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Office Of Transformation Process Redesign Director Jobs

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Become a part of our caring community Join our Payment Integrity Letters team at Humana where you will help draft and implement outbound communication templates for the Payment Integrity Operations teams as a Payment Integrity Professional 2. You will help ensure compliance with state contractual requirements and Humana brand standards in drafting communication templates and working with the approvers and developers. You will report to the Associate Director, Business Systems Analysis. Main responsibilities: Collaborate with business partners to draft new communications Review existing communications on an annual basis to ensure compliance with all state requirements and Humana brand standards Ensure intake requests are completing all required steps in a timely manner and escalate off track tasks as needed Work with the EMME development team to ensure communication requirements are documented clearly and implemented correctly Validate communications in QA and Production environments on a regular basis to identify gaps Use your skills to make an impact Required Qualifications 2+ years' experience tracking process deliverables Experience editing documents with Microsoft Office Programs Word, PowerPoint, and Excel Experience handling multiple priorities Experience with com

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H
Humana
📍 Texas• Remote
13 days ago

Become a part of our caring community The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Pre-Authorization Nurse completes medical necessity and level of care reviews for requested services using clinical judgment, and refers to team members for review depending on case findings. Educate providers on utilization and medical management processes. Enter and maintain relevant clinical information in various medical management systems. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications 2+ years of RN experience Active RN license in the state of Indiana Ability to be licensed in multiple states without restrictions Previous experience in utilization management, case management, discharge planning and/or home health or rehab Proficient with MS Office products including Word, Excel and Outlook Ability to work independently under general instructions and with a team Preferred Qualifications Bachelor's degree MCO experience Health Plan experience working with large carriers Previous Medicare/Medicaid experience Outpatient or home health experience in Utilization Manageme

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Work Flexibility: Field-based Sales Representative – Surgical Technologies (ST) Step into a field-based sales role where you will promote, position, and sell Stryker’s Surgical Technologies portfolio to physicians, surgeons, and healthcare providers across your territory. Lead product evaluations and support procedures in operating room and office-based settings while demonstrating the clinical and economic value of our solutions. As the owner of your territory, you’ll grow existing business, identify new opportunities, build strong customer relationships, and consistently achieve sales goals. You’ll partner closely with your Regional Manager and serve as a trusted clinical and product resource, providing guidance, troubleshooting support, and an exceptional customer experience. ST Product Portfolio: Stryker | Surgical Technologies What You Will Do Drive territory performance by promoting and selling Surgical Technologies products while meeting or exceeding sales objectives. Conduct product evaluations and demonstrations in clinical and procedural environments. Support surgical procedures by providing on-site product expertise, guidance, and troubleshooting. Build and maintain relationships with surgeons, physicians, nurses, healthcare administrators, and purchasing teams. Identify new business opportunities and expand existing accounts within the assigned territory. Educate customers on product features, clinical applications, and economic value through in-services and training programs. Track sales activity, customer interactions, and territory performance using approved business tools and reporting processes. Collaborate with regional leadership to dev

Work Flexibility: Field-based Sales Representative – Surgical Technologies (ST) Step into a field-based sales role where you will promote, position, and sell Stryker’s Surgical Technologies portfolio to physicians, surgeons, and healthcare providers across your territory. Lead product evaluations and support procedures in operating room and office-based settings while demonstrating the clinical and economic value of our solutions. As the owner of your territory, you’ll grow existing business, identify new opportunities, build strong customer relationships, and consistently achieve sales goals. You’ll partner closely with your Regional Manager and serve as a trusted clinical and product resource, providing guidance, troubleshooting support, and an exceptional customer experience. ST Product Portfolio: Stryker | Surgical Technologies What You Will Do Drive territory performance by promoting and selling Surgical Technologies products while meeting or exceeding sales objectives. Conduct product evaluations and demonstrations in clinical and procedural environments. Support surgical procedures by providing on-site product expertise, guidance, and troubleshooting. Build and maintain relationships with surgeons, physicians, nurses, healthcare administrators, and purchasing teams. Identify new business opportunities and expand existing accounts within the assigned territory. Educate customers on product features, clinical applications, and economic value through in-services and training programs. Track sales activity, customer interactions, and territory performance using approved business tools and reporting processes. Collaborate with regional leadership to dev

