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Manager Sox Governance And Reporting Jobs

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Explore current manager sox governance and reporting jobs. Use filters to narrow by work mode, employment type, experience and date posted.

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Humana
📍 United States• Remote
22 days ago

Become a part of our caring community The Grievances and Appeals Representative 4 role in the Internal Review Team is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination with clinical and internal Humana partners. Key Responsibilities: Manage Level 1 appeal cases , ensuring accuracy, completeness, and compliance with CMS requirements Review clinical documentation to support appeal determinations and escalation decisions Coordinate with clinical teams and internal partners to finalize appeal outcomes Investigate and resolve member and provider issues with a focus on timely resolution Maintain high productivity and quality standards in a production-driven environment Ensure strict adherence to confidentiality and compliance regulations Independently prioritize and manage multiple high-volume case assignments Proactively embraces change and supports smooth transitions in a dynamic work environment Use your skills to make an impact Required Qualifications: 1+ year of grievance & appeals and/or customer service experience Strong data entry skills Proficiency in Microsoft Office Applications Experience in a production-driven environment Experience prioritizing and delivering multiple assignments Strong commitment to confidentiality and high-quality results Preferred Qualifications: Associate's or Bachelor's degree 2–4 years of grievance and appeals experience Medical claims processing experience Previous inbound call center experience Experience wi

REMOTErecruitmentcustomer service
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H
Humana
📍 United States• Remote
22 days ago

Become a part of our caring community The Market Finance Lead is a key member of the Gulf South Region’s finance team responsible for connecting market financial performance with operational effectiveness. This role will partner closely with Corporate Finance, Network Performance, Network Contracting, and regional Health Services teams. This individual will manage a team covering a diverse set of responsibilities around Medicare Advantage financial business operations with a heavy focus on value-based providers. This role reports to the Market Finance Director. This role analyzes financial results, claims experience, utilization trends, contract performance, membership, and provider performance data to identify opportunities, influence business decisions, and support market growth and operational improvement. The Market Finance Lead will partner closely with regional leadership, actuarial, corporate finance, clinical, risk adjustment, market operations, network performance, network contracting, sales/MarketPoint, and value-based care providers. This individual will translate complex financial and operational data into meaningful insights, recommendations, and action plans that improve performance across the market. As the Market Finance Lead, you will: Manage a team to review value-based providers’ financial performance, membership, cost and utilization trends, contractual results, and opportunities for improvement. Lead the financial portion of provider engagement prep sessions prior to joint operating committee meetings to advise the Network Performance team on contract performance and opportunities for improvement. Lead analysis and reporting related to value-based provider and contract performance, including financial results, utilization, claims experience, membership, and operational trends. Leverage data analytics, business ins

REMOTEsqlExcelPower BI
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H
22 days ago

Become a part of our caring community Help shape practical, responsible AI solutions that improve healthcare experiences and outcomes. Humana’s Enterprise AI organization develops safe, scalable AI solutions across our Insurance and CenterWell businesses. We bring together product managers, data scientists, engineers, policy experts, and business leaders to apply emerging technology to meaningful healthcare challenges. As Associate Director of Applied AI, you will lead teams that design, build, and deploy enterprise AI solutions, with a focus on generative AI and intelligent agents. You will connect technical strategy to business needs, guide responsible delivery in a regulated environment, and help teams turn promising ideas into measurable outcomes for members, patients, and associates. Key Responsibilities Lead and mentor teams developing production-ready AI solutions that improve healthcare delivery, member experiences, and business operations. Help define and execute the roadmap for applied AI initiatives in alignment with enterprise priorities and business needs. Guide the evaluation and adoption of machine learning, generative AI, large language models, multimodal models, and intelligent agent technologies. Oversee scalable APIs, frameworks, data pipelines, retrieval-augmented generation solutions, and agent orchestration capabilities. Partner with product, data science, engineering, architecture, security, and business teams to translate requirements into reliable solutions. Establish standards for AI evaluation, obse

pythondockerkubernetes
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H
22 days ago

