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<h3>Job Description</h3>
Job Description
Type: Full Time
Location: Washington, DC
Overtime Exempt: Yes
Reports To: ARMADA HQ
Security Clearance Required: Active Top Secret
****************** CONTINGENT UPON AWARD ***********************
Duties &amp; Responsibilities:
<ul>
<li>The Security Specialist II / Case Management shall provide case management support to established PERSEC programs.</li>
<li>The Security Specialist II / Case Management Support the execution and maintenance of the day-to-day NGA PERSEC programs though case management initiatives.</li>
<li>The Security Specialist II / Case Management shall provide agency level technical expertise concerning the personnel security disciplines and standard operating procedures in support of case management initiatives.</li>
<li>Prepare, support and administer PERSEC program briefings, as needed.</li>
<li>Prepare, write, and present reports/whitepapers, various forms of correspondence, as required.</li>
<li>Research, prepare and maintain security procedures/guidance in support of case management.</li>
<li>Brief SISP leadership and other NGA KC's regarding the program requirements and regulations in support of case management initiatives.</li>
<li>Appropriately and accurately maintain and update databases and files e.g., PeopleSoft security system of records, SISP SharePoint Pages, internal SISP file folders, etc.) with data entry in a timely manner/real time related to case management initiatives, as needed.</li>
<li>Respond in a timely manner to all telephone and/or email actions, questions, or status inquiries.</li>
<li>Assist in maintaining distribution lists for customers to contact PERSEC for case management initiatives, as needed/required.</li>
<li>Bring case management initiatives issues to the attention of the government Team Leads.</li>
<li>Assist the government PERSEC team to help in developing recommendations for improvement.</li>
<li>Provide service excellence in guidance and resolution to internal and external customers' questions and inquiries in a timely manner for support to their programs.</li>
<li>Utilizes a variety of security concepts, principles and practices to analyze and recommend solutions for difficult and complex security issues.</li>
<li>Document and provide Weekly Activity Report (WAR) actions in the SISP designated template and timeline to the Government Lead.</li>
<li>Monitor all case progress to ensure cases are completed within IRTPA/DNI mandates.</li>
<li>Manage assignment, tracking, reporting and prioritization of cases as specified by the Government.</li>
<li>Accurately create the DNI Quarterly Metrics reports and deliver for review at least three business days prior to the external suspense.</li>
<li>Prepare the SISP monthly metrics slides with all required information and deliver to SISP leadership by the seventh business day of the month.</li>
<li>Elevate to the SISP leadership issues and proposed solutions to bottlenecks precluding achievement of metrics.</li>
<li>Maintain all tracking reports and status reports in PERSEC Drive shared files, with the latest revision in the external folder, and historical records maintained in an archive folder.</li>
<li>Maintain metrics slides and reports in the PERSEC shared files on COE and SBU, as appropriate based on classification level.</li>
<li>Ensure all case data entry is current and accurate in the PeopleSoft Investigations and Adjudication Modules.</li>
<li>Inspect and document that all folders are clearly marked and easily searchable; using the document mapping criteria provided by the Investigations and Adjudications Branch Chiefs.</li>
<li>Receive and process Electronic Deliveries (eDels) from NGA Investigation Service Provider to respective SISP Branches.</li>
<li>Process and maintain all NGA personnel electronic fingerprinting in accordance with SISP policy and procedures and RapBack enrollment/maintenance guidelines.</li>
<li>Coordinate to obtain ink fingerprinting if electronic capturing is unavailable.</li>
<li>Process Other Government Agency File Procurement Request for National Agency Checks (NAC).</li>
<li>Other duties as assigned.</li>
</ul>
Knowledge, Skills, and Abilities (KSAs):
Required:
<ul>
<li>Attention to detail when applying personnel security case management methodologies</li>
<li>Significant experience with Microsoft Suite</li>
<li>Demonstrated experience in clear and concise writing skills</li>
<li>Excellent organizational skills to ensure meeting required timelines and Federal Investigative Standards quality standards.</li>
</ul>
Minimum/General Experience &amp; Education:
<ul>
<li>Bachelor's degree or equivalent experience in a related field to personnel security</li>
<li>General knowledge of/experience in personnel security (3-6 years) in the DOD/IC</li>
</ul>
Disclaimer:
The above information has been designed to indicate the general nature and level of work to be performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of the contractor assigned to this position. 
Applying: If you feel you have the knowledge, skills and abilities for this position visit our careers page at <a href="http://www.armadausa.com" target="_blank">www.armadausa.com</a>. 
Special Notes: Relocation is not available for these jobs. 
ARMADA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. ARMADA complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
 
Must be able to successfully pass a background check, and pre-employment drug testing. Job offers are contingent upon results of background check and drug testing.