Here’s a summary of the role: Diligent is seeking a Customer Success Manager I to join our growing Customer Success team, partnering with a portfolio of key accounts to drive product adoption, retention, and long-term customer value across our GRC platform. This is a role for someone who thrives on building strong relationships and delivering measurable impact, with a hands-on approach to customer engagement. At Diligent, our Customer Success Managers are at the heart of how our clients realise value from our platform. You’ll own a portfolio of accounts, build trusted relationships, and play a key role in shaping customer outcomes across France, Belgium, and Luxembourg. If you’re passionate about helping customers succeed, thrive on collaboration, and enjoy turning insight into action, this is your opportunity to make a measurable difference in a fast-growing global SaaS company. This role operates on a hybrid model, with 50% office-based work required. This role is open to candidates based in Netherlands. Regrettably we are unable to provide visa sponsorship, so you must be eligible to work in the location you reside. Here’s a breakdown of what you’ll do (not all of it, just the important stuff): Managing a portfolio of client accounts, acting as the main point of contact for day-to-day coordination Running regular strategic review meetings with clients to discuss usage, goals, strategy and overall satisfaction Monitoring product adoption and usage data to identify risks or growth opportunities and drive client engagement Increase overall client health and satisfaction with Diligent Proactively engaging with customers to drive success and value realisation, identifying retention risks, and developing mitigation strategies Reaching out to clients to drive engagement and ensure they’re getting value from the platform Driving renewals by maintaining strong relationships and demonstrating ROI Identifying and qualifying upsell and expansion opportuni

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JLL empowers you to shape a brighter way . Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you’ve got deep experience in commercial real estate, skilled trades or technology, or you’re looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Position Overview The Facility Coordinator/Mailroom position provides essential operational support for daily facility functions. This role combines facility coordination duties with hands-on mail services, ensuring smooth operations for both building services and communications logistics. Essential Responsibilities : General Facility Support Respond to routine facility service requests from occupants Coordinate with building maintenance and engineering teams as needed Monitor and order office supplies and facility materials Assist with space planning and minor moves when required Support special projects and facility initiatives Mailroom Operations <

artificial intelligenceaiExcel
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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 This person is responsible for making outbound calls to prospective members, specifically offering our Medicare plan. The Account Associate will be making outbound calls for retention efforts, as well as providing support to sales representatives as needed. Additionally, this person will respond to incoming customer service inquiries as needed. The Account Associate should be available to work alternate hours (such as overtime or weekends) as needed, depending on business needs. Required Qualifications Must reside in Maricopa County, AZ. 1&#43; year of experience in a call center environment, with demonstrated telephone and problem resolution skills. 1&#43; year of experience with Medicaid and/or Medicare. Demonstrated proficiency in basic computer software, primarily Microsoft Office. Preferred Qualifications Bilingual (English/Spanish). Previous experience working with Quick Base. Strong organizational and time management skills. Excellent attention to detail. Self-starter, with an ability to succeed in an independent environment. Education High school diploma or GED. Anticipated Weekly Hours 40<p s

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Who We Are Addepar is a global data and AI platform empowering investment professionals to turn complex financial information into actionable intelligence. Addepar unifies portfolio, market and client data in a total portfolio view and delivers AI-powered insights within investment and client workflows. More than 1,400 firms in nearly 60 countries use Addepar to manage and advise on nearly $9 trillion in assets. Its open platform integrates with nearly 650 software, data and consulting partners to power end-to-end investment operations across firms of all sizes and complexity. Addepar supports clients worldwide with offices in New York City, Salt Lake City, London, Edinburgh, Pune, Dubai, Geneva, Singapore and São Paulo. The Role Addepar is looking for a high-energy, results-driven Business Development Representative to join our Business Development & Sales organization. Working very closely with Sales and key partners, BDRs are tasked with strategically developing and qualifying revenue opportunities within assigned account territories and segments. This is an exciting opportunity to generate and hunt for new business opportunities to fuel our growth across the wealth management, family office, private banking, and global investment management market segments. The ideal candidate will be passionate about finance and disruptive technology; have a sound eye for business and natural sales instincts; and be an eager, highly motivated, and tenacious self-starter. Applicants must be legally authorized to work in the United States for any employer without requiring current or future visa sponsorship (for example, employment-based visas such as H-1B , F-1 /OPT, or similar), and must be authorized to begin work in the U.S. on their first day of employment. What You’ll Do Generate new business opportunities to fuel Addepar’s growth Create and prioritize strategic target account lists and account attack plans within a defined territory Research and build new account

aisalesforcefinance
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JI
15 days ago

