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Essential Functions • Assesses participant's physical and functional needs, along with psychosocial status and needs, home safety, family caregiver burden, etc utilizing professional knowledge, skills of observations and interviewing skills., • Completes assessment documents including UAS, problem lists and interventions and other documentation required for appropriate data collection and analysis as part of a quality assessment and performance improvement program., • Develops and implements the home care components and works with other team members to develop a comprehensive Interdisciplinary team plan of care based on the needs of participant and caregivers, and goals mutually acceptable to the participant/family and significant others., • Monitors effectiveness and outcomes regularly and keeps the team informed as to participant progress and level of need. Remains alert to pertinent input from other team members, participants and family members/caregivers. Reviews and revises goals and approaches to member/ family care in coordination with interdisciplinary team members., • Provides initial home care assessments of new members enrolled in the program, and reassesses at appropriate intervals according to PACE standards and the individualized needs of each participant in coordination with the IDT. Completes NYS required assessment tools according to the schedule planned by the IDT, • Communicates with primary care providers and center nurses as needed to coordinate medication, ancillary tests and functions such as home blood draws as needed, • Directs the provision of personal care, nursing rehabilitation tasks and other work of Home Health Aides and Geriatric Caregivers in the home., • Coordinates the medication delivery and administration processes for participants requiring assistance at home., • Coordinates with the Primary Care team on obtaining of Advance Directives; educates member/ family on their right to develop Advance Directives which may include Health Care Proxy, Living Will, DNR, Durable Power of Attorney and/or Burial Plans., • Educates and assesses the participant /family understanding of nursing needs and their capabilities for self care or family completion of allowable nursing tasks., • Documents changes in the participant's condition and details care provided by completing all required PACE documentation and ensuring compliance to Agency standards and policies., • Travels to patients' homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the participant as appropriate within the regulations., • Manages home care nursing planning for a caseload of participants. Maintains productivity sufficient to meet program goals., • Assists the interdisciplinary team members including the physician, as appropriate, in understanding the significant nursing, self care and functional needs related to the participant's health problems., • Utilizes appropriate community resources and serves as a liaison between the program and other community agencies., • Provides nursing services in accordance with NYS Department of Education requirements and nursing scope of practice, agency policies, practices, and procedures., • Assumes responsibility for continued professional growth, such as in-service programs, • Participates in selected programs with community agencies., • Regularly informs the interdisciplinary team of the medical, functional, and psychosocial condition of each participant., • Remains alert to pertinent input from other team members, participants and caregivers., • Documenting changes of a participant's condition in the participant's medical record consistent with documentation policies established by the medical director, • Participates in PACE and ArchCare Senior Life meetings including but not limited to, interdisciplinary team meetings, family meetings, staff meetings, in-service and training programs, rehab services meetings and Quality Improvement activities., • Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities, • Performs other related duties, as required, • Meet a standardized set of competencies for the specific position description established by the PACE organization and approved by CMS before working independently

• Provides initial and ongoing participant assessment, care plan development implementation of care plan for participants living in community, congregate, adult home or skilled nursing facility settings., • Responsible for full assessment of participants including obtaining health records, performing physical and mental evaluations, evaluating diagnostic tests, and reporting findings and identifying status changes., • Performs complete analysis and assessments of participants including recognizing abnormal findings in testing, exercising clinical judgement and interpreting screenings and other diagnostic tests in accordance with medical standards of care., • Monitors ongoing and chronic health problems, anticipating needs and in collaboration with physicians, prescribes and adjusts medication within current practice guidelines and notifies appropriate teams., • Appropriately orders consultations with specialists as indicated, outreaches to consultants to request specific goals, reviews recommendations from consultants, takes action as clinically appropriate, and documents timely., • Provides ongoing education, counseling and guidance with participants and families including goals of care and participates in family meetings., • Monitors care and evaluates effectiveness of individual care plans while making appropriate revisions and notifying family and caregivers, • Functions as a member of the interdisciplinary team and participates in development of comprehensive plan of care and ongoing monitoring of participants' health status., • Participates in clinical administrator on-call rotation., • Documents in a timely fashion consistent with CMS standards in ASL EMR., • Travels to participant homes and their congregate homes and/or facilities to help bridge care in the community., • ANCC Certification, • Current NY State RN License and Advanced Practice Nurse Prescriber License, • Ability to travel to additional facilities as needed Education: • Master's degree in nursing with completion of accredited program for Nurse Practitioners

Overview Leads interdepartmental Quality Improvement (QI) initiatives focused on promoting high-quality, safe, and equitable member care. Serves as a clinical and operational resource to QI committees, workgroups, and leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify opportunities for improvement in care coordination, quality, and member experience. Designs, implements, and evaluates QI programs aligned with DOH, CMS, and NCQA standards. Collaborates across departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous improvement, advance health equity, and ensure regulatory readiness. What We Provide * Referral bonus opportunities * Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays * Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability * Employer-matched retirement saving funds * Personal and financial wellness programs * Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care * Generous tuition reimbursement for qualifying degrees * Opportunities for professional growth and career advancement * Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do • Conducts clinical assessment including and not limited to, medication reconciliations, post-discharge transitions of care assessment and follow-up post emergency department assessment, • Collaborates across departments to ensure compliance with DOH, CMS, and NCQA requirements. Coaches teams in applying continuous improvement methodologies (PDSA, LEAN, RCA) to achieve strategic objectives and national benchmarks for quality, satisfaction, and cost. Partners with analytics and program teams to identify trends and address performance gaps., • Performs clinical reviews with network providers to validate diagnoses, address care gaps, and support accurate HEDIS/QARR documentation. Collaborates with providers to improve adherence to evidence-based care and quality measures., • Leads and participates in multidisciplinary QI teams and committees to design, implement, and evaluate improvement initiatives related to clinical performance, documentation, and regulatory compliance. Supports development of annual QI work plan, program evaluation, and performance reporting. Supports value-based programs through data review, gap identification, and provider feedback., • Performs medical record audits to evaluate adherence to documentation, coding, and quality standards. Provides education, feedback, and guidance to PCPs on VNS Health Medical Record Documentation Standards., • Conducts audits of patient care records to monitor care quality and documentation accuracy.. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review methodology., • Performs utilization and quality assessment reviews to maintain compliance with Federal and State regulatory requirements. Identifies & analyzes results to inform the development of correction plans., • Collaborates with management to develop measurable action plans based on root-cause analysis, outcome trends, and survey results (HEDIS, CAHPS, Stars). Presents recommendations to QI committees and leadership to drive improvement and accountability., • Participates in the preparation for and assists with site visits of external providers for the purpose of regulatory quality compliance., • Develops and disseminates training materials, clinical guidelines, and quality protocols to promote consistent evidence-based care across provider networks and internal teams. Provides education sessions and quality coaching as needed., • Conducts follow-up reviews and reassessments to ensure corrective actions for regulatory findings, complaints, or incidents are implemented effectively and sustained over time. Documents progress and escalates unresolved issues as appropriate., • Develops, maintains, and updates QI policies and procedures aligned with evolving regulatory and industry standards. Collaborates with analytics to collect, interpret, and share performance data with internal teams to drive transparency and accountability. Licenses and Certifications: • License and current registration to practice as a Registered Professional Nurse in New York State or New Jersey required Education: • Bachelor's Degree Nursing required Work Experience: • Minimum of three years experience in a health plan or health care, setting required, • Minimum of three years quality improvement experience preferred, • Minimum of one year experience, quality management, practice improvement and compliance preferred, • Demonstrated experience leading or facilitating cross-functional quality initiatives preferred, • Excellent oral, written and interpersonal communication skills, including group facilitation skills required, • Knowledge of basic Performance Improvement tools and methodologies (e.g., PDSA, LEAN, Six Sigma). preferred Pay Range USD $85,000.00 - USD $106,300.00 /Yr. About Us VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us — we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.

Company Overview: None Job Description: Senior Software Engineer Responsibilities: • Develop Profile DDA application features, fix bugs, collaborate with other developers and stakeholders., • Provide technical expertise regarding maintenance and support of all Profile environments; Development, QA, Release and Production., • Develop and amend Profile v6.2/AMR99 versions and PFW codes to support business requests for enhancements and new functionalities in all the 12 separate EMEA/AD instances., • Document all code changes and perform unit testing before any hand-over to testers (QA and Release/ Business)., • Conduct code reviews of development and code changes performed by other Profile support team members., • Review any new software (fixes or enhancements) delivered by the Profile vendor (FIS) prior to installation to check for quality and use of appropriate coding standards., • Support and perform maintenance and archiving of the Profile application databases and data., • Assist with Production support including, but not limited to, investigate any issues with payments or other details flowing from other systems to Profile and/or from Profile to other systems., • Assist in supporting key bank initiatives including, but not limited to ... 1) Profile Upgrade/Replacement - both Assessment/Discovery and Implementation efforts, 2) ACH Back Office, and 3) New Cash Management System Enhancements related to Profile/Deposit interfaces, 4) CMS Foreign Exchange enhancements, 5) Electronic Statement implementation, 6) Audit Requirements to enhance end-to-end automated interface controls and reconciliations, 7) Market Reference Data interfaces., • Conduct design workshops across for all applications involved in Profile enhancements, • Assist in supporting any other projects assigned to support testing, implement changes and system Production environments, and assist with Production support. Required Qualifications:, • Minimum of 5-7 years of experience in software development, with a focus on maintaining and enhancing legacy systems., • Specific experience with FIS Profile applications, particularly versions 6.2 and AMR99, is highly desirable., • Proficiency in MUMPS, PSL (Profile Scripting Language), and PowerBuilder., • Familiarity with development frameworks and tools such as Urban Code, Perforce, and ServiceNow., • Strong understanding of database management and the ability to support and maintain application databases., • Bachelor's degree in Computer Science, Information Technology, or a related field, or equivalent work experience., • Must be onsite at client in New York City, NY Preferred:, • Familiarity with the banking or financial services industry, particularly in relation to deposit applications and cash management systems, is a plus. About NTT DATA: NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com NTT DATA endeavors to make accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $80/hour. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits. #indist #li-northamerica

Location: Manhattan, NY (Hybrid: 2–3 Days Remote) Schedule: Monday – Friday, 9:00 AM – 5:00 PM (35 Hours/Week) Compensation: $30.00 – $45.00 / hour (DOE) Assignment Duration: 3 Months (Potential for extension) Start Date: April 6 We are seeking a sophisticated and highly organized Project Coordinator to provide mission-critical operational support for three premier research units: the AI Institute, the Quantum Institute, and the Geophysical Flows Institute. This is a high-visibility role requiring a professional who can manage complex administrative lifecycles, coordinate high-level faculty engagement, and maintain the digital presence of world-class research programs. * Executive Coordination: Manage complex, high-volume calendars for three Institute Directors; schedule cross-departmental meetings involving faculty and leadership from multiple university units. * Project Tracking & Follow-up: Serve as the "engine" for institute operations by tracking the status of ongoing research projects and ensuring all Director requests are executed with precision. * Global Logistics: Oversee all travel and residency arrangements for visiting scholars, including complex transit to and from the University. * Strategic Communications: Compose, customize, and proofread professional correspondence; handle sensitive administrative matters with total confidentiality and professional polish. * Digital Presence: Take ownership of the institute’s web pages, ensuring content is updated, accurate, and reflects current research initiatives. * Operational Management: Coordinate with administrators across various university units; manage the full range of clerical duties, including university form processing, file maintenance, and mail distribution. * Experience: 5+ years of experience as an Executive Assistant or Project Coordinator, preferably within a higher-education, legal, or research environment. * Education: Bachelor’s degree required; Graduate degree or JD a plus. * Technical Mastery: Advanced proficiency in Microsoft Office; experience with CMS (Web Updates) and project management software (Jira/Asana/Trello). * Soft Skills: A "consultative" approach to administration—someone who identifies blockers before they happen and provides solutions. What's in it for me? • Opportunity to work with premier research units and contribute to cutting-edge projects., • Engage in a dynamic, collaborative environment that values diversity and innovation., • Gain valuable experience supporting high-level academic and research leadership., • Participate in a role that offers professional growth and development opportunities., • Medical and Prescription Drug Plans, • Dental Plan, • Vision Plan, • Health Savings Account, • Health Flexible Spending Account, • Dependent Care Flexible Spending Account, • Supplemental Life Insurance, • Short Term and Long Term Disability Insurance, • Business Travel Insurance, • 401(k), Plus Match About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells. ManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands – Manpower, Experis, Talent Solutions, and Jefferson Wells – creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2023 ManpowerGroup was named one of the World's Most Ethical Companies for the 14th year - all confirming our position as the brand of choice for in-demand talent.

Who We Need HANGARFOUR, a creative service agency, seeks an energetic Account Executive to join our team. You will work closely with the Account Services and other teams to manage projects both internally and across a variety accounts, so you must be a collaborator, team-oriented, and passionate. This role sits within the Account Services team and reports to the VP, Account Services. Who We Are We are a creative agency called HangarFour within a big PR firm called DKC. But who we actually are is a scrappy, close-knit crew of multi-talented creatives who play a variety of roles. With us, the ability to step in and step up to make ideas happen is what makes us stand out to our clients and the industry. It is essential that you have that vision too. Oh yeah, and have a lot of fun! Job duties include: · Project management of DKC & HangarFour integrated and creative projects, including setting timelines, managing feedback with designers and communicating & coordinating between internal teams. · Writing creative briefs and participating in creative briefings, seeing projects through from production to final delivery of the creative. · Working alongside account and creative counterparts to manage website development process and ongoing website CMS updates and maintenance. · Prioritizing daily/weekly workflow, with an understanding of how projects fit into larger objectives and account deliverables. · Assisting with budget management and client billing to ensure all projects are invoiced accurately and timely. · Working alongside and supporting account team to assist in day-to-day management of accounts. Tasks include: scheduling meetings, organizing meetings agendas and notes, briefing creative projects, providing timelines and status updates to internal teams and clients, and managing deadlines · Overseeing vendors to manage all estimates for printing, collateral and other forms of production. Skills and experience required: · Candidates must have a 4-year degree, and at least 4 years of marketing or advertising agency experience in a project management or account services role. Experience managing creative projects is essential! · Additional experience managing digital and web projects and proficiency in WordPress is preferred · A quick learner who strives to go above and beyond with a positive, can-do attitude · Highly organized and detail-oriented · Exceptional time management and prioritization skills · Creative, assertive and solution-oriented when faced with difficult challenging directives This role has tremendous growth potential and the ability to contribute to the overall growth and creativity of the agency. The ideal candidate must possess an entrepreneurial spirit, creative thinking, a nurturing personality and like getting their hands dirty.

