Sentara Health

• The Enrollment Manager plans, directs, and implements processes related to all enrollment activities, including but not limited to, web, paper, electronic enrollment and group set up processes that will assure a high level of customer satisfaction in accordance with plan policies and procedures. • Accountable for daily work flow, staff development and quality control and quality assurance activities for the team.

• Participates in all aspects of the medication-use system while delivering comprehensive and personalized pharmaceutical care to patients in their designated areas. • Assumes leadership and accountability for specific clinical pharmacy areas. • Demonstrates advanced skills and expertise, and obtains advanced certification in their practice area if available. • Manages patient drug therapy in accordance with applicable clinical practice standards. • Assures the appropriateness of all provider medication orders in maintaining a high level of patient care and safety. • Maintains advanced knowledge of medication use, disease states, and regulations applicable to their area of practice. • Serves as the primary resource for drug information and education. • Provides in-depth patient counseling when required. • Supports the training of new employees and participates in the creation and maintenance of training materials. • Assumes local and system responsibility and ownership for assigned tasks. • Follows and assists with the development of policies and procedures. • Demonstrates superior customer service, effective communication, decision-making, and organization to ensure efficient job performance and success. • Ensures adequate supplies are available for continuous patient care. • Triages and escalates any questions or issues outside the scope of practice as needed. • Uses appropriate systems for processing of patient information. • Ensures quality assurance is maintained according to departmental and legal requirements. • Precepts pharmacy students and/or pharmacy residents as assigned. • Provides peer coaching and constructive feedback to other colleagues in a professional and productive manner. • Successfully leads local and system implementation of various system initiatives. • Serves as a system expert and site lead in specialized clinical pharmacy functions.

Role Description Sentara Health Plans Community Care is looking to hire a Remote Enrollment Specialist. This is a remote position available in the following states: - Virginia - North Carolina - Alabama - Delaware - Florida - Georgia - Idaho - Indiana - Kansas - Louisiana - Maine - Maryland - Minnesota - Nebraska - Nevada - New Hampshire - North Dakota - Ohio - Oklahoma - Pennsylvania - South Carolina - South Dakota - Tennessee - Texas - Utah - Washington (state) - West Virginia - Wisconsin - Wyoming The Enrollment Specialist is responsible for all areas of enrollment, group information, and researching with response to all inquiries related to member, employer, and eligibility. Provides quality service and customer satisfaction through accurate entry of data and communication to internal and external customers. Qualifications - High School Diploma - 1 year of customer service required Requirements - Market-competitive compensation packages, inclusive of base pay, incentives, and benefits. - Base pay rate for Full-Time employment: $16.92/HR – $25.38/HR. - Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - Paid Time Off and Sick Leave - Paid Parental & Family Caregiver Leave - Emergency Backup Care - Long-Term, Short-Term Disability, and Critical Illness plans - Life Insurance - 401k/403B with Employer Match - Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - Reimbursement for certifications and free access to complete CEUs and professional development - Pet Insurance - Legal Resources Plan - Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

• The Sr. Configuration Analyst is responsible for providing business and technical expertise to identify, develop and implement system configuration solutions that enhance and support business operations. • Is responsible for performing complex analysis and configuration functions • The position requires project implementation management and demonstrated analytical skills. • The work responsibilities range from high level functional analysis to support management decisions, to detailed and technical system configuration.

Role Description The Intern position serves as an educational development opportunity. Under the close direction of a colleague, assumes responsibility for operational projects and supporting the leadership initiatives for a defined period of time. Assists in completion of various projects and administrative duties while developing skills related to the assigned department and healthcare industry. Coordinates and assists with projects based on operational needs and/or Intern's area of interest. Communicates ongoing progress related to currently assigned tasks. - Assist with day-to-day departmental operations. - Support team members with project tasks, deliverables, and administrative activities. - Conduct research and analysis on topics relevant to the department. - Prepare and organize reports, presentations, and project documentation. - Participate in team meetings, brainstorming sessions, and departmental initiatives. - Track and communicate progress on assigned projects and tasks. - Collaborate effectively with colleagues and stakeholders across the organization. - Perform other duties as assigned. Qualifications - Must be currently pursuing and/or enrolled in a college or university at an undergraduate or graduate level or an active military service member seeking a. - Demonstrated interest in the assigned field through coursework, academic projects, volunteer activities, or prior internship experience. - Proficient in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook. - Strong written and verbal communication skills. - Ability to organize, prioritize, and manage multiple assignments in a deadline-driven environment. - Strong analytical, problem-solving, and critical-thinking skills with attention to detail. Requirements - No specific certification or licensure requirements. Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - Paid Time Off and Sick Leave - Paid Parental & Family Caregiver Leave - Emergency Backup Care - Long-Term, Short-Term Disability, and Critical Illness plans - Life Insurance - 401k/403B with Employer Match - Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - Reimbursement for certifications and free access to complete CEUs and professional development - Pet Insurance - Legal Resources Plan - Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

