care partner - employee assistance program (sunday-thursday 10:00am-6:30pm est)

financial analyst

Genesis HealthCare System

<div><div>GENESIS HEALTHCARE SYSTEM</div><div><br>
In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an &lsquo;owner&rsquo; of Genesis and keep our patients at the center of everything we do <i>- always.</i></div><div></div><div>
Position Details:</div><div></div><div>
Work Shift:</div>
Day Shift (United States of America)<div></div><div>
Scheduled Weekly Hours:</div>
40<div></div><div>
Department:</div>
Financial Planning and Analysis<div></div><div>
Overview of Position:</div><div></div>
The Financial Analyst provides financial analysis support to Genesis HealthCare System. The incumbent serves as a steward of financial and statistical data and information utilized by key stakeholders for making critical decisions and will interact with various departments, including management at all levels. The Financial Analyst will ensure the accuracy and integrity of reported data and information in accordance with established policies and procedures.<div>
ESSENTIAL DUTIES<br>
1. Works in conjunction with data management team for statistical gathering, reporting and compilation of benchmarking information.<br>
2. Provides support in long range financial planning.<br>
3. Performs financial analysis, modeling, and reporting, related to project/business feasibility.<br>
4. Conducts financial analysis of moderate to high complexity information to assure key stakeholders are provided with actionable, accurate and high integrity financial data.<br>
5. Communicates analytical findings and value added-information to stakeholders at all levels in the organization.<br>
6. Performs variance analysis of budget to actual monthly reports<br>
7. In conjunction with routine reporting incorporates cost accounting analysis to supplement the strategic decision-making process.<br>
8. Assists with quarterly bond disclosure documents.<br>
9. Maintains credit rating documents and all supporting documentation.<br>
10. Prepares, validates and assimilates reported payroll information for productivity tool.<br>
11. Maintains report tracking database and completes recurring and ad hoc reports for all areas.<br>
12. Creates and maintains service line reports for regular distribution.<br>
13. Identifies and implements process improvement strategies to effectively and efficiently produce reports, gather information, and meet organizational needs.<br>
14. Maintains data integrity process to ensure all data received, retrieved, and processed is validated prior to distribution.<br>
15. Prepares annual department operating and capital budget.<br>
16. Analyzes Lean Six Sigma projects throughout process to identify potential cost savings benefit.<br>
17. Provides coaching and assists with training, promoting a team-oriented environment<br>
18. Performs other duties as assigned.</div><div></div><div>
QUALIFICATIONS<br>
1. Bachelor&rsquo;s degree in Business Administration or related field or must obtain with 1 year.<br>
2. Strong statistical skills to pull and organize data needed for financial reporting.<br>
a. Basic knowledge of healthcare reimbursement methodologies will be required if working within the Health Economics &amp; Strategy department.<br>
3. Strong analytical, critical thinking and problem solving skills with ability to read, categorize, comprehend and calculate information.<br>
4. Proficiency in data mining and analysis.<br>
5. Excellent interpersonal and communication skills.<br>
6. Advanced Microsoft Excel, Word, and PowerPoint skills to effective create analysis and presentations.<br>
7. Ability to independently prioritize and focus on multiple tasks concurrently.<br>
8. Must be detail oriented and complete tasks with a high degree of accuracy.</div><div></div><div>
PATIENT CENTERED CARE &amp; BEHAVIORAL EXPECTATIONS<br>
1. Living the Genesis Mission, Vision and Values<br>
<ul><li>Performs work in a manner that is quality focused.</li><li>Treats patients, co-workers, visitors and volunteers with courtesy, compassion, empathy and respect.</li><li>Results oriented and focused on achievement of objectives.</li><li>Acknowledges and responds to the diversity of people and the situation.</li><li>Encourages peers (others) to be owners of change.</li><li>Always makes the effort to anticipate and exceed customer needs and expectations.</li><li>Possesses the ability to engage others with patience and understanding.</li><li>Acts in a manner that creates positive first and lasting impressions.</li><li>Demonstrates the ability to own issues until they are resolved.</li></ul></div><div>
2. Patient Centered Care (patients/families, physicians, co-workers, all other internal/external customers)<br>
<ul><li>Introduces self and role&hellip;connects with everyone.</li><li>Communicates effectively (i.e. advising others of actions, pertinent information, time durations, etc.) and asks for feedback.</li><li>Asks for and anticipates needs and concerns of others.</li><li>Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)</li><li>Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately.</li><li>Responds to requests in an appropriate and timely manner.</li><li>Exits patient/customer encounters courteously, asking if there are additional needs that can be addressed.</li></ul></div><div>
3. Promotes Patient and Employee Safety<br>
<ul><li>Demonstrates safe patient handling (i.e. transfers, transport, care administration, nutrition, medication, etc.).</li><li>Demonstrates safe materials handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.).</li><li>Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment.</li><li>Demonstrates Slips/Trips and Falls Awareness.</li><li>Actively contributes to maintaining a safe, clean and quiet environment.</li></ul></div><div></div><div>
WORKING CONDITIONS/PHYSICAL REQUIREMENTS<br>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div><div>
1. Ability to operate a personal computer for 4 to 8 hours per day and use standard office equipment.<br>
2. Ability to read print of various sizes.<br>
3. Ability to do some light lifting, stooping, and bending.<br>
4. Occasional prolonged standing and walking.</div><div></div><div>
This description reflects in general terms the type and level of work performed. It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.</div><div></div><div>
Thank you for your interest in employment at Genesis. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job.</div></div>

