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$65 - $130/hourpaystatistics & Mathematicsdata handlingdata collectingdata analysis and modelingdata visualizationdata clesningprogrammingAbout micro1micro1 connects domain experts to the development of frontier AI models. Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform. AI labs and enterprises use micro1 to train models and build reliable AI agents through advanced evaluations and reinforcement learning environments. Experts contribute directly to how AI systems learn, reason, and perform across domains like finance, healthcare, engineering, and more. Our platform identifies and vets top talent through an AI recruiter, enabling high-quality contributions at scale.Our goal is to enable 1 billion people to do meaningful work by applying their expertise to AI. We’ve raised $40M+ in funding, and our AI recruiter has powered over 1 million AI-led interviews as our global network of experts grows into the human intelligence layer for AI. Job Title: Data Scientist Job Type: Contractor Location: Remote Job Summary: Join our customer's team as a Data Scientist and play a pivotal role in transforming data into actionable insights that drive business growth. You will leverage your expertise in statistics, mathematics, and programming to tackle challenging data problems, ensuring clean, robust, and insightful analyses. This is an exciting opportunity to work in a dynamic, expert-driven environment that values clear communication and innovative thinking. Key Responsibilities: • Collect, clean, and preprocess diverse data sets to ensure integrity and readiness for analysis., • Develop, validate, and implement statistical models to extract actionable insights from complex data., • Conduct exploratory data analysis to identify trends, patterns, and opportunities for business improvement., • Present findings and recommendations through compelling data visualizations and reports, tailored for technical and non-technical stakeholders., • Collaborate closely with team members to design and execute end-to-end data projects, from ideation to delivery., • Continuously improve analytical methodologies and automation processes to enhance data workflows., • Communicate effectively in both written and verbal formats, ensuring clarity and impact of data-driven recommendations. Required Skills and Qualifications: • Expertise in statistics, mathematics, and data analysis techniques., • Proven experience in collecting, handling, and cleaning large, complex data sets., • Proficiency in programming languages such as Python, R, or similar for data manipulation and modeling., • Strong data modeling skills with experience in building and validating predictive models., • Advanced ability to visualize data using tools like Tableau, Power BI, or related libraries., • Meticulous attention to detail and commitment to data quality at every stage., • Excellent written and verbal communication skills, with an emphasis on clarity and precision. Preferred Qualifications: • Experience working in a remote, cross-functional, or customer-focused team environment., • Background in developing and deploying machine learning solutions in production settings.

$60 - $120/hourpayPythonRustGoLangFull-stackJAVANode.jsAndroid DevelopmentiOS DevelopmentAbout micro1micro1 connects domain experts to the development of frontier AI models. Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform. AI labs and enterprises use micro1 to train models and build reliable AI agents through advanced evaluations and reinforcement learning environments. Experts contribute directly to how AI systems learn, reason, and perform across domains like finance, healthcare, engineering, and more. Our platform identifies and vets top talent through an AI recruiter, enabling high-quality contributions at scale.Our goal is to enable 1 billion people to do meaningful work by applying their expertise to AI. We’ve raised $40M+ in funding, and our AI recruiter has powered over 1 million AI-led interviews as our global network of experts grows into the human intelligence layer for AI. Job Title: Software Developer Job Type: Contract Location: Remote Job Summary: Join our customer's team as a Software Developer, where innovation, ownership, and technical expertise drive every project. You’ll collaborate with a dynamic and diverse team to design, develop, and deliver robust solutions using modern programming languages and full-stack technologies. If you are passionate about building scalable applications and thrive in a remote and communicative environment, we want to hear from you. Key Responsibilities: • Design, implement, and maintain scalable back-end and full-stack applications using Python, Rust, GoLang, Java, or Node.js., • Collaborate closely with cross-functional team members to deliver high-quality software solutions that meet evolving business requirements., • Write clean, efficient, and well-documented code, following best software engineering practices., • Troubleshoot, debug, and optimize existing codebases to improve performance and reliability., • Participate in code reviews, technical discussions, and architectural planning to drive continuous improvement., • Contribute to the full software development lifecycle, from concept and design to testing and deployment., • Maintain clear, concise, and thoughtful written and verbal communication across distributed teams. Required Skills and Qualifications: • 3+ years of hands-on experience in software development with one or more of the following: Python, Rust, GoLang, Java, Node.js, Android, IOS or full-stack development (backend or full-stack)., • Proficiency in building scalable, reliable, and maintainable software systems., • Experience working in remote, collaborative, and agile environments., • Expertise in modern development tools, version control systems, and CI/CD pipelines., • Strong problem-solving skills with keen attention to detail., • Excellent written and verbal communication skills, with a high standard for clarity and professionalism., • Self-driven, proactive, and able to work independently in a distributed setting. Preferred Qualifications: • Experience with cloud platforms such as AWS, GCP, or Azure., • Knowledge of DevOps principles and containerization technologies., • Background in mentoring or leading small engineering teams.

Job Description Job Title: Interpreter / Translator (Per Diem) Organization: Journey’s End Interpreting & Translation Department Location: Buffalo, Jamestown, Binghamton Pay: $23–$30/hour (hourly, visible to job seekers) Program OverviewJourney’s End provides high-quality in-person, telephonic, and video remote interpretation and document translation services in 45+ languages for hospitals, schools, nonprofits, legal and real estate professionals, government agencies, and other organizations serving Limited English Proficient (LEP) individuals. We support and train a network of 60+ per-diem interpreters and offer community trainings on best practices for working with interpreters. Position SummaryAs a Journey’s End Interpreter/Translator you may choose to work as an interpreter, a translator, or both. Interpreters perform consecutive and sight interpretation in person, by phone, or via video remote. Translators provide accurate written translations of documents. Assignments are typically during regular weekday business hours; schedule varies by request. Primary Responsibilities • Interpreters: Provide consecutive oral interpretation and sight translation (reading aloud a written text) for service providers and clients in professional settings (in-person, telephonic, or video remote)., • Translators: Translate written documents accurately from source to target language without adding, omitting, or distorting content (e.g., certificates, IDs, flyers, surveys, report cards, handbooks, legal and medical documents)., • Adhere to Journey’s End confidentiality policy and HIPAA privacy regulations., • Follow the Journey’s End Interpreter Code of Ethics (professionalism, impartiality, confidentiality)., • Arrive on time for assignments and meet agreed deadlines for translation projects., • Fluency or near-fluency in English and at least one other language., • Strong command of grammar, spelling, punctuation, and written/verbal skills in both languages., • Ability to interpret and translate accurately and completely., • Basic computer skills (email, Microsoft Word, Excel)., • Highly organized, punctual, professional, reliable, and able to communicate courteously with supervisors and clients., • Commitment to ongoing skill development., • Reliable transportation.

Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls, creating authorizations via phone, Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipment. Essential Accountabilities: Level I • Facilitates inbound and outbound calls to customers (members and providers) by delivering excellent customer-centered service providing information regarding services in a call center environment., • Responds to customers in a professional, efficient manner to encourage public acceptance of products, services, and policies., • Perform triage for UM Services., • Serves as the primary contact for providers regarding authorization requests., • Contacts members and providers concerning regulatory requirements relating to Department of Health (DOH) notifications and other regulatory requirements such as the National Committee for Quality Assurance (NCQA) guidelines., • Provides timely response to all research inquiries from other departments and assures the response is thorough, accurate, and within regulatory timeframes., • Processes fax requests from the designated fax and system queues., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Assists and performs tasks associated with project and departmental management., • Backup Team Leads by assisting with questions when needed., • Work on assigned offline projects., • Provides, prepares, and assists with preliminary support to multiple levels of providers and or members (as well as others as needed), including but not limited to physicians, skilled nursing facilities, mid-level providers, members, pharmacies, pharmacists, and support staff., • Provide one-on-one support, coaching, and training to UM Services Reps., • Collaborates with other key departments (Claims, Customer Service, related care management units) to ensure end-to-end process for authorizations, telephonic notifications, and/or care management referrals is accurate and complete. Level III (in addition to Level II Accountabilities) • Assists Team Leads with assigned tasks when necessary (including but not limited to authorizations, claims, care management referrals, monitoring and controlling inventory levels/call queues, timeliness, reporting)., • Meet departmental requirements for Facets UM Services workflows and PEGA., • Resolves escalated customer questions and complex concerns., • Assists Medical Directors with scheduling Fair Hearings., • Assists with coordinating Grievance and Appeals requests., • Assist with all Blue Card Claims escalations., • Assist management with the review and creation of desk level procedures, acting as a subject matter expert for UM Services. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • High School Diploma or GED., • Experience with using a desktop computer in a professional environment, preferably with Microsoft Office Products., • Call center experience preferred, not required., • Strong analytical and problem-solving skills., • Strong written and verbal communication skills and ability to work within a team., • Demonstrated organizational skills to manage multiple projects and priorities., • Self-motivated and able to work independently, as well as on intra- and inter-departmental teams where needed. Level II (in addition to Level I Qualifications) • 2 years' experience working with managed care or healthcare industry., • Ability to apply in-depth knowledge of complex rules, such as those of the authorization process, regulatory processes/time frames, care management systems and processes, departmental policies and procedures, product lines, and contract benefits., • Advanced skills working between multiple programs and applications simultaneously., • Demonstrates willingness to develop collaborative solutions to achieve a better end-to-end process., • Demonstrates proficiency in basic navigation and utilization of department specific applications., • Demonstrates role-specific competencies as it pertains to their work unit on a consistent basis., • Active demonstration of broad knowledge base and positive work habits as evidenced by ability to train new staff, take on new challenges, flexibility in work assignments, and participation in meetings and projects as assigned. Level III (in addition to Level II Qualifications) • 4 years' experience working with managed care or healthcare industry., • Demonstrates a thorough knowledge and understanding of sources of information about health plan contracts, riders, policy statements, and procedures to identify eligibility and coverage and assisting other staff and other areas within the company with related inquiries., • Demonstrates operational knowledge of FACETS application and workflow processes, • Ability to resolve/respond to customer inquiries across multiple plans with limited assistance., • Ability to collaborate within the organization when issues arise with limited assistance., • Ability to identify potential systemic issues and report as necessary without supervisor assistance. Physical Requirements: • Ability to work prolonged periods sitting at a workstation and working on a computer., • Ability to work while sitting and/or standing while at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time., • Ability to work in a home office for continuous periods of time for business continuity., • Ability to travel across the Health Plan service region for meetings and/or trainings as needed., • Manual dexterity including fine finger motion required., • Repetitive motion required., • The ability to hear, understand and speak clearly while using a phone, with or without a headset. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): N3 - Min 18.55 Mid 22.72 Max 26.90 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. This role supports the HARP line of business. Essential Accountabilities: Level I • Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers., • Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements., • Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies., • Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment., • Develops alliances with the provider community through the development and implementation of the medical management programs. May represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues, as needed. Represents the business unit at appropriate state committees and other ad hoc committees, • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values and adhering to the Corporate Code of Conduct., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Conducts periodic staff meetings to include timely distribution and education related to departmental and Ethics/Compliance information., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Reviews medical literature and applies evidence-based principles using high proficiency skills for a broad range of clinical services., • Reviews internal trend reports to assess present and future needs and opportunities., • Interacts with regulatory and accreditation agencies as assigned., • Provides clinical support to the Sales and Marketing divisions, • Provides clinical leadership for the implementation of new utilization/case/quality management initiatives Minimum Qualifications: Level I • Current New York State licensed physician., • Minimum 5 years of experience in a BH managed care settings or BH clinical setting (at least 2 of which are in a clinical setting)., • Board certification in general psychiatry or certification in addiction medicine or certification in the subspecialty of addiction psychiatry., • Appropriate training and expertise in general psychiatry and/or addiction disorders., • Ability to identify, analyze and resolve complex medical issues., • Skills in evidence-based medicine., • Strong interpersonal skills essential for communication to staff at all levels of the organization.,, • Basic skill sets in electronic communication systems such as e-mail and Word. Level II (in addition to Level I Minimum Qualifications) • Superior evidence-based medicine skill set, • Strong interpersonal skills essential for communication to physicians in the community., • Strong verbal presentation skills to lead internal and external discussions at board levels, • Advanced skill sets in electronic communication systems such as e-mail, Word, PowerPoint, and Excel. Physical Requirements: • Works from a desk most of the time. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): $202,000.00 - $303,000.00 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the direction of the Assigned Management, upon successful completion of all phases of training, and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health Plan Operation's enrollment regulations, Underwriting Guidelines and applicable government regulations. The focus of this role is to ensure prompt, accurate, and efficient servicing of all broker, member and group administrator inquiries for all product lines. Inquiries are received by the following but not limited to; telephone, email, written inquiries, lobby walk-in customers and through on-site visits with an employer group. The B version of this role will require the individual to be on the phone regularly. Essential Primary Responsibilities/Accountabilities: Level I: • Responsible for Government Programs, Small, Mid, and Large Employer Group Subscriber Enrollment Operations., • Responsible for maintaining communication, including but not limited to; Enrollment Management, Account Services Consultants, Sales, Finance/Underwriting, Claims, Customer Care, as well as interact with external Customers, groups or Brokers as necessary., • Responsible for the enrollment of new groups, renewals, new member and member movement., • Prepares, processes and maintains all member enrollments utilizing multiple Health Plan enrollment systems. Installs and maintains member information, new enrollment, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess member enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Researches, interprets and responds to inquiries from internal and external customers, business partners, brokers, consultants, and groups concerning our products, services and policies in accordance with regulatory, corporate policy, association guidelines and productivity measures. Ability to run pre-built reports., • Reviews, validates and updates transaction errors from all member level electronic and paper sources impacting eligibility interfaces., • Identifies issues and responds to all work items brought forward either internally or externally and ensures all inquiries will be responded to within department service level agreements (SLA's)., • Prioritize aged and Performance Guarantee Transactions and takes necessary action to complete timely according to established metrics., • Responsible for knowledge and accuracy on entry level processing within a minimum of 3 inventory areas., • Attends provided/necessary training to support job role/function and share knowledge back with the team., • Attends and participates in meetings as necessary and share information back to the team., • Execution of quality service to our external, as well as internal customers by meeting productivity and accuracy metrics, compliance and member touchpoint measures (MTM) targets, and CMS processing timeframes., • General understanding of the cross functional enrollment process and operating systems., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Prepares, processes and maintains all group enrollment utilizing multiple Health Plan enrollment systems. Installs and maintains group information including new group set up, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Handles Designated Record Set (DRS) requests and may serve as a point person for the Account Service team when difficulties arise in obtaining information through normal channels., • Adjusts or triages for adjustment, as situation requires, enrollment for subscriber additions, deletions and changes, and will initiate correspondence requesting additional information or verification., • Acts as a resource to support and or cross train other team members., • Responsible for knowledge and accuracy on at least half of inventory areas., • In depth understanding and working knowledge of the cross functional enrollment process and operating systems., • Identifies issues, patterns and/or trends generated by external and internal action affecting compliance, customer satisfaction and system performance. Consistently and independently recommends and initiates changes and improvement as a result of process review., • Assists in creating and/or updating the operating manuals and/or Desk Level Procedures (DLP's)., • Proficient in most inventory areas, operating systems with expertise in specific job functions., • Mentors and collaborates with others on the team in utilizing tools, sharing best practices, and serving as a role model within a team unit structure., • Serves as subject matter expert for the department. Ability to cross train on any task as demonstrated by comprehension and retention of new skills not limited to a primary line of business. Works continuously toward identifying and removing barriers to increased productivity, quality, cost effectiveness, timeliness of operations, and customer satisfaction., • Process enrollment activities for complex accounts., • Ability to adjust daily assignments to prioritize urgent or complex cases as they arise., • Researches, responds, and resolves eligibility inquires working directly with internal and external customers via multiple communication methods., • Creation of test cases, testing of the process, documents and establishes procedures for the implementation of new products and work efforts. May be asked to participate in end user testing., • Researches complex cases to identify root cause, recommend and execute resolution through completion., • Responsible for complex and/or sensitive cases including but not limited to processing for key brokers, accounts, special arrangements, government programs and/or enrollment resolution cases requiring deep research., • Serves as department representative on corporate projects as well as cross functional work groups as assigned acting as a subject matter expert. Provides advice and counsel to project teams and leadership on implications of requirements on productivity and quality. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I: • Completed High School Diploma or Equivalent., • Minimum of two (2) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position, preferred., • Must have solid written and verbal communication skills., • Proven organizational, analytical, and time management skills., • Basic Computer proficiency, including experience in Microsoft Office Suite., • Attention to detail and accuracy., • Ability to multi-task in order to efficiently resolve customer concerns, by understanding the needs of the customer, navigating screens on the computer, typing inquiry documentation., • Minimum of three (3) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Rating of "Performing" or above for minimally 12 months., • Organizational, reasoning and problem-solving skills., • Takes accountability and ownership of issues and resolution with minimal supervision., • Demonstrates global thinking and takes initiative to recognize opportunities within the team., • Minimum of four (4) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Must have strong written and verbal communication skills., • Strong Computer proficiency, including experience in Microsoft Office Suite (Excel), • Rating of "Performing" or above for minimally 12 months., • Provide mentoring and support to new hires and peer group., • Assist with tasks assigned by management that require advanced problem-solving skills, • Minimum of five (5) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred, • Rating of "Performing" or above for minimally 12 months., • Self Sufficient in ability to efficiently resolve complex & escalated issues., • Lead tasks assigned by management that require advanced problem-solving skills across multiple areas., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Physical Requirements: • Ability to complete work in a traditional office environment under fluorescent lighting., • Ability to arrive on time at work and as scheduled., • Ability to meet minimum performance metrics., • Ability to orally communicate., • Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time., • Must be able to travel across the enterprise., • Ability to work in a home office for continuous periods of time for business continuity. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N2: Minimum: $20 .00 - Maximum: $23.89 Level II: Grade N3: Minimum: $20.00 - Maximum: $26.90 Level III: Grade N4: Minimum: $20.00 - Maximum: $30.76 Level IV: Grade N5: Minimum: $20.02 - Maximum: $33.03 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