Security Specialist II - Case Management

<h3>Job Description</h3>
Job Description
Type: Full Time
Location: Washington, DC
Overtime Exempt: Yes
Reports To: ARMADA HQ
Security Clearance Required: Active Top Secret
******************* CONTINGENT UPON AWARD ***************
Duties &amp; Responsibilities:
<ul>
<li>The Security Specialist III / Case Management shall be responsible for managing the Level 2 Security Specialists.</li>
<li>The Security Specialist III / Case Management shall provide case management support to established PERSEC program.</li>
<li>The Security Specialist III / Case Management shall ensure case management team members provide timely security support to Personnel Security's internal and external tasking's, projects, and programs.</li>
<li>Support the execution and maintenance of the day-to-day NGA PERSEC programs though case management initiatives.</li>
<li>Provide agency level technical expertise concerning the personnel security disciplines and standard operating procedures in support of case management.</li>
<li>Responsible for training case management contractor staff, as needed.</li>
<li>The Security Specialist III / Case Management shall prepare, support and administer PERSEC case management program briefings, as needed.</li>
<li>Prepare, write, and present reports, various forms of correspondence, as required.</li>
<li>The Security Specialist III / Case Management shall research, prepare and maintain security procedures/guidance in support of case management</li>
<li>The Security Specialist III / Case Management shall brief SISP leadership and other NGA KC's, as required, regarding the program requirements and regulations in support of case management.</li>
<li>Appropriately and accurately maintain and update databases and files (e.g., PeopleSoft security system of records, SISP SharePoint Pages, internal SISP file folders, etc.) with data entry in a timely manner/real time related to case management, as needed.</li>
<li>The Security Specialist III / Case Management shall respond in a timely manner to all telephone and/or email actions, questions, or status inquiries.</li>
<li>Assist in maintaining distribution lists for customers to contact PERSEC for case management, as needed/required.</li>
<li>Bring case management issues to the attention of the government Team Leads.</li>
<li>The Security Specialist III / Case Management shall assist the government PERSEC team to help in developing recommendations for case management improvement.</li>
<li>Provide innovative process improvement solutions to improve NGA PERSEC case management system and reportability to DNI utilizing process improvement techniques and methods.</li>
<li>The Security Specialist III / Case Management shall document and provide Weekly Activity Report (WAR) actions in the SISP designated template and timeline to the Government Lead.</li>
<li>Monitor all case progress to ensure cases are completed within IRTPA mandates.</li>
<li>Manage assignment, tracking, reporting and prioritization of cases as specified by the Government.</li>
<li>The Security Specialist III / Case Management shall accurately create the DNI Quarterly Metrics reports and deliver for review at least three business days prior to the external suspense.</li>
<li>Prepare the SISP monthly metrics slides with all required information and deliver to SISP leadership by the seventh business day of the month.</li>
<li>The Security Specialist III / Case Management shall elevate to the SISP leadership issues and proposed solutions to bottlenecks precluding achievement of metrics and pull metrics reports as requested by government PERSEC teams.</li>
<li>Maintain all tracking reports and status reports in PERSEC Drive shared files, with the latest revision in the external folder, and historical records maintained in an archive folder.</li>
<li>The Security Specialist III / Case Management shall maintain metrics slides and reports in the PERSEC shared files on COE and SBU, as appropriate based on classification level.</li>
<li>Ensure all case data entry is current and accurate in the PeopleSoft Investigations and Adjudication Modules.</li>
<li>The Security Specialist III / Case Management shall inspect and document that all folders are clearly marked and easily searchable; using the document mapping criteria provided by the Investigations and Adjudications Branch Chiefs.</li>
<li>Other duties as assigned.</li>
</ul>
Knowledge, Skills, and Abilities (KSAs):
Required:
<ul>
<li>Significant experience with Microsoft Suite</li>
<li>Attention to detail when applying personnel security case management methodologies</li>
<li>Demonstrated experience in clear and concise writing skills</li>
<li>Excellent organizational skills to ensure meeting required timelines and Federal Investigative Standards quality standards.</li>
</ul>
Minimum/General Experience&amp; Education :
<ul>
<li>Bachelor's degree or equivalent experience in a related field to personnel security</li>
<li>Significant experience in personnel security (7-10 years) in the DOD/IC</li>
</ul>
Disclaimer:
The above information has been designed to indicate the general nature and level of work to be performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of the contractor assigned to this position. 
Applying: If you feel you have the knowledge, skills and abilities for this position visit our careers page at <a href="http://www.armadausa.com" target="_blank">www.armadausa.com</a>. 
Special Notes: Relocation is not available for these jobs. 
ARMADA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. ARMADA complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
 
Must be able to successfully pass a background check, and pre-employment drug testing. Job offers are contingent upon results of background check and drug testing.