Who We Need HANGARFOUR, a creative service agency, seeks an energetic Senior Account Executive to join our team. You will work closely with the Account Services and other teams to manage projects both internally and across a variety accounts, so you must be a collaborator, team-oriented, and passionate. This role sits within the Account Services team and reports to the VP, Account Services. Who We Are We are a creative agency called HangarFour within a big PR firm called DKC. But who we actually are is a scrappy, close-knit crew of multi-talented creatives who play a variety of roles. With us, the ability to step in and step up to make ideas happen is what makes us stand out to our clients and the industry. It is essential that you have that vision too. Oh yeah, and have a lot of fun! Job duties include: · Acting as day-to-day contact for key clients and managing deadlines and projects across the wider agency team · Managing campaign budgets and client billing to ensure all projects are invoiced accurately and timely · Collaborating with team leads to develop and deliver account strategy and KPIs · Project management of DKC & HangarFour integrated and creative projects, including setting timelines, managing feedback with designers and communicating & coordinating between internal teams. · Writing creative briefs and participating in creative briefings, seeing projects through from production to final delivery of the creative. · Experience managing website projects and handling website maintenance is preferred. Must have past experience updating website CMS, such as WordPress. · Prioritizing daily/weekly workflow, with an understanding of how projects fit into larger objectives and account deliverables. · At times, working alongside the team to assist in day-to-day management of accounts. Tasks include: scheduling meetings, organizing meetings agendas and notes, briefing creative projects, providing timelines and status updates to internal teams and clients, and managing deadlines · Overseeing vendors to manage all estimates for printing, collateral and other forms of production. Skills and experience required: · Candidates must have a 4-year degree, and at least 4 years of marketing or advertising agency experience in a project management or account services role. Experience managing creative projects is essential! · Experience managing digital and web projects, and proficiency in WordPress · A quick learner who strives to go above and beyond with a positive, can-do attitude · Highly organized and detail-oriented · Exceptional time management and prioritization skills · Creative, assertive and solution-oriented when faced with difficult challenging directives This role has tremendous growth potential and the ability to contribute to the overall growth and creativity of the agency. The ideal candidate must possess an entrepreneurial spirit, creative thinking, a nurturing personality and like getting their hands dirty. At DKC, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are proud to be an equal opportunity employer and value diversity at our agency. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Who We Need HANGARFOUR, a creative service agency, seeks an energetic Senior Account Executive to join our team. You will work closely with the Account Services and other teams to manage projects both internally and across a variety accounts, so you must be a collaborator, team-oriented, and passionate. This role sits within the Account Services team and reports to the VP, Account Services. Who We Are We are a creative agency called HangarFour within a big PR firm called DKC. But who we actually are is a scrappy, close-knit crew of multi-talented creatives who play a variety of roles. With us, the ability to step in and step up to make ideas happen is what makes us stand out to our clients and the industry. It is essential that you have that vision too. Oh yeah, and have a lot of fun! Job duties include: · Acting as day-to-day contact for key clients and managing deadlines and projects across the wider agency team · Managing campaign budgets and client billing to ensure all projects are invoiced accurately and timely · Collaborating with team leads to develop and deliver account strategy and KPIs · Project management of DKC & HangarFour integrated and creative projects, including setting timelines, managing feedback with designers and communicating & coordinating between internal teams. · Writing creative briefs and participating in creative briefings, seeing projects through from production to final delivery of the creative. · Experience managing website projects and handling website maintenance is preferred. Must have past experience updating website CMS, such as WordPress. · Prioritizing daily/weekly workflow, with an understanding of how projects fit into larger objectives and account deliverables. · At times, working alongside the team to assist in day-to-day management of accounts. Tasks include: scheduling meetings, organizing meetings agendas and notes, briefing creative projects, providing timelines and status updates to internal teams and clients, and managing deadlines · Overseeing vendors to manage all estimates for printing, collateral and other forms of production. Skills and experience required: · Candidates must have a 4-year degree, and at least 4-5 years of marketing or advertising agency experience in a project management or account services role. Experience managing creative projects is essential! · Experience managing digital and web projects, and proficiency in WordPress · A quick learner who strives to go above and beyond with a positive, can-do attitude · Highly organized and detail-oriented · Exceptional time management and prioritization skills · Creative, assertive and solution-oriented when faced with difficult challenging directives This role has tremendous growth potential and the ability to contribute to the overall growth and creativity of the agency. The ideal candidate must possess an entrepreneurial spirit, creative thinking, a nurturing personality and like getting their hands dirty. At DKC, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are proud to be an equal opportunity employer and value diversity at our agency. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Job Summary: This position is responsible for directing the overall functions of claims processing, including claims adjudication, provider relations, data analysis, reporting and process improvement. Provides oversight and supervision of the claims team. Essential Functions • Responds to complaints in a prompt and professional manner and deploys effective service recovery strategies to resolve the issue. Escalates unresolved complaints when appropriate., • Direct and coordinate the activities of claims and data entry areas including direct supervision of subordinates and the implementation of employment issues., • Maintenance of a working knowledge of Management Information System and the coordination of required software enhancements for efficient claims processing., • Assisting in the development and implementation of departmental policies and procedures, • Assurance of appropriate level of staff training, • Monitoring and documenting processing accuracy and productivity levels, • Preparing, submitting and monitoring various reports as required, • Oversee Medicare audit preparation, submission, and response processes, ensuring compliance with CMS regulations., • Review, track, and manage Medicare audit findings, coordinating corrective action plans and validation activities., • Ensure accurate Medicare coding, documentation integrity, and adherence to billing rules to minimize audit risk., • Responsible for managing and responding to claim appeals, including Medicare-related appeals, ensuring timely and accurate resolution., • Establishing department audit process and payment integrity, • Perform any other job related duties as requested. Education and Experience • Associates in business or related field required, • Bachelor's degree preferred, • Equivalent years of relevant work experience may be accepted in lieu of required education, • Five (5) years of healthcare claims experience required, • Previous financial experience in MLTC preferred, • Three (3) years Previous leadership experience required, • Experience with Medicare coding standards (ICD-10, CPT, HCPCS) and Medicare audit processes required Competencies, Knowledge and Skills • Advanced proficiency in Microsoft Word, Excel, and PowerPoint, • Data analysis and trending skills, • Experience in staffing and forecasting (preferred), • Understanding of managed care claims operations, • Knowledge of coding and billing processes (CPT, ICD-9, HCPCS), • Strong communication and negotiation skills, • Strategic and executive management abilities, • Supervisory and leadership experience, • Ability to work independently and collaboratively, • Attention to detail and critical thinking, • Familiarity with the healthcare field, • Technical writing and proper grammar usage, • Effective time management and decision-making skills, • Customer service orientation and proper phone etiquette Licensure and Certification • Medical Coding or billing certification preferred Working Conditions • General office environment; may be required to sit or stand for extended periods of time, • Travel is not typically required

Physician Affiliate Group of New York (PAGNY) and the Office of Medical and Professional Affairs at NYC Health + Hospitals/Kings County is seeking an Associate Director, Patient Safety and Risk Management. Located in the heart of Brooklyn, Kings County Hospital accommodates more than 518,076 outpatient visits, more than 141,328 emergency room visits, 627 beds, and more than 25,000 inpatient admissions annually. The hospital maintains a strong academic affiliation with SUNY Downstate Health Sciences University to maintain its high standards of healthcare delivery. The Mission of NYC Health + Hospitals is to extend equally to all New Yorkers, regardless of the ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect. Their Values are built on a foundation of social and racial equity and have established the ICARE standards for all staff. NYC Health + Hospitals is the nation’s largest municipal healthcare delivery system in the United States. Dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, regardless of immigration status or ability to pay. Opportunity Details: • Senior level leadership position., • Manage the provision of patient care to an ethnically and socially diverse patient base., • Support the CMO in ensuring that standards, protocols, leadership, and direction exist to provide the highest quality of care possible to patients., • Assess and upgrade existing medical care standards., • Provide management, leadership, and coaching to all medical staff., • Work with operating and executive team members to implement new operating processes and systems., • Serve as executive sponsor to Root Cause Analysis (RCA) activities and execution of Corrective Action Plans (CAPs) and Risk Reduction Strategies (RRS)., • Oversee Hospital Ethics., • Direct oversight of the Hospital Peer Review Committee. Qualifications: • Board Certification in a medical specialty., • Physician (MD or DO) with an active New York State Medical License., • At least 5 – 10 years of experience providing medical direction and supervision to teams of medical staff., • Must have experience developing and implementing standards of care, medical protocols, quality assurance standards and monitoring, and professional training and education., • Must have experience implementing new clinic operating processes and systems aimed at improving efficiency., • Strong leadership and change management skills., • Understanding of regulatory and accreditation requirements, including but not limited to DOH, CMS, TJC, etc., • Understanding of legal issues, medical malpractice, and patient safety issues related to the delivery of healthcare., • Working knowledge of current hospital policies and procedures., • Ability to identify areas that require further research based upon organizational trends and activities., • Ability to nurture an environment that encourages teamwork and collaboration, both internally and externally. Wages and Benefits include: Annual Base Salary: $325,000* based on a 40-hour work week. The annual total value of compensation package is estimated at $357,500**, which includes the baseline salary, 401(k) contribution, and other factors as set forth below: • 401(k) Company Contribution (subject to IRS contribution limits):, • Employees are immediately vested in a 3% company contribution of base earnings. No employee match is required., • After one year of service, employees receive an additional 7% company contribution of base earnings. No employee match is required., • Annual Continuing Medical Education (CME) Reimbursement., • Generous Annual Paid Time Off (PTO): Vacation, Sick, Holiday, and CME days., • Medical, Prescription, and Dental Coverage: Top-tier plans with employee contributions significantly below market rates., • Life Insurance and Accidental Death and Dismemberment (AD&D) Coverage: Equal to 2x your salary (up to a maximum of $300,000) provided at no cost to you., • Additional employee-paid Voluntary Life and AD&D coverage is available for you and your family., • Medical Malpractice Coverage (equivalent to occurrence-based): Provided at no cost to the employee., • Healthcare and Dependent Care Flexible Spending Accounts (FSAs)., • Pre-tax employee-paid contributions for commuting expenses. Physician Affiliate Group of New York, P.C. (PAGNY) mission is to provide accountable, responsive, quality care with the highest degree of sensitivity to the needs of the diverse population that lives in our New York community. PAGNY is one of the largest physician groups in the country and directly employs nearly 4,000 physicians and allied health professionals who provide services to NYC Health + Hospitals, the largest municipal health care system in the nation serving more than a million New Yorkers annually. Our providers are highly skilled professionals with outstanding credentials who deliver the highest level of quality healthcare to patients throughout New York City. Physician Affiliate Group of New York, P.C. (PAGNY) is an equal opportunity employer committed to equitable hiring practices and a supportive workplace. All candidates are considered based on their individual qualifications, potential, and experience. To learn more about our culture and ongoing workplace practices, please visit our Workplace Culture | PAGNY page. *Salary Disclosure Information: The salary listed for this position complies with New York City's Salary Transparency Law for Job Advertisements. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, or benefits. Actual total compensation may vary based on factors such as experience, skills, qualifications, historical performance, and other relevant criteria. **The annual total value of the compensation package shown is provided as an illustration and is not guaranteed.

Position Summary: The Senior Director is accountable for the strategic planning, communication, organization, and execution of Specialty Pharmacy operations and initiatives in alignment with the Medical Center’s mission and vision. The Senior Director oversees all Specialty Pharmacy functions related to the procurement, distribution, monitoring, and utilization of pharmaceuticals. In partnership with the Medical Staff and the Pharmacy and Therapeutics Committee, the position develops systems and services that promote optimal therapeutic drug use for patients. The role is also responsible for analyzing and managing departmental financial performance and ensuring the quality of all services and activities across the continuum of care. Additionally, this position provides consultative expertise on the Profession and Practice of Pharmacy to health‑system affiliates. The Senior Director will collaborate closely with Shared Services and offer subject‑matter guidance on pharmacy‑related contracting. Essential Functions: Develops and approves mission and goals for comprehensive pharmaceutical services and provide high quality comprehensive pharmaceutical services to meet the needs of the patient and standards of accreditation. Monitors quality of services and evaluate new technology in pharmaceutical systems improving patient outcomes. Managing the pharmaceutical supply chain. Oversight of the pharmaceutical contracting, procurement, receiving, security, inventory control, continuum, including outsourced sterile products, alternative distribution channels used for drug shortages, reverse distribution and other methods of pharmaceutical waster disposal. Assuring quality outcomes through performance-improvement activities leveraging pharmacy expertise in support of value-based purchasing, including leading core measures initiatives involving medication therapy. Plays an active role in reducing readmissions and owning the process for medication-related customer satisfaction indicators. Identifies and implements specific ways that the pharmacy enterprise can contribute to the patient's experience. Optimizes the use of information systems and technology. Provides leadership at the organizational level regarding planning, purchasing, implementing and maintaining information systems that support patient care. Commits to achieving patient safety innovations made feasible by electronic health records and other clinical applications. Ensures compliance with regulatory and accreditation requirements. Continues compliance with all national, state and local regulations related to medications and their management. Fulfills all requirements of the State Board of Pharmacy, DEA, CMS, TJC and other medication management accreditation standards. Qualifications: Pharm D is required. Must have valid NYS Pharmacist license and registration with ten years+ of working experience. Progressively more responsible clinical and management Pharmacy experience working in a Health-system as a Director of Pharmacy or Clinical Pharmacy Director. (MS or MBA preferred). Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

Company Description CADAR is a luxury jewelry house based in New York, known for its innovative, art-forward designs and exceptional craftsmanship using 18k gold. Established in 2015 by designer Michal Kadar and Avraham Kadar, the brand reimagines gold as a sculptural and fluid material, handcrafted by skilled artisans in Italy and New York. CADAR has received widespread industry acclaim, including awards such as FGI “Rising Star” and COUTURE Best in Gold. In 2025, the House opened its flagship boutique in the Meatpacking District of New York City, blending luxury retail with a creative and architectural concept that embodies its aesthetic vision. Role Description This is a full-time on-site role located in New York, NY, for an Ecommerce Specialist. The Ecommerce Specialist will oversee and manage the company’s online store, ensuring optimal website performance and providing an engaging customer experience. Responsibilities include updating product listings, analyzing website metrics to improve conve rsion rates, coordinating sales strategies, and addressing customer inquiries promptly and professionally. Collaboration with marketing, sales, and design teams will also be a key part of the role to help enhance brand visibility and online engagement. Qualifications • Strong proficiency in E-Commerce and proficiency in improving online sales performance, • Excellent Analytical Skills for website performance tracking, metrics analysis, and strategy implementation, • Exceptional Customer Service and Communication skills to engage with customers and internal teams effectively, • Experience in Sales and the ability to contribute to revenue generation through digital platforms, • Familiarity with digital marketing tools, website management, and CMS platforms is a plus, • Strong organizational and time-management abilities, • Bachelor’s degree in Business, Marketing, E-Commerce, or related field preferred

We are seeking a highly motivated and skilled Physician Assistant (PA) to join our client's Inpatient Internal Medicine team. The PA will work collaboratively with supervising physicians and the multidisciplinary healthcare team to provide comprehensive medical care to hospitalized patients. This role involves managing a diverse patient population with acute and chronic medical conditions, ensuring high-quality, patient-centered care, and contributing to efficient patient flow and positive outcomes. Night Shift: 11:00PM- 7:30AM (5X 8s) Must have at least 2 years of experience Responsibilities: • Patient Assessment & Management:, • Perform comprehensive history and physical examinations on new admissions and existing patients, • Formulate differential diagnoses and develop individualized patient treatment plans, • Order and interpret diagnostic tests, including laboratory studies, imaging (X-rays, CT scans, MRIs), and other relevant investigations, • Prescribe medications, treatments, and therapies in accordance with established protocols and state regulations, • Manage a wide range of acute and chronic medical conditions commonly seen in an inpatient setting (e.g., pneumonia, heart failure, COPD exacerbations, sepsis, kidney injury, diabetes), • Perform minor procedures as privileged, such as venipuncture, arterial blood gas draws, nasogastric tube insertion, and basic wound care, • Collaboration & Communication:, • Collaborate closely with attending physicians, hospitalists, consulting specialists, nurses, case managers, social workers, and other healthcare professionals to ensure coordinated and integrated patient care, • Communicate effectively with patients and their families, providing updates on condition, explaining treatment plans, and addressing concerns, • Participate in daily rounds, multidisciplinary team meetings, and hand-off communications, • Documentation & Compliance:, • Maintain accurate, timely, and complete medical records in the Electronic Health Record (EHR), including histories, physicals, progress notes, orders, and discharge summaries, • Ensure compliance with all hospital policies, procedures, ethical guidelines, and regulatory requirements (e.g., CMS, Joint Commission), • Discharge Planning:, • Assist with discharge planning, including medication reconciliation, patient education, arrangement of follow-up appointments, and coordination with post-acute care facilities or home health services, • Professional Development:, • Engage in continuous professional development and continuing medical education (CME) to maintain licensure and stay current with best practices in internal medicine, • Participate in quality improvement initiatives and departmental projects Requirements: • Master's degree from an accredited Physician Assistant program, • Current NCCPA (National Commission on Certification of Physician Assistants) certification, • Current, unrestricted Physician Assistant license in NY State, • Valid DEA registration, • Minimum of 1-2 years of experience as a PA in an inpatient setting, preferably in Internal Medicine or Hospital Medicine, • Strong clinical assessment, diagnostic, and critical thinking skills, • Excellent interpersonal, communication (written and verbal), and teamwork abilities., • Ability to work autonomously under the supervision of a physician and manage a diverse patient load, • Proficiency in using Electronic Health Record (EHR) systems, • Ability to thrive in a fast-paced, dynamic inpatient environment Qualifications Licenses & Certifications

Account Manager – Marketing Location: New York, NY Schedule: On-site Department: Marketing We are seeking a driven, strategic, and detail-oriented Account Manager to join our Marketing team. This is an exciting opportunity for someone who thrives in fast-paced environments and wants to play a central role in delivering high-impact, integrated marketing initiatives. As an Account Executive, you will serve as a key liaison across teams—managing campaigns, aligning stakeholders, and helping execute programs spanning social media, web, and video content. You will collaborate with internal partners, agency teams, and external vendors to ensure all deliverables meet brand standards, are completed on time, and support broader business objectives. What You’ll Do • Serve as the primary point of contact for internal stakeholders, agency partners, and external creative collaborators., • Manage timelines, approvals, expectations, and deliverables across multiple teams and vendors., • Oversee the end-to-end execution of social media campaigns and video content, ensuring projects remain on-brand and on schedule., • Update and manage website content through WordPress, including layout adjustments and content publishing., • Identify potential roadblocks early and proactively problem-solve to keep projects moving efficiently., • Maintain organized systems to track assets, feedback, project status, and final deliverables. What We’re Looking For • 3–5 years of experience supporting or managing accounts, ideally with Fortune 500 brands or within highly regulated industries (financial services, healthcare, pharma, nonprofit, etc.)., • Strong understanding of social media, digital marketing, and video production workflows., • Experience with WordPress or comparable CMS platforms., • Excellent verbal and written communication skills with the ability to manage cross-functional stakeholders., • Highly organized, detail-oriented, and comfortable managing multiple projects simultaneously., • Familiarity with project management tools (Airtable preferred)., • Understanding of compliance processes or legal review workflows is a plus. Why This Role • Work closely with high-performing marketing, creative, and operational teams., • Gain hands-on experience managing end-to-end marketing initiatives for high-profile brands., • Build cross-functional relationships and strengthen your strategic and operational marketing skills., • Contribute to impactful work across digital, social, and multimedia channels.