If you are a current Jazz employee please apply via the Internal Career site. Jazz Pharmaceuticals is a global biopharma company whose purpose is to innovate to transform the lives of patients and their families. We are dedicated to developing life-changing medicines for people with serious diseases - often with limited or no therapeutic options. We have a diverse portfolio of marketed medicines, including leading therapies for sleep disorders and epilepsy, and a growing portfolio of cancer treatments. Our patient-focused and science-driven approach powers pioneering research and development advancements across our robust pipeline of innovative therapeutics in oncology and neuroscience. Jazz is headquartered in Dublin, Ireland with research and development laboratories, manufacturing facilities and employees in multiple countries committed to serving patients worldwide. Please visit ___ for more information. The Senior Oncology Account Manager is responsible for direct promotion of Jazz Pharmaceuticals' products, and the development and management of business relationships with therapeutic specialists within an assigned geographical territory. The Senior Oncology Account Manager (OAM) is an integral part of the commercial team that includes all personnel dedicated to the sales and marketing functions. The Senior Oncology Account Manager will implement Jazz Pharmaceuticals' marketing strategies and marketing tactics to achieve sales goals through short-term and long-term objectives. This position reports directly to the Regional Sales Manager. Key Skills: Strategic Account Management: Customer Understanding * Possess strong sales analytics capabilities with demonstrated understanding of prescribing and purchasing decision processes and any marked differences from national trends * Demonstrate a thorough understanding of: * Internal customer business models - how profit is generated, business and financial risks, cost impacts of managing patient care * External customers - current reimbursement landscape/ managed care, payer issues and trends, and other factors which inform the development of one's annual territory business plan * Gain understanding of customer needs through thorough research and analysis to understand the specific needs and requirement of each customer/and or account * Identify key stakeholders within the account and understand their roles, priorities, motivations and patient needs * Proven excellence to leverage all available resources - dashboards, alerts, omnichannel reports, speaker programs, conference attendance * Actively gain customer insights and provide timely feedback to cross-functional partners and regional sales manager regarding account business trends, changes in the therapeutic landscape, performance, industry issues and business opportunities and obstacles Strategic Planning: Keep the needs and expectations of the customer/patients at the forefront of all that we do * Define clear, measurable objectives that align both with the company goals and the goals and needs of the customer * Develop tailored strategies and tactics to address the unique needs and challenges of each customer * Determine the resources required to execute the strategic account plan effectively * Continuously review and adjust the strategic account plan based on activities, feedback, changing market conditions and evolving customer needs * Develop and implement customized account strategic plans with clear next steps, specific strategies and tactics and appropriate utilization of resources while meeting the needs of our customers * Demonstrated collaborative efforts with cross-functional teams including marketing, medical affairs and market access to align and execute on account strategies to achieve common business objectives * Work with customer facing colleagues to facilitate achievement of the respective functional tactical objectives * Recognize changes in the work environment to ensure effective development and implementation of alternate plans to achieve objectives, modify call plan/business plan activities as needed * Strong ability to identify patterns and trends from multi-source data (OmniChannel) for divergent collaborative problem solving Teamwork & Collaboration: * Maintain an enterprise mindset and cross-functional thinking to maximize one Jazz customer engagement * Highly effective at leveraging cross-functional partnerships with marketing, medical affairs and market access with the goal to advance Business Unit and organizational interests * Engage and align with cross-functional partners to mobilize resources and ideas to deliver to successfully meet customer and patient needs * Actively shares insights and best practices across the team; demonstrates trust in others by consistently finding opportunities to contribute to their effectiveness and impact * Work effectively with customer facing colleagues to facilitate achievement of the respective functional teams' tactical objectives * Lead where appropriate as the main point of contact for designated accounts and collaborate with cross-functional partners to create a streamlined, organized interface between account stakeholders and all field facing colleagues Selling Effectiveness: * Effective promotion of Jazz Pharmaceuticals Adult Oncology products to physicians and other health care providers within the designated area at both community and Academic centers * Institute a network-selling mindset to customer relationships, seeing them as part of a connected healthcare ecosystem to broaden connections across an account * Stay abreast of industry trends, competitive landscape, and clinical developments in oncology to effectively communicate product differentiation and value proposition * Ability to adapt quickly to new tools and resources for successful customer engagement; leverages analytics to assist with developing insights and next best action plans * Identify, establish and maintain strong relationships with key physicians, health care providers and organizations within assigned territory Product and Scientific Knowledge: * Educate physicians and other health care professionals about Jazz Pharmaceuticals product(s), providing the most current information about the approved indications for the company's products within the current disease areas of focus: Small Cell Lung Cancer (SCLC) and Gastrointestinal (GI) Cancers * Demonstrates a superior level of effectiveness in communicating, educating, and consulting across multiple disease states * Effectively and appropriately responds to the customer's questions about other approved products/therapies, based on the clinical information contained in the package insert and per company compliance guidelines * Demonstrate to customers and internal team members a high level of clinical knowledge of a) the disease state, and b) Jazz product(s), based on the clinical information contained in the package insert * Demonstrates confidence in appropriately challenging prescribers about treatment decisions associated with assigned product Execution: * Participate in organizing and facilitating meetings for the exchange of medical and product information in line with the company's policies, regulatory and legal requirements * Represent company at live and virtual conferences, attend company meetings, educational events, training programs and functions as needed * Utilize CRM tools to effectively manage customer interactions, track sales activities and maintain accurate territory records * Present a positive and professional image of Jazz Pharmaceuticals, and ensure activities are consistent with and enhance the company's ethical pharmaceutical marketing policies and procedures * Special projects as assigned * Comply with all legal/regulatory guidelines of the Food, Drug and Cosmetic Act, the Prescription Drug Marketing Act, the Pharma Code, OIG guidelines, and all other applicable federal and state regulations * Perform all activities within allocated budget Required Experience * Four-year college/university degree * Experience in Oncology * Excellent verbal and written communication skills with an effective presentation style both in face to face and virtual interactions to connect and build credibility with healthcare professionals * Ability to meet territorial travel requirements Preferred Experience * Post-graduate business school study, training * Minimum of 5 years in the oncology market * Strong clinical, technical and scientific knowledge of product(s); applicable disease states desired * Strategic thinker who can drive a strategic account business plan * Strong key account management experience working in complex academic and community accounts, identifying influential stakeholders, and working with them to better serve patients * Demonstrated history of strong business acumen, problem solving, effective prioritization, account management and effective sales data analytics skills * Skillful in fostering teamwork and collaboration in cross-functional account management * Results oriented with a proactive and Self-motivated approach to driving sales growth * Experience with GI, HER2 landscape, biomarker driven therapeutics and/or Lung Cancer highly preferred * Key Account & Market dynamics knowledge Description of Physical Demands * Frequent travel between meeting sites * Frequently operating a computer, printer, telephone and other similar office machinery * Frequent interactions with external contacts in their office environment with little exposure to excessive noise, dust, fumes, vibrations and temperature changes * Frequent computer laptop or tablet use, not usually at a workstation * Responsibilities may require a work schedule that may include working outside of "normal" work hours, in order to meet business demands * Frequent public contact requiring appropriate business apparel #LI-Remote Jazz Pharmaceuticals is an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any characteristic protected by law. FOR US BASED CANDIDATES ONLY Jazz Pharmaceuticals, Inc. is committed to fair and equitable compensation practices and we strive to provide employees with total compensation packages that are market competitive. For this role, the full and complete base pay range is: $155,200.00 - $232,800.00 Individual compensation paid within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, and other pertinent factors. The goal is to ensure fair and competitive compensation aligned with the candidate's expertise and contributions, within the established pay framework and our Total Compensation philosophy. Internal equity considerations will also influence individual base pay decisions. This range will be reviewed on a regular basis. At Jazz, your base pay is only one part of your total compensation package. The successful candidate may also be eligible for a discretionary annual cash bonus or incentive compensation (depending on the role), in accordance with the terms of the Company's Global Cash Bonus Plan or Incentive Compensation Plan, as well as discretionary equity grants in accordance with Jazz's Long Term Equity Incentive Plan. The successful candidate will also be eligible to participate in various benefits offerings, including, but not limited to, medical, dental and vision insurance, 401k retirement savings plan, and flexible paid vacation. For more information on our Benefits offerings please click here: ___.

LegalContract Review & NegotiationCase AnalysisRisk AssessmentCorporate LawRegulatory ComplianceLitigation SupportLegal ResearchDue DiligenceDispute ResolutionConfidentiality & EthicsAbout micro1micro1 connects domain experts to the development of frontier AI models. Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform. AI labs and enterprises use micro1 to train models and build reliable AI agents through advanced evaluations and reinforcement learning environments. Experts contribute directly to how AI systems learn, reason, and perform across domains like finance, healthcare, engineering, and more. Our platform identifies and vets top talent through an AI recruiter, enabling high-quality contributions at scale.Our goal is to enable 1 billion people to do meaningful work by applying their expertise to AI. We’ve raised $40M+ in funding, and our AI recruiter has powered over 1 million AI-led interviews as our global network of experts grows into the human intelligence layer for AI. Job Title: Legal Specialist Job Type: Contractor Location: Remote Job Summary: Join our customer's team as an expert Legal Specialist, where your expertise will play a pivotal role in shaping robust legal solutions. You will collaborate closely with domain experts and product teams to review, negotiate, and analyze contracts, ensuring legal compliance and risk management in a dynamic, application-driven environment. Key Responsibilities: • Conduct thorough contract review, drafting, and negotiation to optimize business outcomes while managing risk., • Analyze cases and perform in-depth legal research to provide actionable insights and recommendations., • Support litigation and dispute resolution by preparing documentation and assisting internal and external counsel., • Assess regulatory compliance and assist with due diligence for corporate matters, mergers, and acquisitions., • Design system prompts and rubrics for legal applications, engaging in multi-turn conversations with agents to ensure task accuracy and coherence., • Uphold the highest standards of confidentiality and professional ethics in all legal processes and communications., • Collaborate across teams to build and enhance legal tools or applications, leveraging your industry expertise. Required Skills and Qualifications: • Proven expertise in legal principles, corporate law, and regulatory compliance., • Strong contract review and negotiation abilities across a variety of legal domains., • Demonstrated experience in case analysis, risk assessment, and due diligence., • Hands-on experience in litigation support and dispute resolution., • Exceptional written and verbal communication skills, with a keen attention to detail and clarity., • Deep commitment to confidentiality, ethics, and integrity in all legal matters., • Track record of building or contributing to legal applications, tools, or systems. Preferred Qualifications: • Experience designing legal-focused conversational agents, rubrics, or AI-driven workflows., • Background in developing digital legal solutions or productizing legal expertise., • Ability to manage complex multi-turn conversations and system prompt design.

