Senior Customer Engineer Jobs

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

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 The Senior Manager, Medicare Product Operations (NCOD) is responsible for providing leadership, operational oversight, and people management for the Non-Clinical Organization Determination (NCOD) team. This leader is accountable for ensuring accurate, timely, compliant, and member-centered coverage determinations while maintaining adherence to CMS regulations, and internal policies. The role oversees a team of managers and analysts responsible for evaluating member requests, issuing organization determinations, maintaining documentation, and supporting appeals- and grievance-related activities. This position serves as a key operational leader, driving quality, compliance, performance, process optimization, workforce development, and cross-functional collaboration. The Senior Manager partners with Compliance, Product, Appeals, Grievances, Eligibility, Technology, and vendor partners to ensure operational excellence and a best-in-class member experience. Responsibilities Include: Strategic Leadership Provides oversight for the NCOD operation, ensuring alignment with organizational goals, regulatory requirements, and member experience objectives. Establishes operational strategies, and performance standards that support long-term scalability and sustainability. Leads implementation of new NCOD workflo

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 Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience. Additional Responsibilities - Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication. - Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures. - Identifies and reports potential overpayments, underpayments, and other claim irregularities. - Performs claim rework calculations as needed. - Trains and mentors as needed to enhance team performance and technical proficiency. - Conducts outbound calls to obtain required information for claims or reconsideration requests. Required Qualifications - Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator. - Proven

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. A Brief Overview Designs enterprise-wide and/or cross-functional solutions to address business problems. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic business objectives, to include profitable growth and improved organizational effectiveness. What you will do Directs the day-to-day complex business consulting operations to support the organization's goals and objectives. Administers processes and assignments for research, collecting, analyzing, and compiling data and information for the business consulting department reports. Handles files, reports, and financial records, and manages department record retention. Leads individuals to develop a high degree of customer service by fielding internal and external inquiries, finding resolutions, or redirecting as appropriate. Collaborates internally and externally with clients and senior management regarding the organization's goals and objectives. Advises the internal and external department point of contact ensuring concise communication with employees, stakeholders, and members of the senior management. Develops reports for the org

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

PagerDuty (NYSE:PD) is a leader in Digital Operations Management. In an always-on world, organizations of all sizes trust PagerDuty to help them deliver a perfect digital experience to their customers, every time. Teams use PagerDuty to identify issues and opportunities in real time and bring together the right people to fix problems faster and prevent them in the future. Over 13,000 organizations (including 60 of Fortune 100) rely on PagerDuty to succeed with Digital Transformation, Cloud Migration, and DevOps Modernization. Notable customers include GE, Cisco, Genentech, Electronic Arts, Cox Automotive, Netflix, Shopify, Zoom, DoorDash, Lululemon and more. We are expanding rapidly as a platform for Digital Operations Management using AI/ML and Automation and growing our adoption by Development, IT, Customer Service, Security, and other teams across the organization. . Hesitant to apply? We encourage you to submit your resume even if you don't meet every requirement. We value potential and consider each candidate's full professional story. Whether you're exploring a career change or taking your next step, we look forward to reviewing your application. If this just isn’t the right role or time - sign up for job alerts ! Where we work PagerDuty operates a hybrid work model with offices in 8 major cities: Atlanta, Lisbon, London, San Francisco, Santiago, Sydney, Tokyo, and Toronto. While we offer flexibility within our established locations, we cannot employ candidates residing in: Location restrictions: Australia: Northern Territory, Queensland, South Australia, Tasmania, Western Australia Canada: Alberta, Manitoba, Newfoundland, Northwest Territories, Nunavut, PEI, Quebec, Saskatchewan, Yukon United States: Alaska, Hawaii, Iowa, Louisiana, Mississippi, Nebraska, New Mexico, Oklahoma, Rhode Island, South Dakota, West Virginia, Wyoming Candidates must reside in an eligible location, which vary by role. How we work Our values guide how we support customers, collaborate

A key position within the WS Hardgoods team responsible for leading revenue growth and driving sell-through improvement for assigned accounts. This role creates sustainable growth by developing and executing account strategies, as well as driving VMD, inventory management, and product merchandising initiatives. Essential Functions and Key Responsibilities: Develop account-specific business plans by setting sell-through and sell-in targets for assigned accounts, and drive alignment and execution in collaboration with key customers. Drive in-store merchandising proposals and improvements, maximizing visibility and brand exposure through SIS installations and space expansion, while delivering clear differentiation from competitors. &#34;Annual terms negotiation (including pricing and trade conditions): Negotiate key commercial terms such as pricing, promotional support, and rebates, and finalize annual agreements while ensuring profitability.&#34; &#34;Demand Planning, Sell-through, and Inventory Management: <