Security Specialist III - Case Management

<h3>Job Description</h3>
Job DescriptionCompany Description 
Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to realize their financial goals and help them save time and money.
We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more industry segments.
We invest in people and new advanced technologies to unlock the power of data. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 22,500 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com.
Job Description 
Overview
The Lead Data Management Specialist will support all processes within the Data Management department as a Subject Matter Expert. You will be the primary contact for team members and Data Furnishers, and will support operational processes related data furnished to Experian. You will also help implement several data integrity initiatives by monitoring and analyzing consumer data and participating in project work associated with those programs. You will report into the Sr. Manager of Data Process Management.
Responsibilities
<ul>
<li>Manage operational processes including file receipt, ingestion, and data validation to ensure data integrity.</li>
<li>Provide technical subject matter expertise to the data management team and other groups within Experian.</li>
<li>Field support calls directly from data furnishers and other internal personnel.</li>
<li>Lead several data integrity monitoring programs.</li>
<li>Develop plans for project implementations.</li>
<li>Analyze trends, patterns, and inconsistencies in data and draw logical conclusions for improvement.</li>
<li>Lead conversations, internally and externally, addressing areas of opportunities as observed in data or process.</li>
<li>Engage with data furnishers, both written and verbally, while validating submitted data or completing project work.</li>
<li>Master industry regulations, standards, and business rules to include data validation and accuracy checks.</li>
</ul>
Qualifications 
Qualifications
<ul>
<li>2+ years of experience in client support</li>
<li>Basic agile project management experience in a SCRUM environment</li>
<li>Effective communication skills in both written and oral/presentations</li>
<li>Credit bureau data and financial industry knowledge</li>
<li>Comfortable taking initiative, and eager to take on challenging projects</li>
<li>Strong analytical skills</li>
<li>#LI-Remote</li>
</ul>
 Additional Information 
Benefits/Perks:
<ul>
<li>Great compensation package and bonus plan</li>
<li>Core benefits including medical, dental, vision, and matching 401K</li>
<li>Flexible work environment, ability to work remote, hybrid or in-office</li>
<li>Flexible time off including volunteer time off, vacation, sick and 12-paid holidays</li>
<li>Explore all our exciting benefits here: <a href="https://yourexperianbenefits.com/cand-index.html" target="_blank">https://yourexperianbenefits.com/cand-index.html</a></li>
</ul>
Our uniqueness is that we celebrate yours. Experian's culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI, work/life balance, development, authenticity, collaboration, wellness, reward &amp; recognition, volunteering... the list goes on. Experian's people first approach is award-winning; World's Best Workplaces™ 2024 (Fortune Top 25), Great Place To Work™ in 24 countries, and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site to understand why.
Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is an important part of Experian's DNA and practices, and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work, irrespective of their gender, ethnicity, religion, colour, sexuality, physical ability or age. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.

Lead Data Management Specialist, Remote

<h3>Job Description</h3>
Job Description
CGH Technologies, Inc. (CGH) is a business solutions firm, specializing in Data Management, Software Engineering, and Business Intelligence solutions. Located within the Washington corridor, CGH has worked successfully with Government, Commercial and International sectors, providing management consulting, software development and facilities/infrastructure design, maintenance and program management support of large, complex operational environments and facilities security maintenance. CGH has an exciting opportunity for a Sr. ATM Specialist to join the CGH Team.
 
Purpose:
Support process analysis to describe and create defined business, IT, facilities and operations controls and processes associated with the Joint Air Traffic Operations Command (JATOC) and JATOC areas.
 
Responsibilities:
<ul>
<li>Air Traffic Operations Assist Support:</li>
<li>Provide on-site, and virtual, support for FAA System Operations, Terminal, Safety, and Technical Operations personnel working the Air Traffic Organization (ATO) Watch Officer (AWO) position by providing assistance, coaching and tools necessary for AWO duties.</li>
<li>Schedule and facilitate collaborative messaging meetings with FAA Senior Technical Operations Watch Officers (STOWO) and the JATOC General Manager.</li>
<li>Update and maintain multiple AWO email lists, adding new recipients to the lists as requested by FAA leadership.</li>
<li>Update and maintain an integrated schedule for team members who are conducting AWO, Air Traffic (AJT) Specialist, and AWO Assistant duties.</li>
<li>Develop and publish new Read and Initial articles and memorandums regarding FAA senior leadership's direction as it relates to AWO duties and messaging. </li>
<li>Review the AWO Significant Event Emergency Notification System (ENS) checklists and make adjustments to scripts based on user inputs and direct observations. Update the ENS notification list with agency personnel changes as required.</li>
<li>Audit and update the Read and Initial Binder at the ATO Watch Officer desk.</li>
<li>Continuous updates to the JATOC Outlook Briefing distributed to Executive Leadership. </li>
<li>Provide comprehensive Quality Control audits of ATO Watch Officer messages to Executive Leadership. Publish the results of these audits weekly and monthly as directed by the JATOC GM.</li>
<li>Continuously update and maintain the JATOC AWO Incident Monitor Dashboard, including Daily Operational Items, JATOC Personnel list and Events list.</li>
<li>Operational Review and Improvement Support:</li>
<li>Attend the JATOC Element Manager's meeting with the JATOC GM when requested. </li>
<li>Attend the bi-weekly JATOC General Manager and Support Team Specialist's meetings. </li>
<li>Support the JATOC General Manager in meetings regarding the implementation of the FAA SkyWatch program. </li>
<li>Training Support:</li>
<li>Provide the JATOC Crisis Action Team (J-CAT) Crisis Response Manager with updated modules for inclusion in their new personnel training.</li>
<li>Coordinate and conduct AWO familiarization and OJT training for new ATO Watch Officer personnel.</li>
<li>Design and facilitate small and large-scale readiness exercises for all JATOC personnel. Provide post-exercise reports including lessons learned.</li>
<li>Delivery of Leadership training to all JATOC personnel.</li>
<li>Other Support:</li>
<li>Provide administrative support for the JATOC General Manager as required and the JATOC Crisis Action Team (JCAT) Response Manager during Huricanes/Significant Events. </li>
<li>Provide the JATOC Crisis Action Team manager with pertinent status reports and data for the Air Traffic Organization Chief of Staff report.</li>
<li>Assist the Air Traffic Watch Officer with setting up SkyWatch accounts, various website bookmarks and using the status boards. </li>
<li>Provide off-site support at the Mt Weather Emergency Operations Center (EOC) during exercises and duplication of service efforts, conducting AWO duties at a contingency location. </li>
</ul>
Qualifications 
 