Financial Data AnalysisEmbedded FinanceInvestment Strategy & AdvisoryPredictive Analytics & VisualizationAbout micro1micro1 connects domain experts to the development of frontier AI models. Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform. AI labs and enterprises use micro1 to train models and build reliable AI agents through advanced evaluations and reinforcement learning environments. Experts contribute directly to how AI systems learn, reason, and perform across domains like finance, healthcare, engineering, and more. Our platform identifies and vets top talent through an AI recruiter, enabling high-quality contributions at scale.Our goal is to enable 1 billion people to do meaningful work by applying their expertise to AI. We’ve raised $40M+ in funding, and our AI recruiter has powered over 1 million AI-led interviews as our global network of experts grows into the human intelligence layer for AI. Job Title: Financial Analyst Job Type: Full-time or Part-time, Contract Location: Remote Job Summary Are you a skilled Financial Analyst looking for your next opportunity? Join our dynamic talent pool and gain access to exciting roles with top-tier clients. Be the first to hear about new openings and work with innovative teams that value financial excellence in data-driven analysis. Key Responsibilities • Analyze complex financial data to identify key trends and provide actionable insights for strategic decision-making., • Lead the evaluation of embedded finance opportunities and contribute to advisory on investment strategies., • Develop predictive financial models and dynamic visualizations using up-to-date analytics platforms., • Conduct thorough market and industry research, synthesizing information from diverse sources to inform business recommendations., • Communicate findings and strategic recommendations clearly in both written reports and verbal presentations to stakeholders., • Stay ahead of the latest trends in the Asian economy, embedded finance, and digital financial solutions., • Collaborate with cross-functional teams to translate analytical results into business outcomes. Required Skills and Qualifications • Bachelor’s degree in Finance, Economics, or related field., • Professional certification (CFA, CIIA, CMA) or proven experience as a financial analyst in a leading finance institution., • Strong proficiency in financial data analysis, predictive analytics, and visualization tools (e.g., Power BI, Tableau, Python or R)., • Demonstrated experience in investment strategy and advisory, particularly within embedded finance contexts., • Exceptional written and verbal communication skills, with a keen eye for detail and clarity., • Advanced online research capabilities and ability to synthesize diverse financial information rapidly., • Experience working in or with Asia, with a solid understanding of regional financial markets and economic drivers. Preferred Qualifications • Previous experience at an MBB (McKinsey, BCG, Bain) firm or a major financial institution., • Familiarity with digital finance platforms and emerging fintech trends in the Asian market., • Based in Asia, or extensive prior exposure to the Asian economic landscape.

• Epic Beacon certification required to be considered, with demonstrated proficiency in additional Epic modules or applications., • Ability to independently prepare and deliver workflow and functional demonstrations., • Strong troubleshooting and analytical skills with the ability to perform high‐quality system build work with minimal supervision., • Serves as a Subject Matter Expert (SME) for assigned applications/modules within projects and initiatives., • Acts as a resource and mentor for Analyst I staff, offering guidance on decision‐making and work prioritization., • Thorough understanding of organizational policies, procedures, and operational workflows, including upstream/downstream impacts of build decisions., • Ability to support ticket resolution across multiple Epic modules and effectively collaborate with end users, the help desk, and IS teams., • Skilled in leading end‐user learning sessions, facilitating meetings, and framing decisions using appropriate analysis and presentation methodologies., • Growing knowledge of IS functional areas such as networking, security, telecom, servers, infrastructure, and interfaces, with awareness of key contacts for collaboration., • Robust understanding of end‐to‐end business unit workflows (e.g., Clinical, RCO), with the ability to align build decisions with healthcare policy and organizational processes., • Demonstrated ability to troubleshoot and resolve complex issues that span multiple teams, developing new solutions with minimal assistance., • Effective at identifying and engaging key stakeholders, presenting options with pros/cons, and providing clear recommendations., • Proven experience leading activities such as huddles, lean initiatives, peer training, and end‐user support workflows., • Recognized as a go‐to resource for reviewing vendor updates, upgrades, change management impacts, and project‐related build., • Actively participates in departmental learning, seeks and applies feedback, and self‐assesses skill gaps for continuous professional development., • Contributes to improving work methods, team performance, and organizational outcomes through innovative thinking and collaboration., • Demonstrates a strong team‐first mindset, proactively assisting colleagues, escalating issues appropriately, and putting IS and organizational goals above self‐interest. Position Qualifications Minimum Required: • Two to three (2‐3) years of healthcare operations (clinical, patient care, administrative or revenue cycle), information technology or health information technology experience, • OR, • Demonstrated competency in Applications Analyst I role, • For Epic roles: Current Epic certifications Epic Beacon and Epic Ambulatory, • OR, • Bachelor's Degree in a related field (information technology or clinical/healthcare fields), • All ‐ Access to patient information, including restricted information ‐ Level 4

Job Description At PEARCE, we've got a career for you! Pearce is a leading technology-enabled provider of asset management solutions for mission-critical electromechanical infrastructure throughout North America. Pearce provides technical maintenance, repair, operations, and engineering services for uninterruptible power supply (UPS) systems, backup power generators, battery energy storage systems (BESS), critical cooling systems, and other electrical and mechanical infrastructure across end markets such as renewable energy, telecom, and data centers. Founded in 1998, Pearce has more than 4,000 employees and 28 locations across the U.S. Pearce is a wholly owned subsidiary of CBRE Group, Inc., the world's largest commercial real estate services and investment firm. To learn more about Pearce visit . Your Impact Pearce is seeking Experienced HVAC Technicians to join our team for servicing and repairing commercial HVAC equipment on telecom shelters located on Cell Tower sites. This is a fast-paced and rewarding job that is best suited for individuals who are responsible, self-directed, highly motivated, willing to travel, and looking to learn and grow in the Telecom industry. This is a regional position. Candidates should reside in the Binghamton, New York area. Core Responsibilities • Maintaining cooling systems – diagnosing, troubleshooting, repairing, or installing and replacing components of entire systems., • Conducting performance checks and regular maintenance on HVAC equipment., • Performing additional maintenance or upgrades to out-of-season HVAC equipment., • Responding to service calls in a timely manner, including emergency call out services., • Timely and accurate completion of daily work reports. Core Experience • Must be Level 2 or Universal EPA Certified (Required)., • 3+ years of experience with HVAC maintenance (commercial preferred)., • Basic knowledge of electronic, mechanical, and electrical components including refrigeration systems is preferred. At Pearce safety is our number one concern. Candidates must be able to comply with OSHAFCC/FAA/EPA Standards. • Candidates should reside in the Binghamton, New York area., • Must be available for after-hours and weekend call outs on occasion., • Extensive daily travel in an independent work structure., • Occasional overnights required-company pays all travel costs and provides per diem., • Driving to remote work sites as needed., • Be exposed to ambient temperatures while working outdoors., • Lift and move equipment as needed (up to 50 pounds). At Pearce, we are committed to fair and transparent pay practices. Actual compensation is influenced by a wide array of factors including but not limited to skill set, level of experience, and location. In addition to wages, employees may also be eligible for performance and referral bonuses, production incentives, tool/equipment and fuel stipends, company vehicle, per diem or other applicable compensation. We also offer all full-time employees a comprehensive benefits package including health and life insurance, 401k with employer match, paid time off, tuition reimbursement, and professional development courses. This pay range reflects our commitment to pay equity and compliance with state and federal pay transparency laws. If you have questions about compensation, we encourage open discussions during the hiring process. Base Pay Range$30—$38 USD What We Offer Pearce offers a family-friendly and innovative culture with opportunities for growth, competitive compensation, comprehensive health benefits including medical, dental and vision insurance, flexible spending accounts, HSA option. To help you recharge, we have paid vacation and paid holidays. For your future, we offer a company-matching 401(k) Retirement, Life Insurance, Tuition reimbursement, and professional development training. To help you be successful at work, as required for the role, we will provide a company vehicle, phone, laptop, or tablet along with all necessary tools and safety equipment. We are an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. Learn more about us at !

Job Description: Summary: This position is primarily responsible for the overall management of strategic and national accounts. This includes but is not limited to acting as a strategic advisor to support clients in the decision making process relative to benefit design, financial impacts, member experience, and industry trends. This role will focus on account retention activities and could expand to include prospecting of new business opportunities. Essential Accountabilities: Level I • Responsible for sales activities, including retention, prospecting, and cross-selling., • Establishes, develops, and maintains positive business relationships with clients, brokers, and internal department contacts., • Develops a thorough understanding of clients strategic goals, financial position and opportunities to offer solutions that meet their needs and ensure overall satisfaction., • Provides oversight for all activities that surround client solutions, operational efficiencies and member impacts. Works with relevant internal and external sources to ensure expediated and effective resolution to maximize satisfaction., • Partner with Account Service Consultant(s) to deliver high-quality client satisfaction., • Establishes and maintains relationships with internal executive sponsors and maintains client detail and history., • Develops key account summary identifying client needs, opportunities, risks, and competitive insight., • Attends meetings, sales events, and trainings to keep abreast of the latest corporate, national, and legislative developments impacting the delivery of health care benefits. Keeps abreast of market dynamics, industry trends and competitor landscape., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Engages and actively participates in workgroups to represent Sales on cross divisional initiatives and educates the team on progress/results., • Acts as a mentor to account managers/account service representatives interested in growth and development., • Represents management at meetings as needed. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Valid NYS Accident and Health License within six months of employment required. Employees without a license are not eligible for sales incentive awards or contests. Any sales made while not licensed are not eligible for incentive compensation., • Highly motivated and goal oriented with five (5) or more years of experience in sales. Health insurance sales and/or industry experience beneficial., • Working knowledge of all financial arrangements inclusive of fully insured and self-funded., • Proven ability to build productive professional relationships., • Ability to create and deliver presentations tailored to the audience needs., • Exceptional listening and negotiation skills. Strong verbal and written communication skills and ability to influence key stakeholders at all levels of an organization. Level II (in addition to Level I Qualifications) • A proven track record of seven (7) or more years in sales. Health insurance sales and/or industry experience desired., • Exceptional analytical/problem-solving skills., • Demonstrated mentoring/coaching skills. Physical Requirements: • Ability to travel to client sites for presentations, meetings, and/or trainings as needed., • Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time., • May be required to transport sales collateral/materials to and from meetings/events. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Minimum: $62,400 - Maximum: $106,929 Level II: Minimum: $71,880 - Maximum: $129,384 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: The Enrollment Resolution Examiner is responsible for resolving complex enrollment and billing reconciliation issues between the Health Plan and external customers including but not limited to State and Federal Government Agencies, under the general direction of management and in accordance with the objectives and policies of the Health Plan, State and Federal guidelines. The position will work across multiple Enrollment operational areas. Essential Primary Responsibilities/Accountabilities: Level I • Responsible for reconciliation of regulatory and Health Plan Enrollment data through audit and review, utilizing the internal and external guidelines/regulations/policies and procedures. Strong knowledge of reporting and associated regulatory guidelines used to verify enrollment and billing accuracy to ensure plan is paid correctly in order to maintain accurate financial records., • Responsible for ensuring member and/or group documentation and transactional updates are completed to reconcile account discrepancies. Receives, reviews and updates discrepancies from internal departments and external customers relating to the Membership subscriber/member/group files, • Investigates, works, analyzes, tracks and monitors operational issues identified during the financial balancing adjustment of funds. Participates in process and technology improvement efforts to identify and remove barriers to increased productivity, quality, cost effectiveness, timeliness of operations, and customer satisfaction., • Prepares regular and periodic reports for the review and assurance of following processing guidance including but not limited to, the operations reporting of all transactions., • Initiates necessary requests to other operational areas to resolve identified problems or recommendations for process improvement. Communicates with internal and external customers and also, provides supporting documentation and makes recommendations for procedure changes based on analysis completed., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Be proficient in one line of business and able to process inventory from other lines of business as requested. Level II in addition to Level I responsibilities, Level II will perform the following: • Mentors and collaborates with others on the team in utilizing tools, sharing best practices, and serving as a role model within a team unit structure. Ability to support other team members within your primary line of business by responding to questions, demonstrating key tasks and reviewing work, • Subject matter expert in one line of business and proficient in a several inventory areas in other lines of business., • In depth understanding and working knowledge of the cross functional enrollment processes as they pertain to the Resolution Examiner work to research and resolve discrepancies or inquiries., • Ability to support implementation of new processes and procedures related to Resolution Examiner inventory work. Accountability included but not limited to, creation of test cases, testing of the process, end user testing, creating documents and establishing procedures. Represents Enrollment Resolution on corporate projects as well as cross functional work groups, acting as a subject matter expert, providing advice and counsel to project teams and leadership on requirements Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Conducting financial analyses and recommendations, or related work experience and proven ability to exercise the requirements and responsibilities of the position required., • Three (3) years' experience with financial data or Health Insurance Enrollment experience; or an associate degree in finance, accounting, or similar discipline., • Capable of establishing constructive relationships with all levels of internal and external of the organization., • Must be able to prioritize assignments and work accurately and independently within established time frames., • Must be flexible and able to adjust to rapidly changing priorities., • Must have solid communication skills - both verbal and written., • Proven organizational, analytical, and time management skills., • Computer proficiency, including experience in Microsoft Office Suite., • Strong attention to detail and accuracy. Level II • A minimum of five (5) years health insurance operations experience preferred., • Ability to represent the department independently as a subject matter expert in discussions with other areas of the company., • In depth regulatory and Enrollment process knowledge in one line of business and working knowledge in an additional line of business., • Proven ability to support and train peers. Physical Requirements: • Ability to complete work in a traditional office environment under fluorescent lighting., • Ability to arrive on time at work and as scheduled., • Ability to meet minimum performance metrics., • Ability to orally communicate., • Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time., • Must be able to travel across the enterprise., • Ability to work in a home office for continuous periods of time for business continuity. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N5: Minimum: $20.02 - Maximum: $33.03 Level II: Grade N6: Minimum: $21.83 - Maximum: $34.92 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

management consulting methodologiesstrategic analysisbusiness process improvementorganizational transformationcase study developmentbusiness frameworkswritten communicationverbal communicationanalytical skillsproblem-solvingremote team collaborationattention to detailindependent workclient-ready deliverablesmentoringbusiness transformationdigital transformationai-driven business modelsAbout micro1micro1 connects domain experts to the development of frontier AI models. Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform. AI labs and enterprises use micro1 to train models and build reliable AI agents through advanced evaluations and reinforcement learning environments. Experts contribute directly to how AI systems learn, reason, and perform across domains like finance, healthcare, engineering, and more. Our platform identifies and vets top talent through an AI recruiter, enabling high-quality contributions at scale.Our goal is to enable 1 billion people to do meaningful work by applying their expertise to AI. We’ve raised $40M+ in funding, and our AI recruiter has powered over 1 million AI-led interviews as our global network of experts grows into the human intelligence layer for AI. Job Title: Management consultant Job Type: Contractor Location: Remote Job Summary: As a Management consultant, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters. Key Responsibilities: • Provide expert insights on management consulting methodologies, strategic analysis, and business transformation practices., • Review, assess, and refine complex business scenarios, documents, and case studies to ensure accuracy and relevance., • Deliver high-quality, detailed written and verbal feedback to help improve AI system outputs and reasoning capabilities., • Collaborate remotely with the customer’s team to support the training and evaluation of AI models with real-world management consulting perspectives., • Leverage your advanced experience to identify gaps, propose improvements, and ensure alignment with industry best practices., • Utilize strong communication skills to clearly articulate recommendations and process flows in both written and spoken formats., • Continually stay updated on management consulting trends to provide current, impactful input into the AI training process. Required Skills and Qualifications: • Minimum of 4+ years’ experience as a management consultant, ideally with a top-tier consulting firm., • Proven expertise in strategic projects, business process improvement, and organizational transformation., • Exceptional written and verbal communication skills with high attention to detail., • Ability to synthesize complex problems and deliver practical, actionable insights., • Strong analytical skills and experience working with cross-functional teams in remote environments., • Experience developing or reviewing case studies, business frameworks, and client-ready deliverables., • Self-motivation and discipline required for high-quality independent work. Preferred Qualifications: • MBA or advanced degree in business, management, or a related field., • Familiarity with digital transformation initiatives or AI-driven business models., • Demonstrated experience mentoring or training consultants or business professionals.