At Freddie Mac, our mission of Making Home Possible is what motivates us, and it’s at the core of everything we do. Since our charter in 1970, we have made home possible for more than 90 million families across the country. Join an organization where your work contributes to a greater purpose. Position Overview: Are you an analytical, curious, self-motivated professional with a passion for multifamily real estate? If so, Freddie Mac might be the employer for you! We are looking for a Multifamily Asset Management Senior to join the Structured Transactions group. This group falls within Special Servicing and handles asset management related functions for our (i) Low Income Housing Tax Credit ( LIHTC) investments and (ii) most complex portfolio and securitized assets, including bond transactions and revolving lines of credit. These transactions represent a significant commitment to some of Freddie Mac’s most meaningful corporate affordability objectives. The successful talent will analyze, process, and manage a variety of consent requests, complete underwriting analysis, and work with legal counsel as appropriate. In addition, you will exercise delegated approval authority for certain credit decisions on regular requests and recommend to management for circumstances that exceed their respective levels of authority. Our Impact: Our team is responsible for asset management coverage of all LIHTC investments and structured loan products, and balance sheet loans We seek to timely fulfill our commitments and asset management functions on LIHTC investments and maintain high credit quality on requests for existing loans and structured deals Your Impact: You will bring LIHTC asset management experience and you will: Manage a team and exercise delegated approval authority for LIHTC functions

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 The Senior Actuary - Network position within the network analytics team provides the financial tools and analytics to support network strategy in alignment with market/business growth priorities. The market-specific responsibilities will provide individuals with the opportunity to develop in-depth knowledge of market dynamics and to establish strong cross-functional relationships with key business partners, including network, MEU, and commercial actuarial teams. Additional core areas of focus include network discounts, emerging trend analytics, and pricing and contracting support. Key responsibilities will include: Discounts – Develop a quarterly, market-level discount review process to inform Regional Leads and Chief Network Officers of changes in benchmarking based on the latest view, identifying gaps and pressured areas to consider for future negotiations. Provide meaningful information to the field on the impact and expected timing of new negotiations beyond current consultant benchmarking. Emerging Trend Analytics – Engage cross-functionally with Network, MEU, and other teams to drive enhanced contract negotiation strategies using data-driven recommendations for MedRx and Behavioral Health. Pricing – provide support for Aetna Whole Health / APCN Plus (Performance Networks), joint ventures, and narrow network pricing across all

We anticipate the application window for this opening will close on - 27 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 We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. As one of three comprehensive portfolios at Medtronic, Neuroscience is dedicated to improving the lives of people living with neurological disorders, spine conditions, and chronic pain. Guided by our Mission—to alleviate pain, restore health, and extend life—we develop technologies and therapies that help people regain function, reduce pain, and return to the activities that matter most. Our Neuromodulation Operating Unit provides advanced therapies for chronic pain, movement disorders, and other neurological conditions. Through spinal cord stimulation, deep brain stimulation, and targeted drug delivery systems, we deliver personalized treatments that restore function, reduce symptoms, and improve quality of life worldwide. This role will be part of our Deep Brain Stimulation (DBS) Clinical team. Our DBS devices send electrical signals within the brain that can help reduce symptoms of certain disorders or disease. O

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 The Senior Manager of Pickup Innovations and Execution drives forward the strategic innovation of cutting-edge point of sale solutions for pharmacy pick up processes. This role will oversee the current execution of an enhanced and seamless patient experience while managing the POS platform for enterprise offerings and services. As a Sr Manager, you will lead and oversee the prioritization and implementation of pickup functionality with key stakeholders across the enterprise to ensure compliance, regulatory, and growth opportunities are being integrated during the pickup process. You will drive the patient and customer experience through innovating workflows, patient prompting/notifications, and the overall design/functionality of the point-of-sale system. You will also oversee peripheral processes that include Waiting Bin inventories for financial reconciliation, Reconstitution execution, and Drive Thru/Fill Master maintenance with our outside vendors. Key Responsibilities: Lead implementation of Rx POS innovation and enhancements, ensuring alignment with business goals, financial objectives, and customer/colleague priorities. Oversee day to day Rx POS execution including system support, reporting, and customer ser