Financial Analyst

DataAnnotation

<div>
 DataAnnotation is committed to creating high-quality AI. We are looking for a Financial Analyst to join our team to help train the next generation of AI while enjoying the flexibility of remote work and the freedom to set your own schedule. This role is designed to fit a variety of lifestyles &mdash; whether you&rsquo;re looking to contribute part-time alongside a current position, pursue it full-time, or engage periodically as a flexible professional opportunity.
 <br/>
 <br/>
 We're currently expanding into an exciting new area &ndash; teaching AI Assistant models to be a more useful tool for finance professionals. We're seeking experienced finance professionals with advanced degrees (MBA+) and professional experience to use their expertise to help shape how AI understands financial principles and decision-making.
 <br/>
 <br/>
 <strong>
  Role
  <br/>
  <br/>
 </strong>
 We&rsquo;re growing a team of finance experts, and as the team grows, so will your opportunities. In this role, you might:
 <br/>
 <br/>
 <ul>
  <li>
   Review and improve AI Assistant answers to questions about macro trends, corporate finance, and capital markets
  </li>
  <li>
   Leverage your education and work experience to check the reasoning and accuracy of an AI Assistant's work
  </li>
  <li>
   Push the models with complex, real-world scenarios and edge cases to see where their reasoning holds up &ndash; and where it doesn&rsquo;t.
  </li>
  <li>
   Share clear, structured feedback to help make each new version of the AI smarter and more reliable.
   <br/>
   <br/>
  </li>
 </ul>
 To succeed in this position, you should have expert-level financial reasoning and formal training in a finance-related discipline. A Master&rsquo;s or PhD (completed or in progress) is strongly preferred. Relevant backgrounds include Financial Accounting, Investment Banking, Corporate Development, Wealth Management, and Insurance Planning.
 <br/>
 <br/>
 <strong>
  Benefits
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   This is a full-time or part-time REMOTE position
  </li>
  <li>
   You&rsquo;ll be able to choose which projects you want to work on
  </li>
  <li>
   You can work on your own schedule
  </li>
  <li>
   Projects are paid hourly starting at USD $50-$60 per hour, with bonuses on high-quality and high-volume work
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Give AI chatbots diverse and complex problems and evaluate their outputs
  </li>
  <li>
   Evaluate the quality produced by AI models for correctness and performance
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Fluency in English (native or bilingual level)
  </li>
  <li>
   Detail-oriented
  </li>
  <li>
   Proficient in financial analysis, financial modeling, data analysis, and other reasoning exercises related to finance management
  </li>
  <li>
   A current, in progress, or completed Masters and/or PhD is is preferred but not required
   <br/>
   <br/>
  </li>
 </ul>
 Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. Only applicants in United States will be considered for this role. This is an independent contract position.
 <br/>
 <br/>
 #finance
</div>


