Role Description Seeking Dental Hygienist to review claims with the submitted diagnostic material to make proper benefit determinations based on group contracts and DeltaUSA and departmental established guidelines/policies. Responsible for clearing up queues on a daily basis and to pend appropriate claims for additional information. Refers claims to dental consultants for review. Location: Candidates located more than 1 hour outside of our corporate office in Roanoke, VA and residing in the following states may be considered for remote work: FL, GA, ID, MD, NC, NE, SC, TN, VA, WI, WV. Essential Functions - Reviews diagnostic material (i.e. x-rays, periodontal charting, etc.) to determine appropriate benefits. - Adjudicate claim benefit review requests in a timely manner. - Refers claims to dental consultant for review when diagnostic materials do not appear to support the procedure requested. - Follows DeltaUSA guidelines and departmental guidelines/policies for claims processing. - Works in team concept with the CCU and other departments within Delta Dental. - Maintain accuracy and production numbers to meet department expectations. - Audited to ensure KPI’s are met monthly. Qualifications - Dental Assistant or Dental office manager. - Knowledge interpreting dental x-rays. - The ability to follow established procedures with moderate decision-making. - Extensive computer knowledge/skills. - Strong interpersonal and communication skills. - The ability to focus for long periods of time. - A positive attitude with ability to adapt to change and learn new things. Physical Demands and Work Environment The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical demands: - While performing the duties of this job, the employee is occasionally required to walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; balance; stoop; talk or hear. - Use of hands is required for such technological devices such as a computer, telephone and others. - The employee must occasionally lift and/or move up to 15 pounds. - Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. - The employee will be required to travel (sometimes long distances) to attend required meetings. Work environment: - The work is limited to the office environment with occasional trips to other office facilities or locations necessitating walking outdoors or driving. - The noise level in the work environment is usually minimal.

Neuroscience Health and Science Professional (HSP) - Peekskill, NY ROLE SUMMARY Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing, testing, or compliance, your contribution will directly impact patients. All over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues can grow and develop a career that offers both individual and company success; be part of an ownership culture that values diversity and where all colleagues are energized and engaged; and can impact the health and lives of millions of people. Pfizer, a global leader in the biopharmaceutical industry, is continuously seeking top talent who are inspired by our purpose to innovate to bring therapies to patients that significantly improve their lives. Pfizer is advancing in Neuroscience, and an integral part of the Migraine Team’s mission is to promote a breakthrough therapy for patients suffering from migraine. The Neuroscience Health & Science Professional (HSP) is responsible for increasing territory sales and relationship development with assigned customers and accounts by engaging in product promotion and determining the best strategies to manage their business. The HSP should possess customer, market, and business acumen, analytical skills, and strong product and disease state knowledge; demonstrate ability to drive sales, promotional and strategic business development and management skills, and in-depth customer engagement expertise both in-person and virtually; demonstrate outstanding communication and teamwork skills; be adept in the operation of digital and virtual tools; and be effective at working remotely in collaboration with cross-functional internal teams to address customer needs and compliantly deliver on Pfizer business objectives. ROLE RESPONSIBILITIES · Drives sales in assigned territory. · Engages with customers both face to face and virtually. · Develops and implements effective business and territory call plans; effectively identifies and implements live/virtual engagement strategies with customer to maximize overall effectiveness and impact. · Effectively builds rapport and relationships with customers in both live and virtual environments; uses judgment to maintain customer engagement by successfully utilizing existing and ever-changing digital tools effectively for successful customer engagement. · Understands and leverages internal reports and analytics to assist with identifying, developing, and implementing strategic business opportunities. · Compliantly leverages product and disease state knowledge to appropriately educate providers on unbranded and branded product value proposition for relevant patient populations and effectively and strategically utilizes approved clinically oriented disease state information and patient resources, as applicable. · Demonstrates strong teamwork capabilities to collaborate effectively and compliantly across the organization to address customer inquiries and advance Pfizer objectives. · Completes all administrative expectations on time and compliantly. BASIC QUALIFICATIONS · Bachelor’s Degree. · Minimum 2 years of experience in one or more of the following: - Professional Sales or Promotional Activity. - Small Business Owner or other Entrepreneurial experience, Marketing, Customer Service and/or Account Management. - Relevant Healthcare/Scientific roles (e.g., RN, Pharmacist, PT, OT, etc.). - Educator (e.g., Teacher, Principal). - Full Time Military experience. - Must live within 25 miles of the border of the territory. - Valid US driver’s license and driving record in compliance with company standards. Any DUI/DWI or other impaired driving citation within the past 7 years will disqualify you from being hired. PREFERRED QUALIFICATIONS · At least 1 year of pharmaceutical, biotech, medical sales and/or medical related marketing. · Strong track record of sales or marketing success, strong territory management skills, outstanding communications skills, as well as demonstrated teamwork, leadership ability and accountability. · Experience with applicable disease states, therapeutic area, and products. · Knowledge of posted territory customers and markets (prescribers/HCPs/institutions/organizations). · Reside within the territory boundaries. OTHER JOB DETAILS - Last Date to Apply: March 20, 2026. - Geography includes: Peekskill, NY and ​Southwestern CT. - Work Location Assignment: Remote - Field Based. The annual base salary for this position ranges from $76,000 - $199,600. During initial new hire sales training, you will be classified as a salary non-exempt employee which entitles you to overtime pay. Upon your training certification, you will become an overtime exempt employee. In addition, this position offers an additional quarterly Sales Incentive bonus. We offer comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life’s moments. Benefits offered include a 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage. Learn more at Pfizer Candidate Site – U.S. Benefits| (uscandidates.mypfizerbenefits.com). Pfizer compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to any location outside of the United States. Relocation assistance may be available based on business needs and/or eligibility. Candidates must be authorized to be employed in the U.S. by any employer. U.S. work visa sponsorship (such as TN, O-1, H-1B, etc.) is not available for this role now or in the future. Sunshine Act Pfizer reports payments and other transfers of value to health care providers as required by federal and state transparency laws and implementing regulations. These laws and regulations require Pfizer to provide government agencies with information such as a health care provider’s name, address and the type of payments or other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to pursue, reimbursement of recruiting expenses for licensed physicians may constitute a reportable transfer of value under the federal transparency law commonly known as the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of interviewing with Pfizer that we pay or reimburse, your name, address and the amount of payments made currently will be reported to the government. If you have questions regarding this matter, please do not hesitate to contact your Talent Acquisition representative. EEO & Employment Eligibility Pfizer is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability or veteran status. Pfizer also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States. Pfizer endeavors to make www.pfizer.com/careers accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process and/or interviewing, please email disabilityrecruitment@pfizer.com. This is to be used solely for accommodation requests with respect to the accessibility of our website, online application process and/or interviewing. Requests for any other reason will not be returned. Sales

