Verification Of Benefits Specialist in United States

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: About Abbott Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology. The Opportunity This position works out of our Lake Mary location in the Abbott Heart Failure, Acelis Connected Health business. Our Heart Failure solutions are helping address some of the World’s greatest healthcare challenges. As the Verification of Benefits Specialist, you’ll have the chance to assist our patients in having accurate insurance information on file and collecting authorizations or PCP referrals as needed. What You'll Do The following reflects management’s definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons. Contacts insurance companies to verify insurance benefits. Initiates Pre-authorization, PCP referral and Letter of Agreement requests for new and ongoing services with insurance companies and performs follow up activities for an outcome. Files Appeals for denied coverage to insurance companies as needed. Maintains customer records in practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance companies. </

Our Purpose Mastercard powers economies and empowers people in 200&#43; 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

Drata is building the trust layer between great companies - automating compliance, managing risk, and helping organizations prove trust continuously as they scale. We're Dratanauts: a global crew of 600+ professionals united by a culture that rewards integrity, ownership, and raising the bar, no matter where in the world we're working from. Why Join the Drata Team? At Drata, you're not maintaining legacy compliance software - you're building the agentic AI platform defining what trust looks like for the next generation of companies. Here's what makes the work itself worth showing up for: Problems without a playbook: You'll work at the edge of AI and security, building agentic governance, continuous compliance, and real-time trust verification to solve problems that don't have an established answer yet. You're writing it as you go. Real ownership, not just process: Our values center on owning outcomes and raising the bar, not checking boxes. You're expected to have opinions and back them. A seat at the table: Your perspective is unique and valued. Open debate and diverse viewpoints are built into how decisions actually get made here, at every level. Growth at rocketship speed: Drata is scaling fast, which means scope grows fast too. High performers get more ownership, visibility, and experience. A crew, not just coworkers: Dratanauts consistently describe a "come as you are" culture with sharp, curious people—the kind of team that makes hard problems genuinely fun to solve. See what they say here and follow us on LinkedIn for company news, employee stories, and career updates. Job Summary: Drata is looking for a Total Rewards Analyst to strengthen the accuracy, scalability, and insightfulness of our compensation programs while providing reliable support across benefits and broader total rewards operations. This compensation-led role will turn market data and employee data into clear recommendations, support annual compensation and equity cycles, and help leaders make

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 - Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. - Promotes and supports quality effectiveness of healthcare and Pharmacy Services. - Evaluates, authorizes approval, and communicates decisions for pharmacy requests according to clinical guidelines. - Evaluates and authorizes approval of pharmacy requests received by telephone, facsimile, and/or other means using client clinical criteria. - Determines appropriateness for medications. Communicates decision to physicians, physician’s office staff, medical management staff, members, and/or pharmacists. - Will perform clinical research to support request. - Performs non-medical research including eligibility verification, COB, and benefits verification. - Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. - Process requests in compliance with various laws and CMS regulations and company policies and procedures. - May communicate with Aetna Case Managers, Health Plan Staff, External Pharmacies and Health Care Providers. - Promotes communication, both internally and externally, to enhance effectiveness of medication therapy management services. - Sedentary work involving significant periods of sitting, tal

Senior Software Engineer Mission Systems Software Developer Company: The Boeing Company The Boeing Company has an exciting opportunity for a Senior Software Engineer Mission Systems Software Developer (Level 5) to join Boeing Defense, Space & Security (BDS) in Daytona Beach, Florida . BDS is a global leader in the development, production, maintenance and enhancement of fixed-wing and rotary wing aircraft, commercial and government satellites, human spaceflight programs and weapons. Key markets include aeronautics, space and weapons. Core capabilities are in development, production and mission enabling upgrades of integrated solutions. BDS delivers the most digitally advanced, simply and efficiently produced and intelligently supported solutions to its customers. Daytona Beach is the company's newest state-of-the-art facility focused on engineering excellence. Florida offers no state income tax and a variety of other desirable personal and financial benefits. This position will include developing software and software tests throughout all phases of the software development life cycle (requirements, architecture, implementation, and verification). The software engineer will develop software in a Continuous Integration / Continuous Deployment (CI/CD) DevSecOps software build pipeline using an agile methodology focused on code quality, security and automation. Position Responsibilities: Develop Participates in use case development of software requirements Ability to lead activities to develop, document and maintain software architecture, requirements, algorithms, interfaces and designs for mission systems software Leads development of code and integration of complex Mission Systems softwar