Independence Pet Holdings

<div><div>Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America.</div><div></div><div><br>
We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands.</div><div></div><div>
About Clarus</div><div>
Clarus is a pet health data technology company modernizing how information flows between insurers, veterinarians, and pet owners. We build cloud-native platforms that power automation, real-time decisioning, and trusted data exchange across the pet healthcare ecosystem. Our engineering culture emphasizes strong domain ownership, modern architecture, and tight alignment between Product, Architecture, and Engineering.</div><div></div><div>
The Role</div><div>
We are looking for two Senior Business Analysts who will also serve as Product Owners within our Agile teams. You will act as the bridge between our global business stakeholders and our technical development teams.</div><div>
In this role, you will act as the Subject Matter Expert (SME) for the platform, owning the backlog and defining the requirements for our core data services and integration capabilities.</div><div></div><div>
Key Responsibilities</div><div>
1. Product Ownership &amp; Agile Leadership</div><ul><li><div>
Act as the proxy for the business, translating high-level vision into actionable user stories, epics, and acceptance criteria.</div></li></ul><ul><li><div>
Manage and prioritize the product backlog to ensure the team is always working on the highest-value features.</div></li></ul><ul><li><div>
Proactively use AI-driven tools to accelerate the creation of comprehensive user stories, initial mockups, and test plans, ensuring high velocity without sacrificing quality.</div></li></ul><ul><li><div>
Lead Agile ceremonies including Sprint Planning, Backlog Grooming, and Sprint Reviews.</div></li></ul><div>
2. Data &amp; Platform Analysis</div><ul><li><div>
Define requirements for data ingestion from third-party partners and map them to our internal data standards.</div></li></ul><ul><li><div>
Work with architects to define the attributes of our Unified Data Models, ensuring we capture a comprehensive view of the customer and their needs.</div></li></ul><ul><li><div>
Analyze complex business workflows to identify opportunities for process optimization and service efficiency.</div></li></ul><div>
3. Stakeholder Management</div><ul><li><div>
Collaborate with stakeholders across our global portfolio companies to understand their specific market needs.</div></li></ul><ul><li><div>
Ensure that the platform is built with modularity and scalability in mind, capable of serving multiple tenants and external partners.</div></li></ul><div>
Required Qualifications</div><ul><li><div>
Minimum 7 years of experience as a Business Analyst, Product Owner, or Technical Product Manager.</div></li></ul><ul><li><div>
Deep understanding of Agile/Scrum methodologies. Proven experience writing high-quality user stories using management tools like Jira or Azure DevOps (ADO).</div></li></ul><ul><li><div>
Comfortable using Generative AI tools (e.g., ChatGPT, Copilot) to draft documentation, generate test scenarios, and visualize concepts. You should view AI as a partner in your workflow, not a replacement.</div></li></ul><ul><li><div>
Technical Aptitude: Experience working on backend platforms, API integrations, or data-driven products within cloud environments (Azure preferred).</div></li></ul><ul><li><div>
Data Literacy: You don't need to code, but you must be comfortable discussing data mapping, system logic, and integration flows involving modern data tools (e.g., Azure Data Factory, Databricks, or SQL).</div></li></ul><div>
Preferred Qualifications (Nice to Haves)</div><ul><li><div>
Previous experience in Animal Health, Veterinary Technology, or Insurance.</div></li></ul><ul><li><div>
Familiarity with veterinary practice management software or insurance policy administration systems.</div></li></ul><ul><li><div>
Understanding of data privacy, compliance, or financial transaction workflows.</div></li></ul><div>
Why Join Us?</div><ul><li><div>
We are building the foundational technology that powers the future of pet health services.</div></li></ul><ul><li><div>
Opportunity to shape the future of pet health technology in a fast-growing and capitalized startup.</div></li></ul><ul><li><div>
Collaborative and innovative work environment.</div></li></ul><ul><li><div>
Competitive salary and benefits package.</div></li></ul><ul><li><div>
Flexible remote-first environment with regular opportunities for in-person collaboration.</div></li></ul><div></div><div>
#clarus</div><div></div><div>
All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following:</div><ul><li>
Comprehensive full medical, dental and vision Insurance</li><li>
Basic Life Insurance at no cost to the employee</li><li>
Company paid short-term and long-term disability</li><li>
12 weeks of 100% paid Parental Leave</li><li>
Health Savings Account (HSA)</li><li>
Flexible Spending Accounts (FSA)</li><li>
Retirement savings plan</li><li>
Personal Paid Time Off</li><li>
Paid holidays and company-wide Wellness Day off</li><li>
Paid time off to volunteer at nonprofit organizations</li><li>
Pet friendly office environment</li><li>
Commuter Benefits</li><li>
Group Pet Insurance</li><li>
On the job training and skills development</li><li>
Employee Assistance Program (EAP)</li></ul></div>