This is a remote office opportunity. The BH Quality Analyst IV oversees work performed by the BH audit program to ensure that EXL’s standard of accuracy is met. Audits are performed by validating the accuracy of the coding billed in relation to the medical documentation. The BH coding auditor determines if a discrepancy exists in the coding and documents the findings. The BH quality analyst undertakes a quality review of random and targeted coding audits to check the accuracy and completeness of audits performed. EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL’s Human Resources team, as well as our hiring managers. EXL is the indispensable partner for leading businesses in data-led industries such as insurance, banking and financial services, healthcare, retail and logistics. We bring a unique combination of data, advanced analytics, digital technology and industry expertise to help our clients turn data into insights, streamline operations, improve customer experience, and transform their business. Our partnerships with clients are built on a foundation of collaboration – and we’ve been chosen as a partner by nine of the top ten leading US insurance companies, nine of the top 20 global banks, and six of the top ten US health care payers. We function as one team to make your goals our goals, whether that’s unlocking the value of generative AI or embedding analytics into workflows that reduce risk or power your growth. Clients choose EXL as their transformation partner for many reasons. Our geographic diversity make talent all over the world instantly accessible. Digital accelerators enable unmatched speed-to-value, letting you realize results fast. It’s our people that truly set us apart, though, including the 1,500 data scientists we have dedicated to our generative AI practice. And our more than twenty years of experience in delivering business services, garnering stellar client references, and maintaining a solid balance sheet are reassuring to our C-suite clients. Find out for yourself why clients, employees, and analysts think we’re some of the best in the business. Contact us to see how we can help you achieve your goals.

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you will assist patients through the continuum of care in collaboration with the patient’s primary care physician, facility case manager, discharge planner and employing contracted ancillary service providers and community resources as needed. Assures that services are provided at the most appropriate, cost effective level of care needed to meet the patient’s medical needs while maintaining safety and quality. Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time (Required) GENERAL DUTIES/RESPONSIBILITIES: 1. Performs reviews of inpatients with complex medical and social problems. 2. Generates referrals to contracted ancillary service providers and community agencies with the agreement of the patient’s primary care physician. 3. Performs follow-up reviews and evaluations of patients in the ambulatory care or lower level of care setting. 4. Reviews inpatient admissions timely and identifies appropriate level of care and continued stay based on acceptable evidence-based guidelines used by AHC. 5. Effectively communicates with patients, their families and or support systems, and collaborates with physicians and ancillary service providers to coordinate care activities. 6. Identifies Members who may need complex or chronic case management post discharge and warm handoff to appropriate staff for ambulatory follow up, as necessary. 7. Communicates and collaborates with IPA/MG as necessary for effective management of Members. 8. Assigns and provides daily oversight of the activities and tasks of the CCIP Coordinator. 9. Records communications in EZ-Cap and/or case management database. 10. Arranges and participates in multi-disciplinary patient care conferences or rounds. 11. Monitors, documents, and reports pertinent clinical criteria as established per UM policy and procedure. 12. Monitors for any over utilization or underutilization activities. 13. Generates referrals as appropriate to the QM department. 14. Enters data as necessary for the generation of reports related to case management. 15. Reports the progress of all open cases to the Medical Director, Director of Healthcare Services and Manager of Utilization Management. 16. Performs other duties as assigned. Minimum Requirements: Experience: • Required: Minimum 3 years of general case management skills. Minimum of two years of experience utilizing Milliman Care Guidelines to justify Inpatient versus Observation Length of stay: including review of diagnosis and length of stay. Two consecutive years related experience in a managed care setting as an inpatient case manager • Preferred: Experience with a Senior population. Education: • Required: Successful completion of an accredited Licensed Vocational Nursing Program • Preferred: Associates or Bachelors Degree Specialized Skills: • Required: - Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. - Excellent critical thinking skills related to nursing utilization review - Knowledge of Medicare Managed Care Plans - Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; - Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly - Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. - Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. - Report Analysis Skills: Comprehend and analyze statistical reports. • Preferred: Knowledge and experience in complex/catastrophic case management preferred Licensure: Required: - Must have and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact) - Immediately upon hire, must be willing to obtain LVN and / or RN licensure in Nevada, (Non-compact), Arizona (Compact), North Carolina (Compact), and Texas (Compact) which will be reimbursed by company. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to sit; use hands to finger, hand, or feel and talk or hear. 2 The employee is frequently required to reach with hands and arms 3 The employee is occasionally required to climb or balance and stoop, or kneel 4 The employee must occasionally lift and/or move up to 20 pounds. 5 Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. Pay Range: $77,905.00 - $116,858.00Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.