About the Team OpenAI’s IT organization supports the mission of deploying artificial general intelligence (AGI) for the benefit of all. Our team is committed to providing seamless technological support and solutions to ensure that all OpenAI employees are well-equipped and connected. This enables them to contribute effectively towards our AI research, corporate operations and product initiatives. About the Role As an ITAV Operations Engineer at OpenAI, you will administer and troubleshoot conference room AV, video conferencing, background music, digital signage, and other ITAV-owned systems. You will serve as the technical bridge between our support vendors and ITAV Engineering, resolving escalations that require internal access, administrative permissions, or deeper technical investigation. You will maintain reliable configurations, execute changes using established standards, and turn recurring issues into improvements to systems, documentation, and automation This is an in-office role and will require 5 days a week in our San Francisco office. Travel 30% of the time to support ITAV systems, technical changes, and operational readiness. International travel is required. In this role, you will: Set up, configure, administer, and maintain conference room AV, video conferencing, background music, digital signage, and other ITAV-owned systems. Resolve vendor escalations that require internal administrative access or technical expertise, owning diagnosis, remediation, and verification of service restoration. Manage assigned ITAV installation and commissioning scope for office builds, refreshes, and moves, adds, and changes using established standards, and verify that completed systems are ready for ongoing operation. Serve as the technical bridge between vendors and ITAV Engineering, providing clear diagnostic evidence and escalating issues that require changes to system designs or engineering standards. Execute software updates, configuration changes, equipment replac

At Snowflake, we are powering the era of the agentic enterprise. To usher in this new era, we seek AI-native thinkers across every function who are energized by the opportunity to reinvent how they work. You don’t just use tools; you possess an innate curiosity, treating AI as a high-trust collaborator that is core to how you solve problems and accelerate your impact. We look for low-ego individuals who thrive in dynamic and fast-moving environments and move with an experimental mindset — who rapidly test emerging capabilities to discover simpler, more powerful ways to deliver results. At Snowflake, your role isn't just to execute a function, but to help redefine the future of how work gets done. Snowflake is about empowering enterprises to achieve their full potential — and people too. With a culture that’s all in on impact, innovation, and collaboration, Snowflake is the sweet spot for building big, moving fast, and taking technology — and careers — to the next level. ABOUT THE ROLE: You will work on critical business initiatives in the core database engine, bring an AI-forward approach to software development and accelerate roadmap cycles for the benefit of our customers. Your work will directly impact how developers and businesses build with data. You'll own the full AI engineering lifecycle: design, prompt/tool engineering, evals, deployment, measurement, and optimization. You'll work with a small, high-powered engineering team. What you will do in this role: Own features end-to-end for Snowflake Database Engineering products. Build agentic workflows, coding harnesses, evaluation pipelines. Build enterprise-grade context engineering: function calling, tool schemas, guardrails, agent teams, and verification/repair. Design evals and hillclimb : create golden sets, create rubrics and metrics, analyze errors, run experiments to hill climb on the metrics. Partner with product and infra: translate customer problems into products and experiments. Collaborate with infr

We believe that the way people interact with their finances will drastically improve in the next few years. We’re dedicated to empowering this transformation by building the tools and experiences that thousands of developers use to create their own products. Plaid powers the tools millions of people rely on to live a healthier financial life. We work with thousands of companies like Venmo, SoFi, several of the Fortune 500, and many of the largest banks to make it easy for people to connect their financial accounts to the apps and services they want to use. Plaid’s network covers 12,000 financial institutions across the US, Canada, UK and Europe. Founded in 2013, the company is headquartered in San Francisco with offices in New York, Seattle, Washington D.C., Raleigh, London, and Amsterdam. About the Team Plaid's go-to-market teams combine deep product and industry knowledge to bring Plaid to an ever-broadening set of businesses. We believe every company — and especially banks themselves — can benefit from better technology and access to data, and that consumers benefit when the products available to them are powered by the best in open banking technology. The Banking & Wealth segment is one of Plaid's fastest-growing and most strategic investment areas, serving community banks, credit unions, regional financial institutions, wealth management firms, and marquee financial institution logos. The segment spans both new business sales and ongoing account management, and works closely with key ecosystem partners across use cases including online account opening, consumer lending, asset verification, and fraud prevention. Role Overview Plaid is looking for a proven revenue leader to own and grow our Banking & Wealth segment end-to-end — holding full P&L responsibility across an organization spanning both sales (Account Executives and first-line AE Managers) and account management. This is a foundational, highly visible leadership role for someone who is a buil

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. The PBM Batch Operations role is responsible for providing 24x7 operational support for Pharmacy Benefit Management (PBM) production processing environments. The position monitors, controls, and supports enterprise batch workloads, mainframe systems, iSeries environments, and associated operational processes to ensure critical pharmacy and business applications execute successfully and on schedule. Schedule: WorkDays: TBD Hours: 7 AM to 7PM AZ time Shift Structure: Three 12-hour shifts Additional Requirement: Must be available to work overtime as needed to provide coverage PBM Batch Operations Functional Responsibilities The PBM Operations environment includes responsibility for: Monitoring and supporting IWS (IBM Workload Scheduler) batch processing. Batch job interventions (restart, hold, kill, force complete). Mainframe IPL support. Mainframe console monitoring across multiple LPARs. RxClaim and iSeries batch monitoring. PBM Disaster Recovery support. Vendor escort activities and data center operational support. Data center security ticket processing. MIR3 paging and incident notifications. ServiceNow ticket management. Procedure verification and operationa