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently., • Adheres to official coding guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG &ICD 10., • Establishes national and best practice benchmarks and measures performance against benchmarks., • Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform., • Manages case volumes and review/audit schedules, prioritizing case load as assigned by Management., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Performs complex audits or projects with minimal direction or oversight., • Acts as an expert in reviewing medical coding and medical record review with ability to oversee complex assignments, challenging customers, and highly visible issues., • Supports leadership in projects related to divisional/departmental strategies and initiatives., • Participates and represents in audits, payment methodologies, contractual agreements, with cross functional teams or with business partners as needed., • Serves as a mentor to new hires., • Demonstrates ability to participate and represent department on interna/external committees. Level III (in addition to Level II Accountabilities) • Provides expertise in developing data criteria for audits., • Acts as a Lead and provides training, guidance, consultation, complex performance analysis, and coaching expertise to team members around methods of continuous quality improvement., • Serves as an expert and resource for escalations and works directly with Payment Integrity staff to resolve issues and escalation problems., • Provides backup support for Management as necessary. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Associate or bachelor's degree in health information management (RHIA or RHIT) or a Nursing Degree., • Three (3) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting., • Three (3) years of working experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology., • Coding Certification is to be maintained as a condition of employment of one of the following: RHIA or RHIT, Inpatient Coding Credential - CCS or CIC., • Intermediate analytical and problem-solving skills; as well as keeps abreast of latest trends related to business analysis., • Intermediate knowledge of PC, software, auditing tools and claims processing systems. Level II (in addition to Level I Qualifications) • Five (5) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting., • Five (5) years of working experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology., • Demonstrated ability across multiple skills, products, processes, and systems with the Division., • Demonstrated ability to lead initiatives with occasional guidance and assistance from management and/or others., • Advanced analytical, problem solving, and judgement skills., • Advanced knowledge of PC, software, auditing tools and claims processing systems. Level III (in addition to Level II Qualifications) • Eight (8) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital or other acute facility setting., • Eight (8) years of working experience with ICD 10CM, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, medical necessity criteria, and coding terminology., • Demonstrated leadership skills., • Demonstrated ability as a subject matter expert or consultant to other departments., • Demonstrated ability to work independently and assumes lead role in key business initiatives., • Expert proficiency in analytical skills, auditing skillset and ability to manage complex assignments, challenging situations, and highly visible issues., • Demonstrated expert proficiency in project management and presentation skills. Physical Requirements: • Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer., • Ability to travel across the Health Plan service region for meetings and/or trainings as needed. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E4: Minimum: $65,346- Maximum: $117,622 Level II: Grade E5: Minimum: $71,880 - Maximum: $129,384 Level III: Grade E6: Minimum: $79,068 - Maximum: $142,322 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the general guidance of the assigned management and in accordance with established systems and applicable accounting principles, the incumbent prepares and maintains a complete set of records to support financial transactions of the assigned area and/or Company. The incumbent will perform the accounting functions and activities in accordance with the specific requirements of the accounting area assigned, prepare and analyze various tax filings, and/or prepare internal and external financial reports. Essential Accountabilities: Level I • Under direct supervision, gathers and analyzes financial data from a variety of sources to prepare journal entries, account reconciliations and financial schedules in a manner consistent with ensuring internal and external audit compliance (i.e., appropriate documentation and support), in accordance with the applicable policy., • Provides periodic analysis and interpretation of financial statements at both an individual account level and at the financial statement line and Company level, including the development of processes to accumulate and analyze data spread over multiple systems/locations, for management review., • Prepares financial statements and regulatory filings under Statutory Accounting Principles (SAP), Generally Accepted Accounting Principles (GAAP) and other applicable regulations., • Researches technical accounting and financial reporting issues, documenting the analysis of issues, including accounting positions considered and conclusions reached., • Maintains and enhances the control environment, consistent with NAIC Model Audit Rule, by applying the internal corporate policies and procedures and external regulations., • Interacts with other areas (Finance Line of Business team, IT, Actuary, Treasury, A/P, Payroll, etc.) in the preparation of monthly internal financial reports, quarterly and annual respective State Insurance Department reports and other regulatory agency reports., • Keeps abreast of accounting/professional developments by attendance at seminars/workshops and professional society meetings, review of publications and as necessary, independent study., • Provides support to projects/initiatives within Finance or the wider Enterprise., • Back-up, train and offer guidance to other accountants in the department, as applicable., • Establishes and maintains constructive relationships when dealing with internal and external professionals, institutions, and agencies., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading according to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Under general supervision, works on more complex technical accounting and financial reporting issues, documenting the analysis of issues, including accounting positions considered and conclusions reached., • Provides enhanced support to projects/initiatives within Finance or the wider Enterprise., • Possesses a broader knowledge of subject matter. Level III (in addition to Level II Accountabilities) • Works under minimal supervision, handles complex technical accounting and financial reporting issues, documenting the analysis of issues, including accounting positions considered and conclusions reached., • Leads projects/initiatives representing Accounting and Financial Reporting division., • Possesses comprehensive knowledge of subject matter., • Acts in a consultative capacity to management at all levels of assigned organization unit to provide professional technical expertise in the determination of suitable approaches to financial concerns. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • In lieu of a bachelor's degree in accounting, a combination of relevant education and/or experience will be considered (a minimum of seven (7) years). Bachelor's degree in accounting with a minimum of one (1) year of relevant experience is required. Candidates who have passed the CPA exam with less than one (1) year of relevant experience will be considered. Other business degrees with an accounting concentration may count toward the experience requirement., • Demonstrated understanding of financial statements and GAAP. An understanding of Statutory Accounting Principles would be beneficial., • Ability to interpret and effectively implement/apply changes in accounting guidance., • Demonstrated attention to detail required., • Demonstrated team working skills required., • Demonstrated analytical skills required., • Demonstrated ability to communicate and interact with all levels of the organization., • Takes initiative and promotes a continuous improvement mindset and culture., • Ability to simultaneously handle multiple priorities., • Ability to work independently., • Working knowledge of Microsoft Office Suite (Excel, Word, and Access). Level II (in addition to Level I Qualifications) • In lieu of a bachelor's degree in accounting, a combination of relevant education and/or experience will be considered (a minimum of nine (9) years). Bachelor's degree in accounting with a minimum of three (3) years of relevant experience is required. If a candidate has a CPA license or an MBA, a minimum of two (2) years of experience is required. Other business degrees with an accounting concentration may count toward the experience requirement., • Strong ability to communicate and interact with all levels of the organization., • Ability to work under general supervision, able to handle more complex priorities., • Possess solid working knowledge of Microsoft Office Suite (Excel, Word, and Access). Level III (in addition to Level II Qualifications) • In lieu of a bachelor's degree in accounting, a combination of relevant education and/or experience will be considered (a minimum of eleven (11) years). Bachelor's degree in accounting with a minimum of five (5) years of relevant experience is required. If a candidate has a CPA license or an MBA, a minimum of four (4) years of experience is required. Other business degrees with an accounting concentration may count toward the experience requirement., • Strong understanding of financial statements and GAAP. An expert understanding of Statutory Accounting Principles., • Ability to work independently and handle the most complex priorities., • Strong attention to detail required., • Strong team working skills required., • Strong analytical skills required. Physical Requirements: • Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer., • Ability to travel across the Health Plan service region for meetings and/or trainings as needed. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E1: Minimum $62,400 - Maximum $84,000 Level II: Grade E2: Minimum $62,400 - Maximum $96,081 Level III: Grade E4: Minimum $65,346 - Maximum $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: The Health Outcomes Specialist I-II supports the Health Outcomes & Community Impact (HOCI) strategic plan, goals, enterprise-wide measures, and efforts to achieve improvement across our markets and populations. The role supports the design, implementation, and evaluation of initiatives that improve measurable health outcomes across priority member populations. This role ensures that interventions designed to address disparities lead to demonstrable improvements in clinical outcomes, utilization, community impact and member experience. Working within the HOCI team, the Health Outcomes Specialist partners with internal stakeholders including Quality, Healthcare Management, Medical Governance, Provider Network, Pharmacy, Data Analytics, and Marketing to operationalize strategies that improve outcomes for members experiencing disproportionate health risks or barriers to care. This role translates population health insights and equity-informed strategies into actionable interventions, program implementation, and outcome measurement. Essential Accountabilities: Level I • Partners with leadership on sharing and updating a robust health equity and community health training initiative that spans the entire enterprise as well as externally., • Research and maintains sound knowledge of health equity, evidence-based improvement interventions, industry trends, best practices, and benchmarks to deliver innovative and effective solutions for the management of the HOCI strategy., • Consults on the development of the health equity data infrastructure to ensure appropriate creation of downstream clinical interventions to mitigate health disparities., • Facilitates processes needed to analyze and improve processes and workflows. Organizes and facilitates large educational and re-engineering sessions. Facilitates interdepartmental coordination and communication with all Care Management functional areas, such as, but not limited to Case Management, Utilization Management, Behavioral Health, Medical Claim Review and Audit, Health Promotion, Disease Management, to support delivery of high quality, timely customer solutions., • Consults with key internal stakeholders including medical directors, operational and strategic leadership, SMEs, and regional directors as well as external network/other Blues plans regarding the nature of the opportunity identified, potential interventions, and desired and expected outcomes., • Evaluates initiatives and determines key benchmarks in collaboration with health equity stakeholders for its use in subsequent evaluations., • Analyzes, compiles and implements interventions to incorporate into strategic assessments; creates comprehensive strategic proposals to improve health outcomes. Collaborates with other departments early in the initiative development cycle including quality, provider engagement, customer care, VBP programs, corporate communications/marketing, clinical operations, and others, in regard to cross-functional business processes, program development initiatives and timelines., • Collaborates with the Quality department to facilitate health equity accreditation requirements., • Consults with the CIP team to incorporate a community-based approach on projects, processes and initiatives., • Assesses member, provider and other key stakeholders' experience related to new or updated initiatives and plans proactively to address their concerns and needs positively., • Oversees vendor relationships associated with vendor partners as needed, including identification of key vendors, nurturing vendor contacts, RFI/RFP creation and strong oversight, pricing negotiations, contract facilitation with legal and other entities, monitoring vendor SLAs/PGs as needed., • Provides reports and recommendations to the Utilization Management/Case Management (UM/CM) team for action. Responsible for defining, coordinating, and communicating the ongoing monitoring of existing programs in HOCI and other areas as relevant to ensure meaningful intervention outcomes and value are realized and partner with key stakeholders to support strong results. Serves as subject matter expert in maintaining the UM/CM training program for PHE and other key stakeholder roles., • Represents Medical Services on Health Plan-wide cross functional process improvements teams, as requested by manager/director. Coordinates HOCI committees to define, prioritize and facilitate initiatives, as appropriate., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Participates in, facilitates, and may manage all aspects of meetings within HOCI and in support of program development as needed., • Mentoring and coaching of program development team within the department and others in similar roles as appropriate., • Provides input and recommendations into strategic proposals for program development team., • Acts as an ambassador of the team function throughout the organization to ensure consensus, collaboration, and support., • Provides presentations to key stakeholders to share the vision and mission of the HOCI team and build awareness, support, and participation for the process and team. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Minimum of two (2) years' experience working within a health plan related to Health Equity/ Population Health Management or other clinically related program development with Bachelor's degree in related field. In lieu of a degree, minimum of eight (8) years' experience working within a health plan in a role related to population health management/case management interventions/programs or other clinically related program development required., • Five (5) years of clinical experience required (RN, LPN, BH, MPH, etc.), • PMP certification preferred., • Working knowledge of best practices and tools related to project management and process engineering/improvement Working knowledge of Corporate Medical Policies, InterQual and Milliman & Robertson guidelines, NCQA standards, URAC requirements, HEDIS, CMS requirements, and NYSDOH medical management mandates & program requirements., • Demonstrates effective verbal communication skills and strong writing capabilities., • Developing skills in reading, analyzing and understanding analytics reports and documents., • Understands basic concepts of return-on-investment measurement. Exhibits excellent organizational, planning, and project management skills. Makes decisions using solid judgment skills to impact identified problems., • Resourceful and appropriately tenacious in the face of varied opinions to gain consensus., • Exhibits leadership through meeting facilitation., • Subject matter expert on the development of clinical strategic interventions. Level II (in addition to Level I Qualifications) • Minimum of six years' experience working within a health plan in a role related to utilization management/case management interventions/programs or other clinically related program development., • Strong understanding of and preferred experience with Return-on-Investment measurement and concepts., • Experience with process development and refinement, experience leading projects whether formal or informal. Reads, analyzes, and understands complex analytics reports and documents. Able to identify further areas of exploration/opportunity and guide analytic requests to explore targeted opportunities., • Demonstrated strengths with emotional intelligence including keen collaboration, consultative relationship building, and consensus building skills. Physical Requirements: • Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer., • Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time., • Ability to work in a home office for continuous periods of time for business continuity., • Ability to travel across the Health Plan service region for meetings and/or trainings as needed., • Manual dexterity including fine finger motion required., • Repetitive motion required., • The ability to hear, understand, and speak clearly while using a phone, with or without a headset., • Must have a valid Class D license and ability to operate a motor vehicle. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): E2: $62,400 - $96,081 E5: $71,880 - $129,384 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the general direction of the Assigned Management, and in accordance with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan provider networks. This position also is responsible for the development of consistent payment methodologies and negotiates allowances for out of area/out of network non-par claims. In the course of this work, the Analyst will be required to work closely with others to assemble and produce documentation and informational materials that will guide Senior Management in making strategic network specific business decisions. Essential Primary Responsibilities/Accountabilities: All Levels - Manages and supports various projects with implications for all lines of business. These projects arise in response to shifts in marketplace dynamics, changes in the delivery of healthcare services, or the emergence of new products. Responsibilities include, but are not limited to: * Differentiates claim types and navigates through the various claims platforms. * Uses pricing tools and efficiency in the varying payment methodologies. * Gathers data from a variety of sources; updates and maintains a variety of; prepares financial reports, statements and analysis for management review. * Performs assigned analysis and/or assists in complex analysis for supervisory review, creates models and makes recommendations based on the analysis completed. * Assists in the determination of the impact of various business options for strategic planning and other financial decisions. * Assists in accumulation and evaluation of data from outside sources to negotiate pricing for out of area/network services. Develops letter of agreement then notifies claims department that service has been priced. * Responsible for the development and analyses of supporting financial schedules, including preparation of worksheets, maintenance of appropriate backup and documentation for internal control and auditing purposes. * Supports and maintains contracting and relationship responsibilities associated the utilization of the Blue and non-Blue national/regional provider network(s), including development and maintenance of vendor contracts, tracking of open issues, leading team efforts to matrix manage open network issues relative to prospective employer groups, tracking and status reporting for senior management. * Creates and maintains network tracking reports by product and by region, including threatened resignation reports, specialty inventory reporting, provider specific product participation reporting, assessing analytics to identify potential network gaps and recommendations for change. * Supports product development initiatives such as development of networks to service Safety Net and Medicare products. This includes development of reports on products, network strategies, status reporting on activity, financial information preparation for negotiators. * Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values and adhering to the Corporate Code of Conduct. * Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. * Regular and reliable attendance is expected and required. * Performs other functions as assigned by management. * Regular and reliable attendance is expected and required. Level II - performs similar functions as the Network Services Analyst I and can be differentiated by the following: * Works with larger, more complex, higher visibility accounts that have been escalated. Develops and maintains more complex vendor contracts. * Identify root cause of problems; develop potential options and likely outcomes of each option; Recommend optimal option. * Model financial impact of change to reimbursement methodology on an individual claim basis; Articulates impact of changing from one reimbursement methodology to an alternate. * Analyzes, identifies and recommends improvements to the claims process and inventories such as triaging misrouted cases, conducting cost and quality analyses. * Maintains appropriate backup and documentation to ensure regulatory compliance is being met. * Demonstrates adherence to internal controls surrounding regulatory compliance and have ability to explain same. Level III - performs similar functions as the Network Services Analyst I & II and can be differentiated by the following: * Facilitates cross-functional workgroups and internal meetings to present recommendations and lead workgroup to determine best course of action to implement corrections to system or process improvement opportunities. Presents information clearly. * Discusses complex out of network claims with providers and recommends solutions. Tracks unusual and/or outstanding claims. * Identifies trends and opportunities with network management/negotiators, etc.; presents findings and recommendations to management. * Works with key stakeholders to create improvements as either a dedicated resource or with overall division processes to ensure end to end continuity. * Analyzes and interprets complex records/documentation; reviews and assesses validity of financial estimates from a variety of sources against stated business objectives. * Acts in a consultative capacity to management at all levels of assigned organization unit to provide professional technical expertise in the determination of suitable approaches to reimbursement concerns. * Applies principles of total quality management, team leadership, facilitates peer review activities on a consistent, ongoing basis to identify and remove barriers to increased productivity, quality, cost effectiveness, and timeliness of operations and customer satisfaction. * Designs and develops reports which illustrate integrated solutions to meet business needs or enhance performance. * Reviews and approves project cost/benefit analyses prior to presentation to company management. * Acts as a mentor to the team by setting, and striving to achieve high levels of professional competence. Leads by example. Minimum Qualifications: NOTE: This description includes multiple levels of classification. The levels of classifications are differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making and in some cases, becoming a resource to others. New hires will be placed in the level for which they are most qualified based on their experience, credentials and skills. Level I * Bachelor's degree in Health Care Administration, Business, Finance or relevant field with a minimum of four years health care/business experience in an analytical function, plus a minimum of one year of business user experience including negotiation, research, analysis and working with outside customers. * In lieu of degree, a minimum of eight years health care/business experience in an analytical function including a minimum of one year of business user experience including negotiation, research, analysis and working with outside customers. * Ability to read and understand contractual language - weave through it and be able to negotiate on layman's terms. * Strong analytical, written and oral communication, organizational and time management skills. * Proficiency in Microsoft Office suite. * Ability to work with the various levels of internal management and external audiences. Level II - requires similar minimum qualifications as level I, as well as: * A minimum of five years health care experience in an analytical function, plus a minimum of one year of business user experience including negotiation, research, analysis and working with outside customers. * Excellent written and oral communications skills in addition to strong organizational and time management skills are required. * Strength in spreadsheet, data base, word processing and Microsoft Office products. * Ability to present and communicate complex issues with fluency and expertise. * Must be able to interact comfortably with all levels of management. * Relationship building skills required Level III - requires similar minimum qualifications as level I & II, as well as: * A minimum of seven years health care analytical experience, plus a minimum of two years of business user experience including negotiation, research, analysis and working with outside customers. * Ability to identify trends and opportunities with network management/negotiators, etc.; presents findings and recommendations. * Demonstrated leadership, decision-making and team building skills. * In addition to solid oral and written skills, must have solid presentation skills. * Certification preferred in Lean Six Sigma Green Belt. * Excellent presentation skills. Physical Requirements: * Use of computers and phone * Ability to have limited travel In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E2: Minimum $62,400 - Maximum $96,081 Level II: Grade E3: Minimum $62,400 - Maximum $106,929 Level III: Grade E4: Minimum $65,346 - Maximum $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Essential Accountabilities: Level I • Handles behavioral health member clinical management programs., • Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case Management Program activities, and performs the activities as directed by departmental policy and leadership, current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable., • Carries out job responsibilities in accordance with departmental, corporate, state, federal and accreditation standards, as well as licensure, certification and scope of practice requirements for each specific health-related field/specialty,, • Maintains confidentiality and conducts information management procedures per corporate and departmental policy., • Implements the Case Management Process per department policies, procedures and guidelines. The process includes case identification, case opening, member assessment, education and support intervention opportunities, developing care plans, conducting member-centric interventions, measuring member outcomes during re-assessment, case closure, and case reviews., • Screens members that fall within the defined populations served, referred to the department, either by data analysis or by internal or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management services., • Initiates case management, as outlined in the Case Management Program Description. Opens appropriate cases timely and effectively. Using motivational interviewing, assures essential information relating to case management is disclosed to members, thus increasing the opportunity for success in meeting member health goals., • Works in collaboration with members' physicians and other health care providers to assess the needs of the member, facilitate development of an interdisciplinary care plan, coordinates services, evaluates effectiveness of services and modifies the member care plan as necessary. Maintains positive working relationships within this arena., • Assesses member/caregiver knowledge of his/her illness and initiates appropriate education interventions to address knowledge deficits., • Collaborates with member/caregiver to determine specific objectives, goals and actions to address member needs and barriers to meeting health goals identified during assessment., • Provides appropriate resources and assistance to members with regards to managing their health across the continuum of care. Maintains updated information related to appropriate community resources and serves as a source of information for providers and other members of the healthcare team. Acts as a liaison between providers and community resources., • Participates in inter-disciplinary coordination and collaboration to ensure delivery of consistent and quality health care services. Examples may include Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist, • Accepts responsibility for continuing education relative to professional growth. Meets or exceeds the minimum continuing education requirements as set forth by departmental and corporate policy, and by individual professional certification standards, if applicable., • Participates in and promotes other health plan programs, such as, Preventive Health, use of web-based tools for self-management of conditions and engagement in digital health programs and applications., • Work collaboratively with all Case Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and coordination of care., • May work with internal and external stakeholders for value-based payment programs, such as accountable cost and quality arrangements (ACQA)., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Handles all member clinical condition management programs., • Offers process improvement suggestions and participates in the solutions of more complex issues/activities., • Mentors junior staff and assists with coaching whenever necessary., • Consistently meets/exceeds all productivity and performance metrics, including positive results of audits., • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health., • Manages more complex assignments and/or larger caseloads., • Displays leadership skills and serves as a positive role model to others in the department., • Participates in the orientation of new staff. Level III (in addition to Level II Accountabilities): • Process Management and Documentation - o Identifies, recommends, and evaluates new processes as necessary to improve productivity and gain efficiencies. o Assists in updating departmental policies, procedures and desk-top manuals relative to the CM functions. o Identifies and develops processes and guidelines for performance improvement opportunities for the Case Management Department. • Expert and resource for escalations. Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems., • Mentors and provides guidance and leadership to the daily activities of the Case Management Department clinical staff. Acts as resource to Case Management staff, members, and providers., • Provides backup for the Supervisor/Manager, whenever necessary by: o Participating in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care. o Acting as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing. o Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. • Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational needs to address established policies and procedures and job responsibilities. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Active NYS RN license required with three years' behavioral health experience; or LMSW; or LCSW; or LMHC., • Minimum of three years of clinical experience required. Case Management experience preferred., • Must demonstrate proficiency with the Microsoft Office Suite., • Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred., • Strong written and verbal communication skills., • Ability to multitask and balance priorities., • Must demonstrate ability to work independently on a daily basis., • Deliver efficient, effective, and seamless care to members., • For incumbents aligned to the Federal Employee Program (FEP) line of business, Case Management Certification required within three (3) years of either hire and/or moving into this role supporting the FEP LOB. Level II (in addition to Level I Qualifications) • A minimum of 2 years in case management position., • Case Management Certification preferred, • Delivers efficient, effective, and seamless care to members., • Demonstrates ability to escalate to management, as necessary., • Demonstrates proficiency in all related technology and documentation requirements., • Consistently meets or exceeds all performance metrics. Level III (in addition to Level II Qualifications) • Must have been in a current Case Management position or similar subject matter expert for at least 5 years., • Case Management Certification required, • Broad understanding of multiple areas (i.e. UM and CM). At this level, incumbent is required to know multiple functional areas and supporting systems., • Expertise in Case Management area and able to handle complex assignments, challenging situations, and highly visible issues., • Ability to lead the training of new staff., • Demonstrated presentation skills. Physical Requirements: • Ability to travel and work long hours on a computer., • May require flexible hours to meet needs of member discussions. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: E2: Minimum: $62,400 - Maximum: $ 96,081 Level II: E3: Minimum: $62,400 - Maximum: $ 106,929 Level III: E4: Minimum: $65,346 - Maximum: $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the direction of the Assigned Management, upon successful completion of all phases of training, and in accordance with established HIPAA regulations the Enrollment Specialist performs enrollment core processing and servicing in accordance with the Health Plan Operation's enrollment regulations, Underwriting Guidelines and applicable government regulations. The focus of this role is to ensure prompt, accurate, and efficient servicing of all broker, member and group administrator inquiries for all product lines. Inquiries are received by the following but not limited to; telephone, email, written inquiries, lobby walk-in customers and through on-site visits with an employer group. The B version of this role will require the individual to be on the phone regularly. Essential Primary Responsibilities/Accountabilities: Level I: • Responsible for Government Programs, Small, Mid, and Large Employer Group Subscriber Enrollment Operations., • Responsible for maintaining communication, including but not limited to; Enrollment Management, Account Services Consultants, Sales, Finance/Underwriting, Claims, Customer Care, as well as interact with external Customers, groups or Brokers as necessary., • Responsible for the enrollment of new groups, renewals, new member and member movement., • Prepares, processes and maintains all member enrollments utilizing multiple Health Plan enrollment systems. Installs and maintains member information, new enrollment, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess member enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Researches, interprets and responds to inquiries from internal and external customers, business partners, brokers, consultants, and groups concerning our products, services and policies in accordance with regulatory, corporate policy, association guidelines and productivity measures. Ability to run pre-built reports., • Reviews, validates and updates transaction errors from all member level electronic and paper sources impacting eligibility interfaces., • Identifies issues and responds to all work items brought forward either internally or externally and ensures all inquiries will be responded to within department service level agreements (SLA's)., • Prioritize aged and Performance Guarantee Transactions and takes necessary action to complete timely according to established metrics., • Responsible for knowledge and accuracy on entry level processing within a minimum of 3 inventory areas., • Attends provided/necessary training to support job role/function and share knowledge back with the team., • Attends and participates in meetings as necessary and share information back to the team., • Execution of quality service to our external, as well as internal customers by meeting productivity and accuracy metrics, compliance and member touchpoint measures (MTM) targets, and CMS processing timeframes., • General understanding of the cross functional enrollment process and operating systems., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Prepares, processes and maintains all group enrollment utilizing multiple Health Plan enrollment systems. Installs and maintains group information including new group set up, benefit changes/renewal, cancellations, and reinstatements utilizing multiple sales, marketplace, and/or Enrollment systems. Review and assess enrollment activity and associated documents for accuracy using knowledge and expertise of processing regulations/guidelines., • Handles Designated Record Set (DRS) requests and may serve as a point person for the Account Service team when difficulties arise in obtaining information through normal channels., • Adjusts or triages for adjustment, as situation requires, enrollment for subscriber additions, deletions and changes, and will initiate correspondence requesting additional information or verification., • Acts as a resource to support and or cross train other team members., • Responsible for knowledge and accuracy on at least half of inventory areas., • In depth understanding and working knowledge of the cross functional enrollment process and operating systems., • Identifies issues, patterns and/or trends generated by external and internal action affecting compliance, customer satisfaction and system performance. Consistently and independently recommends and initiates changes and improvement as a result of process review., • Assists in creating and/or updating the operating manuals and/or Desk Level Procedures (DLP's)., • Proficient in most inventory areas, operating systems with expertise in specific job functions., • Mentors and collaborates with others on the team in utilizing tools, sharing best practices, and serving as a role model within a team unit structure., • Serves as subject matter expert for the department. Ability to cross train on any task as demonstrated by comprehension and retention of new skills not limited to a primary line of business. Works continuously toward identifying and removing barriers to increased productivity, quality, cost effectiveness, timeliness of operations, and customer satisfaction., • Process enrollment activities for complex accounts., • Ability to adjust daily assignments to prioritize urgent or complex cases as they arise., • Researches, responds, and resolves eligibility inquires working directly with internal and external customers via multiple communication methods., • Creation of test cases, testing of the process, documents and establishes procedures for the implementation of new products and work efforts. May be asked to participate in end user testing., • Researches complex cases to identify root cause, recommend and execute resolution through completion., • Responsible for complex and/or sensitive cases including but not limited to processing for key brokers, accounts, special arrangements, government programs and/or enrollment resolution cases requiring deep research., • Serves as department representative on corporate projects as well as cross functional work groups as assigned acting as a subject matter expert. Provides advice and counsel to project teams and leadership on implications of requirements on productivity and quality. