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Job Description Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity 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 Associate, Payment Integrity, Itemized Bill Review (IBR) will be responsible for executing internal payment integrity solutions requiring billing and coding expertise with and continual improvement and development of the solutions. You will ensure claims are paid accurately and timely with the highest quality. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $91,908 - $120,629 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms (e.g., UB-04s), • Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services, • Compare billed charges against both payor-specific contracts and industry guidelines to confirm appropriate billing practices., • Apply working knowledge of national coding systems (e.g., CPT, HCPCS, ICD-10, MS-DRGs) to validate the accuracy of codes used for services billed., • Review claims eligible under specific reimbursement scenarios: a percentage of charges or those exceeding stop-loss levels, ensuring the claim exceeds the minimum dollar threshold set by the payor, • Prepare clear, concise, and professional documentation of all findings, including savings identified, policy violations, and recommended claim adjustments, • Contribute to the refinement of internal audit processes and tools to enhance efficiency and accuracy in identifying claim inaccuracies, • Serve as a subject matter expert for internal and external stakeholders regarding complex billing issues, coding guidelines, and payor policies, • Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies, • Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue, • Respond to internal and external inquiries and disputes regarding policies and edits., • Document industry standard coding rules and provide recommendations on reimbursement policy language and scope, • Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change, • Provide training and education to team members when necessary, • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate, • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership, • Compliance with all applicable laws and regulations, • A bachelor's degree or 4+ years of commensurate experience, • 2+ years of bill / coding audit experience with a focus on hospital or facility billing (UB-04), • 4+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • 3+ years of experience working with large data sets using excel or a database language, • Knowledge management, training, or content development in operational settings, • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job DescriptionRegional Operations Manager, Tea Around Town About Tea Around Town & TopView Group Imagine an elegant tea room experience, but on a double-decker bus, charming its way through bustling city streets. That's Tea Around Town! Launched in 2023, we've quickly become a sensation, gracing the pages of NBC News and Time Out. Our mission is to deliver world-class, white-glove service, consistently, while seamlessly blending demanding schedules with cost efficiency. We're part of TopView Group, a dynamic and rapidly expanding global experiences company. Powered by our in-house technology, our diverse portfolio includes hop-on hop-off bus tours in iconic cities like NYC and London, unique events such as the North Pole Express, scenic cruises, bike rentals, walking tours, and attraction passes. We thrive in a fast-paced, entrepreneurial environment, constantly expanding our horizons both vertically and horizontally. If you're an entrepreneurial spirit ready to innovate and grow, you'll feel right at home. About the Role: Regional Operations Manager Are you a highly motivated and experienced operations leader with a passion for delivering exceptional guest experiences? Do you excel at driving efficiency and managing multi-location operations in a fast-paced, dynamic environment? As our Regional Operations Manager for Tea Around Town, you'll be the linchpin of our operational success. You'll be fully accountable for the entire Tea Around Town experience, from ensuring flawless execution of every detail to optimizing operational efficiency. Reporting directly to the Director of Operations, you'll play a pivotal role in supporting our ambitious growth plans, leading cross-functional teams, and guaranteeing the seamless delivery of our unique mobile tea room experience. The ideal candidate isn't just a strategic thinker; you possess an exceptional eye for detail and a proven track record of optimizing operational excellence within upscale, multi-location food & beverage or hospitality environments. If you're ready to make a significant impact on a rapidly growing, innovative brand, we want to hear from you! Key Responsibilities: • Oversee and Elevate the Entire Experience: Take full ownership of all Tea Around Town operations (both front and back of house) across 5-6 markets, ensuring flawless product execution and consistently delivering a world-class, white-glove experience on every single trip., • Drive Financial Performance: Analyze daily, weekly, and monthly reports to proactively manage labor, inventory, and cost controls, consistently achieving cost efficiency and exceeding product financial goals for each assigned location., • Financial Stewardship: Collaborate closely with the finance team to develop and manage operational budgets, monitor