Customer Service HRS Specialist--------------------------------------------------------------- The Customer Service HRS Specialist serves as the initial point of contact for members, providers and other external groups for a wide range of inquiries related to Health-Related Services (HRS). (HRS are certain flexible services defined as Health-Related Services by the state of Oregon.) The role is responsible for providing advanced customer service to support improved health care delivery and overall community health outcomes. This is an external facing role, and the majority of job duties involve inbound and outbound call work as well as other modes of communication. Estimated Hiring Range: $28.23 - $34.50 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities - Respond to inquiries originating from a wide range of customer groups including members, providers and other departments and organizations (e.g., community-based organizations, regulatory bodies such as the Oregon Health Authority, etc.). - Communicate with customer groups via telephone, email and text as appropriate. - Research, verify and resolve a broad array of inquiries, both simple and complex, related to Health-Related Services. - Assist members with applying for Health-Related Services and obtaining information about the status of their requests. - Provide clear communications, timely responses and high-level customer service. - Use online tracking systems to document all activities and communications related to each Health-Related Services inquiry, request, status and outcome. - Receive and apply updates on current, evolving policy and process changes related to Health-Related Services. - Perform ongoing analyses of data and information to identify opportunities for improvement in operational efficiencies. - Collaborate with teams inside and outside of the department to share information, obtain information and resolve customer inquiries. - Partner closely with the Authorization team to gather and compile complete and accurate information for requests and coordinate any necessary outreach. - Complete (off phone) administrative tasks and project work in an efficient and timely manner. - Adhere to all Health Insurance Portability and Accountability Act (HIPAA) requirements and organizational standards related to protected health information, privacy and confidentiality. - Create and update job aids, reference information and other documentation as needed. - Participate in cross-departmental workgroups as needed. Experience and/or Education Required - Minimum 3 years’ customer service experience including 2 years supporting healthcare members, providers or health-related insurance providers, vendors or related entities - Minimum 1 year experience in Call Center Preferred - Customer service experience with a health insurance carrier/health plan, the Oregon Health Plan and/or roles providing crisis management Knowledge, Skills and Abilities Required Knowledge - Knowledge of or ability to quickly learn Oregon Administrative Rules (OARs), Federal laws and other regulatory agencies that relate to medical health, Medicaid and Medicare Industry - Knowledge of the basic concepts of Managed Care - Knowledge of principles of organizational change and ability to act as a change agent - Knowledge of Health-Related Services (HRS) requirements and processes Skills and Abilities - Ability to learn and apply Oregon Administrative Rules (OARs), Federal Laws and various agency regulations as they relate to processing Health Related Services - Ability to effectively use phone system and system reports - Strong computer and data analysis skills - Excellent interpersonal skills, customer service and strong active listening skills - Excellent reading, spoken and written communication skills - Ability to proactively work to build and improve team operations - Ability to work under pressure in a complex and rapidly changing environment - Basic mathematical skills - Excellent problem solving and decision-making skills - Ability to successfully manage multiple tasks - Ability to support and comply with organizational policies, procedures, and guidelines - Ability to participate fully and constructively in department meetings and contribute to decisions - Ability to work effectively with diverse individuals and groups - Ability to learn, focus, understand, and evaluate information and determine appropriate actions - Ability to accept direction and feedback, as well as tolerate and manage stress - Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day - Ability to hear and speak clearly for at least 3-6 hours/day Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☐ No ☒ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used. Work Location: Work from home Schedule: Operation hours are 7 days per week, 8:00AM – 8:00PM We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer.  The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Luro Health is scaling clinic partnerships across multiple states to expand access to high-quality, value-based obesity care for underserved populations. The Implementation Lead owns the clinical implementation strategy and execution that brings Luro into partner FQHC/CHC sites. - Design clinical workflows - Lead staff training and change management - Coordinate EHR integrations - Manage site readiness - Develop patient engagement strategies - Drive go-live execution across 5 to 10 active clinic implementations You report to the Chief Operating Officer and partner closely with Medical Leadership and Clinical Operations, translating strategic priorities and clinical protocols into site-level operational reality. This is a hands-on role where you own the bridge between Luro clinical standards and partner clinic execution, ensuring consistent, high-quality launches that set sites up for long-term success. What You’ll Do - Design and implement scalable clinical workflows tailored to partner clinic environments - Lead site readiness assessments, implementation planning, and launch execution - Deliver staff training and drive change management to ensure adoption - Coordinate EHR configuration and operational testing with Product and Engineering - Partner closely with clinic leadership as the primary implementation contact - Monitor launch performance, troubleshoot issues, and drive continuous improvement - Build standardized playbooks, templates, and documentation to support scale Qualifications - 3–5+ years of healthcare operations, clinic management, or program implementation experience - Our ideal candidate resides in NY, NJ, or PA to support close collaboration with our team - Proven success implementing new clinical programs or workflows - Strong project management