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I: • Completed High School Diploma or Equivalent., • Minimum of two (2) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position, preferred., • Must have solid written and verbal communication skills., • Proven organizational, analytical, and time management skills., • Basic Computer proficiency, including experience in Microsoft Office Suite., • Attention to detail and accuracy., • Ability to multi-task in order to efficiently resolve customer concerns, by understanding the needs of the customer, navigating screens on the computer, typing inquiry documentation., • Minimum of three (3) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Rating of "Performing" or above for minimally 12 months., • Organizational, reasoning and problem-solving skills., • Takes accountability and ownership of issues and resolution with minimal supervision., • Demonstrates global thinking and takes initiative to recognize opportunities within the team., • Minimum of four (4) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred., • Must have strong written and verbal communication skills., • Strong Computer proficiency, including experience in Microsoft Office Suite (Excel), • Rating of "Performing" or above for minimally 12 months., • Provide mentoring and support to new hires and peer group., • Assist with tasks assigned by management that require advanced problem-solving skills, • Minimum of five (5) years health insurance or related operations work experience and proven ability to exercise the requirements and responsibilities of the position preferred, • Rating of "Performing" or above for minimally 12 months., • Self Sufficient in ability to efficiently resolve complex & escalated issues., • Lead tasks assigned by management that require advanced problem-solving skills across multiple areas., • B Version: Ability to actively listen to customer while simultaneously taking notes. Ability to be on the phone regularly. Physical Requirements: • Ability to complete work in a traditional office environment under fluorescent lighting., • Ability to arrive on time at work and as scheduled., • Ability to meet minimum performance metrics., • Ability to orally communicate., • Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time., • Must be able to travel across the enterprise., • Ability to work in a home office for continuous periods of time for business continuity. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade N2: Minimum: $20 .00 - Maximum: $23.89 Level II: Grade N3: Minimum: $20.00 - Maximum: $26.90 Level III: Grade N4: Minimum: $20.00 - Maximum: $30.76 Level IV: Grade N5: Minimum: $20.02 - Maximum: $33.03 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: The COBRA & Premium Billing Administrator responds to and resolves written, telephone, and personal inquiries from clients and/or subscribers concerning policies and procedures in a professional and efficient manner. This position coordinates and monitors daily activities for COBRA and Third-Party Premium Billing Administration to ensure regulatory requirements & established standards and deadlines are met. Essential Accountabilities: Client Team • Serves as a point of contact for clients and brokers in relation to the day-to-day operational tasks including, but not limited to, responding to client and broker inquiries/requests; scheduling, facilitating, and delivering client reporting; processing member refund requests; managing open enrollment requests; monitoring member grace periods, managing member payment requests, reviewing and reporting on member payment status., • Responds to client/broker inquiries on a timely basis within department service standards. Notifies and educates clients of any rules or regulation changes., • Conducts webinar demonstrations and supports client and broker training of the software system and portal functionality., • Manages the rate renewal process for assigned clients., • Participates in client and broker requested conference calls. File Team and Enrollment • Responsible for the processing of the inbound and outbound departmental file exchanges within the services standards. Files are primarily membership files that require adding, updating, or deleting subscriber group data within the software system. Responsible for processing any identified error or no-load files., • Responsible for the coordination and execution of the daily carrier file for member coverage reinstatements, changes, and terminations., • Coordinates and collaborates will the LBS EDI team to proactively identify and resolve any file errors., • Communicate with client, broker, or vendor(s) to resolve file related processing issues., • Supports the process of establishing and testing new client files., • Monitors and documents each respective carrier preferred eligibility process., • Works with Carriers to assure all billing activities meet the needs of the client and the carrier. Level I • Maintains knowledge of rules, regulations, policies, and benefits governing COBRA and Premium Billing., • Administers group plans in accordance with all appropriate regulations and process all activity within service time standards., • Supports customer service team in answering or researching member inquiries. Researches, interprets, and responds to inquiries in a professional and efficient manner using problem solving skills., • Processes member requests not facilitated through software vendor, including but not limited to member payments, banking forms, enrollment and termination forms., • Assists in system and release testing and troubleshooting., • Performs departmental and team functions according to established desk level procedures (DLP). Participates in the development, updating, and monitoring of DLP., • Participates in ongoing training to further knowledge of regulations, software systems, policies and procedures, and develops skills to accurately fulfill requirements of the job., • Consistently meets the established departmental and team productivity metrics. Successfully satisfies the assigned tasks and standards of the inter-departmental team assignments., • Maintain current knowledge of LBS policy and procedures., • Consistently demonstrates high standards of integrity by supporting the Lifetime Benefit Solution's mission and values, adhering to the Corporate Code of Conduct and, leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs functions as assigned by management. Level II (in addition to Level I Accountabilities) • Performs advanced research and resolution of inquiries and adjustments on behalf of clients, brokers or carriers., • Assists in resolution of escalated or systematic issues. Proactively identifies error trends., • Assists in client audits and data comparisons., • Services strategic accounts as well complex COBRA and Premium Billing accounts., • Serves as a resource to other team members. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I • High School diploma or equivalent. Associate degree in business administration or related field preferred., • Two or more years of related experience., • Knowledge of COBRA rules and regulations preferred., • General understanding of medical, dental, vision, and Medicare benefits., • Excellent problem solving, reasoning, and organizational skills. Ability to manage multiple projects., • PC experience including knowledge of Microsoft Word and Excel., • Excellent oral and written communication skills., • Ability to communicate effectively while working collaboratively and maintaining positive relationships with clients., • Ability to work in a team environment as well as independently. Level II (in addition to Level I Qualifications) • Four or more years of experience working in COBRA and Premium Billing industry., • Strong knowledge of COBRA and Premium Billing rules and regulations., • Demonstrated problem solving and ability to resolve complex inquiries or escalated situations., • Advanced knowledge of departmental software system and Excel. Physical Requirements: • Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time., • The ability to hear, understand, and speak clearly while using a phone, with or without a headset. One Mission. One Vision. One I.D.E.A. One you. Together we can create a better I.D.E.A. for our communities. At the Lifetime Healthcare Companies, we're on a mission to make our communities healthier, and we can't do it without you. We know diversity helps fuel our mission and that's why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating our employees' experiences, skills, and perspectives, we take action toward greater health equity. We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans, and other underrepresented groups to apply. OUR COMPANY CULTURE: Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Minimum: $20/hr - Maximum: $26.90/hr The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: The Document Solutions team focuses on the design and creation of correspondence and transactional statements using various software programs. The Publishing Systems Engineer operates in a business analyst/document-generation specialist role as part of the Document Solutions team. This role focuses on programming within the various systems utilized by our Solutions Team. Essential Primary Responsibilities/Accountabilities: Level I: • Develops code; analyzes, researches, and resolves system issues for electronic publishing-related problems., • Creates, maintains, and follows all documented processes and standards., • Builds new and updates existing workflows and documents using xml and text data in variable data composition systems based on the requirements and functional specifications., • Documents functional specifications and solutions for work to be performed., • Develops or assists in the development of systems testing and implementation plans. Reviews test results to ensure compliance with design specifications., • Participates in business requirement planning and analysis sessions., • Identifies best practices and participates in creation of Organizational Standards., • Performs basic maintenance of document composition tools utilized at the Health Plan., • Participates in on-call production support rotation., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Provides Second Tier troubleshooting of electronic publishing applications., • Analyzes, researches, and resolves data-related issues within Document Services., • Identifies best practices and drives creation of Organizational Standards., • Participates in strategic discussion and decision-making when called upon to do so., • Communicates with outside departments to develop and maintain first-hand knowledge of their plans, operations, problems, and opportunities., • Participates on projects as a Subject Matter Expert for transactional documents and correspondence., • Performs advanced maintenance of document composition tools utilized at the Health Plan., • Maintains familiarity with latest tools and techniques for project management, system analysis, system design, and programming - specifically as related to electronic publishing., • Assists with software and system design and architecture within the assigned portfolio., • Monitors and maintains appropriate levels of hardware and operating software that serves as platforms for supported electronic publishing systems., • Administers electronic publishing related computer systems and processes - MISPrint, Q-Direct, StreamWeaver, and uses document archival systems such as Control-D, Filenet, Alfresco, etc., • Reviews service requests and consults with executive sponsors, requesters, and/or user representatives to clarify intent, discuss problematic areas, and consider alternate solutions., • Assists the business with planning for document generation, printing and mailing so they can meet mandated deadlines., • Identifies ways to automate manual processing steps and works with other team members and the business owners in implementing that automation., • Mentors Associate and Mid-Level Developers; provides limited mentorship to other Senior Developers in their technical area(s) of expertise. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels: • Bachelor's Degree in Computer Science or related field. In lieu of Bachelor's Degree, an Associate degree in Computer Science or Electronic Printing with two or more years' experience in computer science, electronic publishing, or related field, or a combination of experience and education with programming., • Experience using Variable Data composition. Knowledge of integration tools such as HP Command Center, HP Exstream, Elixir Tango, GMC Inspire is a plus., • Demonstrated analytical and problem-solving skills, excellent proofreading skills, and ability to work well as part of a team., • Knowledgeable of publication layout and design., • Demonstrated creativity and competence in design techniques., • Familiarity with database structures: SQL, Oracle, DB2, or similar., • Familiarity with XML, SGML, HTML, or similar data structures., • Familiarity with JAVA and shell scripts, or other web programming language., • Familiarity with Control-D, Filenet, Alfresco. Similar systems considered., • Demonstrated proficiency in desktop publishing, word processing, and electronic office systems., • Ability to establish effective working relationships with all levels of internal staff and outside professionals., • Strong organizational skills, ability to prioritize assignments, and ability to handle confidential information with discretion., • Good visual acuity, manual dexterity, and typing skills., • Demonstrated ability to "think outside the box.", • Four or more years of progressive experience in computer science, electronic publishing, or related field. In lieu of degree, a minimum of six years of progressive experience in computer science, electronic publishing, or related field., • Six or more years of progressive experience in computer science, electronic publishing, or related field. In lieu of degree, a minimum of eight years of progressive experience in computer science, electronic publishing, or related field., • Demonstrated experience in graphic arts, desktop publishing, visual communications, or similar discipline., • Experience in Visual Basic, C, Java, or similar advanced programming languages. Object-oriented programming language experience a plus., • Experience with the UNIX operation system and ability to program shell scripts., • Experience in structured systems analysis and design, user relations, data gathering techniques, and management information systems., • Knowledge of Control-D, Filenet, or Alfresco desired. Similar experiences considered., • Requires a high degree of logic, accuracy, and communications skills. Physical Requirements: • Regular office/desk job environment. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I E2 - Min 60,410 Mid 76,300 Max 96,081 Level II E5 - Min 71,880 Mid 100,632 Max 129,384 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the guidance of the assigned EPMO leader, the EPMO Project Manager is responsible for managing and delivering application, operations, ongoing program, and/or business projects for the Excellus Health Plan. Essential Primary Responsibilities/Accountabilities: Level I: • Works with Project Manager Levels II/III/IV to determine project schedules, deliverables, assignments, tasks, project meetings (scheduling and meeting notes), status reporting, communication, and action items, as required., • Works with Project Managers Level II/III/IV and project teams to track work, tasks, and project assignments in order to keep projects on-time and within scope and budget., • Facilitates core team meetings and other relevant project meetings including managing project agendas and minutes., • Creates and manages documents in support of the project Change Management (CMR) process., • Functions as a back-up for Project Manager Levels II/III/IV, as needed., • Performs project management duties over small tier and Enterprise projects or other initiatives as assigned., • Maintains currency on emerging project management techniques and advanced communication mechanisms., • Learns departmental tools required to do the work: Planview, Microsoft Teams, Sciquest, SNOW etc., • Monitors and evaluates quality of performance and product from all work within scope of responsibility., • Always acts professionally., • Fosters an environment of continuous improvement and encourages innovative thinking., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Plans, directs, and coordinates a matrixed team's activities to manage and implement approved scope from business case through project close-out., • Plans, schedules, monitors, and reports on activities related to the project., • Determines, monitors, and reviews all project economics to include project costs, operational budgets, staffing requirements, project resources, and project risks., • Monitors and controls project scope, requirements and change management needs., • Identifies the appropriate blend of talent and resources to meet project needs and requirements., • Formulates contingency plans to address schedule revisions, resource adjustments, funding allocations, and work requirements., • Applies appropriate tools to accurately estimate and plan the work of teams or project groups within agreed processes and policies. Produces work plans according to required standards., • Monitors and reports on the progress of the resolution of high impact problems according to established standards., • Escalates issues which project team is unable to resolve through appropriate channels relating to schedules, working methods, resources, staff matters, or technical difficulties. Passes decisions clearly outside scope of project upward, including proposed solutions whenever appropriate., • Meets regularly with management, sponsors, and project teams to review project scope/progress and resolve project issues., • Establishes appropriate metrics for measuring key project criteria., • Maintains currency on emerging technologies and project management techniques., • Monitors and evaluates quality of performance and product from all work within scope of responsibility., • Fosters an environment of continuous improvement. Constantly exploring ways to increase efficiencies and productivity, reducing waste, and reducing costs., • Matrix manages cross-functional suppliers: internal IT, outsource partners, contractors, third-party consultants, etc., in delivering solutions., • Maintains knowledge of hardware, software, organizational policies, and organizational management structures and uses this knowledge to advise on and justify their current use., • Represents Managers and Directors of supported areas in all meetings pertaining to related projects, including decision-making responsibilities, attendance at Corporate and regional committees, meetings and workgroups., • Coaches and provides counsel to members of cross-functional teams to accomplish project objectives, meet established schedules and budget, or resolve technical/operational issues., • Serves as a Change Leader, developing and implementing strategies that will benefit the Heath Plan., • Mentors new Project Managers on Excellus methodology, processes, tools, organizational structure., • Assists with coordination of the workload of several Level I/II and Contract PMs on larger projects requiring multiple PMs and teams., • Works with various groups across the organization to define the scope of a project and how that contributes to larger strategic goals and initiatives of a department and/or the corporation., • Develops, proposes, and negotiates project proposals, quotations, and add-ons to leadership and the customer. May be responsible for preparing incoming management for transition from implementation to operating stage., • Performs elevated project management duties; specifically, provides focus on business outcomes and measurable business benefits, manages multiple projects which target one defined business outcome, manages changes in business strategy and priorities, and maintains an organizational/enterprise wide focus., • Meets with Project Managers regularly to discuss project related tasks, schedules, risks & issues and deliverables., • Manages large scale, highly visible, strategic enterprise projects that may transition to ongoing responsibility as 'owner' for end to end program management, • Functions as a resource to the project team in areas of escalation & support, critical path management and as a level one escalation point of contact for other project managers, Business areas, Sponsors, IT staff and EPMO leadership., • Provides project management expertise, guidance and support to other Project Managers, • Builds strong professional relationships with Project Managers and leadership., • Provides supplemental training to Project Managers as needed., • Develops and communicates project management best practices., • Provides governance for project artifacts including project schedule review., • Project Management Subject Matter Expert in usage of change management, project methodology, budget management, risk management and other project processes and procedures., • May support EPMO Leadership with interviewing of new candidates; on-boarding process for new employees or contractors; providing input to staff performance reviews., • Creates program level summarized status reporting as appropriate. May engage Demand Management and Business Resource Managers as necessary for business case questions/development., • Contributes to Methodology and Process creation; comments and reviews to enhance organizational process maturity and delivery capability. Fosters an environment of continuous improvement., • Assists with the definition, streamlining and improvement of execution and governance processes, identifies and assists with opportunities for enhancing process uniformity., • May represent Managers and Directors of supported areas in meetings pertaining to related projects, including decision-making responsibilities, attendance at Corporate and regional committees, other meetings and workgroups. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, multiple projects and/or programs, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I: • Bachelor's degree in Computer Science, Information Technology, Business Administration or relevant field (or four additional years related work experience in lieu of degree)., • Three (3) years related work experience., • Technically competent with various software programs such as MS Project, Word, OneNote, Excel and PowerPoint., • General knowledge of multiple project methodologies: Waterfall, Agile, SDLC, etc., • Maintains awareness of project management methodologies, processes and deliverables., • Ability to conform to shifting priorities, demands and timelines through analytical and problem-solving capabilities., • Ability to react to project adjustments and alterations promptly and efficiently., • Ability to be flexible during times of change., • Persuasive, encouraging, and motivating., • Strong all-around soft skills and high level of proficiency using written and oral communication skills., • Adept at conducting research when project-related issues occur., • Effectively prioritize and execute tasks in a high-pressure environment., • Strong follow-up skills., • Self-motivated; ability to take initiative and ownership., • Writes and speaks fluently on all aspects of work., • Demonstrated problem solving skills., • Five (5) years related work experience., • PMP certification preferred, 3 years of Project Management experience can be substituted in lieu of certification., • Demonstrated experience in multiple project methodologies - waterfall, Agile, SDLC, etc., • Demonstrated leadership skills., • Demonstrated skills in developing and achieving project scope, costs, and schedule., • Demonstrated skills in forming and fostering high performance, cross-functional teams., • Writes and speaks fluently on all aspects of work. Communicates effectively with users/customers, and colleagues 2-3 levels up/down and across a range of disciplines, and all levels of management., • Experience drafting concise and informative communication pieces at the Departmental and/or Organizational level., • Experience with Quality principles and tools. Demonstrated problem solving skills., • Very strong analytical and business process development skills., • Demonstrated competence in project leadership tasks., • Eight (8) years related work experience., • PMP certification preferred, 5 years of Project Management experience can be substituted in lieu of certification., • Experience in drafting both internal and external communications to convey project findings and status., • Demonstrated experience managing teams executing under multi-phased and multi-deployment project schedules., • Demonstrated experience communicating with senior management in various formats, informal discussions, written reports, scheduled meetings and executive level presentations., • Ten (10) years related work experience., • PMP certification preferred, 7 years of Project Management experience can be substituted in lieu of certification., • Demonstrated ability to manage multiple projects and teams, working constructively and professionally with external vendors/clients and all levels of management across the Health Plan., • Ability to maintain poise and composure under pressure and in difficult situations., • Demonstrated proficiency in problem-solving tools/techniques., • Demonstrated experience with project design, development, evaluation, and governance processes required to manage multiple disparate projects across the organization (large and small)., • Detailed knowledge of information technology infrastructure and systems preferred., • Demonstrated expertise in strategic project planning, management and execution., • Strong conflict resolution and negotiation skills., • Excellent verbal and written communication skills., • Skilled in resource management (feedback, evaluation, staffing)., • Maintains knowledge of all relevant legislative and regulatory mandates and ensures that all activities follow these requirements. Physical Requirements: • Ability to travel across regions In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E3: Minimum: $62,400 - Maximum: $106,929 Level II: Grade E4: Minimum: $65,346 - Maximum: $117,622 Level III: Grade E6: Minimum: $79,068 - Maximum: $142,322 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: This role provides the vision, strategy, functionality, and technology solutions for creating and maintaining distributed platforms for both public and private cloud infrastructure-based solutions. This entails the design and use of flexible platforms that deliver features, functionality, and services compatible with industry-leading providers while allowing legacy systems to interact safely when required. This position requires the necessary skills to provide technology research, evaluation, development, and delivery in support of infrastructure deployment solution lifecycles. This position collaborates with the Information Technology teams to lead the organization toward the deployment of technologies that may include PaaS, SaaS, hosted, and on-premises solutions - which will allow for flexible, secure, on-demand cloud-like functionality and services while endeavoring to provide resiliency and achieve cost reduction, while maintaining a highly secure and flexible environment. Essential Responsibilities/Accountabilities: Level I: • Acts as a high level escalation tier for operational support in assigned technical areas., • Conducts proof-of-concept testing in a lab environment., • Creates infrastructure design documents to outline production deployments., • Creates, updates, and maintains supporting documentation for technology standards., • Deploys new technology to production environment., • Designs infrastructure solutions to support business requirements., • Ensures assigned technologies are in alignment with the business., • Researches and implements hybrid cloud technology., • Supports high-level strategy for enterprise server environment., • Works directly with business stakeholders to gather IT infrastructure requirements., • Works with technology vendors and technical SMEs to produce corporate standards with regards to assigned technology areas, • Integrates multiple systems and/or technologies., • Acts as a team player with a high level of interpersonal skills., • Regular reliable attendance is expected and required., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Executes good judgment and demonstrates personal accountability., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Performs other functions as assigned by management. Level II (In addition to Level I responsibilities): • Acts as a primary engineer for assigned technology areas., • Maintains a highly performant and optimized infrastructure environment., • Significant contributor to budget and expenditures for assigned technology areas., • Significant contributor to enterprise strategy in the assigned technology area., • Assists in the RFI/RFP Process. Level III (In addition to Level II responsibilities): • Assists with mentoring of lower-level engineers., • Establishes business justifications for purchases made within assigned technology areas., • Focuses on automation for job-related tasks., • Performs system analysis and capacity planning of computing assets., • Acts as primary SME for assigned technology areas., • Significant contributor to automation workflows., • Stays current with leading hybrid cloud technology for assigned technical areas. Level IV (In addition to level III responsibilities): • Acts as trusted advisor to the management team., • Emphasizes technology cost optimization when designing new solutions., • Serves as internal mentor for peers., • Leads business critical projects efforts for IT infrastructure., • Leads internal strategic efforts and collaborates with peers. Minimum Qualifications: NOTE: This description includes multiple levels of classification. The levels of classifications are differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making and, in some cases, becoming a resource to others. New hires will be placed in the level for which they are most qualified based on their experience, credentials, and skills. Level I: • In lieu of degree, seven (7) cumulative years related work experience required. Associates degree in Computer Science, Information Technology, or related field with four (4) years of related experience required. Bachelor's degree preferred., • Awareness of security, compliance, and audit policies/procedures., • Experience with research, design, and implementation in assigned technologies., • Infrastructure operations and infrastructure project delivery experience essential., • Scripting and automation experience., • Strong communication skills., • Understanding of cloud computing infrastructure and concepts., • Knowledge of cloud and/or on-prem integration (i.e.: ability to integrate disparate systems)., • Demonstrates intermediate knowledge of a minimum of three (3) concepts and/or tools listed below: o VMware, Nutanix, or similar virtualization platform administration o Windows and/or Linux/Unix server administration o Azure o AWS o GCP o Terraform (or related IaC tool) o Ansible (or related configuration management technology) o Nutanix (or similar hyperconverged technology) o Vmware ESXi (or similar virtualization technology) o Linux o Windows Server o YAML (or similar markup) o JSON o REST API o GitHub (or related Git repository) o Azure DevOps o CI/CD Level II (in addition to Level I qualifications): • Intermediate knowledge of a minimum of four (4) concepts and/or tools listed above., • Intermediate Infrastructure operations and infrastructure project delivery experience., • Demonstrates strong technical documentation ability., • Experience with IT computing resource management and optimization., • High degree of business maturity and demonstrated confidentiality; executes good judgment., • Strong scripting and automation experience., • Intermediate knowledge of Disaster Recovery., • Intermediate knowledge of security, compliance, and audit policies/procedures. Level III (in addition to Level II qualifications): • Advanced knowledge of a minimum of four (4) concepts and/or tools listed above., • Advanced understanding of Disaster Recovery procedures related to IT infrastructure., • Ability to provide internal mentorship within team., • Professional certification in job-related technology., • Strategic vision in alignment with business objectives. Level IV (in addition to Level III qualifications): • Advanced knowledge of a minimum of five (5) concepts and/or tools listed above., • Demonstrated competence in team leadership/technical leadership, facilitation, and project leadership., • Extensive knowledge of hybrid cloud environment., • Proven ability to act as a mentor for peers. Physical Requirements: • Ability to complete work in a traditional office environment under fluorescent lighting., • Ability to orally communicate., • Must be able to function while sitting at a desk viewing a computer and using a keyboard and mouse for 3 or more hours at a time., • Must be able to travel across the enterprise., • Ability to work in a home office for continuous periods of time for business continuity., • Ability to provide on-call rotation support. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I Min 79,068 Max 142,322 Level II Min 87,766 Max 157,978 Level III Min 98,297 Max 176,935 Level IV Min 110,093 Max 198,168 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Essential Accountabilities: Level I • Handles physical health member clinical management programs., • Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case Management Program activities, and performs the activities as directed by departmental policy and leadership, current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable., • Carries out job responsibilities in accordance with departmental, corporate, state, federal and accreditation standards, as well as licensure, certification and scope of practice requirements for each specific health-related field/specialty,, • Maintains confidentiality and conducts information management procedures per corporate and departmental policy., • Implements the Case Management Process per department policies, procedures and guidelines. The process includes case identification, case opening, member assessment, education and support intervention opportunities, developing care plans, conducting member-centric interventions, measuring member outcomes during re-assessment, case closure, and case reviews., • Screens members that fall within the defined populations served, referred to the department, either by data analysis or by internal or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management services., • Initiates case management, as outlined in the Case Management Program Description. Opens appropriate cases timely and effectively. Using motivational interviewing, assures essential information relating to case management is disclosed to members, thus increasing the opportunity for success in meeting member health goals., • Works in collaboration with members' physicians and other health care providers to assess the needs of the member, facilitate development of an interdisciplinary care plan, coordinates services, evaluates effectiveness of services and modifies the member care plan as necessary. Maintains positive working relationships within this arena., • Assesses member/caregiver knowledge of his/her illness and initiates appropriate education interventions to address knowledge deficits., • Collaborates with member/caregiver to determine specific objectives, goals and actions to address member needs and barriers to meeting health goals identified during assessment., • Provides appropriate resources and assistance to members with regards to managing their health across the continuum of care. Maintains updated information related to appropriate community resources and serves as a source of information for providers and other members of the healthcare team. Acts as a liaison between providers and community resources., • Participates in inter-disciplinary coordination and collaboration to ensure delivery of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist, • Accepts responsibility for continuing education relative to professional growth. Meets or exceeds the minimum continuing education requirements as set forth by departmental and corporate policy, and by individual professional certification standards, if applicable., • Participates in and promotes other health plan programs, such as, Preventive Health, use of web-based tools for self-management of conditions and engagement in digital health programs and applications., • Work collaboratively with all Case Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and coordination of care., • May work with internal and external stakeholders for value-based payment programs, such as accountable cost and quality arrangements (ACQA)., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • May participate in the orientation of new staff., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Essential Accountabilities) • Handles all member clinical condition management programs., • Offers process improvement suggestions and participates in the solutions of more complex issues/activities., • Mentors junior staff and assists with coaching whenever necessary., • Consistently meets/exceeds all productivity and performance metrics, including positive results of audits., • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health., • Manages more complex assignments and/or larger caseloads., • Displays leadership skills and serves as a positive role model to others in the department., • Participates in the orientation of new staff. Level III (in addition to Level II Essential Accountabilities) • Process Management and Documentation, • Identifies, recommends, and evaluates new processes as necessary to improve productivity and gain efficiencies., • Assists in updating departmental policies, procedures and desk-top manuals relative to the CM functions., • Identifies and develops processes and guidelines for performance improvement opportunities for the Case Management Department., • Expert and resource for escalations. Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems., • Mentors and provides guidance and leadership to the daily activities of the Case Management Department clinical staff. Acts as resource to Case Management staff, members, and providers., • Provides backup for the Supervisor/Manager, whenever necessary by:, • Participating in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care., • Acting as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing., • Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group., • Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational needs to address established policies and procedures and job responsibilities. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Associates degree required. Bachelor's degree preferred., • Active NYS RN or Registered Dietician or Physical Therapist licensure required., • Minimum of three years of clinical experience required. Case Management experience preferred., • Must demonstrate proficiency with the Microsoft Office Suite., • Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred., • Strong written and verbal communication skills., • Ability to multitask and balance priorities., • Must demonstrate ability to work independently on a daily basis., • Deliver efficient, effective, and seamless care to members., • For incumbents aligned to the Federal Employee Program (FEP) line of business, Case Management Certification required within three (3) years of either hire and/or moving into this role supporting the FEP LOB. Level II (in addition to Level I Qualifications) • A minimum of 2 years in case management position., • Case Management Certification preferred., • Delivers efficient, effective, and seamless care to members., • Demonstrates ability to escalate to management, as necessary., • Demonstrates proficiency in all related technology and documentation requirements., • Consistently meets or exceeds all performance metrics. Level III (in addition to Level II Qualifications) • Must have been in a current Case Management position or similar subject matter expert for at least 5 years., • Case Management Certification required, • Broad understanding of multiple areas (i.e. UM and CM). At this level, incumbent is required to know multiple functional areas and supporting systems., • Expertise in Case Management area and able to handle complex assignments, challenging situations, and highly visible issues., • Ability to lead the training of new staff., • Demonstrated presentation skills. Physical Requirements: • Ability to travel and work long hours on a computer., • May require flexible hours to meet needs of member discussions. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: E2: Minimum: $62,400 - Maximum: $ 96,081 Level II: E3: Minimum: $62,400 - Maximum: $ 106,929 Level III: E4: Minimum: $65,346 - Maximum: $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