Number of Years Experience Required:
<ul>
<li>10+ years delivering similar support within the aviation industry. </li>
</ul>
 
Minimum Education and Certifications Required:
<ul>
<li>Bachelor's Degree in relevant field. Degree in Aviation, Engineering, or Math is preferred.</li>
</ul>
 
Technical Skills Required:
 
Computer Skills:
<ul>
<li>Microsoft Office 365</li>
</ul>
 
Other Knowledge, Skills, and Abilities Required:
<ul>
<li>U.S. Citizen or person with valid U.S. Work Visa who has lived in the U.S. for three or more years.</li>
<li>Must be available for shift work (day, swing, evening) as team operates 24x7x365, including holidays.</li>
<li>Strong interpersonal, verbal and written communication skills a must.</li>
<li>Must be highly organized, reliable and have excellent time management skills.</li>
<li>Must be a team player with a proactive work style.</li>
<li>While performing the duties of this job, the individual is regularly required to sit, stand, talk, hear and use a computer/keyboard/mouse for several hours on a daily basis. </li>
<li>May require occasional light lifting of up to 10 pounds. </li>
</ul>
 
Candidates selected will be subject to a Government background investigation and must meet eligibility requirements.
CGH offers a comprehensive benefits package to include medical, dental, vision, short- and long-term disability insurance, life insurance, commuter benefit, and flexible spending account. Other benefits include 401K, paid holidays, and Paid Time Off (PTO).
 