expenditures, identify cost-saving opportunities, and uphold financial discipline., • Lead and Develop High-Performing Teams: Recruit, hire, train, schedule, manage, and continuously monitor and optimize the performance of all operational staff, fostering a culture of excellence and accountability., • Optimize Operational Efficiency & Scalability: Develop and streamline procedures and processes to support rapid product scalability. Identify bottlenecks and inefficiencies, proposing and implementing enhancements to maximize resource utilization and increase cost efficiency., • Strategic Vendor Management: Manage all operations for assigned locations, including oversight of internal teams and performance management of key vendors such as the caterer, maintenance facility. Ensure vendors meet service expectations and cost targets; identify and onboard new vendors as needed to maintain operational excellence., • Collaborate for Success: Work seamlessly with cross-functional teams across the organization to execute product changes, promotions, press events, and new product launches, fostering productive relationships and promoting inter-departmental synergy., • Enhance Customer Satisfaction: Proactively gather and analyze customer feedback from various channels, translating insights into actionable changes to continuously improve the customer experience., • Uphold Uncompromising Standards: Ensure consistent adherence to Tea Around Town's high standards of food quality, service, and guest experience. Refine quality assurance procedures, identify gaps, and implement timely corrective actions., • Manage Inventory & Mitigate Risk: Oversee meticulous inventory management through regular cycle counts and maintenance activities, ensuring accuracy. Identify potential operational risks and develop robust contingency plans to ensure business continuity. Requirements: • Education: Bachelor's degree in Business Administration, Restaurant/Hospitality Management, or a related field., • Experience: A minimum of 10 years of management experience in multi-location, upscale chain restaurants or high-volume food & beverage operations., • Hands-On Leadership: A highly hands-on approach with strong, decisive problem-solving capabilities, even under pressure., • Data-Driven Decisions: Demonstrated ability to leverage data and analytics to inform strategic decisions and drive operational improvements., • Adaptability: Proven ability to thrive in a fast-paced, dynamic environment and swiftly adapt to evolving business needs., • Team Leadership: Exceptional abilities in building, motivating, and leading high-performing operational teams., • Communication & Organization: Excellent communication skills (written and verbal), strong organizational abilities, and meticulous attention to detail., • Availability: Work 50+ hours a week, including weekends and holidays, as needed to support operations., • Travel: Ability to travel 50% of the time across your assigned territory., • Location: This position is based in New York, with the specific territory to be assigned. Why Join Tea Around Town? Joining Tea Around Town means becoming part of an innovative and rapidly expanding brand within the successful TopView Group. We offer a unique, high-end hospitality experience that's truly one-of-a-kind. We value entrepreneurial spirit, growth, and continuous improvement. We offer a competitive compensation package that includes: • Salary up to $135,000 base plus bonus!, • Paid Time Off, • Comprehensive Health Insurance (Medical, Dental, Vision) jvkpcdunC0

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Opportunity for advancement, • Paid time off, • Training & developmentPosition Summary/Purpose Manage and Lead 5-6 territories in New Jersey. Offer guidance and foresight to the organization by aiding the senior management team in crafting both the long-term strategic blueprint and annual plans for the company. Promote the prompt and profitable delivery of all services, consistently surpassing company standards for quality and customer satisfaction. Uphold market leadership by fostering staff development and perpetually enhancing business processes. Guarantee the efficient management of staffing, training, documentation, inventory, equipment purchases, maintenance, record keeping, housekeeping, and employee relations Primary Responsibilities Ensure accomplishment of the objectives as stated in the strategic plan through effective implementation and ongoing refinement of the Plan. Exceed company targets for Sales, COGS, Direct Labor, Net Profit, liquidity, cash flow, quality ratings, and customer satisfaction. Research and prepare analysis documents and proposals as needed to address market trends and assist the company in meeting its long-term goals. Develop profitable relationships with customers that bring value to both parties. Foster a team-oriented atmosphere consistent with the Vision, Mission, and Core Values of the company. Provide vision, leadership, and discipline regarding long-range fiscal planning and overall financial health of the company to ensure its continuity and solvency. Provide recommendations regarding the effective use of long and short-term debt including refinancing and purchasing. Oversee the development of compensation and employee benefit policies to attract and retain highly competent personnel at all levels of the company. Ensure employment compliance with all Federal, State, and Local regulatory