A leading technology firm in power distribution is looking for a Business Development Manager to drive business growth in IT and Datacom markets.

Job Description In search of: The next member of our team. If you enjoy working in a collaborative environment and want to help bridge business needs with technology solutions in an evolving Systems & Technology Department, read on. We’re looking for someone who: • Is equally adept at taking initiative as taking direction to solve business and systems challenges., • Excels at translating business needs into clear technical and functional requirements., • Communicates ideas in a clear, concise, and understandable way., • Self-motivates and focused on quality work., • Finds that attitude is as important as technical skill., • Loves it when an assignment goes right but is resilient and stays upbeat when it doesn’t., • Listens well, asks incisive questions, and digs into details while keeping the big picture in focus., • Brings creativity, curiosity, and openness to new ideas and solutions., • Above all, thrives on collaboration and takes great satisfaction in helping others meet their goals. This role is primarily based out of our Binghamton, NY home office and offers a hybrid schedule, allowing for a combination of onsite collaboration and remote work during the week. The level of the position will be determined by relevant skills, experience and qualifications. Description of Duties and Responsibilities of a Business Systems Analyst or Senior Business Systems Analyst: • Elicit, analyze, document, and validate business requirements for system enhancements and new solutions., • Serve as a liaison between business stakeholders and technical teams to ensure alignment on objectives., • Translate business requirements into functional specifications, user stories, and process flows., • Collaborate with developers, QA teams, and project stakeholders to design, test, and implement solutions., • Support system testing efforts including test planning, test case creation, and defect tracking., • Analyze existing systems and processes to identify areas for improvement and optimization., • Assist with data analysis, reporting, and system configuration to support business needs., • Provide support during system implementation, including user training and post-deployment issue resolution., • Participate in project planning, timelines, and status reporting., • Business Systems Analyst: 3-5 years of experience., • Senior Business Systems Analyst: 5+ years of experience., • Experience gathering and documenting business and functional requirements., • Strong and analytical and problem-solving skills., • Experience working with cross-functional teams in a collaborative environment., • Ability to work both independently and as part of a team., • Strong organizational skills with ability to manage multiple priorities., • Excellent communication skills (written and verbal) with both technical and non-technical audiences., • Strong attention to detail and commitment to accuracy., • Ability to pay close attention to detail and perform work reliably, accurately and thoroughly., • Flexibility to support project timelines when needed., • Intermediate proficiency in Microsoft Windows and Office Suite required., • Ability to work on a team and independently., • Ability to work outside of normal business hours to meet project deadlines. Additional Duties and Responsibilities of a Senior Business Systems Analyst: • Lead requirements gathering sessions and stakeholder meetings., • Define requirements by identifying project milestones, phases, dependencies, and constraints, and orchestrate requirement validation, approval, communication, and distribution across business and technical teams., • Assess how proposed changes affect business operations, processes, and systems; recommend mitigation strategies and implementation approaches as needed., • Mentor junior analysts and provide guidance on best practices., • Demonstrates advanced understanding of cybersecurity risks and incorporates security considerations into system requirements by supporting the Secure Software Development Lifecycle (SDLC) and promoting a “security by design” approach., • Drive process improvement initiatives and recommend strategic solutions., • Lead end-user training strategies, documentation, and change management activities related to system implementations., • Act as a subject matter expert for assigned systems and business domains., • Facilitate communication across departments to resolve complex issues. Additional skills and experience required of a Senior Business Systems Analyst: • Knowledge of all phases of software development including requirements analysis, design, testing (integration, user, and performance), debugging, implementation and support., • Experience using enterprise-wide requirements definition and management systems and methodologies., • Ability to apply general organizational knowledge of business and systems processes in problem analysis., • Project management experience., • Experience with Agile delivery methods., • Proven ability to lead projects or major workstreams., • Strong understanding of systems integration and business processes., • Demonstrated ability to manage ambiguity and deliver results., • Experience with business analysis tools (e.g., Jira, Confluence, Visio)., • Experience with data analysis and reporting tools., • Knowledge of system integration concepts and APIs., • Life insurance or financial services industry experience. Education Required: Bachelor’s degree in Computer Science, Computer Engineering, Information Technology or closely related field required. Pay Range: Business Systems Analyst: $66,000 to $78,000 Annually Senior Business Systems Analyst: $77,000 to $103,000 Annually Visa sponsorship is not available for this position Relocation assistance is not available for this position Security Mutual is an Equal Opportunity Employer About SML: Security Mutual Life is a leading provider of life insurance, accumulation products and retirement-, business- and estate-planning services for individuals, families and businesses. Our innovative products help our clients meet their financial protection needs. Headquartered in Binghamton, New York, the Company was founded in 1886 and is recognized for its longstanding history of financial strength and stability. We continually invest in technology. Our agents and employees are equipped with the latest tools and deliver outstanding service to our hundreds of thousands of policyholders throughout the United States. We are committed to our neighbors and communities. Security Mutual and its employees help support a wide variety of community and charitable initiatives and organizations through our donations and service. At Security Mutual our employees are among the Company’s most valued assets. We offer competitive salary and benefits and our work environment reflects the Company’s core values of trust, respect and integrity. Federal & State Labor Law Posters