Drata is building the trust layer between great companies - automating compliance, managing risk, and helping organizations prove trust continuously as they scale. We're Dratanauts: a global crew of 600+ professionals united by a culture that rewards integrity, ownership, and raising the bar, no matter where in the world we're working from. Why Join the Drata Team? At Drata, you're not maintaining legacy compliance software - you're building the agentic AI platform defining what trust looks like for the next generation of companies. Here's what makes the work itself worth showing up for: Problems without a playbook: You'll work at the edge of AI and security, building agentic governance, continuous compliance, and real-time trust verification to solve problems that don't have an established answer yet. You're writing it as you go. Real ownership, not just process: Our values center on owning outcomes and raising the bar, not checking boxes. You're expected to have opinions and back them. A seat at the table: Your perspective is unique and valued. Open debate and diverse viewpoints are built into how decisions actually get made here, at every level. Growth at rocketship speed: Drata is scaling fast, which means scope grows fast too. High performers get more ownership, visibility, and experience. A crew, not just coworkers: Dratanauts consistently describe a "come as you are" culture with sharp, curious people—the kind of team that makes hard problems genuinely fun to solve. See what they say here and follow us on LinkedIn for company news, employee stories, and career updates. Job Summary: We are looking for a rockstar Enterprise SDR to join an unmatched team! As a member of the Drata SDR team, you will be a critical component to an innovative fast-paced Sales Team. You will drive strategic outbound prospecting campaigns (email, phone calls, & social media) to identify potential customers that would benefit from Drata’s solution. You will often be the first point

We believe that the way people interact with their finances will drastically improve in the next few years. We’re dedicated to empowering this transformation by building the tools and experiences that thousands of developers use to create their own products. Plaid powers the tools millions of people rely on to live a healthier financial life. We work with thousands of companies like Venmo, SoFi, several of the Fortune 500, and many of the largest banks to make it easy for people to connect their financial accounts to the apps and services they want to use. Plaid’s network covers 12,000 financial institutions across the US, Canada, UK and Europe. Founded in 2013, the company is headquartered in San Francisco with offices in New York, Washington D.C., London and Amsterdam. Our Sales team combines deep product and industry knowledge and is focused on bringing Plaid to an ever-broadening set of businesses. Our thesis is that every company in financial services, and most specifically the Banks themselves, can benefit from better technology and access to data. We’re building a team to work exclusively with the financial institutions throughout North America to help enable their transformation to deliver incredible digital and consumer experiences to their customers, at the scale and quality needed by the largest banks. Your focus will be on selling into a territory of banks and credit unions, running the full sales cycle and building strong, long-lasting relationships to help them execute on their vision. You'll bring Plaid to banks and credit unions, with a focus on banking and wealth workflows like online account opening, consumer lending, asset and income verification, and fraud prevention. Responsibilities: Identify potential customers and run the end-to-end sales process within our Banking and Wealth segment Build and maintain relationships with Financial Institutions, from executives to product teams and developers; be viewed as a subject matter expert Partner with

NVIDIA is seeking elite ASIC Verification Engineers to verify the design and implementation of the world’s leading SoC's and GPU's. This position offers the opportunity to have real impact in a dynamic, technology-focused company impacting product lines ranging from consumer graphics to self-driving cars and the growing field of artificial intelligence. We have crafted a team of extraordinary people stretching around the globe, whose mission is to push the frontiers of what is possible today and define the platform for the future of computing. In this position, you will help to build the high-performance processor elements that implement programmable compute and graphics functionality. What you'll be doing: As a key member of our ASIC Verification team, you will verify the design and implementation of the industry's leading GPUs You will be responsible for verification of the ASIC design, architecture, golden models and micro-architecture using advanced verification methodologies such as UVM Understand the design and implementation of your unit, define the verification scope, develop the verification infrastructure and verify the correctness of the design Collaborate with architects, designers, and pre and post silicon verification teams to accomplish your tasks What we need to see: Bachelors Degree in EE, CS or CE or equivalent experience 2&#43; years of relevant experience Experience in verification using random stimulus along with functional coverage and assertion-based verification methodologies Background with design and verification tools (VCS or equivalent simulation tools, debug tools like Verdi, GDB) Experience crafting test bench environments for unit and system level verification Strong background in System Verilog or similar HVL Expertise with C/C&#43;&#43; programmin