Senior Medical Biller About Us M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We’re looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. Job Description We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and the ability to work cross functionally are essential for success in this role. Primary Responsibilities · Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays. · Ensure clients provide accurate and complete data for timely and compliant claims · submission. · Collaborate with the coding team to resolve claims on hold due to incomplete or · missing information. · Accurately review and process patient encounters in compliance with coding and · billing regulations. · Demonstrate understanding of various surgical specialties and their specific billing · requirements. · Identify gaps or deficiencies in clinical documentation, work with physicians to · clarify and improve records. · Maintain up-to-date knowledge of CMS guidelines, as well as NDC and LCD payer specific regulations. · Participate in internal billing audits and implement process improvements based on · audit findings. · Work proficiently within Electronic Medical Records (EMR) systems. · Perform additional billing-related tasks and responsibilities as assigned. Qualifications · Proficient in CPT and ICD-10 coding. · In-depth knowledge of CMS, LCD, and NDC billing requirements. · Familiar with both CMS-1500 and UB-04 billing formats. · Proven ability to independently identify and resolve billing and coding issues. · Strong attention to detail with excellent analytical and organizational skills. · Experience with commercial insurance payers. · Prior experience with surgical billing required. · Familiarity with Epic EMR system is preferred. · 3-5 years experience in a billing position or related position Benefits M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Salary This position offers a salary range of $65,000 to $95,000 annually, commensurate with experience.

Technical Account Manager - Full Time, New York, NY As a Technical Account Manager, you will be a key point of contact for ViewLift’s valued clients, primarily focusing on our strategic accounts. This dynamic role combines building strong client relationships with providing critical technical support to ensure clients success and satisfaction with ViewLift's product and platform. Responsibilities • Client Relationship Management: Build and nurture strong, trusted relationships with a portfolio of assigned clients, ensuring their ongoing satisfaction and success with ViewLift’s products., • Proactive Engagement: Implement proactive communication plans to regularly connect with clients, anticipate their needs, and address potential challenges., • Customer Advocacy: Serve as the primary advocate for your assigned clients, understanding their business objectives and ensuring ViewLift's solutions help them achieve their goals., • Technical Assistance: Provide direct technical assistance to customers via phone, email, or Slack for OTT applications, ensuring timely issue resolution., • Troubleshooting & Incident Resolution: Troubleshoot technical issues with applications by analyzing log files, error messages, and user reports. Investigate and resolve incidents following standard operating procedures (SOPs) to identify root causes and implement effective solutions., • Incident and Feature Request Logging, Monitoring and Prioritization: Log and monitor incidents, prioritizing and managing them through to resolution. Track and manage, ensuring proper documentation and coordination with development teams for resolution., • Cross-functional Collaboration: Collaborate closely with internal support teams, development teams, and third-party partners to escalate and resolve complex technical incidents., • Change Management: Participate in change management processes to review and assess proposed changes to OTT applications, ensuring client impact is considered., • Knowledge Base Contribution: Create and update knowledge base articles, FAQs, and troubleshooting guides to empower clients and internal teams., • Process Improvement: Identify and suggest areas for improvement in processes, tools, and systems related to OTT application support, promoting continuous efficiency and use of AI and Automation., • Quality Assurance: Participate in quality assurance activities, including testing new features and verifying fixes before deployment., • Performance Monitoring: Monitor client satisfaction and product usage data for your assigned accounts. Requirements • Education: Bachelor’s Degree in Computer Science or an equivalent field., • Language Skills: Excellent verbal and written communication skills in English., • Experience: Minimum 2 years of experience in customer support or clients success roles for Enterprise or SaaS-based applications., • Availability: Availability for night shifts, including weekends, holidays, or on-call support., • Tools: Experience with Content management systems and ticketing tools and CRM systems., • Interpersonal Skills: Strong interpersonal and customer service skills in a team-oriented environment., • Technical Understanding: Understanding of streaming devices and products like Roku, FireTV, Apple TV, Samsung/LG TV, etc., • Preferred: Candidates with a background in OTT Support, content management system and SaaS client success are strongly preferred. About ViewLift ViewLift is a global leader in digital content distribution, empowering media companies, sports leagues and teams to monetize their content across every screen. Our end-to-end OTT (Over-The-Top) video streaming platform enables clients to launch and grow their businesses with branded native applications on major devices including web, mobile, TV-connected devices, Smart TVs, and gaming consoles. We provide a comprehensive, purpose-built technology stack that includes robust content management systems (CMS), advanced analytics, personalization engines, and flexible monetization models (AVOD, SVOD, TVOD, and hybrid options). Our clients include Monumental Sports Network, NHL, NBA and MLB teams (including the Vegas Golden Knights, Chicago Bulls, Seattle Mariners and more), Professional Fighters League, LIV Golf, and many others across sports, media, and entertainment. Job Type: Full Time • Work Location: In Office

Work Location: NY/NJ Work Setting: Hybrid About NSIPA: Network Solutions IPA (NSIPA) is a leading New York–based Independent Practice Association with a diverse, multi-specialty provider network. The organization has grown to more than 600 physician members, serving over 100,000 patients across New York City, Nassau, Suffolk, and Westchester counties. We are committed to helping independent providers succeed in the transition to value-based care. Through strategic partnerships, operational support, and robust payer relationships, NSIPA delivers the tools, resources, and expertise that allow practices to grow, perform, and succeed in today’s complex healthcare landscape without sacrificing independence. We achieve this by collaborating with payers to deliver Quality Incentive Programs, Shared Savings arrangements, and Risk-Based Contracts. Contracted with over 21+ Payers for over 600+ Providers. NSIPA provides a comprehensive suite of services, including credentialing and network operations, provider engagement, and contracting; care coordination and member outreach; and provider-and patient centered programs. As part of New York State’s 1115 Medicaid Waiver, NSIPA plays a key role in identifying, screening, and addressing health-related social needs by connecting Medicaid members to community-based resources and care supports. These services are designed to strengthen provider efficiency, address health related social care needs, and advance value‑based care and population health opportunities. Recognized as one of New York’s fastest‑growing IPAs, NSIPA supports improved clinical outcomes, enhanced provider performance, and cost savings for payers through its robust infrastructure and operational expertise. Position Overview: We are seeking an experienced leader to oversee NSIPA’s value-based care strategy and quality performance across all payer contracts. This role is responsible for improving clinical quality, utilization, and financial outcomes while driving population health initiatives and ensuring strong performance under value-based and risk-based arrangements. The Director will lead the Population Health Quality team and collaborate with executive leadership, providers, payers, and cross‑functional teams to drive measurable improvements in cost, quality, and care delivery. This is an ideal opportunity for a seasoned leader who thrives in complex, multi‑payer environments and is passionate about improving care for Medicare, Medicaid, and managed care populations. Roles & Responsibilities: · Own NSIPA’s value-based care and quality improvement strategy across all payer programs. · Oversee performance related to MER, total cost of care, utilization, and quality outcomes. · Partner with executive leadership and cross-functional teams to identify performance risks, opportunities, and intervention strategies. · Lead quality programs including HEDIS, QARR, CAHPS measures, medication adherence and transitions of care. · Develop and execute performance improvements and corrective action plans. · Oversee performance monitoring and improvement initiatives related to quality, utilization, and total cost of care metrics. · Collaborate with Provider Engagement to support underperforming providers and ensure documentation and quality standards are met. · Partner with Data & Analytics to turn complex claims, EHR, and payer data into actionable insights. · Build and guide a high-performing Population Health Quality team. · Provide oversight of the Peer Review Committee (PRC), including case review, provider communication, documentation, and reporting. · Serve as a key liaison with payer partners on VBC performance, quality initiatives, and contractual requirements. · Ensure compliance with regulatory, audit, and accreditation standards. · Support performance strategies under risk-based, shared savings, and value-based arrangements. · Responsible for developing educational materials and resources, including content, brochures, and one-pagers, centered on quality and value-based care (VBC) initiatives to support provider and staff education and performance improvement efforts. Skills & Competencies: · Strong understanding of value-based care, population health, and risk arrangements. · Expertise in quality measurement (HEDIS, QARR, CAHPS, CMS). · Advanced analytical skills with the ability to interpret and act on complex data. · Strong leadership, communication, and cross-functional collaboration skills. · Ability to manage multiple priorities in a fast-paced environment. · Proficiency in MS Office, experience with data visualization tools (Tableau) or similar tools preferred. Required Qualifications: · Bachelor's degree in a health-related field · Clinical background (RN preferred) or relevant quality credential · 5+ years of experience in value-based care, quality improvement, or population health. · 3+ years of experience in a health plan, IPA, MSO, or integrated delivery system. · Experience managing performance across multiple-payer contracts. · Prior leadership and people management experience. Salary Range: $120000 - $140000 Why Join NSIPA? · High-impact leadership role with direct influence on organizational strategy. · Opportunity to shape the future of value-based care across diverse populations. · Collaborative, mission-driven environment focused on improving patient outcomes. · Visibility, growth, and the ability to build and scale performance programs. Physical Demands: The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel; make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or utilize computer equipment; reach with hands and arms; and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, ability to adjust focus and ability to match or detect differences between colors, including shades of color and brightness. EEO Statement: NSIPA is an equal opportunity employer committed to diversity and inclusion. We encourage applications from all qualified individuals regardless of race, color, religion, gender, sexual orientation, age, national origin, disability, or veteran status.

About the Role: Dow Jones and The Wall Street Journal are seeking a dynamic, highly skilled, and collaborative Senior Visual Designer to join the Brand Marketing team. This role focuses on designing and executing visual identities, websites, and digital assets for our events brands. Reporting to the Events Design Lead, this role balances brand guardianship with design flexibility, ensuring visual identities remain consistent while evolving across seasonal and cyclical events marketing. The ideal candidate has deep brand design experience, with expertise in visual design and UI/website design, and demonstrated excellence in typography and digital type hierarchy. Experience in event branding or design for event marketing is a plus. The Senior Visual Designer will work collaboratively with Brand, Marketing, UX, and Development teams to deliver visually compelling, high-quality work that reinforces brand integrity across customer journeys and digital platforms. This position is focused on digital and brand design for events marketing; it is not a design role for physical or on-site environments. Reports to: Events Design Lead, Brand Marketing Key Responsibilities Branding & Visual Identity • Create new visual identities and extend or refine existing identities across event marketing initiatives and websites., • Ensure brand consistency, quality, and fidelity while adapting visual expression for seasonal and cyclical events marketing., • Apply expert knowledge of typography, type hierarchy, color, and composition across visual and digital experiences. Website & Digital Design • Design and refine websites and digital platforms for events, implementing and expanding events visual identities, and applying UI best practices and UX foundations., • Produce high-fidelity, dev-ready Figma files that reflect our brand standards and visual identities., • Work closely with development teams to ensure design intent is accurately translated into functional digital experiences., • Demonstrate a working knowledge of CMS tools, including WordPress, to support the production of scalable, maintainable web experiences., • Apply responsive design, accessibility, and usability standards to all digital assets. Collaboration & Execution • Act as a brand advocate, supporting decision-making that aligns with strategic goals and brand guidelines., • Partner with Events Marketing, UX, and Dev/Eng teams to plan, execute, and iterate design solutions., • Participate in design reviews, feedback cycles, and brainstorming sessions to ensure high-quality output. Event Marketing Awareness & Trends • Understand the cyclical nature of events marketing, including phases of campaign planning, promotion, and post-event activities., • Flex brand identities to reflect seasonal changes and event-specific needs while maintaining foundational brand principles., • Stay current on event marketing trends, competitor activity, and industry best practices, and share insights to inspire innovation and elevate the team’s work. You Will: • Develop, evolve, and implement visual identities for events, designing both foundational elements and flexible adaptations., • Design and iterate websites and digital touchpoints that align with UX principles and CMS requirements., • Champion brand consistency and elevate visual design standards across events projects., • Ensure all outputs are on-brand, visually compelling, and optimized for audience engagement., • Collaborate with cross-functional teams, including Events Marketing, UX, and Development, to deliver high-quality design on time., • Maintain awareness of industry trends in branding, web design, typography, and events marketing to inspire innovation., • Use advanced Figma functionality for theming tokens, components. You Have: • 5–7 years of experience in brand design and visual design, with proven ability to create and refine visual identities., • Experience designing websites and digital platforms; working knowledge of CMS tools, including WordPress, required., • Exceptional eye for typography, type hierarchy, layout, and overall design quality., • Strong understanding of UI design, UX foundations, and digital design best practices., • Proven track record of working in very close collaboration with UX teams, dev teams, engineering and UX program managers., • Experience in event branding or marketing is a plus., • Expertise in Figma and Adobe Creative Suite (Photoshop, Illustrator, InDesign; After Effects a plus)., • Animation and AI literacy for creative production are a plus., • Collaborative, design-forward, and able to champion brand while adapting solutions., • Ability to manage multiple projects and priorities within cyclical and seasonal events marketing., • Familiarity with design systems and the ability to apply them consistently across digital touchpoints., • This role is not responsible for on-site events design or production. Our Benefits • Comprehensive Healthcare Plans, • Paid Time Off, • Retirement Plans, • Comprehensive Insurance Plans, • Lifestyle programs & Wellness Resources, • Education Benefits, • Family Care Benefits & Caregiving Support, • Commuter Transit Program, • Subscription Discounts All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status. EEO/AA/M/F/Disabled/Vets . Dow Jones is committed to providing reasonable accommodation for qualified individuals with disabilities, in our job application and/or interview process. If you need assistance or accommodation in completing your application, due to a disability, please reach out to us at . Please put "Reasonable Accommodation" in the subject line. This inbox will not be monitored for application status updates. Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status or any other protected characteristic under applicable law. EEO/Disabled/Vets Reasonable Accommodation We are committed to providing reasonable accommodation for qualified individuals with disabilities in our job application and/or interview process. If you need assistance or accommodation in completing your application or participating in an interview due to a disability, email us at . Please put "Reasonable Accommodation" in the subject line and provide a brief description of the type of assistance you need. This inbox will not be monitored for application status updates. Please refer to the privacy notice at the bottom of this page for submitting any data access, deletion, or other data subject rights requests, where permitted under your local laws and regulations. Business Area: Dow Jones - Marketing Job Category: Creative & Design Union Status: Union role Base Pay Range: 90,000.00 - 110,000.00 We’re committed to offering competitive and flexible compensation to attract top talent. This pay range reflects our good faith estimate for the role and may vary based on a candidate’s experience, skills, location, and other relevant factors. For bonus-eligible roles, targets are determined based on multiple considerations, including market benchmarks and individual contributions. For benefits-eligible roles, we offer a comprehensive and competitive benefits package covering health, retirement, wellbeing, and more, along with optional benefits to meet the diverse needs of our employees.