CGH is an Equal Opportunity Employer
 Job Posted by ApplicantPro

Sr. Air Traffic Management Specialist

<h3>Job Description</h3>
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
\n
The Denials and Refund Management Specialist will be focused on refund requests – you will be reading, interpreting, and analyzing commercial contracts. Once you are able to validate whether or not the request is valid, you will submit the appeal to contest the refund. Once the appeal is granted, you will request a refund from the commercial payors due to the claim having been declined instead of accepted. People who have a very extensive background in interpreting and analyzing commercial contracts will do well in this position.
\n
This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am – 3:30pm PST. It may be necessary, given the business need, to work occasional overtime. Employees are required to work 1 day onsite and 4 days from home.
\n
We offer 2 weeks of paid training. The hours during training will be 8:00am - 4:30pm PST, Monday - Friday.
\n
If you are within commutable distance to the office at 5003 Commercial Circle, Concord, CA 94520, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges.
\n\n
Primary Responsibilities:
\n
<ul>\n
<li>Collect and resolve denied payments from insurance companies by contacting assigned payers</li>
\n
<li>Execute the denial appeals process, which includes receiving, assessing, documenting, tracking, responding to, and/or resolving appeals with third-party payers in a timely manner</li>
\n
<li>Research and resolve payer rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and for payer claim processing accuracy per contract. Work with clinical staff as needed to follow-up and appeal denials</li>
\n
<li>Maintain data on the types of claims denied and root causes of denials, and collaborate with team members to make recommendations for improvement and issue resolution</li>
\n
<li>Prepare, maintain, assist with, and submit reports as required</li>
\n
<li>Track and trend recovery efforts by utilizing various departmental tools. Appropriately report on-going problems specific to, health system departments, and/or contracts</li>
\n
<li>Provide feedback and process improvement ideas to management regarding facility, Patient Access, Case Management, HIM, Billing and/or payer issues identified when reviewing accounts for appeal</li>
\n
<li>Draft professional appeal letters in accordance with methodology in departmental policy and procedure including using correct grammar and spelling</li>
\n
<li>Identify contract issues related to denials and communicate those issues to Director of Revenue Integrity</li>
\n
<li>Provide on-going feedback to clinical staff about denial reasons, appeals and their outcomes, and managed care contractual requirements</li>
\n
<li>Transmit required documentation to Government and third-party payers for the purpose of resolving payments.</li>
\n
<li>Ensure all payer contact is fully documented in the appropriate software application</li>
\n
<li>Ensure claims are crossed over to secondary insurances, reporting any delay in unbilled secondary claims to the unit supervisor</li>
\n
<li>Consistently meet the current productivity standards in addressing and resolving denied accounts</li>
\n
<li>Consistently meet the current quality standards in taking appropriate actions to identify and track root causes, successfully appeal denied accounts, and trend issues</li>
\n
<li>Provide individual contribution to the overall team effort of achieving the department AR goal</li>
\n
<li>Identify opportunities for system and process improvement and submit to management</li>
\n
<li>Demonstrate proficient use of systems and execution of processes in all areas of responsibilities</li>
\n
<li>Demonstrate knowledge of John Muir Health System HIPAA privacy standards and ensure compliance with system PHI privacy practices</li>
\n
<li>Follow the Health System’s general Policy and Procedures, the Department’s Policy and Procedures, and the Emergency Preparedness Procedures</li>
\n
<li>Become cross-trained and fill in for other staff as assigned</li>
\n
<li>Follow department guidelines for lunch, breaks, requesting time off, and shift assignments</li>
\n
<li>Operate office equipment and machinery and utilizes ergonomic workstations, equipment, and supplies</li>
\n
<li>Follow JCAHO and outside regulatory agencies’ mandated rules and procedures</li>
\n
<li>Utilize assigned menus and pathways in the hospital mainframe system. Report software application problems to the appropriate supervisor</li>
\n
<li>Utilize assigned menus and pathways in foreign software applications. &nbsp;Report software application problems to the appropriate supervisor</li>
\n
<li>Utilize assigned computer hardware. &nbsp;Report hardware problems to the appropriate supervisor</li>
\n
<li>Participate in the testing for assigned software applications, including verification of field integrity</li>
\n
<li>Perform other duties and responsibilities as assigned</li>
\n
<li>Maintain confidentiality in matters relating to patient/family</li>
\n
<li>Assure patient privacy and confidentiality as appropriate or required</li>
\n
<li>Ensure minors have a parent or guardian listed as guarantor as appropriate</li>
\n
<li>Maintain professional relationships and convey relevant information to other members of the healthcare team within the facility and any applicable referral agencies</li>
\n
<li>Initiate communication with peers about changes and procedures</li>
\n
<li>Relay information appropriately over telephone, email, and other communication devices</li>
\n
<li>Interact with internal customers including HIM, Revenue Integrity, Patient Access, and the SBO in a professional manner to achieve revenue cycle department AR goals and objectives</li>
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<li>Assist with special projects as assigned</li>
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<li>Work closely with other staff, co-workers, peers, and other members of the healthcare team to ensure a positive and effective work environment</li>
\n
<li>Report to appropriate personnel regarding assignments, projects, etc.</li>
\n
<li>Initiate problem solving and conflict resolution skills to foster effective work relationships with peers</li>
\n
<li>Report to work on time and as scheduled</li>
\n
<li>Attend staff meetings, in-services, and continuing education</li>
\n
<li>Assist in the development of indicators, thresholds, study methods, and data collection as assigned</li>
\n
<li>Respond to problems/opportunities to improve care/customer service</li>
\n
<li>Support involvement in system performance improvement initiatives</li>
\n
<li>Participate in and maintain competencies required for the position and specific unit/area(s) of assignment</li>
\n</ul>
\n\n
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
\n
<ul>\n
<li>High School Diploma / GED</li>
\n
<li>Must be 18 years of age OR older</li>
\n
<li>2+ years of experience with insurance follow-up and/or payment variance review</li>
\n
<li>2+ years EPIC experience</li>
\n
<li>2+ years hospital accounts billing follow up experience – not professional billing</li>
\n
<li>2+ years of experience analyzing commercial contracts including interpreting commercial language</li>
\n
<li>Ability to perform mathematical calculations</li>
\n
<li>Keyboard by touch</li>
\n
<li>Intermediate experience and knowledge Microsoft Office including ability to open, create, save, edit, and send Excel Spreadsheets, Word Documents, and Outlook emails and calendar invites</li>
\n
<li>Must be able to work in the office at least one day a week</li>
\n
<li>Ability to work full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7am – 3:30pm PST. It may be necessary, given the business need, to work occasional overtime</li>
\n</ul>
\n\n
Telecommuting Requirements:
\n
<ul>\n
<li>Reside within commutable distance to the office at 5003 Commercial Circle, Concord, CA 94520</li>
\n
<li>Ability to keep all company sensitive documents secure (if applicable)</li>
\n
<li>Required to have a dedicated work area established that is separated from other living areas and provides information privacy</li>
\n
<li>Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service</li>
\n</ul>
\n\n
Soft Skills:
\n
<ul>\n
<li>Strong organizational and project management skills</li>
\n
<li>Strong presentation skills</li>
\n
<li>Negotiation skills</li>
\n
<li>Leadership skills</li>
\n
<li>Detail-oriented, good organizational skills, and ability to be self-directed</li>
\n
<li>Ability to learn quickly and meet continuous timelines</li>
\n
<li>Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere</li>
\n
<li>Flexibility to perform other tasks as needed in an active work environment with changing work needs</li>
\n
<li>High-level problem solving, analytical, and investigational skills</li>
\n
<li>Excellent internal/external customer service skills</li>
\n
<li>Excellent communication skills to include oral and written comprehension and expression</li>
\n
<li>Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices</li>
\n
<li>Ability and willingness to exhibit behaviors consistent with principles of excellent service</li>
\n
<li>Ability and willingness to demonstrate and maintain competency as required for job title and the unit/area(s) of assignment</li>
\n
<li>Ability and willingness to exhibit behaviors consistent with standards of performance improvement and organizational values (e.g., efficiency &amp; financial responsibility, safety, partnership &amp; service, teamwork, compassion, integrity, and trust &amp; respect)</li>
\n</ul>
\n\n
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 - $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
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UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
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UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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#RPO #RED #RPOLinkedIn

Denials and Refund Management Specialist

<h3>Job Description</h3>
Job Description
Predicate Logic is looking for a motivated Configuration Management Specialist II to join our team in Norfolk, VA. 
Founded in 1992, Predicate Logic is a woman-owned, employee-owned, high technology engineering service company. Predicate Logic's employees routinely receive many accolades and awards from its customers. The corporate headquarters is in San Diego, California. Predicate Logic also has offices in Chesapeake, Virginia, specializing in communications engineering, training, and Cybersecurity, and in Charleston, South Carolina, supporting the Navy and Marine Corps programs through Naval Information Warfare Center Charleston.
SECURITY CLEARANCE:
<ul>
<li>Applicant must hold an active Department of Defense (DoD) Secret personnel security clearance or be eligible to obtain one.</li>
</ul>
RESPONSIBILITIES:
<ul>
<li>Provide Configuration Management support for assigned programs to include remote transmitter and receiver sites.</li>
<li>Ensure all configuration data is captured and entered in CMPro or similar database technology.</li>
<li>Collaborate with teams in the development, management, and compliance of verification processes and product baselines.</li>
<li>Provide support to various teams in Configuration Management to include Planning, Configuration Identification, Configuration Control, Auditing, Verification, and Data Management.</li>
<li>Support the continuous efforts to include Configuration Management throughout the life cycle of program from development through sustainment and then disposal.</li>
</ul>
EXPERIENCE:
<ul>
<li>Seven (7) years of professional experience.</li>
<li>Knowledge and experience in working with government life cycle configuration management.</li>
</ul>
EDUCATION:
<ul>
<li>Bachelor's degree.</li>
</ul>
 
