We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Senior Ops Coordinator reviews and processes appeals filed by participating providers, ensures adherence to regulatory requirements, and addresses compliance issues related to Complaint and Appeals policies. This role conducts internal audits, drafts appeal decision letters, and serves as a subject matter expert (SME) for complex cases. What you will do - Review and process appeals filed by participating providers. - Assist with adherence to regulatory requirements, conducts internal audits, and addresses any identified compliance issues with the Complaint and Appeals policies and procedures. - Drafts and sends appeal decision letters. - Provide peer support to coordinators when handling complex appeal issues. - Serves as SME for handling complex cases such as CA IPA or SIU cases. - Maintain successful performance for meeting monthly metrics for attendance, production and quality. - Provide training and ongoing support to new hires to ensure successful onboarding and integration into team processes. Required Qualifications - 2+ years in appeals, compliance, or a related coordination role - Proven success in meeting monthly metrics for attendance, production and quality - Strong knowledge of regulatory requirements and compliance standards - Excellent written and verbal communication skills - Ability to support and mentor peers on complex issues - Proficiency with relevant software and case management tools Preferred Qualifications - Medicare experience - Claims experience - Experience in reading or researching benefit language in Summary Plan. Description (SPDs) or Certificate of Coverage (COCs) - Experience in research and analysis of claim processing Education - High School Diploma (REQUIRED) - Bachelor's Degree or equivalent experience (PREFERRED) Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $31.72 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/21/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

The Executive Director, Compliance Officer has worldwide responsibility for implementation and maintenance of Therakos’ Health Care Compliance (HCC) program and related policies, guidelines, practices, and processes. The role is responsible for ensuring among other things, Therakos meets statutory and regulatory requirements related to the company’s interactions with Health Care Professionals (HCPs) and Health Care Organizations (HCOs), the company’s commercial and scientific activities and its compliance with the Anti-Kickback Statute, the Foreign Corrupt Practices Act and other applicable fraud, abuse, and anti- corruption laws as well as the company’s compliance with financial disclosure and reporting mandates to governmental bodies (or designates) with respect to value transfers between Therakos and HCPs/HCOs. The Executive Director, Compliance Officer advises and engages with company leadership to provide sustained support for all aspects of Therakos’ HCC program including developing and implementing HCC policies, training and education on HCC principles, auditing and monitoring the company’s compliance, ensuring effective lines of communication exist for employees to report HCC-related issues to the company, publicizing standards of conduct, enforcing standards of conduct through disciplinary guidelines, and responding promptly to detected compliance issues by undertaking corrective action as appropriate. The individual will advise Senior Management and the Board of Directors on compliance related issues. The Executive Director, Compliance Officer will prepare agendas for and serve as chair for Therakos’ Compliance Steering Committee (CSC) meetings and will implement additional policies and procedures as directed by the CSC, Senior Management and or the Board of Directors. Principal relationships within the Company include: engagement with the Executive Leadership Team, CEOs, Human Resources, Legal, Finance, Commercial Operations (Sales, Marketing, Ops, etc), Medical/Clinical Affairs, R&D, and managing contact with all levels of employees across the Company on HCC related matters. Role reports to Therakos’ General Counsel. REQUIRED: - Bachelors Degree - Health Care Compliance Certifications from Accredited Program(s) - 10 years experience in Health Care Compliance roles with at least 2 years experience in a Health Care Compliance Leadership role with a successful record in implementing Health Care Compliance program elements - US HCC Experience and Leadership - Ability to travel, up to 20% annually PREFERRED: - Masters Degree or JD - International HCC Experience - Experience in Clinical Activities - CCEP Certification Specifically, the individual will: As Executive Director, Compliance Officer, chair the Therakos Compliance Steering Committee, which has oversight of the compliance controls across Health Care Compliance, Quality, Regulatory, Finance and Human Resource related functions. Serve as the point of contact for HCC policies and procedures: - Develop partnerships with management teams to reinforce compliance principles and embrace ownership to make compliant