Become a part of our caring community The Senior Portfolio Enablement Lead is a strategic portfolio transformation role responsible for shaping and enabling Humana's portfolio operations, Agile Release Train (ART) design, and Ways of Working across the portfolio. Acting as a trusted advisor to senior executives (SVPs, VPs, and portfolio leaders), the role translates transformation strategy into scalable execution by diagnosing portfolio delivery challenges, guiding organizational design, and improving alignment, flow, and value delivery. As a Senior Portfolio Enablement Lead, you will: Partner with portfolio and organization leadership to develop and enable portfolio, aligned to enterprise portfolio operations to achieve portfolio initiatives their outcomes. Perform quantitative and qualitative assessments, including stakeholder analysis and change impact assessments, to develop data-driven change strategies for key stakeholder groups. Build and manage portfolio transformation roadmaps to drive executive buy-in and sponsor engagement across technology and business/product leadership and leadership to drive understanding and adoption of key changes Develop Release Train Engineers to our Humana Ways of Working and enterprise tooling subject matter experts for Agile Release Trains and Scrum Teams Measure effectiveness of change interventions through defined metrics and continuously evolve plans to optimize adoption outcomes Regularly report activity status to organizational, portfolio and transformation leadership; proactively escalate and help resolve risks and issues Partners with leaders to align all continuous improvement goals and objectives Partner with Release Train Engineers in the portfolio to monitor activity level of continuous improvement, adoption of Humana Ways of Working, risks patterns

azureairecruitment
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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 Physical Security Analyst Overview • Physical security and compliance security officer, maintains and monitors physical security policies, standards, and best practices • Abides by Security guidelines relative to security standards to provide safety and security of staff and assets • Manages Security Control Center Coordinators and security operations. • Manages and administers physical security functions for company facilities to ensure the safety; security and protection of MasterCard employees and asset • Recognizes potential and realized security threats and takes reasonable action to mitigate risk or injuries to personnel and or property • Provides MasterCard Corporate Security Standard Operating Guidelines security supervisors and follows-up to ensure adherence • Manages Security officers by delegating department projects, tasks and assignments • Manages Security staff schedules to ensure proper coverage at all times Role • Interaction with employees and guests, provide direction on security policy and visitor directions as needed • Operational use of security systems • Trains and supervises Security officers with respect to the execution of established physical security policies, programs and procedures • Recommends the development and implementation of physical securi

recruitmentcustomer service
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We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life The Acute Care & Monitoring (ACM) business develops technologies that help clinicians monitor, assess, and manage patients across the continuum of care. This role supports ACM’s airway management portfolio, a product area focused on technologies used in acute care environments including operating rooms, intensive care units, and emergency departments. The engineering team partners across software, hardware, mechanical, systems, clinical, and quality functions to develop and sustain medical technologies that improve patient care and clinician workflows. This position is based in Lafayette, Colorado and is an onsite role. Limited travel may be required to support collaboration, testing activities, and business needs. As an Embedded Software Engineer II, you will develop embedded software solutions for medical devices used in airway management applications. This role combines software design, embedded systems development, hardware integration, testing, and technical documentation to support new product development and lifecycle engineering activities. You will collaborate with cross-functional teams to develop reliable software that meets product, quality, and regulatory requirements. Primary Responsibilities <li

pythonlinuxrecruitment
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We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72&#43; million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life The Acute Care & Monitoring (ACM) business develops technologies that help clinicians monitor, assess, and manage patients across the continuum of care. Within ACM, the Test Engineering function supports product development, verification, reliability, and manufacturing readiness through the design and execution of test methods, fixtures, and equipment used to evaluate product performance and system functionality. This team partners closely with systems, mechanical, electrical, software, quality, and manufacturing engineering teams to support the development and sustainment of medical technologies. This position is based in Lafayette, Colorado and is an onsite role. Travel up to 10% may be required to support testing activities, cross-functional collaboration, and business needs. As a Mechanical R&D Engineer II, you will support system-level, reliability, mechanical, and electrical testing activities for Acute Care & Monitoring products. This role combines hands-on laboratory testing, fixture development, data analysis, and cross-functional collaboration to evaluate product performance, investigate issues, and support verification activities throughout the product lifecycle. Primary Responsibilities <li