Equal Opportunity Employer/Veterans/Disabled
Predicate Logic is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. 
 Job Posted by ApplicantPro

Configuration Management Specialist II - Norfolk, VA

<h3>Job Description</h3>
Job Description
Predicate Logic is looking for a motivated Configuration Management Specialist III to join our team in Charleston, SC. 
Founded in 1992, Predicate Logic is a woman-owned, employee-owned, high technology engineering service company. Predicate Logic's employees routinely receive many accolades and awards from its customers. The corporate headquarters is in San Diego, California. Predicate Logic also has offices in Chesapeake, Virginia, specializing in communications engineering, training, and Cybersecurity, and in Charleston, South Carolina, supporting the Navy and Marine Corps programs through Naval Information Warfare Center Charleston.
 
SECURITY CLEARANCE:
<ul>
<li>Applicant must hold an active Department of Defense (DoD) Secret personnel security clearance or be eligible to obtain one.</li>
</ul>
RESPONSIBILITIES:
<ul>
<li>Provide Configuration Management support for assigned programs to include remote transmitter and receiver sites.</li>
<li>Ensure all configuration data is captured and entered in CMPro or similar database technology.</li>
<li>Collaborate with teams in the development, management, and compliance of verification processes and product baselines.</li>
<li>Provide support to various teams in Configuration Management to include Planning, Configuration Identification, Configuration Control, Auditing, Verification, and Data Management.</li>
<li>Support the continuous efforts to include Configuration Management throughout the life cycle of program from development through sustainment and then disposal.</li>
</ul>
EXPERIENCE:
<ul>
<li>Ten (10) years of professional experience.</li>
<li>Knowledge and experience in working with government life cycle configuration management.</li>
</ul>
EDUCATION:
<ul>
<li>Bachelor's Degree.</li>
</ul>
 
Equal Opportunity Employer/Veterans/Disabled
Predicate Logic is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. 
 Job Posted by ApplicantPro

Configuration Management Specialist III - Charleston, SC

<h3>Job Description</h3>
Job DescriptionState of Ohio -767404 - People soft ERP/ Financial Management (9.x) Product specialist Submit candidates who will work 100% onsite at Columbus, OH In-person Interview in Columbus, OH Role Description 
<ul>
<li>Act as a PeopleSoft Financial (FIN) Management and Product Specialist.</li>
<li>Work with Business and Managed Services vendors to support day-to-day PeopleSoft-based Financial Operations and Projects.</li>
<li>Use business process modeling and/or vendor solution evaluations to analyze potential for streamlining or reengineering business processes via implementation of information technology solutions.</li>
<li>Help manage the States relationship with its ERP Managed Services Providers (MSP) to ensure that SLAs and other performance metrics are met.</li>
<li>Drive collaboration with key Business, internal Infrastructure, MSP, Security, and other critical stakeholder organizations to ensure that the ERP FIN application operates efficiently in support of business operations calendars.</li>
<li>Gather and analyze information from stakeholders, business owners, customers and management.</li>
<li>Lead identification, triage, troubleshooting and reporting of production issues and problems in the ERP FIN application.</li>
<li>Work to understand customer issues and communicate these issues to ERP FIN application support personnel/organizations.</li>
<li>Identify risks and recommend changes related to processes, projects and procedures.</li>
<li>Consult with the Business and MSP on critical aspects of break/fix approaches and planned enhancements.</li>
<li>Perform as liaison between various stakeholders, managing stakeholder expectations and ensuring successful communications between project team members.</li>
<li>Develop project plan with project manager or recommend approaches through defining tasks, leading meetings and other tasks to gather and coordinate activities for requirements gathering.</li>
<li>Develop and/or review business requirements documents for requested enhancements to ensure that specifications are clear and include information needed by MSP developers to fulfill enhancement requests.</li>
<li>Make recommendations for gains in efficiency or costs through implementation of information technology solutions.</li>
<li>Validate MSP vendor estimates for completing enhancements and perform code reviews of MSP-delivered enhancements.</li>
<li>Perform validation of solutions by analyzing the end product and specification requirements.</li>
<li>Help drive MSP performance improvements and proactively identify and implement service improvements in operational delivery processes.</li>
<li>Work with Business owners and users on projects by supporting testing efforts, monitoring project progress, providing additional project management support, and attending information exchange and touchpoint meetings with project teams.</li>
<li>Monitor SFTP server activity for interfaces to determine what interfaces are being created and/or retrieved.</li>
<li>Send communications to FIN SFTP account owners informing them of scheduled system outages or maintenance that affects OAKS.</li>
</ul>
 Required Skills 
<ul>
<li>Experience in PeopleSoft ERP Operations Management.</li>
<li>PeopleSoft Financial Management 9.x product experience in (Accounts Payable and Receivable, Asset Management, Billing,General Ledger, Budget Development, Strategic Sourcing, Experience in Supply Chain,Travel&amp;Expense, Commitment Control, Procurement, Self Service)</li>
<li>Application management/outsourcing experience preferably onshore in a leadership role</li>
<li>Excellent verbal and written communication skills in Large/complex organization experience</li>
<li>Experience working with MS Office 365 suite (SharePoint, Teams, Outlook, PowerPoint, Visio, Word, Excel, etc.)</li>
</ul>
 Desired Skills: 
<ul>
<li>Public Sector experience</li>
<li>Experience working with, or as a part of, a Tier-One System Integrator firm providing PeopleSoft/Oracle professional services</li>
<li>Ability to interface and resolve issues across all levels of an organization</li>
<li>Upgrade and/or application patch, bundle, or image experience</li>
<li>Project Management Professional (PMP) certification</li>
<li>ITIL Certification</li>
<li>PeopleSoft Certification(s)</li>
<li>Experience with SQL Server, MySQL, Oracle, or other specific SQL databases</li>
</ul>
 Education Required: 
<ul>
<li>4 year college degree</li>
</ul>