About the company: We are partnered with a highly respected medical organization that supports providers in navigating the complexities of value-based care. The organization effectively connects value-based care objectives with regulatory requirements and outcomes, delivering measurable results for both providers and patients. Schedule: Monday - Friday, 830A-530P Setting: Remote, up to 50% travel to multiple states Job Summary The Associate Medical Director is a licensed physician (MD or DO) and a key member of the Medical Leadership team, working closely with the Chief Medical Officer. This role delivers clinical leadership and oversight to ensure excellence in patient care quality, utilization management, documentation accuracy, and regulatory compliance across value-based care programs. The Associate Medical Director partners with leaders across Medical, Market Operations, and Provider Relations to advance clinical performance, enhance provider outcomes, and maintain alignment with accountable care models (ACO REACH/LEAD, MSSP). Acting as a peer leader, this position supports physicians and practices by promoting evidence-based care and continuous performance improvement across markets. Essential Job Functions • Provides clinical oversight of utilization, quality, and performance analytics across markets, provider groups, and primary care practices, identifying trends that impact patient outcomes and financial results., • Collaborates with Operations and Provider Relations teams during monthly PCP meetings to support clinical performance improvement initiatives and action planning., • Evaluates hospital admissions, discharges, emergency department usage, and readmissions to ensure effective transitional care and continuity of services., • Works alongside Case Management and Care Coordination teams to support appropriate post-discharge care, chronic disease management, and risk reduction strategies., • Engages with physicians and practice leaders to review performance metrics, close care gaps, and drive initiatives aligned with value-based care standards., • Participates in the review and resolution of medical grievances in coordination with internal teams, health plans, and regulatory guidelines., • Supports resolution of issues related to clinical performance, documentation standards, patient care concerns, and practice operations., • Educates and mentors PCPs on accurate clinical documentation, risk adjustment coding (HCC), quality metrics, and effective use of healthcare technology., • Encourages best practices in evidence-based medicine, utilization management, and value-based care delivery., • Strong expertise in clinical practice, healthcare delivery systems, utilization management, and quality improvement., • Solid understanding of value-based care models, population health management, risk adjustment, and financial performance drivers., • Familiarity with accountable care programs (ACO REACH/LEAD, MSSP) and CMS regulatory standards., • Ability to analyze clinical and utilization data and translate insights into actionable improvement strategies., • Maintains strict confidentiality and adheres to HIPAA and privacy regulations., • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution., • Board certified or board eligible in Family Medicine, Internal Medicine, or a related primary care specialty (board certification preferred)., • Active, unrestricted medical license in good standing., • Minimum of five (5) years of clinical practice experience in primary care or a comparable field., • At least two (2) years of experience in physician leadership, medical director roles, or clinical oversight preferred., • Medicare Credentials, • Experience with value-based care, utilization management, quality improvement programs, and data analytics., • Must comply with all HIPAA, confidentiality, and privacy regulations., • Reasonable accommodations may be provided to enable individuals with disabilities to perform essential job functions., • Ability to travel up to 50% as required.

Life Sciences & HealthTech Analyst / Associate – Business Development - NEW YORK The Marwood Group is a healthcare advisory firm headquartered in New York City with offices in Washington, DC and London, England. Marwood operates at the intersection of Wall Street and Washington, with experienced team members from top consulting, banking and corporate healthcare and life sciences and senior White House, congressional and government agencies (e.g., FDA, CMS, HHS). Marwood’s Life Sciences & HealthTech Practice provides guidance related to market access, reimbursement, regulation, go-to-market, clinical evidence, and commercial strategy to investors, service providers, developers, and manufacturers of emerging innovations with the potential to transform the treatment, management, prevention, or diagnosis of disease. The candidate will be responsible for supporting Marwood's growth in Life Sciences & HealthTech through supporting business development, thought leadership, marketing, capabilities expansion, and other strategic business goals. The ideal candidate has an entrepreneurial mindset, excellent communication and writing skills, and a demonstrated curiosity and ability to learn a broad array of science, technology and policy topics related to life sciences and healthcare. Compensation is a salary commensurate with experience plus performance incentives and benefits package. Principal Duties and Responsibilities Include: • Supporting Marwood's team of business development professionals, with 85%+ focus on Life Sciences & HealthTech, across corporate and deal-related opportunities, • Developing healthcare & life sciences industry knowledge through primary and secondary research across subsectors through key policy, commercial strategy, and deal-related updates in order to best serve Marwood clients across distinct engagements, utilizing internal tools as relevant (Pitchbook, Excel, Salesforce, Monday, etc.) for overall market intelligence maintenance, • Client coverage and business development efforts for investor client M&A diligence needs as well as strategic and operational challenges and initiatives for life sciences and health technology companies, including preparing proposals, market and policy research, client relationship management, marketing and thought leadership Qualifications: • Bachelor’s Degree from a top tier university, • 0-3 years of professional work experience (healthcare, life sciences, consulting, or banking experience preferable), • Superior research, communication, writing, and interpersonal skills, • Ability to multi-task effectively and thrive in a fast-paced environment, • Job is located on-site in Midtown Manhattan For consideration, please email resume and cover letter as attachments with salary expectations to with the subject title “Life Sciences & HealthTech Analyst/Associate - Business Development” Marwood offers a comprehensive compensation package with full benefits. We offer a competitive wage, a collaborative work environment and an opportunity to participate in a full benefit package, including, Medical, Dental, Vision, Life, AD&D, Voluntary Life and LTD, Spouse and Dependent Life, 401k Retirement plan with a company match, Commuter, FSA/DCFSA. We offer paid days off, and paid holidays. Marwood prides itself on providing employees with a good work-life balance. There is no travel expected with this position. The position is based in our New York location. Currently working a hybrid schedule. Analysts go on to attend top-tier graduate programs or are eligible for internal promotion. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class.

Hi, Hope you are doing well. Please find the below JD. Job Title: Adobe Architect Client Location: NYC, NY Type of Hire: Contract Job Description Role Overview • We are looking for a seasoned Adobe Experience Architect to join the technology leadership team and partner closely with Engineering and Product leaders to build scale and evolve customer centric digital experiences, • This role is ideal for someone who is deeply hand son with Adobe Experience Manager AEM has strong exposure to AI driven content workflows Adobe Firefly and understands the rigor scale and compliance needs of Banking or Financial Institutions, • You will be part of a high impact technology team responsible for enabling best in class customer experiences across web and digital channels Key Responsibilities Architecture Solution Design • Define and own end to end architecture for AEM based content platforms including authoring delivery personalization and integrations, • Design scalable secure and high-performance content management solutions aligned with enterprise standards, • Lead architecture and development across AEM Sites Assets and Headless AEM use cases, • Establish best practices for templates components workflows content modelling and DAM, • Drive adoption of Adobe Firefly and AI assisted content workflows to improve content velocity reuse and personalization, • Partner with design content and marketing teams to operationalize AI responsibly within enterprise constraints, • Provide technical leadership code reviews and architectural oversight to engineering teams, • Define guardrails around performance security scalability accessibility and compliance, • Design solutions that meet security compliance data privacy and regulatory requirements common to Banks and Financial Institutions, • 5+ years or equivalent hands-on experience with Adobe Experience Manager AEM in architect or senior technical roles, • Strong expertise in AEM Sites Assets workflows and integrations, • Experience with AI enabled content workflows ideally Adobe Firefly or similar capabilities, • Solid understanding of cloud architecture APIs microservices and headless CMS patterns, • Proven experience working in Banking Financial Services or highly regulated enterprises, • Ability to influence and collaborate with engineering leadership and senior stakeholders, • Experience with Adobe Experience Platform AEP Personalization or Analytics, • Exposure to CIAM security patterns and data governance in FS environments, • Prior experience leading or mentoring distributed engineering teams, • Adobe certifications AEM Architect Developer or Cloud Service Mandatory Skills : Expert in Workfront AEM AI Firefly Campaign Content Management

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers. Researching state and payer regulations to identify areas of risk in a variety of healthcare settings and specialties, coordinating with various team members to ensure clear expectations are communicated and deadlines are met. Qualifications: CPC/CCS-P with a minimum of 5 years of experience in healthcare coding/auditing (E&M, CPT, HCPCS and ICD-10), with knowledge of professional billing, coding, and documentation practices performed by physicians and other qualified healthcare providers in inpatient and outpatient settings. Proficiency in evaluating how well clinical documentation supports medical necessity and the E/M, CPT, and HCPCS codes that were billed, across a wide range of services. The focus will be in the primary care sector (fee-for-service and risk-based), though experience in specialties such as dermatology, vascular, podiatry, wound care, home health, and personal care is preferred. Behavioral health experience is also a plus. Proven ability to identify billing and coding issues including use of modifiers, bundling issues, CCI edits, therapeutic and diagnostic procedures, supplies, materials, injections, drugs, and units of service etc. Solid understanding of both federal and state coding and documentation laws and regulations, applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity. Identify and access risk of repayment or recoupment in the event of payor scrutiny. Familiarity with both UB-04 and CMS 1500 claims data, as well as understanding of payor remittances. Knowledge of anatomy, physiology, and medical terminology necessary to appropriately review assignment and documentation of diagnosis codes. Solid working knowledge of various EHR/EMR systems; experience accessing these remotely. Strong organizational skills and task management Highly organized with a high level of attention to detail Ability to work in a fast paced and rapidly changing environment. Skilled at multi-tasking with the ability to handle several different priorities simultaneously. Strong communication skills with experience in articulating audit findings and interpretation of coding regulations Experience with HIPAA, data privacy, and/or data security processes. Experience working with regulators governing (public or private) health insurance carriers. A minimum of AAPC or AHIMA certification required, that could include: · Certified Professional Coder (CPC) · Certified Outpatient Coder (COC™) · Certified Professional Medical Auditor (CPMA) · Certified Risk Adjustment Coder (CRC™) · Certified Coding Specialist (CCS) · Certified Coding Specialist – Physician based (CCS-P) For consideration, please email resume and cover letter as attachments with salary expectations to with the subject title “Certified Coding Auditor - Behavioral Health.” Marwood offers a comprehensive compensation package with full benefits. We offer a competitive wage, a collaborative work environment and an opportunity to participate in a full benefit package, including, Medical, Dental, Vision, Life, AD&D, Voluntary Life and LTD, Spouse and Dependent Life, 401k Retirement plan with a company match, Commuter, FSA/DCFSA. We offer paid days off, and paid holidays. Marwood prides itself on providing employees with a good work-life balance. There is no travel expected with this position. The position is based in our New York location. Currently working a hybrid schedule. Remote option will be considered. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Position Summary: This individual will report to the Associate Director of Clinical Programs Business Development and be responsible for supporting the sales and profitability of Capital Rx's suite of clinical programs. This role serves as a primary business development lead for clinical offerings, from opportunity identification, client presentations, to negotiations and contracting. This role will drive clinical programs sales to new and existing PBM clients and foster strategic relationships with consultant groups. The ideal candidate will combine clinical expertise with strategic sales acumen to expand program adoption and deliver measurable value to clients. This is a base salary plus commission role. Position Responsibilities: • Drive the sales strategy for Capital Rx's suite of clinical programs end-to-end from prospecting through close., • Proactively assess client data to identify opportunities, meet with account teams to qualify opportunities, and deliver compelling presentations, proposals, and ROI analyses to prospects to drive clinical program sales., • Develop and implement strategic plans to identify, engage, and close new clinical program opportunities., • Cultivate and manage trusted relationships with pharmacy benefit consultant groups, serving as a subject matter expert for our clinical programs., • Maintain a strong understanding of market dynamics, competitive landscape, and client needs to inform sales strategy., • Contribute to strategic client retention initiatives by aligning clinical programs with client goals., • Demonstrate strong analytical, presentation, and CRM skills to support sales execution and tracking., • Maintain a deep understanding of clinical programs, regulatory requirements (e.g., CMS, NCQA, URAC), and industry trends to effectively position our solutions., • Serve as a liaison between the field and internal product/clinical teams to ensure offerings remain competitive and relevant., • Support implementation handoffs to ensure smooth onboarding of new clients., • Provide market feedback to inform future product development and innovation., • Support general business needs and operations, as required., • All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: • MBA degree and/or certification in sales or business, • 3+ years of applicable experience in a health plan or PBM, or healthcare sales and/or completion of a PGY1 Clinical Pharmacy Residency Program, Managed Care Residency or Fellowship with additional 2+ years of applicable experience, • Exceptional negotiation, presentation, and communication skills with the ability to articulate clinical value propositions to diverse audiences., • Experience engaging or partnering with pharmacy consultant firms, • Working knowledge of pharmacy benefit management, Medicare Part D, and commercial pharmacy benefits, • Ability to analyze data and market trends to inform sales strategy and client recommendations., • Proven track record of meeting or exceeding sales targets and successfully closing complex B2B deals., • Maintain an active, unrestricted pharmacy license in the state of residence, • Ability to balance multiple complex projects simultaneously with minimal direction, • Ability to travel up to 50% Preferred Qualifications: • PharmD, • Experience working with HEDIS, Stars and PQA pharmacy quality measures, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint, • Experience with Confluence, Jira, Tableau, • Highly detail-oriented and analytical Visa Sponsorship: Capital Rx does not provide sponsorship to any candidates. This includes, but is not limited to those that require H1-B, TN, OPT, etc. Candidates must have authorization to work in the US at the time of application and throughout employment. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$90,000—$140,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at___.

Job Locations US-NY-New York Requisition ID 2026-12047 Category Real Estate Development Gilbane Development is an established affordable housing developer and owner-operator committed to preserving and improving homes for New Yorkers. Through the NYCHA Permanent Affordability Commitment Together (PACT) program under HUD's Rental Assistance Demonstration (RAD), we deliver complex, occupied rehabilitation projects that modernize building systems, improve quality of life, and protect long-term affordability. Our teams are held to a high bar: safe execution, predictable outcomes, and respectful, transparent engagement with residents and public partners. The Project Executive leads planning and delivery of a NYCHA RAD/PACT portfolio - often multiple developments and hundreds to thousands of units - through preconstruction, procurement, occupied rehab construction, commissioning/closeout, and warranty. This role is accountable for budget, schedule, quality, safety, compliance, and resident experience. As part of the Design & Construction group, the Project Executive manages a high-performing team and coordinates seamlessly with Development, Asset Management, Property Management, Resident Engagement, Legal, and Finance. The ideal candidate for this position should possess deep occupied-rehab and public-sector compliance experience; have successfully demonstrated schedule/cost certainty across multi-site portfolios; and embrace resident-first delivery with strong stakeholder management (NYCHA, HPD/HDC, DOB, CMs, and community partners). This role sits at the center of Gilbane's mission: preserving affordable homes while improving safety, comfort, and durability for residents - without losing sight of accountability to public partners and the communities we serve. Core Responsibilities Owns end-to-end construction execution strategy for NYCHA RAD/PACT projects, including occupied rehabilitation sequencing, site logistics, and risk management • Establishes portfolio-wide standards for scope control, estimating, value engineering, constructability, scheduling, submittals/RFIs, QA/QC, and turnover, • Leads cross-functional decision-making to maintain budget and schedule certainty, especially around long-lead MEP equipment, supply chain, and phased turnover, • Directs preconstruction with architects/engineers, cost estimators, and general contractors to develop delivery structures appropriate to each project, • Oversees bid strategy and subcontractor procurement with attention to MWBE participation goals, labor compliance, and local market capacity, • Drives constructability reviews focused on systems replacements, envelope work, elevator modernization, and life safety upgrades typical of NYCHA preservation scopes, • Ensure adherence to RAD/PACT requirements and public financing and regulatory obligations, including:, • Davis-Bacon and Related Acts (DBRA) prevailing wage compliance;, • Section 3 reporting and contracting participation;, • HUD environmental review (NEPA/HEROS, where applicable) and related mitigation requirements;, • Uniform Relocation Act (URA) and resident in-place strategies where triggered;, • NYCHA design/construction standards and approvals, and coordination with HPD/HDC when applicable; and, • NYC permitting and inspections (DOB, FDNY, DEP, DOT, LPC as needed)., • Implements compliance tracking systems (certified payroll workflows, reporting cadence, audit readiness), • Partners with Resident Engagement and Property Management to deliver clear, consistent resident communications and minimize disruption:, • Apartment access protocols, daily/weekly look-aheads, dust/noise control, temporary shut-down planning, • Special needs accommodations and escalation pathways, • Sets expectations for contractors around professionalism in residents' homes, cleanliness, and repair quality, • Sets and enforces portfolio safety culture and requirements (site-specific safety plans, incident reporting, corrective action), • Oversees QA/QC plans, mock-ups, field testing, third-party inspections, and commissioning, • Drives substantial completion, punch list management, turnover packages, O&M manuals, training, and warranty response, • Leads owner's construction team (PMs, supers, inspectors, cost/schedule controls) and external partners (GC, A/E, specialty consultants), • Manages stakeholder coordination across NYCHA, lenders, monitors, insurers, community stakeholders, and internal leadership, • Produces concise, decision-ready reporting for executives and investors: budget/schedule variance, risk register, change order log, and key milestones Key Deliverables & Success Metrics • On-time delivery of phased turnovers and portfolio milestones., • Cost performance: change orders and contingencies managed to targets; clean audit trail., • Resident impact: minimized repeat visits, access misses, and complaint escalation., • Safety: incident rates tracked and reduced; strong contractor compliance., • Quality: low punch list volume, high first-pass inspections, responsive warranty execution., • Compliance: accurate, timely DBRA/Section 3/MWBE reporting; audit-ready documentation. Required Qualifications • 10+ years of progressive construction leadership experience, including occupied multifamily rehabilitation, • Demonstrated experience delivering projects with public-sector and/or federally funded compliance obligations, including prevailing wage, • Proven history managing multi-site or large-scale portfolios with complex stakeholder environments, • Or equivalent combination of education and experience Skills and Competencies • Strong knowledge of NYC construction landscape: subcontractor market, DOB processes, and typical building conditions in older high-rise/low-rise multifamily stock, • Expertise in budgeting, contract administration, schedule controls (CPM), change management, and claims avoidance/resolution, • Clear, disciplined communicator with strong executive presence and field credibility, • Direct experience with NYCHA PACT and/or HUD RAD preservation work., • Familiarity with Section 3 and resident economic opportunity programs in practice (not just reporting)., • Experience coordinating with HPD/HDC financed affordable housing rehabilitation (where applicable)., • OSHA 30 (or ability to obtain promptly), • Procore (or equivalent), Bluebeam, Primavera P6/MS Project, Excel-based cost controls, SharePoint/Teams. Salary to be determined based on factors such as geographic location, skills, education, and/or experience of the applicant, as well as the internal equity and alignment with the team. For (Insert State) this ranges from $135,680 - $220,500 plus benefits and retirement program. Gilbane offers an excellent total compensation package which includes competitive health and welfare benefits and a generous profit-sharing/401k plan. We invest in our employees' education and have built Gilbane University into a top training organization in the construction industry. Qualified applicants who are offered a position must pass a pre-employment substance abuse test. Gilbane is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, color, national origin, race, religion, sex, sexual orientation, gender identity, protected veteran status, or disability status. Note to Recruiters, Placement Agencies, and Similar Organizations: Gilbane does not accept unsolicited resumes from agencies. Please do not forward unsolicited agency resumes to our jobs alias, website, or to any Gilbane employee. Gilbane will not pay fees to any third party agency or firm and will not be responsible for any agency fees associated with unsolicited resumes. Unsolicited resumes received will be considered property of Gilbane and will be processed accordingly. We can recommend jobs specifically for you! Click here to get started.