and change management skills - Experience working with EHRs and healthcare IT workflows - Excellent communicator comfortable working with clinic staff and executives - Ability to manage multiple implementations simultaneously - Willingness to travel occasionally to partner sites Preferred Experience - Experience with FQHCs or Medicaid-focused clinics - Telehealth programs - Startup or high-growth healthcare environments - EHR implementations Compensation & Benefits - Compensation: Competitive salary ($80,000-$100,000), commensurate with experience - Equity: Stock option grants for long-term shared success - Benefits: Comprehensive medical, dental, and vision coverage; wellness and professional development stipends - Work Environment: Remote-first, with occasional travel to partner clinic sites for training, launches, and stakeholder engagement Why Join Us - Mission Impact: Help scale high-quality care for underserved communities and improve outcomes where it matters most - Ownership: Build the operating system for multi-site clinic launches and sustained performance - High Growth: Join a rapidly scaling organization expanding partnerships nationally - Cross-Functional Leadership: Work closely with Medical Leadership, Product, and Operations to translate strategy into execution Our Commitment At Luro Health, we believe great work happens in an environment where everyone feels respected, supported, and empowered. We are an equal‑opportunity employer and do not discriminate on the basis of sex, age, race, color, religion, marital status, sexual orientation, gender identity, pregnancy, disability, or any other characteristic protected by law. Our culture is rooted in empathy and connection toward one another, our mission, and the communities we care for. This job description outlines the general nature of the role and may evolve as our team and company grow.

At Wipfli, people count. At Wipfli, our people are core to everything we do-the catalyst behind our ability to create exceptional impact and extraordinary results. We believe in flexibility. We focus on relationships. We encourage each individual to follow their own path. People truly matter and they feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Under the direction of a Manager, or Senior Manager/Director, the Procore Implementation Consultant will develop and provide solutions for clients pursuing operational excellence and/or technical solutions. The ideal candidate will help lead and shape the delivery resources, in accordance with firm policies and procedures. If not leading people or business development efforts, will be focused on expanding technical solutions across Wipfli's footprint. Essential Responsibilities: - Lead end-to-end Procore implementations across modules including Project Management, Financials, Analytics, and Quality & Safety. - Design and deliver client-specific solutions using deep technical expertise and standard applications. - Collaborate with junior analysts and cross-functional teams to ensure successful project execution. - Act as the primary Procore SME during sales pursuits and multi-app solutioning. - Integrate Procore with Power BI for advanced reporting and analytics. - Manage project timelines, budgets, and scope changes with proactive communication. - Provide training and support to client teams on Procore functionalities. - Mentor junior consultants and contribute to team development. - Participate in business development and identify cross-selling opportunities. - Drive innovation through research and development of new market solutions. Required Qualifications: - Bachelor's Degree or an equivalent combination of education and experience. - 5+ years' experience in a professional services firm or 5+ years of private industry experience focused on appropriate technical area with 1+ years in professional services. - Works towards obtaining additional appropriate advanced certifications. - Hands-on experience with Procore implementations. - Experience working with construction companies, real estate developers, or public sector organizations. - Proven track record of successful project delivery in a consulting role. Preferred Qualifications: - Training, support or consulting advisory experience. - Experience with compliance or professional standards associated with area of expertise. - Expertise in Procore Financials and Power BI. - Strong understanding of construction management and financial processes. - Polished and effective communication and presentation skills. - Ability to identify cross-selling opportunities during engagements. - Experience integrating Procore with CRM, ERP, or payroll systems. - Experience utilizing IPasS solutions Benjamin Dzanic, from our recruiting team, will be guiding you through this process. Visit his LinkedIn page to connect! #LI-REMOTE #LI-BD1 Additional Details: Wipfli is an equal opportunity/affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identify, veteran status, disability, or any other characteristics protected by federal, state, or local laws. Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in our recruiting process, please send us an email at hr@wipfli.com Wipfli values fair, transparent, and competitive compensation, considering each candidate's unique skills and experiences. The estimated base pay range for this role is $88,000 to $118,000, with offers typically not made at the maximum, allowing for future salary increases. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws. Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including, but not limited to, individual and Firm performance. Wipfli cares about our associates and offers a variety of benefits to support their well-being. Highlights include 8 health plan options (both HMO & PPO plans), dental and vision coverage, opportunity to enroll in HSA with potential Firm contribution and an Employee Assistance Program. Other benefits include firm-sponsored basic life and short and long-term disability coverage, a 401(k) savings plan & profit share as well as Firm matching contribution, well-being incentive, education & certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D. Eligibility for all benefits programs is dependent on annual hours expectation, position status/level and location. "Wipfli" is the brand name under which Wipfli LLP and Wipfli Advisory LLC and its respective subsidiary entities provide professional services. Wipfli LLP and Wipfli Advisory LLC (and its respective subsidiary entities) practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations, and professional standards. Wipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Wipfli Advisory LLC and its subsidiary entities are not licensed CPA firms.

