Senior Compliance Professional in United States

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

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. Join Micron as a Senior Manager, Logistics Security Program, where you will have the outstanding opportunity to lead a world-class global security initiative! This role is critical in ensuring the flawless implementation of our logistics security strategy, encouraging collaboration with key partners, and advancing our program to new heights. Responsibilities: Direct Micron’s worldwide logistics security initiative for valuable shipments, establishing strategy, governance, standards, controls, and performance expectations throughout the transportation network. Lead and expand a distributed team of logistics security experts while promoting uniform performance across Asia Pacific, the Americas, Europe, and other priority regions. Maintain a risk-based shipment security framework that assesses lane, geography, modality, theft history, business impact, recovery capability, and other key risk factors. Establish and enforce logistics provider security requirements, including cargo tracking, route compliance, geofencing, chain of custody, tamper detection, monitoring, blocking issue, and recovery protocols. Partner multi-functionally with Procurement, Logistics, Global Security, Legal, Risk, Finance, and business collaborators to integrate security requirements into contracts, procedures, governance, and scorecards. Coordinate logistics security vendors and providers, including selection, performance management, service levels, monitoring operations, recovery capabilities, and corrective ac

Join a pioneering team at the forefront of financial technology innovation. We are building a cutting-edge, agentic AI platform designed to revolutionize the end-to-end credit risk model development lifecycle. By leveraging the power of Large Language Models (LLMs) and intelligent workflows, we aim to augment our quantitative modelers, dramatically increasing their productivity, enhancing model governance, and accelerating the delivery of critical risk models. We are seeking a senior, hands-on technology leader to drive this transformation. In this role, you will partner directly with quantitative analysts and key stakeholders to shape the most impactful use cases and then lead a team of talented developers to design, build, and deploy the generative AI platform that brings this vision to life. Key Responsibilities Strategic Vision & Stakeholder Partnership: Collaborate closely with quantitative model developers, Model Risk Management (MRM), and business leaders to deeply understand their pain points and translate them into a technical vision and product roadmap. Identify, scope, and prioritize use cases for the agentic workflow platform, ensuring they deliver measurable value and align with strategic objectives. Serve as the primary technical liaison between the engineering team and its users, ensuring a tight feedback loop and continuous alignment. Platform Design & Hands-On Development: Lead the architectural design of a scalable, robust, and secure agentic AI platform, including core components for orchestration, knowledge retrieval (e.g. RAG), and tool integration. Engage in hands-on software development to build foundational components, create proofs-of-concept, and tackle the most complex technical challenges. Design and implement secure integrations with internal data sources, external APIs, and various LLMs, ensuring compliance

At Qualia, we've built the leading B2B real estate technology that transforms the home buying and selling experience into a simple, secure, and enjoyable process. Our SMB and Enterprise products bring together users from across the real estate ecosystem—homebuyers and sellers, lenders, title and escrow agents, and real estate agents—onto a single shared digital closing platform, providing greater clarity and transparency to real estate transactions. Today, through our business customers across the country, millions of consumers use Qualia to close on homes every year. WHAT YOU'LL WORK ON Within Qualia, you'll join the Payments team. Every real estate closing ends with money changing hands: earnest money deposits, loan funding, mortgage payoffs, seller proceeds, and commissions. Qualia powers a substantial portion of U.S. residential home sales every year, totaling billions of dollars in transaction volume. The Payments team builds the systems that move those funds safely, accurately, and on time. The stakes are high. A single closing often moves hundreds of thousands of dollars between multiple parties on a tight deadline, and real estate wires are a prime target for fraud. Our mission is to make money movement the most trustworthy part of the closing, so title and escrow teams, and the homebuyers they serve, never have to wonder where their funds are. HOW WE WORK Our engineers are entrepreneurial, pragmatic builders who move quickly without cutting corners, and who are as comfortable owning a project end to end as they are collaborating with a team. We ship frequently, as often as multiple times a day, and work directly with design, compliance, and customer-facing teams to build payment experiences our customers depend on. RESPONSIBILITIES Design, build, and maintain systems that process ACH and wire transfers at scale (billions of dollars annually), including origination, settlement, reconciliation, and exception handling Build and harden payment-processing pipeli