Technical Business Systems Analyst - Senior

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;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 &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Position Summary</b></p><p>
CVS Health is seeking an Operations Analytical Senior Analyst (Individual Contributor) to join our team. This role reports to the Senior Manager of Analytical Insights and is open to fully remote candidates across the U.S.</p><p>
The position plays a key role in analyzing case volumes, call volumes, staff productivity, and resource planning&mdash;critical elements for driving operational efficiency and supporting our business partners and members.</p><p>
As an internal analytics expert, you will provide insights for Clinical Operations (ClinOps) and support MTM and SQM business functions. The role involves working with tools such as SSIS, SSRS, Teradata, Alteryx, Dataiku, Tableau, and other analytical platforms. You will serve as the technical subject matter expert for automating data reporting from multiple sources, including Novologix, CAS, MedHok, MTM, SQM, phone systems, and Verint.</p><p>
Key responsibilities include:</p><ul><li>
Automating manual data processes.</li><li>
Migrating applications to modern technologies.</li><li>
Preparing data for Tableau dashboards that deliver prior authorization insights and exception reporting.</li></ul><p>
You will collaborate with operations teams to understand business needs and develop logic and metrics for Tableau KPIs, ensuring accurate and actionable reporting.</p><p><b><br>
Required Qualifications</b></p><ul><li><b>
2+ years of experience</b> in data analytics, reporting, and database development.</li><li>
Strong knowledge of <b>database technologies</b> including PL/SQL, T-SQL, stored procedures, query optimization, and performance tuning.</li><li>
Hands-on experience creating <b>SQL queries, packages, functions, and views</b> for ad-hoc and recurring reports.</li><li>
Proficiency in <b>Microsoft SQL Server</b> development, troubleshooting, and optimization.</li><li>
Advanced skills in <b>ETL and reporting tools</b> such as SSIS, SSRS, Alteryx; exposure to <b>Dataiku</b> is a plus.</li><li>
Working knowledge of <b>multiple RDBMS platforms</b> (Oracle, Teradata) and complex SQL report development.</li><li>
Experience with <b>Python</b> for data processing and automation.</li><li>
Familiarity with <b>cloud platforms</b>, preferably <b>Google Cloud Platform (GCP)</b>, including SQL Server on GCP.</li><li>
Understanding of <b>database design principles</b>, logical and physical data models.</li><li>
Ability to translate <b>business requirements into technical specifications</b>.</li><li>
Experience in <b>application development, maintenance, and support</b>, ideally in retail or healthcare domains.</li><li>
Knowledge of <b>Software Development Life Cycle (SDLC)</b> and documentation best practices.</li><li>
Strong <b>problem-solving and analytical skills</b> with the ability to assess business impacts and prioritize tasks.</li><li>
Excellent <b>communication and collaboration skills</b>; ability to work independently and in a team environment.</li><li>
Agile mindset with a focus on delivering incremental value and incorporating feedback quickly.</li><li>
Ability to learn new domains and data sources rapidly.</li></ul><p><b><br>
Preferred Qualifications</b></p><ul><li>
Experience with <b>GCP/BigQuery</b>.</li><li>
Exposure to <b>front-end development</b> (e.g., .NET/Python) is a plus.</li><li>
Ability to enforce best practices.</li><li>
Prior experience in <b>PBM services, insurance, or healthcare</b>.</li><li>
Strong presentation skills and experience engaging with business stakeholders.</li><li>
Bachelors Degree</li></ul><p><b><br>
Education</b><br>
High School Diploma or GED</p><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$46,988.00 - $122,400.00<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 03/12/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Data Strategy Analyst - Python - Work From Home