Role Description The Population Care Nurse is a registered nurse (RN) who focuses on managing and improving the health outcomes, wellness, and quality performance of specific populations or communities, particularly those with chronic conditions, high healthcare needs, or underserved groups. This role involves working within interdisciplinary teams to assess, plan, and deliver patient care at a population level, rather than focusing on individual acute care. - Implements population intervention to improve health, wellness, and quality performance. - Interventions include evidence-based preventative services such as: - Immunization - Chronic disease preventative care - Cancer screening - Medication follow-up - Wellness visits - Involved in preventative care, health education, case management, and coordination of services. - Focus on reducing hospital readmissions, managing chronic illnesses, and addressing health disparities. Qualifications - Bachelor's Degree in Nursing - REQUIRED - Registered Nurse (RN) License (Compact or Virginia) - REQUIRED - 2 years Nursing experience - REQUIRED - Health Plan experience - preferred Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - Paid Time Off and Sick Leave - Paid Parental & Family Caregiver Leave - Emergency Backup Care - Long-Term, Short-Term Disability, and Critical Illness plans - Life Insurance - 401k/403B with Employer Match - Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - Reimbursement for certifications and free access to complete CEUs and professional development - Pet Insurance - Legal Resources Plan - Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria are met.

• Manage inpatient and outpatient provider appeals across all payer types, including government and commercial insurance • Review clinical denials (non-billing related), identify root causes, and perform post-claim analysis to support appeal submissions

Role Description Sentara is hiring a Full-time Pharmacy Technician II for our Central Medication Refill Program. - Location: Remote. Must reside in Virginia. - Status: Full-Time (40 hours/week) - Shift: Days (Anticipated Mon-Fri) - Hours: 7:30AM-4:00PM or 8:00AM-4:30PM The Pharmacy Tech II performs the technician responsibilities in specialized areas of pharmacy practice under the direct supervision of a licensed pharmacist or licensed independent practitioner. - Triages, manages, and processes incoming medication refill requests from pharmacies, patients, and providers accurately and within established turnaround times to support continuity of patient care. - Provides pharmacists and providers with relevant clinical and administrative information by performing accurate and efficient chart reviews while identifying, documenting, and communicating discrepancies or failed protocols requiring escalation. - Triages and escalates questions, clinical concerns, or issues outside the pharmacy technician scope of practice to the appropriate pharmacist, provider, or care team member. - Maintains quality assurance according to departmental standards, legal requirements, and medication refill program expectations. - Communicates effectively and collaborates with fellow pharmacy technicians, pharmacists, providers, and interdisciplinary care team members in a primarily electronic workflow environment. - Demonstrates advanced technical skills, ownership of medication refill workflows, strong attention to detail, organization, sound judgment, and the ability to work independently within defined centralized pharmacy technician responsibilities. - Participates in onboarding, training, and support of new employees as assigned. - In addition to the above job responsibilities, other duties may be assigned. Qualifications - High School Diploma or Equivalent (Required) - Virginia Pharmacy Tech License (Required) - CPhT License (Received through the NHA or PTCB) (Required) - 2 Years Pharmacy Experience (Required) Requirements - A pharmacy technician license is required in the state of practice. Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - Paid Time Off and Sick Leave - Paid Parental & Family Caregiver Leave - Emergency Backup Care - Long-Term, Short-Term Disability, and Critical Illness plans - Life Insurance - 401k/403B with Employer Match - Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - Reimbursement for certifications and free access to complete CEUs and professional development - Pet Insurance - Legal Resources Plan - Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

• Designs, produces and analyzes customer operations data. • Creates and maintains reports for business operations and special projects as it pertains to operational processes. • Utilizes knowledge of numerous applications, databases, information systems, statistical tools and analytical principles to monitor and analyze information in support of the business. • Assists in the implementation, maintenance and improvement of information systems.

Role Description The Customer Service Representative is responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries from members or patients. Primarily responsible for handling incoming calls to effectively address issues related to: - Member eligibility - Plan prescription benefits - Claim payment issues - Patient services needs such as updating billing information - Establishing payment plans - Resolving payment inquiries - Patient scheduling Qualifications - High school diploma or equivalent required - Two years of customer service experience required - Previous data entry experience required - Prior scheduling experience required - Familiar with Epic Beaker preferred - Experience in a high-volume call center preferred - Healthcare experience preferred Requirements - Must reside in Harrisonburg or Charlottesville area - Must be able to travel on-site if connectivity issues arise - Must be able to work between the hours of 8:00 AM to 4:30 PM Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - Paid Time Off and Sick Leave - Paid Parental & Family Caregiver Leave - Emergency Backup Care - Long-Term, Short-Term Disability, and Critical Illness plans - Life Insurance - 401k/403B with Employer Match - Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - Reimbursement for certifications and free access to complete CEUs and professional development - Pet Insurance - Legal Resources Plan - Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met