Peoplesoft ERP/Financial Management (9.x) Product specialist

<h3>Job Description</h3>
Job Description
The Clinical Care Management Specialist/Integrated Care Specialist provides clinical recommendations and collaborative support to team members and physical health care staff involved in the Integrated Care Plan (ICP) Program. The Clinical Care Management Specialist reviews clinical information using a holistic care framework, makes recommendations for appropriate levels of care, creates Integrated Care Plans and coordinates services for individuals referred to the ICP team.
Essential Functions: 
<ul>
<li>CCMS will travel amongst the identified community partnership sites and participate in case information sharing as scheduled.</li>
<li> CCMS will develop a schedule with each practice site, PH MCO and CBH team staff for onsite visits to consent members for participation in the Integrated Care Plan Program, share released information with the PH MCO and discuss case recommendations with the appropriate internal staff. </li>
<li>CCMS will complete Integrated Care Plans as outlined by the policies and regulations of CBH and the state.</li>
<li>CCMS will create Integrated Care Plans for members referred from community partners, internal referrals for ICP development and for members who meet appropriate criteria for ICP planning.</li>
<li>During the case collaborations with sites and PH MCO’s, CCMS will provide behavioral health treatment utilization and develop care plans tailored to the individual’s current needs as part of the treatment team. </li>
<li>CCMS will coordinate with internal CBH staff to ensure communication and collaboration is clear and the individual’s developed care plan is carried out as such. </li>
<li>CCMS will participate in the problem solving process and provide information on additional community resources as needed.</li>
<li>CCMS will do utilization review as necessary for assigned members, implementing medical necessity criteria to inform level of care determinations.</li>
<li>CCMS will document and track their interventions and share data internally and with associated partner’s, like PH MCO’s and community partnership sites. </li>
</ul>
Position Requirements: 
<ul>
<li>Education: Master’s degree in Social Work or related field</li>
<li>Clinical Licensure: Qualified candidates are required to obtain license within the first 18 months (1.5 years) of employment; PA Child Abuse Clearance required</li>
<li>Required Licensure: Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW) </li>
<li>Relevant Work Experience: Minimum of 3 years of direct clinical care experience working with adults in behavioral health or physical health settings; experience in assessment and treatment planning and/or experience in a managed care setting. Must possess knowledge of evidence-based treatment for behavioral health challenges to make appropriate referrals for care.</li>
</ul>
Skills:
<ul>
<li>Ability to work collaboratively with cross-system partners</li>
<li>Excellent verbal and written communication skills and ability to interact with broad range of individuals</li>
<li>Strong mediation skills</li>
<li>Computer proficiency and ability to type at least 20 words per minute</li>
<li>Ability to work independently in fast-paced environment</li>
<li>Compliant with HIPAA regulations</li>
</ul>
 
Work Conditions (including travel, overtime required, physical requirements and occupational exposure): 
<ul>
<li>This position spends the majority of time in the field and requires travel within Philadelphia and surrounding counties.</li>
<li>Regularly requires walking, standing, stooping, bending, sitting, reaching, pushing, pulling and/or repetitive wrist/hand movements for various lengths of time throughout the day.</li>
<li>Ability to utilize computers and office equipment to complete daily work responsibilities.</li>
<li>Requires continuous, normal hearing and vision.</li>
<li>Regularly works inside in areas that are adequately lighted and ventilated. Some fluctuation in temperature. No protective equipment routinely needed.</li>
<li>Must be able to adapt to continuous changes/demands of the job.</li>
</ul>
Philadelphia Residency Requirement:
<ul>
<li>The successful candidate must be a current Philadelphia resident or become a resident within six months of hire. </li>
</ul>
Equal Employment Opportunity: 
<ul>
<li>We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.</li>
</ul>
Requesting An Accommodation: 
<ul>
<li>CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired. </li>
<li>If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at <a href="mailto:CBH.Recruitment@Phila.gov" target="_blank">CBH.Recruitment@Phila.gov</a></li>
</ul>