Job Description Hi, we're Oscar. We're hiring an Senior Manager, Clinical & Disease Specific Insurance Solutions to join our Insurance Product Development 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: The Senior Manager, Clinical & Disease Specific Insurance Solutions, owns the end to end lifecycle of insurance products designed to serve members with specific clinical needs or disease profiles (e.g., diabetes, COPD). This role is accountable for product strategy, benefit design, launch, performance management, and ongoing optimization, ensuring plans improve access, remove barriers to care, improve clinical outcomes, and affordability, while remaining compliant and operationally scalable. You will report into the Vice President, Insurance Product Innovation and Development Work Location: This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote Pay Transparency: The base pay for this role is: $149,040 - $195,615 per year in New Jersey, New York, and California. The base pay for all other locations is: $134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: * Clinical & Disease Specific Plan Strategy & Design * Own the full end to end lifecycle of clinical and disease specific insurance products from ideation/strategy and benefit design through launch, performance management, and optimization aligned to outcomes, regulatory requirements, affordability and growth objectives * Build and manage business cases for new and existing products, including financial modeling, membership projections, and ongoing performance tracking against goals * Analyze product performance using financial and membership metrics to forecast results, identify risks and opportunities, and inform decision-making * Lead benefit design for disease-specific plans, including augmenting existing offerings, remediating underperforming designs, and introducing new benefit structures informed by clinical insight, utilization patterns, and product performance * Design and manage product portfolios aligned to defined clinical populations, such as members with chronic conditions, high cost, or high utilization profiles, or condition specific care needs * Contribute to annual planning, roadmap development, and prioritization for clinical and disease-specific products * Identify risks, gaps, and opportunities across benefit design, performance, affordability, and access, recommending corrective actions as needed Execution, Filings and Regulatory Alignment * Responsible for execution of clinical plan designs through internal approvals, filings and supporting documentation * Partner with regulatory and legal teams and incorporate federal and state regulatory guidance, clinical mandates and medical policy changes into plan designs and pricing inputs. * Ensure compliance with all applicable laws, regulations, and internal governance standards Cross Functional Leadership & Collaboration * Serve as the primary product directly responsible individual (DRI) for clinical plans, coordinating all necessary plan aspects across Clinical, Actuarial, Network, Medical Affairs, Finance, Legal and Compliance Performance & Optimization * Develop and maintain regular performance reporting and product look-backs, assessing financial, clinical, operational, and outcomes across disease-specific populations * Lead cross-functional execution for clinical product enhancements, pilots, and issue resolution * Compliance with all applicable laws and regulations * Other duties as assigned Requirements: * 6+ years of experience developing, managing, or supporting commercial insurance products, including clinical programs and disease-specific product offerings * 5+ years of experience and Understanding of clinical policy, utilization management, quality programs and regulatory requirements (ACA, state mandates, CMS guidance, etc…) * 3+ years multi-year experience with ACA, including individual market place and small group products * 3+ years demonstrated ownership of end to end product lifecycle management * 3+ years experience and proven ability to lead cross-functionally in highly regulated, matrixed and sometimes vague environments * 3+ years experience making Strong analytical and data-driven decisions with Ability to translate population-specific insights into product and benefit design decisions Bachelor's degree in business, healthcare, public policy, analytics, or related field * Experience developing or managing clinically differentiated health plans. * Familiarity with medical policy development, clinical governance and provider models. * Experience supporting regulatory filings and audits * Experience developing or managing products for chronic conditions, high-utilizer populations, or disease-specific cohorts * Experience with business intelligence tools, experience with SQL, Excel, or similar tools * Experience incorporating clinical outcomes, quality measures, and care management programs into product design * Background in population health, value-based care, or care delivery innovation a plus This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 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. 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160 Hours of PTO and 4 Day Work Weeks This Jobot Job is hosted by: Jacob Wolf Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $90,000 - $120,000 per year A bit about us: We are a reputable mid level personal injury law firm dedicated to providing exceptional legal services to our clients for over 25 years. Our team is committed to excellence, and we are currently seeking a skilled and motivated Pre-Litigation Attorney to join our dynamic team. This position can be in office, hybrid, or remote. Monday to Thursday, 8:30 am to 5:00 pm, closed on Friday's! We are seeking a motivated and experienced Pre-Litigation Attorney to join our team. The ideal candidate should have a minimum of 2 years of experience in personal injury law (Washington State) and will be responsible for managing pre-litigation cases from intake through settlement disbursement. Why join us? ? 4 day work week ? 160 hours PTO after 90 days ? Competitive salary + incentives based on experience ? Competitive health insurance plan ? 401k after 1 year Job Details Key Responsibilities: ? Be the leader of a team of 2 Case Managers and 2 Legal Assistants and 275 cases ? Excellent at managing multiple cases simultaneously in a fast-paced environment ? Ability to work well with others and enjoy a team environment ? Conduct initial client consultations and case evaluations ? Communicate professionally with clients, insurance adjusters, and medical providers ? Draft demand letters and negotiate settlements ? Maintain organized case files and documentation in Filevine or similar CMS ? Collaborate with other attorneys and staff to ensure comprehensive case management ? Provide exceptional client service and support throughout the pre-litigation process Qualifications: ? Happy and dedicated to helping others ? Knowledge of Ai tools ? Juris Doctor (JD) degree from an accredited law school ? Active license to practice law in Washington State ? Minimum of 2 years of experience in personal injury law, with a focus on pre-litigation ? Strong negotiation and communication skills ? Detail-oriented with excellent organizational abilities ? Ability to work independently and as part of a team Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

Marketing Manager (Generalist) Extension Health — New York City (In Person) Full-Time | $65,000–$80,000/year About Extension Health Extension Health is NYC's premier longevity medical center — an all-under-one-roof platform for personalized healthspan optimization. We offer the most advanced diagnostics and breakthrough therapeutics available today, including peptide therapy, regenerative medicine, hyperbaric oxygen therapy, NAD+ IV infusions, therapeutic plasma exchange, and more. Founded by Dr. Jonathann Kuo, MD, our physician-driven team has helped 50,000+ patients take control of their health and longevity. We're growing fast and building the team to match. The Role We're looking for a hands-on Generalist Marketing Manager to drive brand awareness, patient acquisition, and word-of-mouth growth across Extension Health's West Village and Midtown locations. This role spans owned and earned channels — from content and email to PR, partnerships, and referral programs. You'll be the connective tissue between our clinical team, external partners, and the patients we serve, turning Extension Health's world-class offering into stories worth telling and sharing. What You'll Do • Manage day-to-day marketing operations across social media, email, and the website, • Brief, coordinate, and publish content across Instagram and other key channels — maintaining brand voice and clinical accuracy, • Own email and SMS marketing cadences — from welcome flows to promotional sends, • Build and manage a structured patient referral program to drive word-of-mouth bookings, • Identify and develop earned media opportunities — press, podcast placements, influencer partnerships, and local PR, • Support Dr. Kuo's thought leadership presence across social and media channels, • Coordinate with the clinical team to develop patient education content and service spotlights, • Manage relationships with wellness partners, corporate accounts, and community organizations to drive referral pipelines, • Track and report on key marketing KPIs (bookings, referrals, channel performance) on a weekly basis What We're Looking For • 3–5 years of marketing experience, ideally in healthcare, wellness, hospitality or a consumer brand, • A natural storyteller with strong writing skills and an eye for brand consistency, • Experience with email marketing platforms (Klaviyo, Mailchimp, or similar), • Proven track record building or contributing to referral or partnership programs, • Some exposure to PR or earned media — pitching, media relations, or influencer management, • Comfortable working in a fast-moving, founder-led environment where priorities shift, • Highly organized with strong project management instincts, • Genuine interest in longevity, health optimization, or functional medicine is a big plus Nice to Have • Experience marketing healthcare or medical services, • Familiarity with HIPAA-compliant marketing practices, • Existing relationships with wellness, fitness, or lifestyle media, • Basic knowledge of SEO or CMS management (WordPress) What We Offer • $65,000–$80,000 base salary, commensurate with experience, • The opportunity to grow with one of NYC's most exciting health and longevity brands, • A front-row seat to the future of preventive and regenerative medicine, • Collaborative, mission-driven team environment To Apply Send your resume and a brief note on why you're interested to

This position is only open to W2 candidates who do not need sponsorship now or in the future. The ideal candidate will use their passion Performance Improvement and Analytics to provide insights to the business covering a range of topics. Job Description: We are seeking a highly skilled and detail-oriented Data Analyst specializing in Quality Improvement and Patient Safety to join our dynamic team. As a Data Analyst, you will play a critical role in analyzing and interpreting healthcare data to drive improvements in patient safety, care quality, and operational efficiency. Your expertise in data analysis, statistical modeling, and healthcare systems will be instrumental in identifying opportunities for enhancing patient outcomes, strategic decision making, providing data-driven insights, reducing errors, and promoting a culture of safety within our organization. Requirements: • Bachelor's degree in healthcare administration, data science, statistics, or a related field. A master's degree is preferred., • Proven experience in healthcare data analysis, preferably within a Quality and Safety department or within a clinical or hospital setting., • CHDA, CPHQ or CPPS certification preferred or other healthcare data analyst certification, • Knowledge of healthcare systems, patient safety principles, quality improvement methodologies (e.g., CPHQ, CPPS, or Lean Six Sigma certifications preferred), and regulatory requirements (e.g., CMS guidelines) is highly desirable., • Familiarity with Meditech EMR, incident reporting systems, patient safety indicators, and other relevant quality improvement metrics is a plus., • Proficiency in statistical analysis software and data visualization tools (e.g., Tableau)., • Strong analytical and problem-solving skills, with the ability to work with large datasets and draw meaningful conclusions from complex data., • Knowledge of healthcare systems, terminologies (e.g., ICD-10, CPT), and industry standards (e.g., HL7) is highly desirable., • Familiarity with healthcare regulations, compliance, and privacy requirements, including HIPAA., • Excellent communication skills, both written and verbal, with the ability to present findings to diverse audiences., • Strong attention to detail and ability to handle sensitive and confidential information securely

About NYC Health + Hospitals NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Work Shifts 8:00 A.M – 4:00 P.M Duties & Responsibilities Purpose of Position: Under the general supervision of the Director, Engineering and Support Services, assists in directing programs to manage building maintenance, grounds, and equipment and procurement or generation of utilities and their distribution systems. Formulates and evaluates programs and projects and supervises functional programming activities. Ensures ongoing compliance with NYC Health + Hospitals and relevant health care setting policies, and other appropriate regulatory requirements. Essential Duties and Responsibilities: 1. Directs, coordinates, and maintains control over project assignments and related activities including in-house construction, renovation, and engineering activities. Follows standard methods and procedures for the implementation of maintenance systems and operations, construction contracts, and/or capital projects development. 2. Assists in the direction of trade staff through the development processes and procedures for the implementation of maintenance operations, construction contracts, and capital projects. Assists the Director in identifying staffing needs to support service delivery. 3. Prepares reports, develops and prepares engineering management audits, studies and surveys for the Director, and/or other senior management, detailing proposed new programs, statistical studies, and health care setting planning. 4. Assists in the collection of data and preparation of reports that outline the scope and estimated cost of projects proposed, implemented and developed. Organizes staff meetings, reviews capital and expense budget submissions and provides recommendations regarding proposed projects and programs. May represent the Director in budget meetings. 5. Plans and implements programs to establish performance standards to achieve increased productivity and accountability of trade staff. Reviews and evaluates existing programs, services, policies and procedures. 6. Provides departmental orientation, training and guidance to staff. Conducts in-service training programs, continually assessing staff training needs; suggests changes to Director to provide more efficient operations., 7. Coordinates efforts and cooperates with departmental leadership on matters of mutual concern and extends functional guidance and assistance. Meets with health care setting clients and staff to plan, prioritize, coordinate and/or communicate programs and policies, as needed. 8. May provide consultative services to senior leadership or liaise with Federal, State, and City agencies on matters pertaining to engineering, construction, design projects and/or other engineering support programs and functions., 9. In the Director’s absence, may represent the System in certain legal matters dealing with State, City, and Federal agencies., 10. Performs other related duties, as directed. Minimum Qualifications • Bachelor’s Degree from an accredited college or university in Engineering, Architecture, Construction Management, Construction Engineering or a related discipline; and two (2) years of responsible-level experience in project, facilities or construction management, capital project planning, development, and design or other related experience in a hospital or health care setting; or Department Preferences EDUCATION • Knowledge and understanding of healthcare building and mechanical, structural and electrical systems., • General knowledge and expertise in NFPA, TJC, CMS, EPA and OSHA Codes and regulations, • Ability to meet established goals and objectives, • Must have the ability to read, comprehend and transmit detailed instructions orally and in writing., • Should have knowledge of CMMS Systems. Benefits NYC Health and Hospitals offers a competitive benefits package that includes: • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week, • Retirement Savings and Pension Plans, • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts, • Loan Forgiveness Programs for eligible employees, • College tuition discounts and professional development opportunities, • College Savings Program, • Union Benefits for eligible titles, • Multiple employee discounts programs, • Commuter Benefits Programs