Job Description In search of: The next member of our Software Engineering team. If you enjoy working in a team environment and would like to contribute to the success of an evolving Systems & Technology function, read on. We’re looking for someone who: • Is equally adept at taking initiative as taking direction to solve programming challenges., • Finds that using online tools to research problems comes naturally., • Excels at conveying complex information in simple, understandable ways., • Is intrinsically motivated and focused on providing high quality deliverables., • Finds that attitude is as important as technical skill., • Loves it when an assignment goes right but is resilient and stays upbeat when it doesn’t., • Listens well, asks incisive questions, and digs into details while keeping the big picture in focus., • Artistic, creative thinking and open mindedness to new ideas and approaches., • Above all, thrives on collaboration and takes great satisfaction in helping others meet their goals. This role is primarily based out of our Binghamton, NY home office and offers a hybrid schedule, allowing for a combination of onsite collaboration and remote work during the week. The level of the position will be determined by relevant skills, experience and qualifications. Description of Duties and Responsibilities of a Senior Software Engineer and Principal Engineer: • You may direct other developers, work alongside senior IT team members and management to develop, write, update, maintain and modify computer programs and software systems., • Write, update and maintain computer programs and software packages to handle specific jobs such as insurance administration, data collection, data reporting, and controlling other equipment., • Create and maintain security and performance minded applications and programs., • Create and maintain software builds and perform releases to development and production servers., • Engage in high level planning of applications and develop the future state of applications., • Full stack development with an emphasis on front-end and middle-tier development., • Meet and interact with customers to define and refine requirements, clarify program intent, test modifications, identify problems, suggest changes and provide support post-deployment., • Work with business analysts and system/integration test teams to design and test modifications on new applications., • Serve as a technical leader in the design, application security, and delivery of a wide range of software development projects., • 7 to 10 years’ experience in Information Technology, Software Development programming, analysis and system design., • Minimum of 2 years of software engineering and architect experience., • Fluency in modern web browsers on multiple devices and their respective limitations and strengths., • Intermediate proficiency in Microsoft Windows and Office Suite required., • Ability to work on a team and independently., • Ability to adhere to timelines and schedules without sacrificing quality of deliverables., • Strong organization skills, and the ability to manage and prioritize a workload, document and report daily on progress, challenges and successes., • Strong communication skills and the ability to work with remote team members and internal clients., • Ability to pay close attention to detail and perform work reliably, accurately and thoroughly., • Ability to work outside of normal business hours to meet project deadlines, release schedules and provide on call support as needed. Additional Duties and Responsibilities of a Principal Engineer: • Provide expert guidance and leadership within their field, serving as a trusted advisor to senior management., • Drive innovation and set technical and professional standards., • Lead complex projects or initiatives such as system redesigns, modernization efforts, or platform enhancements while navigating ambiguity., • Collaborate across teams and departments to solve high-impact problems and advance strategic priorities., • Drive technical strategy and help shape long-term engineering direction., • Solve high-impact technical problems and balance tradeoffs across scalability, performance, security and maintainability., • Establish, promote and improve engineering standards and best practices., • Partner with and provide strategic advice to senior leadership to identify technical risks, dependencies, and opportunities for improvements., • Act as a subject matter expert and thought leader within their field. Additional skills and experience required of a Principal Engineer: • 10+ years of professional software engineering experience., • Proven track record of technical leadership and system-level design., • Experience influencing archeteture, standards or technical direction across teams., • Recognized as a trusted technical authority and problem solver., • Leadership experience is strongly desired. Preferred Skills & Experience: • Java, JavaScript, HTML, XML, JSON, JSP and SOAP/REST web services., • Experience with Jira., • Experience with web security protocols outlined by OWASP., • Life Insurance knowledge and experience., • Industry recognized certifications. Education Required: Bachelor’s degree in Computer Science, Computer Engineering, Information Technology or closely related field required. Pay Range: Senior Software Engineer: $105,000 to $143,000 Annually Principal Engineer: $120,000 to $170,000 Annually Visa sponsorship is not available for this position Relocation assistance is not available for this position Security Mutual is an Equal Opportunity Employer About SML: Security Mutual Life is a leading provider of life insurance, accumulation products and retirement-, business- and estate-planning services for individuals, families and businesses. Our innovative products help our clients meet their financial protection needs. Headquartered in Binghamton, New York, the Company was founded in 1886 and is recognized for its longstanding history of financial strength and stability. We continually invest in technology. Our agents and employees are equipped with the latest tools and deliver outstanding service to our hundreds of thousands of policyholders throughout the United States. We are committed to our neighbors and communities. Security Mutual and its employees help support a wide variety of community and charitable initiatives and organizations through our donations and service. At Security Mutual our employees are among the Company’s most valued assets. We offer competitive salary and benefits and our work environment reflects the Company’s core values of trust, respect and integrity.

