization and oversees key policy perspective sharing. Leads, trains, and develops staff, ensuring technical competence, consistency, and high-quality execution. Fosters a culture of proactive issue identification, cross-functional communication, accountability, transparency, and continuous operational improvement. Performs other duties as assigned. Education Required Bachelor's Degree In lieu of degree, equivalent education and/or experience may be considered. Education Preferred Master's Degree in Business Administration or Related Field Experience Required: At least 7 years of experience in a system configuration or managed care operations involving core administrative platforms (e.g. Cognizant QNXT). At least 5 years of experience leading, supervising and/or managing staff in technical or operational environments. Significant experience configuring benefits, pricing methodologies, provider payment logic, and related adjudication rules. Extensive knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD)-10, DRG/ Ambulatory Payment Classification (APC), and pricing methodologies. Advanced knowledge of and experience with American Health Information Management Association (AHIMA) coding standards. Knowledge of and experience with utilizing Systems Development Life Cycle (SDLC), configuration change management methodologies, testing protocols, document standards, and best practices. Experience supporting audits, corrective actions, and regulatory reviews. Skills Required Strong interpersonal leadership skills and an ability to motivate and develop talent while driving accountability. Extensive understanding of the application of the Division of Financial Responsibility (DoFR) to claims processing. Knowledge of SDLC procedures in planning system configuration changes (i.e., use of rigorous documentation, testing and quality assurance protocols prior to deployment of changes into production). Advanced knowledge of standard programming and logic to facilitate the maintenance of system configuration files and tables, along with supporting documentation. Strong ability to translate regulatory requirements and operational needs into clear, accurate system configuration. Exceptional analytical, planning, organization, and communication skills. Exceptional presentation skills, written and verbal communication skills, including executive communication skills with the ability to produce audit-ready documentation. Proficiency with Microsoft Office and data/reporting tools. Demonstrated ability to think long-term and develop strategies that align with the overall goals of the organization. Demonstrated ability to make sound and timely decisions. Demonstrated ability to adapt to changing situations and adjust strategies accordingly. Demonstrated ability to adapt to a fast-paced and evolving environment and to lead others through change. Excellent interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment. Excellent ability and knowledge in analyzing data, identifying problems, and making informed decisions, often in complex or ambiguous situations. Licenses/Certifications Required Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description The Bodily Injury Team Leader will manage a team of attorneyrepresented bodily injury adjusters supporting our West Coast claims operations. This role requires availability during Pacific Time Zone business hours. The Team Leader is responsible for delivering exceptional claims and inquiry experiences for our Agents through chatbased services, while effectively leading, motivating, and developing a team of 10-15 adjusters or vendor partners. This role plays a key part in executing operational initiatives that support Claim, Discipline, Claims Service Area (CSA), and broader company business objectives. Key responsibilities include developing and executing strategies to drive strong employee performance and consistent, expert claims handling; monitoring staffing levels and workloads; providing coaching and mentoring; and participating in performance management and reviews. The Team Leader also addresses escalated customer situations, supports unit goalsetting, and fosters a highperformance, collaborative culture. • Frequently participates in special projects as a subject matter expert, • Manages and oversees performance of vendors, • Oversees response to highly complex arbitrations contentions, • Oversees the negotiation of highly complex claim settlements, • Oversees the resolution of highly complex customer conflicts or issues, • Analyzes unit reports and supports the achievement of business unit objectives, • Defines, analyzes, and tracks department, section, and/or unit measures, • Reviews employee work quality and interactions with customers through conducting ride-alongs or sit-alongs and file reviews Skills Claims Operations, Claims Processing, Claims Settlement, Conflict Management, Customer Service, Employee Supervision, Insurance Claims, Negotiation, People Management, Written Communication Compensation Additional Job Description Base compensation offered for this role is: Team Lead I: $68,500.00 -- $104,100.00 Team Lead II: $70,100.00 -- $110,400.00 Associate Manager: $80,000.00 -- $124,600.00 Compensation is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role. Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click "___" for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click "___" for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the "EEO Know Your Rights" poster click "___". This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click "___". This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A- (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Companies & Partners Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits National General Holdings Corp. is an Equal Opportunity (EO) employer - Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