Become a part of our caring community The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Senior Product Owner work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Product Owner maximizes value of product created by Agile team. Liaises with stakeholders and the development team ensuring the right product is being built, in the right order, within budget and by the deadline. Serves as the Agile team's primary contact for information, work prioritization, and decision-making. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, andwork is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. This is a remote position and you will report to the Director, Product Management. This position is created specifically to assist with Humana's efforts to secure and, if awarded, transition into a new business opportunity. Please note that continued employment in this role is expressly contingent upon Humana's receipt of the business opportunity and a satisfactory transition into the work. In the event Humana does not pursue the opportunity or determines that a timely and satisfactory transition cannot be achieved, employment may be subject to termination. Use your skills to make an impact Required Qualifications You will have a Bachelors degree or equivalent You will have 3&#43; years of technical experience, product ownership, or project management experience You will be Certified SAFe®

Based at Sun Day Red (SDR) Headquarters in San Clemente, California, the Senior Collector – Global Credit & Collections is responsible for managing a multi-million-dollar Accounts Receivable portfolio of approximately 1,500-2,000 global accounts and a multi-million-dollar open order book. This role strongly focus on credit risk management, collections, and cash flow optimization within the apparel and footwear industry. T he successful candidate will partner closely with Sales, Customer Service, Operations, and Finance to evaluate credit exposure, drive collections, minimize risk, support revenue growth, and ensure compliance with company credit policies. Exceptional analytical skills, attention to detail, sound business judgment, and a proven ability to manage complex customer relationships in a fast-paced global environment are essential . Essential Functions and Key Responsibilities: Manage a multi-million-dollar Accounts Receivable portfolio consisting of approximately 1,500-2,000 global customer accounts within the apparel, footwear, and manufacturing sectors. Drive collection activities to maximize cash flow, reduce delinquency, and achieve established DSO and aging targets. Review and manage a multi-million-dollar open order book, making informed credit decisions regarding order releases, holds, and credit exposure. Evaluate customer creditworthiness through financial analysis, payment trends, credit bureau reports, and risk assessments. Monitor customer accounts to identify potential credit risks and proactively implement mitigation strategies. Negotiate payment arrangements, resolve disputes, and secure timely payment of outstanding balances. Collaborate with Sales, Customer Service, Operations, and Finance to resolve account issues a

Become a part of our caring community The Regional Senior TRICARE Community Liaison (TCL) is an important Humana Military representative committed to operational excellence, consistency, and accountability in the administration of TRICARE services within a defined territory in the East Region. You will provide expert guidance to nationally contracted healthcare providers and support facilities who have footprints across both East and West Regions. The primary focus of the Regional Senior TCL is to develop and sustain strong, collaborative relationships with all National Health System providers in the East Region. You will be cover all National contracted providers and large health systems regardless of location or type of care provided. Through clear and concise written and verbal communication, the Regional Senior TCL ensures provider understanding of the TRICARE health plan, TRICARE Policy and Regulations and how to navigate the Military Health System. The Regional Senior TCL is self-directed and uses independent, critical decision-making in managing time, setting priorities, addressing general inquiries, and resolving both straightforward inquiries, complicated problems and concerns raised by providers. This position upholds rigorous operational standards and ensuring consistent, high-quality delivery of TRICARE services. You will support customer service, conduct outreach, maintain network adequacy and access to care. You will manage provider relations and education, and ensure effective provider management within the assigned area. You will lead the review of TRICARE inquiries, complaints, and concerns from beneficiaries, providers, and government personnel, ensuring a resolution through professionalism and integrity. Additional responsibilities involve supporting the implementation of Alternative Payment Methodologies and Demonstration Pilots that adv

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 is looking for a Functional & Technical Expert for the Varicent Sales Performance Management (SPM) platform to join our Human Resources Technology team. We’re seeking an experienced and motivated individual who is ready to take on the challenge of supporting Compensation business operations by providing optimal and scalable technology solutions. This person will be an integral part of a team responsible for Compensation solutions meeting the needs of CVS Health’s Total Rewards, and Human Resources business partners and stakeholders. The ideal candidate will possess a combination of functional and technical expertise, as well as a demonstrated ability to work collaboratively with both technical and non-technical partners. You will provide integral support to the Compensation Team for their sales incentive technology needs collaborating with HR Shared Services across all business segments. You will establish cross-functional relationships throughout HR Technology and Human Resources to ensure solutions and initiatives are effectively designed and implemented. Primary Responsibilities : Collaborate with business and technical partners to support the Compensation functional area for Sales Incentives, including the established list of global priorities and roadmaps. Work closely with business leaders and stakeholders to develop v