pythonrecruitmentHR
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Work Flexibility: Field-based Field Service Technician – Power Tools As a Field Service Technician supporting Power Tools, you will serve as a key technical resource for healthcare customers across your assigned territory. This field-based role focuses on equipment service, troubleshooting, maintenance, and documentation, with most of your time spent traveling in a company-provided vehicle between customer sites, resolving technical issues, and ensuring equipment performs as intended. Success in this role depends on delivering a positive customer experience through effective service support, clear communication, accurate documentation, and strong collaboration with healthcare customers, clinical staff, sales partners, and internal stakeholders. This role requires the ability to manage multiple service priorities, work independently in customer environments that can be fast-paced or stressful, and collaborate with internal partners when additional support or coordination is needed. What You Will Do Develop and maintain strong relationships with customers and internal partners, including sales and commercial teams, to deliver exceptional customer experiences, ensure optimal equipment performance, and support business goals within the assigned territory. Travel to hospitals and healthcare facilities to complete assigned service requests, installations, and preventive maintenance activities. Troubleshoot, diagnose, and repair equipment issues to restore functionality and minimize downtime. Install, maintain, and inspect medical equipment in accordance with service guidelines and quality standards. Support software, connectivity, and system configuration activities as required to maintain equipment performance. Coordinate service schedules, prioritize customer requests, communicate service findings and recom

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Philips
📍 Ontario• $17 – $22/hr
22 days ago

Job Title Material Handler 2 Job Description The Material Handler 2 will assist group leads prepare the line for production; they will ensure the correct components have been issued for the work order based on the BOM. The Material Handler will keep the line supplied with components and remove waste from the line as needed. Your role: Assist the group lead manage the workflow within the assigned manufacturing cell to achieve the daily production objective. Supervise workflow, move full pallets of finished goods to the proper location and monitor inventory of components to insure the line has enough components to complete the order. Interface with warehouse personnel to ensure all components are correct and staged in the appropriate area to avoid delays in production. Maintain the all the materials needed to complete the work order and take appropriate action when it's not. You're the right fit if: You have a high school diploma, GED or equivalent. No experience required, preferably knowledgeable on any of the following manufacturing production e

warehouse
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22 days ago

About Paytm: Paytm is India's leading mobile payments and financial services distribution company. Pioneer of the mobile QR payments revolution in India, Paytm builds technologies that help small businesses with payments and commerce. Paytm’s mission is to serve half a billion Indians and bring them to the mainstream economy with the help of technology. About the Role We are looking for a Talent Acquisition professional with strong experience in Tech Hiring and volume recruitment. The ideal candidate should have hands-on experience hiring across technology roles, managing multiple positions simultaneously, and delivering on high-volume hiring mandates in a fast-paced environment. Key Responsibilities: * Own end-to-end recruitment for Tech roles across various levels and skill sets. * Manage volume hiring and multiple open positions simultaneously. * Source candidates through LinkedIn, Naukri, referrals, databases and other channels. * Screen profiles and conduct initial HR discussions to assess candidate fit. * Partner closely with hiring managers to understand requirements and drive closures. * Coordinate and manage bulk hiring drives, walk-ins and weekend hiring drives as required. * Build and maintain a strong pipeline of relevant tech talent. * Ensure timely interview scheduling, feedback tracking and candidate follow-ups. * Manage offer discussions, candidate engagement and joining follow-ups. * Maintain recruitment MIS, trackers and hiring dashboards. * Work on improving sourcing strategies and turnaround time for high-volume requirements. Key Skills & Experience * 2–5 years of experience in Talent Acquisition, with strong exposure to Tech Hiring. * Hands-on experience hiring for technology roles in a volume / fast-paced recruitment environment. * Experience handling multiple tech requirements simultaneously. * Strong sourcing skills across LinkedIn, Naukri and other recruitment platforms. * Good understanding of technology roles and basic technical skill