agencies. Ensure the continued growth of the company by developing existing people, and assisting in recruiting and selection of new, talented people into positions of leadership within the organization. Maintain market leadership through consistent implementation of state-of-the-art technology pertaining to delivery of the companys services and marketing to new clients and markets and focus on continuous process improvement across all departments. Negotiate and establish contracts beneficial to the overall success of the company while being sensitive to strategic relationships with company suppliers and partners. Work with the Operations Manager to maintain production capacity through adequate staffing, equipping, and supplying of operations. Achieve the highest degree of consistency in the implementation of company operating systems working with the Operations Manager. Build and maintain constructive relationships with professional advisors as accountant, attorney, banker, insurance agent, consultant, and other business constituencies. Secondary Responsibilities Provide expert recommendations concerning investment and cash strategies. Ensure the timely and accurate filing of all Federal, State, and Local taxes, adhering to mandated guidelines. Maintain the integrity of company vendor and customer files, including documents, analytical information, and communication notations as required. Collaborate with the Sales/Marketing Manager to oversee the development, production, and distribution of sales, marketing, and publicity material. Supervise the preparation of the annual report, summarizing progress on short and long-range plans. Direct the preparation of the annual budget and conduct regular evaluations of variance reports. Engage in active participation within trade associations, community events, charitable initiatives, and other organizations. Decision Making Authorities Establishing the long-term and short-term direction for the company. Development of the Strategic Plan. Purchases within the budget established in the Strategic Plan. Negotiating and establishing contracts. Establish compensation schedules and bonus programs. All issues and actions related to company policy. Working Relationships and Scope Maintain frequent communication with owner(s) and CEO to discuss company performance and strategic matters. Facilitate clear and effective communication between Operations, Sales, and Marketing departments to ensure alignment of company capabilities and capacity with marketing and sales strategies for target markets. Cultivate strong working relationships with relevant contacts in the insurance industry, trade associations, training providers, suppliers, and the community. Performance Skillsets Integrity o Ironclad Does not cut corners. Puts the interests of the business above self. Earns trust of co-workers. Intellectually honest, doesnt play games. Oral Communication o The individual speaks clearly and persuasively in positive or negative situations. Effective in one-on-one, small groups, and in public speaking contexts. Adaptable and able to think on his/her feet. Demonstrates a command of the language. Easily articulates ideas and standards. Written Communication o Writes clear, precise, well organized letters, proposals, and emails. Uses proper grammar and punctuation. Demonstrates appropriate vocabulary and correct word usage. Sound Judgment and Decision Making o Demonstrates consistent logic, rationality, and objectivity in decision making. Achieves balance between indecision and uninformed hip shooting. Team Building o Achieves cohesion and effective team spirit with subordinates. Sustains a climate characterized by open, honest relationships where differences are constructively addressed rather than ignored, suppressed, or denied. Shares credit. Planning and Organizing o Plans, organizes, schedules, and budgets in an efficient, productive manner. Effectively leads the long-range planning activities. Focuses on key priorities. Effectively juggles multiple projects. Pays attention to details where appropriate. Manages personal time well. Money Management o Demonstrates sound fiscal habits. Employs a disciplined approach to spending. Tracks expenditures. Works from a budget. Negotiation o Achieves favorable outcomes in win-win negotiations. Demonstrates effectiveness in salvaging tense situations. Excellence o Sets high, stretch standards of performance for themselves and their organization. Demonstrates low tolerance for mediocrity. Encourages individual initiative. Maintains a level of intensity sufficient to achieve long-range goals. Coaching o Actively and successfully trains people for their current assignments. Coaches and develops employees for promotion into positions in which they succeed. A people builder. Technology o The individual uses typical communication devices to effectively speed communication and appropriately utilizes company-approved estimating, customer contact management, standard word processing, and spreadsheet software tools to enhance efficiency and accuracy of work performed. Qualifications Knowledge, Skills, and Abilities Bachelors degree in business, accounting, or a related field, or an associate degree combined with ten (10) to fifteen (15) years of relevant experience and training, or an equivalent combination of education and experience. Additionally, a minimum of five (5) years of experience in managing other managers is required, with a diverse