JLL empowers you to shape a brighter way . Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you’ve got deep experience in commercial real estate, skilled trades or technology, or you’re looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Research Analyst – JLL What this job involves: The Research Analyst will join JLL's San Francisco Research team to deliver market intelligence that sets JLL apart. You will analyze San Francisco's industrial, office, and flex markets alongside the economic drivers that shape them. This role combines direct client engagement with hands-on data analysis, positioning you at the intersection of urban economics and commercial real estate. You will grow from foundational market research into automated workflows, quantitative modeling, and independent analysis—building both analytical rigor and technical capability. If you're curious about what drives markets and ready to become data fluent while mastering local real estate dynamics, this role offers a clear path forward. What your day-to-day will look like: Develop expertise on San Francisco's economy, industry composition, demographics, and commercial real estate market to identify trends and emerging opportunities Maintain comprehensive market coverage by tracking significant leasing activity, tenant movements, development projects, sales transactions, and ownership changes Meet regularly with clients and internal teams to present market insights, conditions, and forecasts Produce quarterly reports on San Francisco market

pythonsqlartificial intelligence
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O
OpenAI
📍 San Francisco• Full-time• Remote
15 days ago

About the Team OpenAI Finance is responsible for ensuring the organization is set up for success in pursuit of its mission. The Finance Program Management Office (FinPMO) is responsible for driving and scaling cross-functional finance programs and M&A integrations. FinPMO partners closely across Accounting, Strategic Finance, Corporate Development, Equity, Procurement, Treasury, Risk, and Legal to ensure financial change through M&A and other new business models is executed in a controlled, auditable, and operationally effective way. FinPMO plays a critical role in managing M&A including financial deal diligence, finance operations, post-close integrations, reporting and controls. We help quarterback the M&A process to help ensure corporate integrations are executed cleanly, risks are managed proactively, and leadership has clear deal visibility. About the Role As a M&A Finance Integration Lead, you will own and scale OpenAI’s finance integration model. This is a highly cross-functional, transactions driven role for someone who can bring structure to ambiguity, translate deal complexity into executable workplans, and drive successful M&A outcomes across multiple teams. We’re looking for someone to be the central point of accountability to oversee finance workstreams across the full M&A lifecycle. You’ll ensure integrations are executed cleanly, financial risks are mitigated early, and our books, controls, and systems remain stable as OpenAI scales. This role is based in San Francisco, CA. We use a hybrid work model of 3 days in the office per week and offer relocation assistance to new employees. In this role you will: Define and build standardized, scalable M&A finance integration frameworks. Drive consistent execution across multiple, simultaneous M&A integrations. Ensure timely, accurate M&A diligence including historical financials, revenue, equity, tax, and procurement. Lead integration planning for deal close readiness a

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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 Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Preference for those residing in mountain or pacific time zones. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Typical office working environment with productivity and quality expectations. Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Sedentary work involving periods of sitting, talking, listening. Work requires sit

This is a senior attorney role to lead the negotiation and execution of derivatives documentation supporting our global Markets trading activities. This role will serve as a key partner to front office, risk, and legal teams, managing complex master trading agreements, such as ISDA and Futures Clearing agreements, and advising on legal and regulatory risk across OTC derivatives transactions. The position requires deep expertise in ISDA Master Agreements, collateral documentation, and derivatives market practice, along with strong stakeholder management and negotiation capabilities. Responsibilities: Serve as lead negotiator and subject matter expert for ISDA Master Agreements, Schedules, Credit Support Annexes (CSAs), and related derivatives and collateral documentation; manage complex, bespoke negotiations across the full documentation lifecycle Provide legal counsel and guidance to Markets business stakeholders, interpreting applicable laws, rules, regulations, and industry practices and delivering commercially practical, risk-appropriate solutions Advise senior management on legal matters impacting trading activities, client relationships, and strategic initiatives, contributing informed, business-oriented perspectives to decision-making Identify, evaluate, and manage legal, regulatory, and reputational risk in coordination with Legal, Risk, and ICRM; ensure alignment with internal policies and applicable regulatory requirements Objectively assess business proposals against institutional risk appetite, regulatory frameworks, and market standards, escalating issues as appropriate Collaborate closely with Trading, Sales, Credit, Risk, Operations, and Legal teams across regions to deliver coordinated, efficient, and consistent outcomes Oversee day-to-day legal and documentation activities as a subject matter expert, ensuring tim