Job Description JOB SUMMARY Our banking partner in the West LA area is seeking Commercial Bank Teller to join their team. This position would facilitate member services and provide customer service to all branch clients, assisting them with account servicing and transactional needs. Additional duties include promotion and cross-selling of bank products and services, and candidates would provide support to other Branch and Department team members as needed to perform other duties and functions as assigned. Contract-to-Hire, benefits include 401k and PTO upon conversion to permanent! $25 - $33/hr Based on Experience Monday - Friday 8:30am - 5:30pm ESSENTIAL DUTIES AND RESPONSIBILITIES: • Promote bank products and services when possible, actively identifying opportunities to cross-sell bank products and services., • Provide AMAZING customer experience to all branch clients., • Ensure customer problems and complaints are handled professionally, effectively, maintained at a minimum level, and resolved at the branch level to the customer’s satisfaction., • Able to perform all transactions necessary to meet customer needs, including servicing accounts and all teller functions:, • Client transaction processing, • Debit card ordering and servicing, • Online banking setup and servicing (as applicable), • Printed check orders, • Branch cash ordering and shipping (as applicable), • Branch Certifications (as assigned), • Stop payments, • Holds, • Reg. E Claims, • Safe Deposit Box opening, closing and servicing (as assigned), • Demonstrated proficiency and understanding of all compliance regulations in support of servicing accounts, superseding accounts, and proper account titling and ownership, to mitigate risk to the bank:, • Bank Secrecy Act, • Customer Information Program, • Beneficial Ownership, • Office of Foreign Asset Control, • Trust Account documentation, • Fiduciary Account documentation, • Timely participation in ongoing training and receipt of satisfactory ratings on all regulatory compliance audits., • Adherence to the reporting and recordkeeping requirements of the Bank Secrecy Act, Anti-Money Laundering laws, OFAC, and CIP rules and regulations., • Adherence to all policies and procedures as they relate to all other regulatory compliance laws and regulations., • Handle complex or non-routine operational issues independently when possible, however recognizing when management support is required., • Ensure the office is operating in a safe and effective manner., • Reliable and regular attendance on the job., • Other duties as assigned. REQUIRED SKILLS AND ABILITIES: Knowledge/Skills/Abilities • Computer skills to include use of Microsoft Office products and other programs as required., • Strong mathematical ability., • Strong analytical skills., • Excellent oral and written communication skills., • Outstanding interpersonal skills., • Effective time management and organizational skills., • Attention to detail and follow through., • Ability to interact with coworkers, follow directions including established bank procedures, and accept constructive feedback., • Working knowledge of all bank products and systems enabling cross-selling of bank products to a diverse client base., • Thorough understanding of banking rules and regulations, especially BSA., • Ability to count cash accurately. Education/ Licenses/ Work Experience • High school diploma or GED equivalent required., • Six months’ branch banking experience preferred., • Commercial banking experience preferred, • Minimum six months’ cash handling experience required.Company DescriptionMarquee Staffing has built a reputation on expert local market knowledge, unparalleled personalized service and the ability to deliver winning candidates and job opportunities. Marquee operates offices located conveniently throughout Southern California. Each branch is full-service, providing temporary, contract, contract-to-hire and direct placement services for a diverse set of clients. Each branch has recruiters who specialize in key industries, ensuring that our clients get the best match possible for each open position and that our candidates get expert guidance in their career path. Apply with us today!Marquee Staffing has built a reputation on expert local market knowledge, unparalleled personalized service and the ability to deliver winning candidates and job opportunities.\r\n\r\nMarquee operates offices located conveniently throughout Southern California. Each branch is full-service, providing temporary, contract, contract-to-hire and direct placement services for a diverse set of clients. Each branch has recruiters who specialize in key industries, ensuring that our clients get the best match possible for each open position and that our candidates get expert guidance in their career path.\r\n\r\nApply with us today!