background across various business functions such as Sales, Operations, Administration, Accounting, and HR. Proficient in interpreting financial reports, including Profit & Loss, Balance Sheet, and Cash Flow statements. Possesses a deep understanding of how the information on these reports relates to the business activities that generate them. Skilled at analyzing results and translating them into focused actions and Key Performance Indicators (KPIs) for appropriate areas of the business. Demonstrates the ability to identify clear opportunities and threats, assess the company's strengths and vulnerabilities accurately, and grasp the overall strategic picture. Possesses strong communication skills, adept at soliciting, processing, and integrating inputs and ideas from subordinates, peers, and executives. Deals with areas of conflict or disagreement through open and honest dialogue and provides effective feedback. Exhibits an understanding of the natural sources of conflict and takes proactive steps to prevent or address them constructively when they arise. Proficient in computing rates, ratios, and percentages, interpreting financial reports, and analyzing performance against business plans and industry benchmarks. Demonstrates empathy and active listening skills, accurately tuning in to the opinions, feelings, and needs of others, encouraging open communication and feedback. Shows intermediate to advanced proficiency in using computers, the internet, PDAs, and other digital technology specific to the job, as well as in MS Word, Excel, and other industry-specific software. Working Environment During the course of performing this job, the employee will regularly engage in activities such as sitting, using hands to finger, handle or feel, reaching with hands and arms, and talking or hearing. The employee will frequently be required to stand and walk. Additionally, the job may involve regular lifting and/or moving of items weighing up to 10 pounds and frequent lifting and/or moving of items weighing up to 25 pounds. The General Manager's responsibilities encompass a variety of locations, including a typical office environment, traveling to meet customers and clients at their facilities, reviewing ongoing project progress, and inspecting completed work. Daily exposure to the shop, where vehicles and equipment are stored and maintained, is expected. Occasionally, the employee may encounter facilities with standing water and sewage, lack of heat due to utility issues, fire damage, or the presence of mold or other organic growth. The noise level in the work environment is generally quiet. Welcome to Voda Cleaning and Restoration! Are you ready to join a dynamic team that is dedicated to a new level of clean? Voda Cleaning and Restoration is not just another cleaning and restoration company; we are the vanguard of excellence in the industry, setting new standards for quality, innovation, and customer satisfaction. As we continue to expand our operations, we're on the lookout for enthusiastic and driven individuals who are passionate about making a difference and leaving a lasting impact in our customers' lives. At Voda, we understand that a clean and safe environment is essential for human well-being. We take great pride in our ability to restore order, beauty, and safety to homes and businesses after the ravaging effects of water, fire, mold, or other disasters. Our team of technicians comprises skilled professionals who excel in their respective fields, delivering nothing short of perfection in every job we undertake. What sets Voda Cleaning and Restoration apart? • Cutting-edge Technology: Embracing the latest advancements in cleaning and restoration technology, we equip our teams with state-of-the-art tools and equipment, making seemingly impossible tasks achievable., • Expertise and Training: Our employees are the heart of our success, and we invest heavily in their growth and development. We provide comprehensive training programs and continuous learning opportunities to ensure they stay at the top of their game., • Passionate Team: When you join Voda, you become part of a family that shares an unyielding passion for our mission. Together, we tackle challenges head-on and celebrate triumphs as one united force., • Client-Centric Approach: We place our clients at the core of everything we do. Our unwavering commitment to exceptional service has earned us a reputation as the go-to experts for cleaning and restoration needs., • Impactful Work: At Voda, every day presents a new chance to make a meaningful difference in people's lives. From salvaging cherished possessions to restoring homes and businesses, our work goes beyond cleaning; it gives hope and brings joy to those in distress., • Growth Opportunities: We believe in nurturing talent from within. As you grow with Voda, you'll have access to a world of opportunities for career advancement and personal growth., • Positive Environment: A positive work environment is key to our success. We encourage open communication, collaboration, and an atmosphere where creativity and ideas flourish.

Job Title: Finance Manager (IT Fiscal & Vendor Management). We are seeking a highly skilled Finance Manager with strong expertise in financial oversight, budget management, and vendor relations to oversee our IT organization's financial operations within the insurance sector. Strong understanding of

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