About NYC Health + Hospitals/Coler NYC Health + Hospitals/Coler is an 815-bed nursing facility with a 5-Star CMS Quality Rating located on Roosevelt Island, nestled between Manhattan and Queens. Coler offers long term and subacute care, rehabilitation, and a dedicated memory care unit, comprised of 150 beds featuring an acclaimed music and memory program. The facility features a robust rehabilitation therapy program with expansive gym space for residents. Coler also offers full time physician staff, psychiatry, dental services, an onsite 8-chair dialysis den for hemodialysis, and on-site medical clinics to meet the clinical needs of its residents. From more than 600 Nursing Homes, Coler ranks #5 in Newsweek’s Best Nursing Homes in New York 2024; and also received a 2024 Silver Beacon Award for Memory Care. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Reporting to the Director of Capital Budget and Contract Control, is responsible for supervising, coordinating and executing the management of multiple capital projects for the Post-Acute Service Line. Supports collaborative development with various business teams and drives process improvements for the successful management of the overall project lifecycle, supporting provision of all deliverables from inception to completion. Essential Functions • Manage all aspects of assigned capital projects from initiation through closeout including but not limited to budgets, schedules procurement and quality control., • Work with the facility staff on facility construction projects. Including: scheduling, adherence to job specifications, quality of work placed, safety, and regulatory compliance, • Provides direct supervision and coordination of design consultants and contractors as required by ongoing projects. Including review of design documents, not limited to drawings and specifications, for compliance with Central Office standards, end user programs, facility standards and needs, regulatory agency requirements and codes to ensure the projects are completed within budget and planned schedules., • In conjunctions with Director, facilitates RFP processes, and procurement requests including drafting scopes for design RFPs, contractor scopes of work and coordinating consultant responsibilities and tasks., • Develops and submits budget reports and variances as required. Assures that adequate funds are budgeted and funds are available. Reviews schedules, budgets, and progress reports and provides regular updates to supervisor and stakeholders., • Conducts regularly scheduled site walks and ensure project is in adherence with NYC H+H procedures and regulatory requirements., • Track project documentation and maintain records in systems such as Kahua., • Support invoice review, change order evaluation, and project reporting., • Prepare meeting minutes, presentations, and regular status updates., • May coordinate additional project administration tasks as required., • Requires Travel to the 5 Post- Acute Facilities Minimum Qualifications 1. Master’s Degree from an accredited college or university in Business or Public Administration, Healthcare Management, Engineering, Social Sciences, Physical Sciences or a related discipline; and four (4) years of progressively responsible experience in projects and programs management, execution, and implementation, two (2) years of which must have been in the administration, management and/or execution of projects and programs of various complexities, including work in health care program planning, research, design or a related area; or, 2. Bachelor’s Degree from an accredited college or university in one of the disciplines as listed in 1 above or a related discipline; and five (5) years of progressively responsible experience as described in 1 above, three (3) of which must have been in the administration, management and/or execution of projects and programs of various complexities, including work in health care program planning, research, design or a related area; or, 3. Bachelor’s Degree from an accredited college or university in a discipline listed in 1 above or in a related discipline; and possession of a valid, professional certification listed below; and four (4) years of experience as described in 1 above, two (2) years of which must have been in the administration, management and/or execution of projects and programs of various complexities, including work in health care program planning, research, design or a related area. a. Project Management Professional (PMP). b. Program Management Professional (PgMP). c. Certified Associate in Project Management (CAPM). d. Lean Six Sigma (LSS), green belt or above. e. Certified ScrumMaster (CSM). f. SAFe Agilist (SA). Department Preferences • Professional Judgment & Decision-Making: Must be a self-assured professional with the ability to exercise sound judgment and practical decision-making in complex project scenarios, • Experience in Project Management: At least 6 years of progressively responsible experience in project management, with a preference for candidates who have experience working in healthcare or related sectors. Demonstrated expertise in managing projects with varying complexities and budgets is essential. Experience in long-term care facilities is a plus but not required., • Effective Communication: Excellent communication skills with the ability to present clear, concise recommendations and timely advice to executive leadership, including the CFO and other key stakeholders. Proven ability to engage effectively with diverse teams., • Technical Proficiency: Proficiency in Microsoft Project and/or other project management tools for task assignment, scheduling, and tracking project progress. Proficient in Microsoft excel, word, powerpoint with ability to effectively track and monitor project timelines, deliverables and milestones., • Regulatory & Compliance Knowledge: Must be knowledgeable in healthcare regulations and/or how to source health care regulations, laws governing accounting, quality control, code enforcement, as well as any other regulatory requirements impacting capital projects in healthcare settings.

Summary of Job Perform provider and member outreach to reconcile member records and validate data entry to support continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) rates and STAR measures for the enterprise. Facilitate provider and member outreach supporting the MTM, OMW, and Medication Adherence quality measures to ensure member receipt of important clinical services to improve member health outcomes. Daily telephonic outreach to secure appointments with pharmacists and/or vendors to close gaps in care. Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental data collection activities. Track calls for all lines of business related to the MTM, OMW, and Medication Adherence quality measures, reporting weekly completion statistics. Produce and process department mailings to members and physicians. Monitor internal mailboxes for department faxes and calls. Collaborate with internal departments in order to administer the MTM, OMW, and Medication Adherence quality measures. Responsibilities • Work closely with Clinical Pharmacist(s), Registered Nurses and Data Analyst(s) to prioritize members for outreach who fall in HEDIS measures including but not limited to Medication Adherence and OMW (Osteoporosis Management in Women who had a fracture) and the STAR measure MTM (Medication Therapy Management) Program., • Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close gaps in care supporting Enterprise goals., • Perform daily provider and member outreach supporting the MTM, OMW, and Medication Adherence quality measures to ensure member receipt of important clinical services to improve member health outcomes., • Prepare and execute member and provider mailings., • Collaborate with providers and internal departments to ensure the receipt and correct processing of all supplemental data related to HEDIS claims and records and assist in correcting discrepancies., • Maintain high data integrity while adhering to HIPAA standards and protecting patient information., • Perform provider outreach to verify and document member's appropriate medical diagnoses and subsequent treatments both by telephone and in writing., • Coordinate call tracking and provide statistics to stakeholders., • Intake and organize data from other departments while ensuring proper compliance with all CMS regulations, policies and procedures., • High School Diploma (Required), • College Degree (Preferred), • Pharmacy Technician License (Preferred), • Minimum of 1 year direct customer service experience in a healthcare setting (Required), • Excellent telephonic and customer service skills (Required), • Experience analyzing data and building action plans based upon data outcomes (Required), • Personal motivation to achieve set goals (Required), • Flexibility and ability to adjust workflow to achieve company goals (Required), • Experience with or knowledge of Electronic Medical Records (Preferred), • Knowledge of or experience with HEDIS, STAR ratings, and/or quality improvement (Preferred), • Experience in a managed care health services environment (Preferred), • Experience in data collection, data entry and analysis (Preferred), • Knowledge of Excel and other analytical tools (Preferred) Additional Information, • Requisition ID: 1000002961, • Hiring Range: $39,960-$70,200

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Location: Remote (For Non-Local) or Hybrid (Local to Denver or NYC area) Position Summary: The Senior Manager is responsible for leading the endtoend implementation, governance, and change management of regulatory requirements for Exchange plans and EDGE Server operations. This role oversees the delivery of CMS submissions, compliance activities, contract applications, and bidrelated client support, while also coordinating responses to federal and state regulatory audits. The Senior Manager ensures all regulatory reporting obligations are met for Exchange clients by interpreting CMS and state guidance, partnering with internal subject matter experts and client teams, and translating requirements into operational processes. Using structured research, analysis, testing, and validation, this role ensures that systems, workflows, and data submissions consistently meet regulator expectations and client objectives. Position Responsibilities: • Lead Government Programs support for Exchange business functions including claims adjudication, regulatory reporting, and audit support (Government, and Client)., • Leads the interpretation, implementation and monitoring of all relevant regulatory requirements and changes impacting Capital Rx's Exchange Programs., • Establish and maintain the EDGE pharmacy submission playbook (file intent, lineage, duplicate controls, timestamp standards, enrollment alignment)., • Define and enforce submission cadences, presubmission QA gates, and accept/active/nonorphan targets that meet CMS sufficiency timelines., • Translate CMS updates into operational SOPs and training., • Partners with crossfunctional SMEs to analyze regulatory changes, determine their implications for organizational processes, systems, and client commitments, and leads the coordinated, ontime implementation of required updates across the enterprise., • Manages timely response to Government Programs support for RFP/RFI, internal sales, and Exchange client requests., • Provides key insights on Exchange functions using data analysis, industry knowledge and subject matter expertise to identify opportunities, and develop solutions, for optimization of internal business processes and systems., • Supports the documentation management of internal policies and procedures, reporting and project specifications, job aids, and workflows for designated Government Programs Operations., • Leverages profound knowledge of Exchange guidance and understanding of industry and market requirements to support product strategy and service delivery., • Maintains current knowledge of Exchange requirements to facilitate compliance of ongoing business operations., • Fosters a high-performance culture through mentoring and collaboration, providing team members with ongoing performance feedback and identifying required changes to existing roles and responsibilities to ensure effectiveness and efficiency., • Assesses impact of new business to understand scalability and staffing needs. Required Qualifications: • 6+ years of relevant Prescription Benefit Management and/or Health Plan experience supporting Exchange plans, • 5+ years people management experience, • Vast knowledge of Exchange regulatory requirements and associated product and/or operational workflows, • Proven success managing multiple complex projects simultaneously, • Extremely flexible, highly organized, and able to shift priorities easily, • Attention to detail & commitment to delivering high quality work product, • Excellent written and verbal communication skills, • Proven success managing cross functional teams and maintaining effective relationships at all levels both internal and external; including government entities This range represents the low and high end of the anticipated base salary range for the NY - based position. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and if the location of the job changes. Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Salary Range$120,000—$135,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at___.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Position Summary: The Senior Analyst, Government Programs Operations - Analysis & Efficiencies will play a pivotal role in supporting the operational success of Medicare, Medicaid, and the Exchange programs. This analyst develops data-driven solutions that enhance efficiency and reduce manual efforts. Under the guidance of the Operations Manager, this analyst utilizes complex datasets to identify actionable insights that inform strategic decisions and drive ongoing improvement. The analyst's responsibilities encompass delivering recurring and ad-hoc reports, designing and leading the implementation of BI dashboards, and creating standardized code templates to automate deliverables. Additionally, the analyst contributes to process optimization by designing scalable, automated solutions that streamline workflows and minimize manual intervention. Collaboration with cross-functional teams, including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations, is crucial to ensure that analytical tools and operational capabilities align with both regulatory requirements and business objectives. Position Responsibilities: * Analyze complex datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, and Exchange programs * Develop and maintain recurring and ad-hoc reports, dashboards, and analytical tools to support data-driven decision-making * Create and maintain a repository of standardized code templates to streamline report generation and automate routine tasks * Ensure analytical outputs align with regulatory requirements and business objectives by interpreting CMS and state guidance in partnership with internal subject matter experts. * Support the development of scalable processes that enhance efficiency, accuracy, and responsiveness across government program operations * Design and implement automated solutions to reduce manual effort and improve process scalability and accuracy * Implements and uses analytical software to support the department in achieving goals as defined by executive leadership * Facilitate requirements gathering sessions to understand business needs and translate them into actionable analytical deliverables * Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery, and cost savings regulations are met * Presents and communicates complex analytical findings in a clear and concise manner * Participates in user acceptance, and quality assurance testing of new application features and team deliverables * Supports root-cause-analysis and reporting of encounter data issues/errors by partnering with key stakeholders - Will also provide operationally support * Prepares high-level user documentation and training materials as needed * Work with internal and external clients to research, develop, and document new standards to enhance reporting capabilities * Collaborate with cross-functional teams-including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations-to refine and enhance operational capabilities * Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Required Qualifications: * 4+ years of healthcare data experience * 4+ years of experience working with SQL, R, or Python * 4+ years of experience working with business intelligence tools * Experience performing analyses on large sets of data * Knowledge of data management, statistics, modeling concepts * Experience working with cross-functional teams * Experience with Power BI or other data visualization tools * Ability to balance multiple complex projects simultaneously * Extremely flexible, highly organized, and able to shift priorities easily * Attention to detail & commitment to delivering high-quality work product • 4+ years of proven experience in government programs, • 3+ years of experience working with pharmacy data Experience with Medicare(Part D), Medicaid, and/or Marketplace Pharmacy Data/Processes Salary Range$90,000—$105,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at___.

Explore opportunities with Patient Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Occupational Therapist in Home Health, you will be responsible for assessment and evaluation of patient care needs related to functional status, activities of daily living, fine motor coordination, home assessments and adaptive equipment, and other occupational therapy needs as defined by medical conditions. Primary Responsibilities: • Provides service within the scope of practice as defined by the state laws governing the practice of Occupational Therapy, in accordance with the plan of care, using evidence-based techniques, and in coordination with other members of the health care team, • Evaluates the patient's functional status, status of all body systems as required for CMS documentation, and occupational therapy needs. Consults with the physician in the development of the therapy plan of care, • Observes, records, and reports to the nurse supervisor and the physician the patient's response to treatment and changes to the patient's condition, • Conducts patient assessments evaluating the level of function by applying diagnostic and prognostic functional ability tests You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Current Occupational Therapy licensure in state of practice, • Current CPR certification, • Current driver's license and vehicle insurance, access to a dependable vehicle, or public transportation, • Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client State Specific Requirements: • NJ:, • Must be certified as an Occupational Therapist and registered by the National Board for Certification in Occupational Therapy, • At least 1 year of experience as an Occupational Therapist Preferred Qualifications: • Demonstrated ability to manage multiple tasks simultaneously, • Demonstrated ability to work independently, • Good communication, writing, and organizational skills Pay Range $71,700 - $158,400 annual total cash target pay $41.37 - $91.38 per visit point $34.47 - $76.15 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of "direct" and "indirect" patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. #LHCJobs At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Position Summary: The QA Pharmacist will use their state regulatory knowledge to perform routine auditing and monitoring processes to ensure quality, accuracy, and regulatory compliance of coverage requests and appeals. The QA Pharmacist will utilize a strong comprehension of regulatory requirements to ensure success in annual reporting, program audits, and ad hoc audits. Position Responsibilities: • Complete monthly utilization management and appeals performance and process audits in alignment with applicable regulations, accreditation standards, and best practices., • Create and maintain progress reports and audit results in accordance with regulatory/accreditation requirements and internal processes., • Present audit results to leadership in a timely manner to address issues and ensure adherence to departmental procedures and regulatory/accreditation requirements (CMS, URAC, NCQA)., • Continuously review and remain informed of all regulatory/accreditation requirements and updates impacting the coverage request and appeals processes., • Respond to inquiries from internal and external stakeholders regarding quality assurance processes, audit results, and compliance policies and procedures., • Work independently and with team members as warranted by audit assignment., • Assist in designing and implementing audit tools and programs, creating QA scorecards and guides in collaboration with all department stakeholders., • Provide ongoing performance feedback, to team leads to ensure consistent performance., • Assist management in identifying, evaluating, and mitigating operational, and compliance risks., • Active, unrestricted, pharmacist license required, • 2+ years of state regulatory and audit utilization management experience at a PBM or health plan required, • Extensive knowledge of how to operationalize regulatory requirements, • Strong oral and written communication skills required, • Intermediate to advanced Microsoft Excel skills required, • Possess strong analytical skills, attention to detail, quantitative, and problem-solving abilities, • Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven work environment, • Familiarity/experience with URAC and NCQA accreditation requirements, • Utilization management and/or appeals audit experience #LI-BC1 Salary Range$135,000—$145,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at___.