Integrated Care Plan - Clinical Care Management Specialist

<h3>Job Description</h3>
Job Description
Company Summary
Compliance Management International (CMI) is a premier global provider of environmental, health, and safety (EHS) services, serving clients of all sizes for over 30 years. We collaborate closely with organizations, including Fortune 500 companies and governments, to enhance performance by offering integrated support that prioritizes productivity and growth while minimizing risks and ensuring regulatory compliance.
Company Offerings
At CMI, we believe in building more than just careers—we cultivate a workplace where people thrive. Whether you're looking for full-time stability, part-time flexibility, contract work, or a direct placement opportunity, we offer a variety of career paths to fit your life and goals.
Full-time team members enjoy a comprehensive benefits package that includes medical, dental, and vision coverage, a 401(k) with company match, and employer-paid life insurance. We also provide short-term and long-term disability coverage, voluntary life insurance for employees and their families, generous paid time off, 9 paid holidays, and annual performance bonuses.
But the benefits don't stop there. We invest in your future with paid training, educational opportunities, and a strong focus on career development. Our inclusive culture, commitment to safety, and appreciation for hard work create an environment where everyone can succeed.
No matter your employment type, at CMI, you're part of a team that values integrity, collaboration, and growth. Join us and discover what it means to work for a company that truly values its people.
Health and Safety Specialist - Industrial Fleet Management experience
Position Summary:
We are seeking an experienced Occupational Safety Program Manager to lead and manage a comprehensive citywide occupational health and safety program within the Office of Risk Management. This role involves high-level strategic planning, implementation, and continuous improvement of safety and health programs to ensure compliance with federal, state, and local regulations, including OSHA and state-mandated standards.
The ideal candidate will demonstrate expertise in regulatory compliance, safety training program management, industrial ergonomics, risk control strategies, and incident investigation. This is a key leadership role focused on cultivating a safety-first culture across diverse departments and operations.
Key Responsibilities:
<ul>
<li>Lead the design, implementation, and continuous improvement of a comprehensive occupational safety management system across all departments.</li>
<li>Ensure compliance with state-mandated safety regulations and training requirements.</li>
<li>Administer and oversee the Citywide Industrial Fleet Management Program</li>
<li>Develop, revise, and enforce safety policies, procedures, and standard operating guidelines (SOPs) aligned with best practices and regulatory standards.</li>
<li>Deliver or coordinate instructor-led and virtual safety training programs across multiple departments.</li>
<li>Provide technical assistance and subject matter expertise to departmental safety coordinators and stakeholders.</li>
<li>Manage and conduct safety audits, facility inspections, hazard assessments, and risk exposure evaluations.</li>
<li>Lead and/or support incident investigations, root cause analyses, and the development of corrective action plans.</li>
<li>Perform risk control needs assessments, implementing risk mitigation strategies to reduce workplace injuries and illnesses.</li>
<li>Coordinate citywide safety and health initiatives, ensuring alignment with strategic risk management goals.</li>
</ul>
Education:
<ul>
<li>Bachelor's degree from an accredited college or university with major coursework in Occupational Safety, Industrial Hygiene, Environmental Health, Safety Engineering, Public Health, or related physical/biological sciences.</li>
</ul>
Experience:
<ul>
<li>General Experience: Minimum of three (3) years of experience in personnel administration or industrial engineering, with at least one (1) year involving the investigation and evaluation of operational or industrial processes and related employee injuries from a safety perspective.</li>
<li>Specific Experience: At least one (1) year of full-time professional experience directly managing or administering an occupational safety program for a large or complex organization. Must also include one (1) year of experience in industrial fleet management.</li>
</ul>
Certifications &amp; Licensure:
<ul>
<li>Possession of a valid Pennsylvania driver's license (or eligibility to obtain one).</li>
<li>Professional safety certifications preferred (e.g., Certified Safety Professional (CSP), Associate Safety Professional (ASP).</li>
</ul>
Physical &amp; Medical Requirements:
<ul>
<li>Must be able to physically perform essential job duties, including walking, standing, climbing, and conducting field inspections in diverse environments.</li>
</ul>
Application Requirements:
<ul>
<li>Candidates must submit official transcripts confirming degree conferral.</li>
<li>Copies of relevant certifications and licenses must be submitted at the time of application.</li>
</ul>
Preferred Skills &amp; Competencies:
<ul>
<li>Knowledge of OSHA standards, ANSI, NFPA, and other relevant regulations.</li>
<li>Strong communication and facilitation skills for training delivery and stakeholder engagement.</li>
<li>Proficiency in data collection and analysis for safety performance metrics and trend analysis.</li>
<li>Experience with incident management systems and safety management software.</li>
<li>Ability to lead cross-functional teams in safety program implementation and culture change initiatives.</li>
</ul>
This role is ideal for candidates who are:
<ul>
<li>Strategic safety leaders with a passion for public service.</li>
<li>Effective communicators and collaborators across diverse operational teams.</li>
<li>Experienced in navigating complex organizational safety environments.</li>
</ul>
Equal Opportunity Employer
Compliance Management International (CMI) is proud to be an Equal Opportunity Employer. We consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, disability, veteran status, or any other legally protected status.
Position Disclaimer
This job description is intended to provide a general overview of the responsibilities and requirements of the role. It is not an exhaustive list and may be subject to change at any time to meet the needs of the organization. Management reserves the right to assign or reassign duties and responsibilities as necessary.
Click here to learn more about Compliance Management International (CMI)

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