Job Details: Job Description: Do Something Wonderful At Intel, we put silicon at the center of the world’s most meaningful innovations. From personal computing and AI to cloud-scale data centers and edge platforms, our processors power technologies that touch billions of lives. If you’re passionate about building world-class silicon at massive scale, we want to build the future with you. The Team You’ll join Intel’s All Cores Engineering (ACE) organization, the team responsible for designing and delivering Intel’s industry‑leading CPU cores. Within ACE, the Atom group focuses on high‑efficiency, performance‑per‑watt optimized cores that enable everything from client platforms to emerging edge and scalable solutions. This is a hands‑on senior engineering role with direct impact on next‑generation CPU silicon. What You’ll Do As a Senior CPU Design Verification Engineer you will play a critical role in ensuring architectural correctness, functional robustness, and power‑efficient performance of Intel’s Atom CPU designs before first silicon. Key responsibilities include but not limited to the following: Lead pre‑silicon functional verification of complex CPU and SoC logic to ensure full compliance with architectural and microarchitectural specifications. Develop and execute verification plans, testbenches, and SystemVerilog/UVM environments, ensuring comprehensive functional and coverage closure. Define, run, and analyze system‑level simulations to uncover functional, performance, power, and corner‑case issues. Debug and root‑cause complex RTL, microarchitecture, and integration issues; drive issues to resolution with design teams. Collaborate cross‑functionally with CPU architects, RTL de

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

The Senior Executive Assistant provides support to another individual or group of individuals by handling correspondence, managing calendars and appointments, arranging conferences and conference calls, making travel arrangements and providing other administrative tasks. Responsibilities: Directly supports a C16 level manager and generally supports an entire department Manages day to day calendar(s) of senior management Coordinates all aspects of executive level manager appointments, meetings, receptions and conference calls May prepare and review materials and correspondence for meetings Assist with creation/modification of presentations, spreadsheets, and other various documents Coordinates travel arrangements; prepare and distribute schedules/agendas for travel Prepares, reconciles, and tracks expense reports through Travel and Entertainment Expense system Orders supplies and process invoices through Procure to Pay system Process and follow-up on Virtual Requests Assists in ad-hoc reports special projects as needed Trains, coaches or guides other administrative staff when required Appropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues with transparency. Qualifications: Previous office administration experience preferably within a large and complex financial services or similar organization Highly proficient in Microsoft Office Consistently demonstrates clear and concise written and verbal communication skills Demonstra

Work Flexibility: Hybrid or Onsite Stryker is hiring a Senior Quality Engineer to join our Neurovascular division. This is a hybrid r ole based in Fremont, CA or Salt Lake City, UT . As the Senior Design Quality Engineer , you will be actively involved in Product Risk Management, Post Market Surveillance, Design Control and Product Quality Improvement. You will be involved in a fast-paced mix of short design change efforts and will be responsible for product risk management and adherence to design control requirements throughout the product lifecycle. You will be responsible for ensuring that post market data and feedback is channeled into the risk management system throughout the product lifecycle. You will make regular use of problem-solving tools and statistical analysis to analyze and trend data and provide quality input into technical investigations, perform test method development and validation, design verification, risk assessment and design reviews. You will be responsible for supporting product testing and failure analysis, writing protocols and reports, creating and maintaining risk files and assessing the impact of necessary changes to our products. You will lead initiatives to increase sales and improve the customer experience of our devices. Neurovascular (NV) products push the boundaries of technology to meet ever increasing product performance requirements, making the goal of assessing and demonstrating, safety, performance and compliance an exciting challenge. What You Will Do Develop qualification plans, protocols, and reports for new products, existing products, components, and subassemblies. Execute product testing, inspection, verification, and validation activities to support design and quality objectives. Perform failure investigations and root cause anal

Job Details: Job Description: The Role and Impact Join Intel's Design Technology Platform (DTP) organization and become an integral part of a highly skilled team driving the development of cutting-edge technologies. As an EDA Tools Software Engineer, you will design, develop, test, and debug software tools and methodologies that directly support Intel's hardware product design and manufacturing processes. Your work will enable design teams to innovate faster, meet complex manufacturability constraints, and deliver industry-leading products to market. By contributing to Intel's advanced process technologies, you will play a pivotal role in achieving leadership in design automation and fostering a culture of innovation. Key Responsibilities Design, develop, and debug Fill components of Process Design Kits (PDKs), Provide algorithmic solutions using tools such as Calibre, ICV, and Pegasus to address density deficiencies and ensure manufacturability compliance. Collaborate with process developers, design rule owners, and end users to define requirements and implement state-of-the-art solutions. Automate workflows to enhance efficiency, accuracy, and deployment across design teams. Develop comprehensive test cases and systems to validate software tools and ensure seamless integration with various design methodologies. Innovate and drive advancements in EDA tools and methodologies to meet the evolving needs of Intel's technology ecosystem. Partner with cross-functional teams and external EDA vendors to define and implement new tool features and methodologies. Maintain documentation, including training materials and user guides, to support customers and ensure robust deployment.