About Diversified: Diversified is a global leader in audio visual and media innovation, recognized for designing and building the world's most experiential environments. Our award-winning team specializes in delivering solutions for the most complex, large-scale and immersive installations. Serving a global clientele that includes major media organizations and retailers, sports and live performance venues, corporate enterprises, and government agencies, Diversified partners with clients to create spaces that bring people together and keep them coming back. What to Expect: At Diversified, we're on a mission to create a world without boundaries, where technology enables all people to connect and experience the moments that matter, wherever they choose to be. With clients spanning the globe and an exciting pipeline of projects across industries, Diversified offers more than just a job. We offer a career path with the flexibility to grow personally and professionally, wherever your ambitions take you. As a Diversified associate, you'll dive headfirst into big, complex, and rewarding projects that push the boundaries of what's possible. Plus, you'll enjoy a flexible work environment, competitive compensation and benefits, and a culture that celebrates diversity and inclusion. IF YOU CAN DREAM IT, YOU CAN DO IT AT DIVERSIFIED. How You'll Contribute: The Solutions Architect (SA) is a subject matter expert (SME) and technology thought leader who contributes their deep knowledge of process and technology to the core team for each Sports Media & Entertainment (M&E) project. The SA provides direction and advice through the project life cycle from sales concept to design development, construction drawings to implementation support. As the technical thought leader on a project team, the SA is instrumental in the determination and execution of client and system requirements and will collaborate with Sports M&E SMEs and project teams as required. The SA is also responsible for mentoring other members of the design engineering staff. Reporting to the Sports Director of Engineering, the SA's project assignments are determined by Engineering Leadership based on enterprise-wide demands. NOTE: This is a virtual role day to day, but required periodic travel to customer & project sites. up to 30% of the time, anywhere in the US. What You'll Do: • Contributes to complex engagements and works directly with clients and project teams to develop basis of design, budgets, timelines, and manage expectations., • Conceptualize system designs and determine system requirements., • Provide technical expertise and coordination information to support the base building tasks performed by others, and planning of audio, video, and control solutions., • Monitor development of projects the Bills of Materials (BOM) and supporting documentation., • Develop detailed design documentation strategy based on established engineering standard practices. Track engineering team tasks to completion., • Generate functional system descriptions, workflow narratives, and accompanying sketches., • Research, identify, and recommend technology options for clients and projects., • Contribute technical expertise for the creation and later reconciliation of the complete construction drawing package, support documentation for installation and coordination with architect and other trades., • Monitor project testing, commissioning, and configuration activities during project deployment., • Support projects and teams in build phase., • Provide regular project engineering milestone status updates to Technical Operations resource planning., • Evaluate RFP documents to identify risks, scope gaps and alternative solutions., • Evaluate Vendor responses to RFP requests to determine if the quoted solution appropriately responds to the RFP requirements and also work with the vendors to develop alternative solutions and or cost saving measures., • Work with Sports Account Executives and customers to develop proposals that respond to the customers' technical needs., • Maintain expertise in the industry through ongoing review of trade publications, participation in industry trade shows, seminars, and educational forums. Complexity: The Solutions Architect works with the Sports Engineering Director on resource assignment. This role is primarily billable in a post-sales capacity, though there are times when the SA will work on presales estimation and design efforts. Decision Making Authority: As the technical thought leader on a project, the SA is responsible for vetting products and making detailed equipment recommendations. The SA has the authority to recommend changes in scope as well as programming and commissioning activities to enhance project success. The SA is also responsible for reviewing drawing packages produced by project teams. Physical Demands: The physical demands described here are representative of those that may be met by an employee. Work will normally be performed within normal office conditions and/or home office depending on location of SA. On occasions the employee may be exposed to construction site conditions. Employee will be responsible for their safety while on job sites and to comply with all safety regulations in place by the GC. Use of PPE is usually required on job sites. The employee can typically spend at least 50% of their time on their feet and be required to mobile around the construction site. The individual is regularly required to use keyboards, test equipment and controls required for SI installation projects. Specific vision abilities required for this job include close vision, distance vision, peripheral vision, and depth vision. Travel: Occasional travel by car and occasional airplane trips are required. Employee must possess a valid driver's license in their state of residence. Employee will be required to use their own vehicle for travel to job sites within a 2 hour driving distance each way and will be reimbursed for mileage at the current corporate rate. Estimated travel for this position is approximately~ 30% but may vary greatly depending on project needs. What You'll Bring: Education & Certifications: • High school diploma or GED required, • Proficient in AutoCAD and MS Office 365 Required Skills/Qualifications: • 15+ years' experience in Sports / Media/ Entertainment (M&E) technical systems design for Stadium / Arena Video Production Systems, • Extensive experience with SMPTE 2110 Routing Orchestration and Network Architecture and Digital AV networks (e.g. Dante / AES67) is required; certifications preferred, • Understanding of TCP/IP routing, ACL's, QoS, VLAN's and Wireless Access Points; network certifications preferred, • SDI Based Routing and Production Systems, • Stadium / Arena Broadcast Cabling Solutions, • Production Control Rooms, • Camera Systems (Wired / Wireless / PTZ / HFR / HDR), • Replay / Slow Motion Systems, • Graphics Systems and LED CMS Systems, • Intercom Systems (Wired / Wireless), • Fiber Transmission Systems, • Proven ability to lead high profile client interactions, affecting high level financial & technical decisions, • Ability to manage multiple projects simultaneously and manage the expectations of each project team; with the ability to delegate conceptual information to those project teams for execution., • Proven track record of successfully completing complex Sports M&E engineering projects., • A clear understanding of project phases; Program, Conceptualization, Schematic Design, Design Development, Construction Documentation, Construction and Commissioning., • Detailed oriented, independent, self-starter, • Exceptional time management skills with a track record for meeting deadlines, • Excellent communication skills, • Ability to analyze complex issues and communicate concise succinct messages, • High level of problem solving and technical troubleshooting skills Desired Skills/Qualifications: • Media Asset Management, • Media Workflow, • Understanding of Cloud Audio Video Production Technology Along with competitive compensation, you will be eligible for the following benefits: • Multiple medical plan options to suit your family's needs, • Dental (including orthodontic coverage) and vision plans, • Company paid Basic Life, AD&D, Short-Term and Long-Term Disability Insurance, and Employee Assistance Plan (EAP), • Healthcare and Dependent Care Flexible Spending Accounts (FSA), • 401k with Employer Match, • Paid Time Off and Paid Holidays, • Voluntary Benefits: Critical Illness, Hospital Indemnity, Accident Insurance, Pet Insurance, Homeowners and Auto Insurance, Supplemental Term and Dependent Life and AD&D, and Legal Services, • Commuter Benefits Diversified is an equal opportunity employer committed to fostering an inclusive and diverse workplace. All aspects of employment will be based on job requirements, individual qualifications, merit, performance, and business need. We do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected characteristic under applicable law. We believe in fair and equitable hiring practices and strive to create an environment where all individuals feel valued and empowered. If you require a reasonable accommodation to participate in the application or interview process due to a disability, please contact so we can assist you. Our compensation ranges reflect the cost of labor across several US geographic markets. The pay details below range from our lowest geographic market up to our highest geographic market. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills and experience depending on the position offered, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits.

Role Overview: The E-Billing Specialist serves as a liaison between clients, billing teams, and vendors to ensure the seamless execution of the firm's electronic invoicing lifecycle. This individual spearheads new client intake and vendor setups while troubleshooting complex invoicing challenges like rejections, budget discrepancies, and manual LEDES file configurations. Beyond technical processing, the role provides critical mentorship to E-Billing Coordinators and coordinates with the collections team to resolve payment delays. The E-Billing Specialist is pivotal in maintaining financial accuracy through the management of monthly accruals, rate increases, and detailed status reporting. At Cornerstone Research, you will be part of a thriving, 1,000-strong team that spans nine offices, comprises more than 55 nationalities, and leads the industry in its commitment to develop team members across all levels. Inc. Magazine has recognized Cornerstone Research three times as a Best Workplace for its outstanding employee engagement, collaborative culture, and professional growth opportunities. You'll Love It Here If You: * Embrace learning and continuous improvement * Set and strive for a high bar of excellence * Believe that teamwork leads to success: ask us what it means to be #onefirmfirm! * Take pride in always doing your best work, even if it's harder or takes longer * Are passionate about what you do How You'll Help Our Team Succeed: • Assists the E-Billing Manager with high-level communication between client contacts, the billing team, and case teams., • Spearheads the new e-billing client intake process, coordinating with officers and client contacts to ensure a successful migration., • Facilitates vendor setup for new e-billing clients, including the coordination of payment processes and terms with the Collections team., • Assists with E-Billing vendor invoices processing for payment., • Oversees all complex e-billing invoicing issues (e.g., rejections, deductions, budget discrepancies), using expert communication to resolve issues that delay submissions or payments., • Mentors and provides daily support to E-Billing Coordinators, acting as a key resource for their development, • Assists with monthly accruals and estimate reports as requested., • Leads E-Billing vendor and client updates for monthly new timekeepers and client updates for new bill rates during rate increases., • Prepares and submits electronic client invoices using Aderant, BlillBlast (E-Billing software) and E-Billing vendor websites., • Assists with invoice submissions with unique requirements, such as uploading cost backup or creating manual LEDES files., • Works with Aderant support to resolve BillBlast issues and configuration requests., • Provides updates on E-Billing issues for E-Billing clients and submission statuses as requested., • Assists Billing and Collections as needed with follow-up on invoice rejections, short pays, resubmissions, and other issues., • Provides information as requested for audits and/or special projects. What You'll Need to Be Successful: • 5+ years of experience in a directly related role; preferably in professional services., • Experience working with professional services billing software, experience with CMS/Aderant a plus., • Proficient in Microsoft Office programs (Excel, Outlook, Word), intermediate/advanced proficiency in Excel a plus., • Bachelor's degree in accounting or business, or equivalent combination of experience, skills and education. Cornerstone Research is offering a competitive market base salary for this position. The base salary range represents the low and high end of the salary range for this position in all eligible locations. This range may differ based on your geographic location and cost of living considerations. At Cornerstone Research, we believe compensation is more than just a base salary. We offer a competitive total compensation package that includes an annual performance bonus and comprehensive benefits such as flexible options for healthcare, paid time off, and retirement savings. Relocation assistance is not offered for this position. Boston: $81,300 - $100,600 Chicago: $77,600 - $96,000 Los Angeles: $81,600 - $100,900 New York: $83,000 - $102,700 San Francisco: $89,000 - $110,100 Silicon Valley: $90,700 - $112,300 Washington, DC: $79,700 - $98,500 Who We Are: Cornerstone Research provides economic and financial analysis and expert testimony in all phases of commercial litigation and regulatory proceedings. We work with a broad network of testifying experts, including leaders from academia and industry, who are recognized for their depth of knowledge, accomplishments, and research. Our staff consultants contribute expertise in economics, finance, accounting, and marketing, as well as business acumen, familiarity with the litigation process, and a commitment to produce outstanding results. We're looking for passionate individuals who share our firm's core values and can bring varied perspectives and experiences to our team. The firm's uniquely collegial, supportive atmosphere makes Cornerstone Research a great place to work. We invest in our people in a host of ways, from providing meaningful learning and development opportunities to organizing memorable social events. To many, our culture and our people are the most exciting, enriching aspects of a Cornerstone Research career. Equal Employment Opportunity: Cornerstone Research provides Equal Employment Opportunities to all employees and applicants for employment without regard to legally protected categories, such as age, sex, gender, gender identity, race, color, creed/religious belief, medical condition, predisposing genetic characteristics or genetic information or testing, disability, marital status, pregnancy status, military status, veteran status, arrest or conviction record (except where permitted by law), sexual orientation, ethnic background, citizen status, ancestry, national origin, or any other consideration protected by federal, state or local law.

Job DescriptionBenefits: • Competitive salary, • Flexible schedule Position Summary: We are seeking a Nurse Practitioner (NP) to lead and support our Chronic Care Management program. This role focuses on care coordination, clinical oversight, patient education, and interdisciplinary collaboration for patients with two or more chronic conditions. The ideal candidate is organized, compassionate, and experienced in managing complex patients outside of traditional office visits. Key Responsibilities • Conduct comprehensive CCM assessments and ongoing monthly care management, • Develop, implement, and update individualized care plans, • Monitor chronic conditions (e.g., CHF, COPD, diabetes, hypertension, dementia), • Coordinate care with physicians, specialists, caregivers, and community resources, • Provide patient and family education and support via phone or telehealth, • Identify gaps in care and intervene proactively to prevent hospitalizations, • Document CCM activities accurately in accordance with Medicare guidelines, • Support compliance with CMS CCM requirements and quality measures, • Collaborate with agency leadership to grow and enhance the care management program Qualifications • Active Nurse Practitioner license (state-specific), • National NP certification (AANP or ANCC), • Minimum 2 years of clinical experience (primary care, geriatrics, home care, or care management preferred), • Experience with chronic disease management and care coordination, • Familiarity with Medicare CCM services and documentation requirements (preferred), • Strong communication, organization, and time-management skills, • Comfortable working independently in a remote or hybrid environment, • EMR experience required What We Offer • Competitive compensation, • Flexible schedule (ideal for work-life balance), • Opportunity to help build and shape a growing CCM program, • Collaborative, mission-driven work environment, • Supportive leadership and administrative support Flexible work from home options available.

System Director, Physician Advisor Program Reports To: Chief of Hospitalist Medicine Location: System-Level Position (serving all 12 acute care hospitals within RWJBH) Position Summary: The System Director, Physician Advisor Program provides strategic and operational leadership for RWJBH’s Physician Advisor services across all 12 hospitals. This position will form a collaborative partnership with local and corporate administration, medical staff, case management, and other key stakeholders to advance a comprehensive Clinical Resource Management Program, encompassing utilization management, progression of care, social work services, and complex discharge planning. The System Physician Advisor Director serves as a key clinical leader who ensures efficient and appropriate use of healthcare resources while promoting quality patient outcomes, regulatory compliance, and fiscal responsibility across the system. Key Responsibilities: Program Leadership & Strategy • Develop, implement, and oversee a system-wide Physician Advisor Program that aligns with organizational goals and regulatory standards., • Partner with hospital leadership, physician advisors, and corporate administration to standardize best practices in utilization management and care progression., • Provide system-level leadership for continuous improvement initiatives in care coordination, throughput, and discharge efficiency., • Support and guide hospital-based physician advisors in conducting utilization reviews, peer-to-peer discussions, and level-of-care determinations., • Ensure compliance with CMS regulations, payer requirements, and internal policies related to utilization and medical necessity., • Collaborate with case management and social work leadership to optimize workflows for care transitions and complex discharge planning., • Provide ongoing education to medical staff, case management teams, and hospital leadership on regulatory updates, clinical documentation, and utilization review processes., • Serve as a trusted liaison between physicians, hospital leadership, and payers to resolve utilization and discharge challenges., • Establish key performance indicators (KPIs) for system-wide utilization management and care progression performance., • Regularly report outcomes and improvement plans to the Chief of Hospitalist Medicine and executive leadership., • Lead and facilitate system committees focused on clinical resource management and care efficiency. The anticipated salary range for this position if hired to work is $350,000 to $450,000 per year. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate’s educational background, skills, and professional experience How to Apply: To learn about this and other positions, please contact Alexander Basil, Physician Recruiter at RWJBarnabas Health directly via e-mail ___

Job Description Nurse Practitioner – Clinical Integration and Education NYNJ Psychiatric Associates is a fast growing & vibrant Psychiatric group practice that provides services in assisted living & long-term care facilities throughout NY & NJ. Our well-respected team has been providing services for 14 years and currently has 35 Nurse Practitioners on the team. Our growth, to become one of the largest providers in the state of NJ, has largely been organic & word of mouth. Facilities refer us to other facilities, and our clinical partners will often do the same (pharmacy consultants, PCP's etc) - due to the quality of care and clinical support that we provide. Due to demand for our services, we are currently expanding in the state of NY. Position Overview We are seeking a compassionate and experienced Nurse Practitioner to provide high-quality psychiatric care to residents of nursing homes and assisted living facilities throughout New York State, with a primary focus on the five downstate boroughs. This opportunity focuses on geriatric and adult psychiatry, emphasizing collaborative, interdisciplinary care and clinical leadership. In addition to direct patient care, the Nurse Practitioner will help lead a clinical team including other Psychiatric Nurse Practitioners (PMHNPs), Psychologists, and LCSW’s, supporting clinical excellence, professional development, quality assurance, and regulatory compliance across long-term care settings. Some unique features of this role include the diversity of clinical conditions, varied work settings (non-monotonous routine), with flexible work hours within the business day, and with some weekly hybrid hours (some work from home/tele hours). Key Responsibilities • Conduct initial psychiatric evaluations and ongoing medication management follow-up care for residents in long term and assisted living settings, • Manage psychiatric conditions, mainly including mood disorders, dementia-related behaviors, anxiety disorders, and psychotic disorders, • Provide follow-up care and adjust treatment plans based on patient response and facility needs, • Support onboarding and clinical development of care team members, as appropriate, • Participate in interdisciplinary treatment team meetings with nursing, social work, and facility leadership, as needed, • Support quality assurance and best practices in psychiatric care delivery, • Maintain timely, accurate, and compliant clinical documentation in the electronic health record, • Participate in audits, care plan meetings, and regulatory reviews as required, • Maintain compliance with CMS, NYS DOH, HIPAA, and facility-specific regulations Requirements: • Active, unrestricted New York State NP License, • PMHNP needed based on state, • DEA registration (or eligibility), • Experience or strong interest in geriatric psychiatry, long-term care, or consult-liaison psychiatry, • Ability to collaborate effectively with interdisciplinary teams, • Effective oral and written communication in English, • Basic proficiency with technology, including electronic health records (EHR)., • Strong organizational and documentation skills, with attention to regulatory compliance., • Ability to provide in-person services at assigned facilities, up to 45 minutes., • Ability to walk, stand, and move between patient rooms and offices within the facility throughout the day., • Full Vaccination and Booster Status may be required in some facilities. What We Provide: • Competitive Compensation $160,000 (based on experience), • Rewarding experiences, • Medical, Dental, Vision,, • 401(k) plan with company match, • Malpractice Insurance Provided, • Generous PTO NYNJ Psychiatric Associates is an Equal Employment Opportunity Employer. We are committed to providing an environment of mutual respect where all employment decisions are made on an individual basis without regard to characteristics protected by federal, state, or local law. NYNJ Psychiatric Associates (NYNJ) believes that supporting a respectful and inclusive workplace is critical to our success. NYNJ is committed to making our application process to all applicants and will provide reasonable accommodation upon request as required.