ExcelrecruitmentHR
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Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. The US Construction Engineering department is responsible for the design and construction efforts for high-tech, large-scale projects for Micron in the US. Current high-profile projects include the design and construction of two high-volume manufacturing fabs in Boise, ID1 and ID2, and a third fab in Clay, New York. We are seeking an experienced Chemical Systems Engineer to oversee the third-party design of chemical delivery and handling systems for high-tech large-scale construction projects. The Chemical Systems Engineer will manage external design firms, ensuring that chemical systems meet stringent project specifications, safety standards, and regulatory requirements. This role requires deep technical expertise in chemical systems, strong project management skills, and effective collaboration with multidisciplinary teams to deliver safe, efficient, and compliant systems for semiconductor manufacturing. Job Responsibilities: Manage third-party design firms in developing chemical delivery and handling systems, including storage, distribution, and hazardous waste management. Coordinate with external and internal stakeholders—including contractors, vendors, procurement, finance, construction and design teams—to ensure alignment with facility needs and project schedules. Ensure seamless integration of third-party designs with facility systems using Building Information Modeling (BIM) tools like Revit and Navisworks. Review capacity plan

artificial intelligenceaiAutoCAD
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C
Cvshealth
📍 Feasterville
22 days ago

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs, and improving quality of care. Millions of times a day, we help people on their path to better health –from advising on prescriptions to helping manage chronic and specialty conditions. As a 3rd year pharmacy intern, you have a significant role in our company working as a part of the pharmacy team– delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. While working as a 3rd year pharmacy intern, under the direct supervision of a licensed pharmacist, you play a critical role in ensuring a safe and effective Retail Pharmacy work environment that delivers exceptional care to each patient. This includes but is not limited to: Patient Safety Pharmacy Professional Practice Regulatory Requirements Quality Assurance Customer Service Inventory Management Workflow Management excluding final prescription verification Primary Roles and Responsibility: A key component of the pharmacy intern role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will: Lead with Heart – display empathy and compassion for your patients, customers, caregivers, and colleagues on your team Seek new ways to grow, collaborate with others, and deliver better outcomes Align others around our purpose to bring your heart to

Excelcustomer service
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C
22 days ago

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs, and improving quality of care. Millions of times a day, we help people on their path to better health –from advising on prescriptions to helping manage chronic and specialty conditions. As a 3rd year pharmacy intern, you have a significant role in our company working as a part of the pharmacy team– delivering our purpose, modeling our values, and demonstrating genuine, authentic care for our patients. While working as a 3rd year pharmacy intern, under the direct supervision of a licensed pharmacist, you play a critical role in ensuring a safe and effective Retail Pharmacy work environment that delivers exceptional care to each patient. This includes but is not limited to: Patient Safety Pharmacy Professional Practice Regulatory Requirements Quality Assurance Customer Service Inventory Management Workflow Management excluding final prescription verification Primary Roles and Responsibility: A key component of the pharmacy intern role is keeping your customers and patients healthy through adoption and management of patient care programs. Additionally, you will: Lead with Heart – display empathy and compassion for your patients, customers, caregivers, and colleagues on your team Seek new ways to grow, collaborate with others, and deliver better outcomes Align others around our purpose to bring your heart to

Excelcustomer service
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C
Cvshealth
📍 Londonderry 13 Commerce Avenue
22 days ago

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. As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a company provided vehicle. Delivery Drivers take important steps to ensure all medication needs and regulatory compliance standards are met for our patients and they demonstrate ethical conduct and always maintain patient confidentiality. Successful Delivery Drivers will utilize a customer service mindset to manage all assigned pharmacy workstations and tasks to support the team’s ability to fill patient prescriptions promptly, safely and accurately. Provide timely and accurate delivery of medication, equipment, products and/or supplies into long term care facilities or patient’s homes Load products/materials Responsible for vehicle maintenance and alerting management for maintenance issues. Maintain and full compliance with all Federal, State and Local laws and regulations Maintain highest professional and ethical standards Following all applicable government regulations including HIPAA to ensure patient confidentiality While no professional driving experience is required, we encourage those with previous driving experience as a limo driver, taxi/bus driver, courier, or gig-economy worker to apply. While employees learn and develop their careers, they also receiv

customer service
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C
22 days ago

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 Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we’re helping people on their path to better health— from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we’re present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day. Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integrity in everything they do in our pharmacies every day. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician, we have a place for you on our team to use your skills and talents to serve and care for our patients and customers. The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will work in an environment where the highest professional and ethical standards are maintained as well as full compliance with all Federal, State and Local laws and regulations. Pharmacy Technicia

customer service
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