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 At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them. As a Senior Manager Medicare Product, Vendor Management Contract Lead you will play a critical role contracting, negotiations, oversight of vendors and assisting in achieving CVS goals, work strategically together, and remain as adaptable as possible in an ever-changing environment. This role's scope of responsibility includes overseeing the following in relation to Medicare Product vendor management: Finance, Contracts, Invoicing, Negotiations, Provisioning, Aetna Medicare Supplemental & Duals benefits, Vendor relationship management, Compliance oversight, Auditing, and projects as assigned. The Senior Manager, Vendor Management Contract Lead is a high impact role. You will lead advance contract and negotiation skills, work with other partner to identify root cause, address, and resolve vendor issues, manage vendors to the contract SLAs, performance guarantees and provide insight into complex vendor problems. Responsibilities include: Work assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-dep

NVIDIA has been transforming computer graphics, PC gaming, and accelerated computing for more than 25 years. It’s a unique legacy of innovation that’s fueled by great technology—and amazing people. Today, we’re tapping into the unlimited potential of AI to define the next era of computing. An era in which our GPU acts as the brains of computers, robots, and self-driving cars that can understand the world. Doing what’s never been done before takes vision, innovation, and the world’s best talent. As a NVIDIAN, you’ll be immersed in a diverse, supportive environment where everyone is inspired to do their best work. Come join the team and see how you can make a lasting impact on the world. Silicon Co-Design Group (SCG) is a wide-ranging, multi-functional, integral team at NVIDIA. We sit at the crossroads of design, architecture, marketing, operations, and productization. Our contributions span from the arch stage and extend to defining final products. We architect innovative solutions for Datacenter, Server, Gaming, Robotics, Automotive, and Embedded markets. We are fast-paced, dynamic, share a sense of humor, and collaborate extensively to push the boundaries of what is possible. We do all of this with an eye on making groundbreaking, impactful market disruptions! We are seeking an experienced Senior Manager to lead Product Co-Design and Verification in areas of Speed, Reliability and Power Compliance. You will oversee speed/timing/reliability system design, Simulation-to-Silicon power/speed verification, features for product compliance and test chip development crating future product roadmaps. The ideal candidate will have deep technical expertise in semiconductor/VLSI design and a background in translating product requirements into design and vice versa. This is a highly visible, multi-functional role to produce outstanding products that ship at SOL and meet the high NVIDIA quality we demand and customers expect. <p

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 Analyst, Finance Business Partner Overview: Mastercard's Technology (TECH) Business Unit operates the company's integrated global payments processing network. TECH uses its expertise to make payments safe, simple, and smart. The TECH Finance team provides financial guidance, analysis, planning, and governance support that enables business leaders to make informed decisions while ensuring compliance with financial reporting requirements. As part of the Software Capitalization team, this role offers a unique opportunity to support Mastercard's internally developed software portfolio and manage the end-to-end software capitalization lifecycle. This includes partnering with stakeholders across Technology, Finance, and Controllership to evaluate technology initiatives, support capitalization decisions, and ensure compliance with Mastercard policy and applicable accounting guidance, including ASC 350-40. The team is also responsible for forecasting and budgeting capitalization-related costs, analyzing actual results against plan, identifying financial risks and opportunities, and providing insights to leadership. Success in this role requires strong analytical skills, collaboration across diverse teams, and the ability to understand both financial concepts and evolving technology initiatives. This role is design

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. Team Overview Plaid's TechOps team is the technical foundation that is a major stakeholder in keeping the company running. We own the systems, tools, and infrastructure that every Plaid employee depends on from identity and endpoint management to help desk support, office infrastructure, and the internal tooling that powers day-to-day productivity. What sets us apart from a traditional IT team is how we approach the higher level goals we have to improve our systems and tooling over time. We treat corporate infrastructure like an engineering problem: configuration lives in code when possible, endpoint provisioning is automated, access assignment is self-service, and we're always looking for ways to make our systems more reliable and our support burden smaller. We've built real momentum in that direction, and we're investing in the people and tools to take it further. We're a small team with broad ownership and high standards. We work closely with Security, Engineering, and People teams to make sure Plaid's internal environment is secure, scalable, and ready for where the company is going whether that's a new office, a new compliance requirement, or a new way of working enabled by A

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 As a Senior Construction Project Manager you are responsible for successfully managing your assigned Programs/Initiatives to a defined scope, schedule and budget. Senior Construction Project Managers collaborate directly with the Program Sponsor to define scope, develop project plans and create budgets. You will lead the coordination of day-to-day sponsor/stakeholder communications. In this role your key growth opportunities will include: refining your skills in project management and stakeholder relationship management; following best practices in preparing project plans, budgets, and schedules; issue resolution and negotiation skills; exposure to project requirements across multiple business units, including Category Management, Store Layout, Finance and Scheduling partners, Architecture & Engineering, Procurement, Legal, Merchandising & Construction filed teams; managing and growing relationships with multiple internal business units and third-party vendors. Oversee construction projects for healthcare facilities, including new construction, renovations, expansions, and infrastructure upgrades. Manage the administration of healthcare properties owned or leased by the organization by coordinating lease agreements, property maintenance, repairs, and strict compliance with applicable r