Verification of Benefits Specialist

Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Senior Sales Engineer Specialist Our Purpose: We work to connect and power an inclusive, digital economy that benefits everyone, everywhere by making transactions safe, simple, smart, and accessible. Using secure data and networks, partnerships and passion, our innovations and solutions help individuals, financial institutions, governments, and businesses realize their greatest potential. Our decency quotient, or DQ, drives our culture and everything we do inside and outside of our company. We cultivate a culture of inclusion (https://www.mastercard.us/en-us/vision/who-we-are/diversity-inclusion.html) for all employees that respects their individual strengths, views, and experiences. We believe that our differences enable us to be a better team – one that makes better decisions, drives innovation, and delivers better business results. Overview: Mastercard Identity is the global standard in identity verification and behavioral assessment, providing businesses worldwide the ability to link any digital transaction to a human or entity behind it. Our solutions use complex machine learning to combine features derived from the billions of transactions within our proprietary network and the data from our models to deliver industry-leading fraudulent activity detection and risk assessment solutions. As a Sales

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and problems. Perform adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process. Performs claim re-work calculations. Follow through completion of claim overpayments, underpayments, and any other irregularities. Process complex non-routine Provider Refunds and Returned Checks. Review and interpret medical contract language using provider contracts to confirm whether a claim is overpaid to allocate refund checks. Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals. Ensures all compliance requirements are satisfied and that all payments are made following company practices and procedures. Review and handle relevant correspondences assigned to the team that may result in adj

Become a part of our caring community The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Management Support Assistant performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. The Care Management Support Assistant will review inbound referrals and correspondence for processing, fulfilment or resolution utilizing all appropriate software systems and resources. Screen physician’s orders and documentation to identify that all qualifying medical documentation and required information is included. When necessary, request additional applicable information from referring entity. Perform verification of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching it against specified medical terms and diagnoses or procedure codes and follow established procedures for approving request or referring request for further review. Provide referral management education to members and providers regarding medical benefits, referral status and prior authorizations. Communicate with patient to confirm demographics and explain the details of the services/care requested. Coordinate the timely delivery of care and services with providers. Also communicate with referring entities, providers, and members regarding final referral determination while maintaining detailed documentation to record patient, physician, referral source and provider interactions and communications. Work with Pre-Authorization, Utilization Management, Billing, Pharmacy, and Home Care r

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health has an exciting opportunity for a Pharmacy Technician in the pharmacy to excel in a complex, high-impact dispensing role and positively impact others' lives. As a Pharmacy Technician working in the backend of the pharmacy, you will be responsible for all aspects of the filling of mail-order prescriptions. As a backend Pharmacy Technician, you will work directly with the medication and the filling of automated machines. CVS Health offers a competitive benefits package that includes, but is not limited to: paid time off, ten paid holidays, health/dental/vision insurance, employee discounted stock purchase plan, 401K, tuition reimbursement, and employee discounts at all CVS pharmacy stores. Please note that the schedule indicated below may be adjusted or modified base on business needs. Required Qualifications Candidates must be able to: Must hold a current, unrestricted license with the Pennsylvania State Board of Pharmacy as a pharmacy technician or trainee on Day 1 of employment Provide verification of high school diploma or GED Regular and predictable attendance based on our policy The ability to work business required overtime (BROT) when needed Physical Demands: Ability to remain uprigh

About the Team Security is foundational to OpenAI’s mission to ensure that artificial general intelligence benefits all of humanity. The Security organization protects OpenAI’s technology, people, and products by building and operating deeply technical systems that must work reliably at massive scale. Our work underpins OpenAI’s commitments around safety, privacy, and security across research, products, and emerging platforms. The Host Assurance team exists to make bare metal a dependable, scalable foundation for OpenAI: secure by default, verifiable in practice, and resilient across providers and operating models. We operate at the trust boundary between physical hardware and cloud-scale orchestration, ensuring that hosts are eligible to safely run workloads with predictable security properties and auditability. About the Role OpenAI is seeking a Security Engineer, Host Assurance to help build the trust foundations for bare-metal platforms across OpenAI’s global infrastructure. This is a deeply hands-on engineering role for a builder who can design, implement, and operate the core security infrastructure that establishes trust in hardware platforms before they are eligible to run workloads. Success in this role requires strong technical judgment, the ability to work comfortably at low levels of the stack, and a practical mindset for building systems that are secure, reliable, and usable in fast-moving production environments. The systems you build will sit on the critical path of OpenAI’s frontier infrastructure investments and will directly shape how large amounts of compute are brought online - securely, responsibly, and at global scale - underpinning long-lived commitments around privacy, security, and reliability. You will partner closely with infrastructure, research, and confidential computing initiatives—including novel hardware platforms and emerging deployment models– to make the secure path the easiest path. This role is well suited for engineers who enjo

About the Team Security is foundational to OpenAI’s mission to ensure that artificial general intelligence benefits all of humanity. The Security organization protects OpenAI’s technology, people, and products by building and operating deeply technical systems that must work reliably at massive scale. Our work underpins OpenAI’s commitments around safety, privacy, and security across research, products, and emerging platforms. The Host Assurance team exists to make bare metal and VMs dependable & scalable foundations for OpenAI: secure by default, verifiable in practice, and resilient across providers and operating models. We operate at the trust boundary between hardware and cloud-scale orchestration, ensuring that hosts are eligible to safely run workloads with predictable security properties and auditability. About the Role OpenAI is seeking a Software Engineer, Host Assurance to build and operate the services, APIs, and host software that establish and maintain trust in our compute infrastructure. You will own production software from design and implementation through testing, rollout, observability, and operation. Your work will support capabilities such as machine identity, certificate issuance and enrollment, secure bootstrap, and host attestation across bare-metal and VM environments. Success in this role requires strong technical judgment, the ability to reason across software and host-system boundaries and learn unfamiliar parts of the stack, and a practical mindset for building systems that are secure, reliable, and usable in fast-moving production environments. The systems you build will sit on the critical path of OpenAI’s frontier infrastructure investments and will directly shape how large amounts of compute are brought online - securely, responsibly, and at global scale - underpinning long-lived commitments around privacy, security, and reliability. You will partner closely with infrastructure, research, and confidential computing initiatives—inc