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;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 &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Position Summary</b></p><p><i>
Hiring preference for candidates able to work east coast hours.</i></p><p></p><p>
To review all content of an RFP with questionnaire submission prior to final submission for accuracy.<br>
<br>
<b>Required Qualifications</b><br>
3-5 years RFP writer experience</p><p>
3-5 years Insurance industry experience</p><p></p><p><b>
Preferred Qualifications</b><br>
3-5 years of Meritain Health experience</p><p><b><br>
Education</b><br>
Bachelor's Degree in English, Education, Journalism and/or relevant work experience</p><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$54,300.00 - $159,120.00<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 03/15/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Manager Proposal Management

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;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 &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Position Summary</b><br>
Responsible for managing to resolution complaint/appeal scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to complaints/appeals. Identify trends and emerging issues and report and recommend solutions.<br>
<br>
<b>Required Qualifications</b></p><ul><li><p>
1 plus years knowledge of plan documents, claims research, letter writing.</p></li><li><p>
1 plus years working with appeals, claims, or compliance. (and/ or)</p></li><li><p>
1 plus years experience working with documenting and interpreting Health Insurance plans.</p></li><li><p>
Understand excel and word.</p></li><li><p>
Able to interpret benefits.</p></li><li><p>
Healthcare experience.</p></li></ul><p><b><br>
Preferred Qualifications</b></p><ul><li><p>
3 plus years of prior claim or health insurance experience.</p></li><li><p>
Familiarity with medical terminology, self funding or ERISA requirements.</p></li></ul><p><b><br>
Education</b></p><ul><li><p>
Associate Degree or High School Diploma/GED and equivalent experience.</p></li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$18.50 - $42.35<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 03/06/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Senior Appeals Examiner

Humana

<div><h1 class="jobSectionHeader"><b>Become a part of our caring community and help us put health first</b><br>
</h1>
The Provider Contracting Executive initiates and negotiates physician, hospital, and other provider contracts and agreements. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.<p></p><p>
The Provider Contracting Executive communicates contract terms, payment structures, and reimbursement rates to providers. Analyze financial impact of contracts and terms. Maintain contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Advise executives to develop functional strategies (often segment specific) on matters of significance. Exercise independent judgement on complex issues regarding job responsibilities and related tasks, and work under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.</p><h1 class="jobSectionHeader"><b><br>
Use your skills to make an impact</b><br>
<b>
</b></h1><p><b>Required Qualifications</b></p><ul><li>
5 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company</li><li>
2 or more years of project leadership experience</li><li>
Provider contracting skills, including contract preparation, negotiation, implementation, financial analysis and rate proposal development</li><li>
Experience presenting to varied audiences</li><li>
Must live within the region (KY, OH, WV, IN)</li></ul><p></p><p><b>
Preferred Qualifications</b></p><ul><li>
Bachelor's degree</li><li>
Experience with ACO/Risk Contracting</li><li>
Experience with Value Based Contracting</li></ul><p></p><p><b>
Additional Information</b></p><p>
This role is &quot;remote/work at home&quot;, however, you must live within the region to be considered for this opportunity. (KY, OH, WV, IN)</p><p></p><p><b>
Work at Home Information</b></p><p>
To ensure Home or Hybrid Home/Office employees&rsquo; ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:</p><ul><li>
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.</li><li>
Satellite, cellular and microwave connection can be used only if approved by leadership.</li><li>
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</li><li>
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.</li></ul><p></p>
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.<p></p><p><b>
Scheduled Weekly Hours</b></p><p></p>
40<p></p><p><b>
Pay Range</b></p>
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.<br>
<p></p>
$94,900 - $130,500 per year<br>
<p></p>
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.<p></p><p><b>
Description of Benefits</b></p>
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<p></p><h1 class="jobSectionHeader"><b><br>
About us</b><br>
</h1>
Humana Inc. (NYSE: HUM) is committed to putting health first &ndash; for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.<p></p><p><br>
<br>
<b>Equal Opportunity Employer</b></p><p></p><p>
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</p></div>

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