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary HMS, a Gainwell Technologies company, is seeking an experienced Director of Implementations to lead the delivery and transformation of technology and services implementations supporting healthcare and human services programs. This role is responsible not only for successful execution of Medicaid related client implementations, but also for modernizing implementation practices, improving delivery predictability, and scaling implementation capabilities to support business growth. The Director of Implementations will oversee a portfolio of concurrent implementations, manage implementation capacity and pipeline demand, and partner closely with Sales, Product, Technology, and Operations leaders to ensure smooth transitions from deal closure through delivery. The ideal candidate brings strong program leadership, deep Medicaid eligibility/Payment Integrity/Coordination of Benefits experience, and a proven ability to drive operational transformation in complex public-sector environments. Your role in our mission Implementation Delivery & Transformation - Lead end-to-end implementation efforts from contract execution through go-live and transition to steady-state operations. - Drive the transformation and standardization of implementation methodologies, tools, templates, and governance models. - Identify and implement improvements to reduce implementation cycle time, risk, and cost while improving quality and client satisfaction. - Establish scalable implementation frameworks that support growth across multiple states and programs. Pipeline Management & Sales Partnership - Partner closely with Sales leadership to manage the implementation pipeline, demand forecasting, and delivery readiness. - Participate in regular pipeline and cadence meetings with Sales to assess upcoming deals, timelines, risks, and resource needs. - Provide implementation input into deal shaping, solution design, assumptions, timelines, and Statements of Work (SOWs). - Ensure accurate capacity planning and smooth handoff from Sales to Implementation teams. Client & Stakeholder Management - Serve as a senior implementation leader for key clients, ensuring alignment on scope, timelines, risks, and success criteria. - Lead state client governance forums, status reviews, and executive steering committees during implementations. - Proactively manage scope changes, risks, and issues to protect delivery commitments and client relationships. Cross-Functional Leadership - Coordinate cross-functional teams including Technology, Data Management, Operations, Analytics, Product, and Shared Services. - Partner with Engineering and Product teams to align solution configuration and release planning with implementation needs. - Ensure effective transition from implementation to operations, including documentation, training, and knowledge transfer. Team Leadership & Capacity Management - Lead, mentor, and develop implementation managers, project managers, and delivery staff. - Manage staffing models, workload balancing, and performance management for the implementation organization. - Build a high-performing, accountable implementation team capable of delivering complex programs at scale. Governance, Risk & Quality Management - Establish implementation governance, escalation paths, and delivery assurance processes. - Monitor implementation performance through KPIs, milestones, and risk indicators. - Ensure implementations meet contractual, regulatory, and quality standards. What we're looking for Required Qualifications - 8+ years of experience leading technology or services implementations in healthcare or public-sector environments. - Medicaid eligibility experience required, including eligibility determination systems, workflows, and program operations. - Proven experience driving implementation transformation, standardization, and process improvement. - Experience partnering with Sales on pipeline planning, deal readiness, and delivery forecasting. - Strong leadership, communication, and stakeholder management skills. - Ability to travel up to 15% domestically. Preferred Qualifications - SNAP (Supplemental Nutrition Assistance Program) eligibility experience strongly preferred. - PMP or equivalent project management certification. - Experience with integrated eligibility systems, MMIS, or human services platforms. - Familiarity with Agile, hybrid, or scaled delivery methodologies. What you should expect in this role - Remote work environment - Opportunities to travel up to 15% domestically. The deadline to submit applications for this posting is March 13, 2025 The pay range for this position is $130,600.00 - $186,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.