Route Sales Representatives are critical to our success at FritoLay! Our Route Sales Representatives are responsible for delivering, selling, and merchandising FritoLay’s complete line of products including Lay’s, Doritos, Cheetos, Tostitos, Fritos, and many more to local stores including gas st

Annual salary is based upon candidate experience and qualifications, as well as market and business considerations.

Whether you are contemplating your next career move, or you are seeking the key players to bring your business to the next level – consider contacting our experts. Fusco Personnel is a NYS Certified Women Business Enterprise (WBE) and an Affirmative Action/Equal Opportunity, Race/Gender/Veterans/D

Annual salary is based upon candidate experience and qualifications, as well as market and business considerations.

What you’ll do Lead multidisciplinary teams through the full lifecycle of capital, facility, laboratory, office, and infrastructure projects Define project scope, develop execution strategies, and establish cost, schedule, procurement, and resource plans Adapt project strategies to evolving budget

Develop strong business relationships with business owners, by cold calling small to medium-sized businesses. At least 2 years of business-to-business (B2B) sales experience preferred. Demonstrate your passion and sales skills by offering businesses in your local community substantial savings and up

Descriptions & requirements.You could be just the right applicant for this job Read all associated information and make sure to apply.Route Sales Representatives are critical to our success at FritoLay! Our Route Sales Representatives are responsible for delivering, selling, and merchandising Fr

Develop strong business relationships with business owners, by cold calling small to medium-sized businesses. At least 2 years of business-to-business (B2B) sales experience preferred. Demonstrate your passion and sales skills by offering businesses in your local community substantial savings and up

Develop strong business relationships with business owners, by cold calling small to medium-sized businesses. At least 2 years of business-to-business (B2B) sales experience preferred. Demonstrate your passion and sales skills by offering businesses in your local community substantial savings and up

Descriptions & requirements.You could be just the right applicant for this job Read all associated information and make sure to apply.Route Sales Representatives are critical to our success at FritoLay! Our Route Sales Representatives are responsible for delivering, selling, and merchandising Fr

You will have the exciting opportunity to manage and retain an existing book of business and pursue new opportunities for the book, where appropriate, including a specific business plan for growth. Spend approximately 50-60% of the time outside with customers and new business opportunities. Ensure p

Working remotely in the NY area.