artificial intelligenceai
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You will have the opportunity to shape, mold, and impact how fast we grow, the way we’re viewed, and the candidate experience. We are looking to hire a Recruiter who will be responsible for finding the best talent across our Technical Solutions function; you will be the face of recruiting at Datadog! You will be the first point of contact for new candidates in the hiring process, playing a critical role in identifying great candidates, telling the Datadog story and ultimately turning great candidates into great employees. At Datadog, we place value in our office culture - the relationships and collaboration it builds and the creativity it brings to the table. We operate as a hybrid workplace to ensure our Datadogs can create a work-life harmony that best fits them. What You’ll Do: Find qualified talent for our open roles via sourcing, job posts, referrals, and agencies Screen candidates to ensure their qualifications match the open roles Collaborate with leadership to design or streamline interview processes Ensure follow up and closure for all interviewed candidates Negotiate compensation with qualified candidates Enhance our recruitment process through training interview teams Leverage Greenhouse to track candidate progress through funnel, resurface existing talent, and keep consistently clean data for reporting Ensure candidates have an excellent interview experience - regardless of outcome Who You Are: Experienced in full-lifecycle recruiting, with 2-5 years either in-house or in a staffing agency environment A sourcing master in your ability to identify where top talent lives Autonomous with a demonstrated ability to work independently and simultaneously on multiple positions Exceptional at selling value proposition, negotiating and closing great candidates Skilled at operating with a sense of urgency in all stages of the recruiting cycle Able to successfully navigate an ever-changing process Datadog

airecruitment
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CONTRACTOR: Forward Deployed Engineer, Pendo Predict The team + the role Pendo Predict helps companies act on customer behavior before problems surface. We build custom predictive models — churn, upsell, expansion, and more — on top of product usage, CRM, and data warehouse data, and put those insights directly into the workflows of CS, Sales, and Product teams. By analyzing historical product usage alongside CRM and data warehouse outcomes, Predict forecasts which accounts are at risk, ready to expand, or likely to convert — surfacing intelligence where teams can actually act on it. As a Forward Deployed Engineer on the Predict team, you'll embed directly with customers and prospects to design, build, and ship predictive models inside their real-world data environments — and feed what you learn back into the product. This is a hands-on, hybrid role at the intersection of engineering, technical consulting, and customer-facing work. You'll own the technical side of the customer journey end-to-end: from pre-sales discovery and proof of value, through data modeling and integration, to enablement and adoption. SQL is a daily tool in this role. This is a contractor engagement based in Herzliya, Israel, working on United States EST hours. This role is based in Herzliya, Israel and works hybrid from Pendo's Herzliya office. What this looks like day-to-day Run technical discovery with customers to assess product analytics maturity, data availability, and business processes — and use that to set realistic implementation expectations and position Predict for their stage. Work hands-on with customers to design the data model and define the business metric the model will predict; map customer data sources (Pendo, Salesforce, Snowflake, and other warehouses) to Predict requirements and best practices. Build and present compelling predictions in the prospect's own domain — explain methodology, model accuracy, and activation to earn credibility with technical stakeholders in

sqlazureai
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C
16 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. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond the bedside? Join our team and use your clinical expertise to ensure members receive the right care at the right time. What You’ll Do Review clinical cases and make coverage determinations using evidence-based guidelines Collaborate with providers and care teams to coordinate appropriate treatment Apply clinical judgment to support utilization and benefit management decisions Identify opportunities to improve care quality and member outcomes Serve as a clinical resource across internal and external stakeholders What You Bring - REQUIRED Active, unrestricted RN license in the state of residence. 3&#43; years of RN experience, including 1&#43; year in Med/Surg Strong clinical assessment and decision-making skills Experience with Microsoft Office (Outlook, Teams, Excel) Ability to work Monday–Friday, 9:00 AM–6:00 PM in your time zone. Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours Associate Degree in Nursing Nice to Have Utilization Management or Prior Authorization experience Managed care background</l

REMOTEExcel
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