We are seeking a Technical Producer to support collaboration across Creative, Engineering, and Operations teams in delivering and managing content and asset systems. This role focuses on ensuring creative assets are tracked, delivered, and maintained efficiently across platforms and regions. The ideal candidate is organized, detail-oriented, and comfortable working within structured workflows while helping improve processes over time. This role is well-suited for someone who enjoys operational rigor, problem-solving, and working at the intersection of content and technical systems. • Location: Remote (Must be within 50 miles of Culver City or Cupertino), • Schedule: Monday – Friday; Standard business hours, • Pay Comments: W2, weekly pay, benefits, 401k w/ match, • Support the intake and triage of creative tickets, maintaining dashboards and tracking systems to ensure visibility and progress, • Coordinate with Operations to support smooth asset handoff and publishing workflows, • Manage asset delivery across multiple formats, tracking assets at the individual level throughout the delivery lifecycle, • Assist in ensuring assets are properly licensed, documented, and distributed according to requirements, • Partner with Creative and Engineering teams to support the implementation and maintenance of CMS systems, • Work closely with Creative Producers and the broader creative team to ensure assets meet technical specifications and delivery timelines, • 5-7 years of experience supporting delivery of creative assets across formats such as photography, illustration, video, audio, and other content types, • Working knowledge of asset management systems and CMS platforms, • Experience managing timelines and coordinating high volumes of deliverables, • Strong organizational skills with the ability to maintain tracking systems and documentation, • High attention to detail and a proactive approach to problem-solving, • Comfortable collaborating across Creative, Engineering, and Operations teams, • Able to adapt in evolving or ambiguous environments, • Experience at a technology company, • Familiarity with geographic sensitivities and region-specific content considerations About Aquent Talent: Aquent Talent connects the best talent in marketing, creative, and design with the world’s biggest brands. Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. More information on our awesome benefits! Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We’re about creating an inclusive environment—one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive. #LI-CA1 Client Description Our client is a global leader in consumer technology, renowned for redefining the intersection of hardware, software, and services. Known for their uncompromising commitment to world-class design and user experience, they create products that have become essential to daily life. You will be joining a team that values craftsmanship and simplicity, working on high-impact projects that reach hundreds of millions of people worldwide. #LI-Hybrid

Risk Adjustment Program Manager New York, NY (Hybrid) | $125,000 to $145,000 A leading not-for-profit health plan is seeking a Risk Adjustment Program Manager to support risk adjustment initiatives across Medicare, Medicaid, and Exchange populations. Hybrid: 2 days a week in the NYC office and 3 days a week remote. This could possibly become 100% remote in the future. Responsibilities: • Ensure accuracy of encounter submissions and resolve data discrepancies, • Identify and close risk score gaps through data analysis and provider collaboration, • Analyze program performance and refine risk adjustment strategies, • Oversee reporting, analytics, and vendor performance, • Ensure compliance with CMS and state regulations, • Lead projects, including RFPs and vendor implementations, • Supervise and mentor analysts Qualifications:, • Bachelor’s degree required (Master’s preferred), • 6+ years healthcare experience, including 3+ years in Risk Adjustment, • Knowledge of risk models (CMS-HCC, HHS-HCC, 3M CRG), • Strong analytical skills (SQL or similar preferred), • Experience in health plan, provider, or vendor environment This is a high-visibility, strategic role offering growth and the opportunity to make a meaningful impact within a mission-driven organization. #AC1 #ACP

Our groundbreaking hospice and palliative care programs offer a significant difference when dealing with a life-limiting condition. We offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. The Director of Quality Management oversees the development, implementation and maintenance of quality management program for Hospice and Palliative Care. • Develops a Quality Assurance/Performance Improvement (QAPI) Plan for Hospice consistent with regulatory requirements, industry standards and patient needs, • Keeps senior leadership abreast of trends within healthcare quality, it's impact on hospice, advises and recommends strategic quality initiatives. Reports on key quality indicators to Senior Leadership, • Collaborates with leadership and hospice staff to develop clinical performance indicators, manage related analysis and benchmarking and disseminate information. Ensures quality and performance improvement data is used for statistical data and performance improvement., • Facilitates data collection and analysis, • Collaborates with clinical and operational departments to ensure implementation of interventions, • Utilizes PDSA methodology and analytical tools to evaluate results, • Oversees the utilization of On-Line Risk Management System (Safetrak). To identify and reduce risks by examining high risk, problem prone processes related to care, treatment or service, • Works collaboratively with the SVP in the development and evaluation of the QI program and evaluation in accordance with the organization' s mission and goals and federal and state regulations., • Works to ensure data reporting needs are met, • Ensures effective analysis of performance metrics in comparison to internal/external benchmarks and goals, • Identifies opportunities for improvement and ensures appropriate interventions are implemented and evaluated, • Collaborate with the Patient Experience team and Customer Experience Department., • Ensures the consistent development, implementation and accountability of performance improvement initiatives to enhance processes that support the provision of high-quality care and ensures effectiveness of performance improvement projects., • Ensures compliance with Federal and NYS regulations by serving as a resource on regulatory matters, • Maintains knowledge of current trends and developments in areas of responsibility through membership in appropriate professional organizations, attend in services and continuing education to maintain current knowledge and expertise, maintain up to date knowledge of the laws regulation and payor requirements that affect policy and procedure, • Oversees CMS Hospice Quality Reporting Program (CAHPS and HIS) to ensure compliance with regulatory mandates. Utilizes data to implement Performance Improvement Projects in order to improve practice and service, • Manages performance of direct and indirect reports. Provides orientation, coaching, training and development. Take corrective action when necessary., • Utilizes corporate services resources such as Human Resources, Compliance, Legal, Finance, Information Services, Marketing, etc., as appropriate., • Ensures appropriate staffing and resources to support department/agency services. Monitors productivity throughout the year and participates in annual budget preparation., • Interviews and participates in the selection process for qualified staff in collaboration with Human Resources and department management., • Registered Professional Nurse licensed in New York State., • Bachelor of Science in Nursing required, Master of Science or in progress in nursing or related field preferred., • Minimum 5 years' experience in Quality Management/Performance Improvement, • Prior experience in hospice., • Application of statistical process control tools., • Knowledge of Federal and NYS DOH Regulations.

Summary of Position Provide vision and leadership for Care Management, ensuring integration into EmblemHealth's broader population health strategy. Accountable for the execution of clinical programs with organizational goals in patient outcomes, quality measures, and financial performance. Oversee the design, implementation, and ongoing improvement of care management workflows, ensuring compliance with CMS, NCQA and state specific guidelines.Oversight and evaluation of clinical processes to ensure continuous review and improvement of program(s) process workflows and adherence to NCQA and Regulatory requirements. Develop, implement and/or monitor standardized protocols for clinical and non-clinical team activities to operationalize integrated proactive care review and management of CM strategic plan Principal Accountabilities • Assist in leading the strategic development and deployment of care management & population health programs to support EmblemHealth's membership., • Collaborate with other functional areas within organization to ensure that care managers are implementing EmblemHealth Health Plans policies, procedures and all regulatory mandates, consistent with EmblemHealth plan's mission, vision, purpose and value statement., • Implement and maximize care management & population health programs., • Manage the daily operations of the care management programs, including patient enrollment, monitoring protocols, escalation pathways, and reporting., • Facilitate/promote problem identification, analysis and resolution within care management operations to improve member outcomes and/or experience., • Hire, mentor, coach, and build a high performing multidisciplinary team culture that emphasizes accountability, patient-centered care, and professional development., • Manage daily operations of the Care Management team (Managers and Care management team): define metrics; measure performance and productivity against standards; deploy strategies to improve performance. Monitor care management performance including program adherence, compliance and optimization; monitor employees' performance regularly and coach employees as needed including team caseloads, workloads and compliance with department and regulatory standards. • Monitor timeliness and appropriateness of documentation in clinical systems to ensure that accreditation and regulatory standards are met., • Bachelor's degree, • Current unrestricted New York State RN license required, • CCM certified required, but consideration will be given for current enrollees/candidates, • 10 - 12+ years of relevant, professional work experience, • 5+ years' experience in a Care Management leadership role in a Health Plan setting, • Additional experience/specialized training may be considered in lieu of degree requirement, • 5+ years of clinical experience, • 2 - 5+ years of Healthcare Strategy experience, preferably in a consultative setting, • Strong process & analytical skills; ability to articulate and define outcome measures that capture key performance metrics, • Exceptional communication skills (both written and verbal) with the ability to present information in a variety of different formats, • Strong problem solving and strategy execution abilities, • Able to analyze problems and deploy strategies to improve performance in collaboration with the leadership team, • Strong team, and staff development skills, • Proven leadership with the ability to build relationships/collaborate and influence at all levels Additional Information, • Requisition ID: 1000002807, • Hiring Range: $113,400-$210,600

Summary of Position Support the department's quality of care and cost containment. Provide utilization management as needed to ensure coordination of health care delivery. Conduct medical appropriateness evaluations of acute care hospital admissions, post-acute care requests, and selected outpatient procedures. Facilitate the achievement of quality clinical outcomes by integrated and collaborative interventions with multiple disciplines, Pre/Post Service. Ensure that members are receiving the appropriate level of care in the appropriate setting for the appropriate length of time within the established guidelines and benefit sets; Pre-service, Concurrent Review, Post-acute and Care Management. Work with interdisciplinary team to utilize the SNP members' Plan of care to achieve improved health outcomes. Provide services per the NYCE contract. Principal Accountabilities • Utilize MCG, CMS Guidelines, medical and administrative policies to evaluate medical necessity., • Identify members at risk and refers for Care management and/or disease management as needed., • Provide appropriate case review; ensure timely notification and correspondence to facilities, members and providers., • Utilize the member's contract to determine coverage eligibility. Work with providers and take action in problem solving while exhibiting judgment and a realistic understanding of the issues., • Prepare and present clinical detail to the Medical Director for final case determination in accordance with regulation and department policy., • Ensure cost effectiveness and identified opportunities to reduce cost are captured (i.e. reinsurance reporting)., • Refer to Medical Director any questionable quality issues or inappropriate hospitalizations for immediate intervention and/or refer cases that do not meet established criteria for approval of selected procedure or service., • Associate Degree in Nursing; Bachelor's preferred, • RN with an active, unrestricted nursing license (Concurrent Review, Medical Management, etc.), • LPN with an active, unrestricted nursing license (Prior Authorization, Discharge Planning, Retrospective Review), • MCG Certification prefe4 - 6+ years of clinical experience, • Managed care experience, • Post-acute facility experience, • Care management experience, • Ability to work weekends and holidays on a rotating schedule, • Excellent communications skills (verbal, written, presentation, interpersonal), • Effectively able to screen and stratify members who are appropriate for care management services, • Ability to: manage a caseload of members in need of care management; and apply the care management process as outlined by the CMSA standards and EH's policies, • Ability to make appropriate referrals to internal and external programs that meet the member's needs, • Ability to create and execute care management care plans and document per EH's policies and procedures, • Ability to speak professionally with all necessary parties associated with the member's care plan Additional Information, • Requisition ID: 1000003040, • Hiring Range: $68,040-$118,800

Our groundbreaking hospice and palliative care programs offer a significant difference when dealing with life-limiting conditions. We offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. This position is responsible for coordinating the collection, maintenance, and release of medical records in compliance with federal, state, and organizational regulations, including HIPAA. The HIM Coordinator serves as a liaison between clinical teams, external providers, and regulatory agencies to support timely documentation submission and audit process. Key responsibilities include managing physician order tracking, facilitating the completion of death certificates, responding to medical records requests, preparing documentation for audits and appeals. The HIM Coordinator must demonstrate strong attention to detail, good communication skills, and a thorough understanding of healthcare documentation standards. • Respond to requests for medical records from patients, healthcare providers, and authorized third parties., • Prepare complete medical records for extremal audits including CMS, NYS Department of Health, Managed Care organizations and patient appeals through Quality Improvement Organizations., • Collaborate with Health Information Management (HIM) departments at contracted inpatient facilities, including hospitals and skilled nursing facilities, to obtain copies of General Inpatient Level of Care documentation and upload them into the MJHS Hospice Electronic Medical Record (EMR) system., • Manage administrative component of the hospice physician orders including Certification of Terminal Illness, tracking outstanding orders and follow-up, obtaining signatures from the external physicians and ensuring compliance with organizational standards., • Coordinate and support the accurate and timely completion of death certificates for hospice patients in accordance with New York City and New York State Department of Health regulations., • High school diploma or equivalent; post-secondary education in health information Management or related field preferred., • Minimum one year's experience in a healthcare setting or medical records department preferred., • Knowledge of MS Office (specifically MS Word and Excel).

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. An employee in this role provides telephonic assessments of members' medical, psychosocial, physical and spiritual needs. He/She develops, implements, and monitors person centered service plan, and ensures continuity of care across all healthcare settings by collaborating with the interdisciplinary team, PCP, member/member's representatives, and specialists. Utilizes benefit structure and community-based resources to meet member's needs. Educates members on disease processes, preventative health, and quality of life interventions. SW Care Manager will be knowledgeable in and adhere to CMS/DOH regulations and policies. • Bachelor's degree social work or related field required, MSW or LMSW preferred., • Minimum three to five years clinical social experience in long term care, managed care, home care, geriatrics or hospice preferred., • Prior experience in an interdisciplinary service delivery environment preferred., • Working knowledge of Medicare and Medicaid regulations preferred., • Prior experience in an interdisciplinary service delivery environment preferred., • Current LMSW in New York State preferred.

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The manager will coordinate multiple projects, oversee day-to-day staffing, and administer all standard operating procedures. Operational Data Store • Under guidance of Director, oversee project management for all operational data store activities., • Work closely with Analysts to create new functional specifications for enhancements or to improve existing logic based on changing business needs., • Owner of change control process and documentation for each approved modification., • Oversee test plan development, documentation and implementation process., • Under guidance of Director and in collaboration with business owners, manage projects and prioritize all new reporting needs for daily on-demand and auto-delivered data., • Identify ad-hoc reporting that can be converted to standardized reporting for enhanced automation and increased efficiency., • Recommend technological enhancements for improved standardized reporting. Monitor Staff Productivity and System Performance • Obtain functional requirements from business users on how they want to monitor staff productivity. Prepare confidential reports to fulfill this need., • Time extracts and reports to oversee the length of time required for each. Merge with overall system performance metrics to provide recommendations to senior leadership. We truly value our staff and further acknowledge their contributions by offering:, • Employee and family health coverage, • Competitive salaries, • Employer contributed pension plan, • Generous time off, • Tuition reimbursement, • 403(b) retirement plan Bachelor's Degree in Statistics, Economics, Business or other related field required. Graduate Degree (MBA or CPA) in Statistics, Healthcare, Economics or Business preferred. 5 years experience in Healthcare Economics, Statistics, Data Analysis, Financial Reporting, Actuary, Managed Care, and/or Long Term Care operations experience required. Medicare and/or Medicaid Managed Care experience required. Experience with regulatory reporting required. Knowledge of CMS & NYS DOH regulations preferred. Experience calculating IBNR, BCR (Benefic Cost Ratios) and other metrics preferred. Experience formulating MMCOR and encounter data preferred. Experience developing rate filings including Medicare Advantage Part C & D and MLTC preferred. Management experience preferred. Excellent organizational skills. Ability to work on multiple projects. Excellent Word, Excel, Access, Project, Visio skills. Excellent SQL Server 2008R2 (or better) skills with Reporting Services preferred.