decisions - Advise internal stakeholders of potential compliance risk areas and develop and manage risk mitigation plans - Effectively influence individuals at the highest levels of the organization - Ensure that Therakos’ business planning process includes appropriate consideration of anticipated interactions with HCPs and HCOs in order to ensure appropriate needs assessment, business justification, fair market value compensation and contracting in accordance with appropriate safe harbor provisions of the Anti-Kickback Statute Responsible for providing HCC direction, guidance, support, and oversight for day to day business activities: - Program concepts & related materials - Risk-based approvals for all transactions regarding value exchanges with HCPs/HCOs - Analyzing trends from Oversight & Monitoring activities and taking action as necessary (eg., training, investigation, policy revisions/updates) - Monitoring Therakos’ contract database and contracting process for compliance with HCC policies - Developing an annual risk assessment and implementing it across functions Provide guidance and oversight to ensure integration of appropriate HCC policies, procedures and related processes into the development of strategic and tactical plans, forecasts, call plans and incentive compensation plan, as well as oversight relating to the execution of those plans including oversight and/or review and approval of programs and processes. - Manage HCC approval and documentation processes for business plan, call plans, and compensation plans - Review and provide input into business strategies and tactics (needs assessment) - Recommend and develop additional monitoring plans for high risk projects - Identify training needs, develop and deliver appropriate HCC trainings for internal and external business partners Participate on cross-functional and/or cross-company teams - Manage and facilitate Therakos Compliance Committee - Oversight for Educational Grant committee and other compliance review functions Oversee and ensure complete data is captured and accurate reports are filed to meet statutory domestic and international transparency reporting requirements (USA State reports, Sunshine, UK Bribery Act, etc). Job Benefits: - Medical, Dental, Vision Insurance - Life/AD&D - Short- and Long-Term Disability - 401(K) with large company match - Health Saving Account (HSA) and Flexible Spending Account (FSA) with company match - Wellness Program - Employee Assistance Program (EAP) - Generous Paid Time Off (PTO) Disclaimer: The included statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.

Title: Delegated Credentialing Lead Analyst - Evernorth - Remote Location: CT-Bloomfield Job Description: Responsibilities: The Delegated Credentialing Lead Analyst will be responsible for performing the daily tasks of delegation oversight, including selection and retention of provider group accounts that are seeking or have been awarded delegated credentialing for the Behavioral, Dental, and Medical line of businesses. - Conduct practitioner/provider group credentialing audits for initial, annual and interim assessments in accordance with Cigna and CMS regulatory requirements. - Negotiate and manage delegation contractual agreements. - Be a key contributor for internal and external organization audits. - Analyze and manage delegated provider data. - Maintain working knowledge of regulatory credentialing requirements as applicable for medical, dental and behavioral delegation. - Collaborate effectively with delegated groups, compliance/legal, direct credentialing, contracting, and other matrix partners, as applicable. - Maintain fundamental understanding of key matrix partners’ operations within the Cigna organization. - Provide support to and act as a subject matter expert for various projects. Perform other related duties as assigned. Qualifications: - Bachelor's degree or higher strongly preferred or equivalent work experience required - 3+ years of credentialing and/or auditing experience required - Knowledge of NCQA and Medicare standards - Proficient in Microsoft Access, Excel, Outlook, PowerPoint and Word - Strong analytical and problem-solving skills - Excellent communication, collaboration, interpersonal and organizational skills - Ability to work effectively, both independently and/or in a group setting - Ability to effectively coordinate and manage multiple projects and prioritize work in a fast-paced environment - Ability to perform work with minimal supervision while achieving desired outcome - Minimal travel may be required for audits. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 55,700 - 92,800 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Title: Supplier Quality Engineer II - External Operations Acquisition Location: Marlborough, MA, US, 01752 Department: Quality Assurance, Reliability Job Description: Recruiter: Spencer Gregory Hale Supplier Quality Engineer II – External Operations Acquisition About the role: The Sourced Finished Medical Device (SFMD) organization at Boston Scientific is a global, passionate team that oversees a diverse network of suppliers which manufacture finished devices for BSC distribution. The Supplier Quality Engineer II will demonstrate a primary commitment to patient safety and collaborate with cross-functional internal/external resources to continually improve our supplier’s manufacturing processes. In this role, you will support SFMD products associated with the Intera acquisition associated with the Peripheral Intervention division. Your responsibilities include: Sustaining Engineering: - Evaluates and communicates quality issues to suppliers and applies sound, systematic problem-solving methodologies in identifying, prioritizing, and resolving quality issues. Reviews and approves supplier corrective action plans and verification of effectiveness documentation. - Proactively assesses supplier capabilities through direct on-site visits and technical discussions. Coordinates the evaluation of proposed changes at suppliers. - Plans and leads supplier audits to assess compliance with regulatory standards and Boston Scientific requirements, including audit scheduling investigation, and evaluation of audit observation and findings, reporting, follow-up, and confirmation of follow-up actions. - Manages sustaining quality issues, process change impacts, and design change implementations for suppliers within the Acquired Entity Quality system, the hybridized BSC-Acquired Entity Quality System, and in the BSC Quality System after products are successfully integrated. - Investigates and solves non-conformances due to incoming inspection at BSC Distribution Centers. - Supports Design Quality Assurance with Field Action and Product Inquiry Reports by performing investigations on supplier-related or supplier-caused quality issues. - Investigates complaints and manages NCEPs at OEM suppliers and CM suppliers where the issue is manufacturing-related. - Supports Supplier Change Impact Assessments for process changes at suppliers. - Supports and performs Finished Good Documentation changes in support of ongoing design changes or labeling updates. - Supports projects and contributes to consistently hitting project milestones. Collaborates on developing crisp and clear project plans and strong contingency plans as part of project planning process. New Product Development: - Execute SFMD Plan deliverables for integration of acquired company’s suppliers and products into BSC’s Quality System.. - Support the execution of SFMD quality deliverables and collaborate with cross-functional new product development teams to onboard finished medical device suppliers. - Generate and review quality plans, agreements, product specifications, component qualifications, design verification/validations, and process validations. Quality System Champion: - Collaborates with corporate and regional supplier quality organizations on policy, procedure, and guideline development. Includes generation, review, and implementation of these documents. - Identifies and advises management on potential improvements to quality systems and processes in the company. - Champions 100% compliance to company policies and SOP’s. What we’re looking for in you: Minimal Qualifications: - BS degree in engineering or technical field with minimum of 2 years of relevant experience. - Experience in medical device, automotive, aeronautical, semiconductor, or other regulated industry. - Project management: ability to influence cross functional global teams spanning Quality, Operations, R&D, and Sourcing. - Experience in process validation, design controls, risk management, CAPA, SCAR. - Organized and self-driven. - Articulate communicator; adept at packaging and appropriately scaling information to the intended audience. - Ability to rapidly learn and use new software applications (e.g., PLM, ERP). - Domestic and international travel up to 25%. Preferred Qualifications: - 3+ years of medical device engineering experience preferred. - Medical Device Industry experience - Problem Solving and Project Management experience - Leadership experience on a materials or service commodity team. - Lead auditor of quality systems experience (ISO 13485 or similar). - ASQ certification (CQE, CBA, SSGB, SSBB) desired. Requisition ID: 626023 Minimum Salary: $ 75100 Maximum Salary: $ 142600 The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) – see www.bscbenefitsconnect.com—will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs. At BSC, it is not typical for an individual to be hired near the bottom or top of the anticipated salary range listed above. Compensation for non-exempt (hourly), non-sales roles may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements). Compensation for exempt, non-sales roles may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements). For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability. Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class. Among other requirements, Boston Scientific maintains specific prohibited substance test requirements for safety-sensitive positions. This role is deemed safety-sensitive and, as such, candidates will be subject to a prohibited substance test as a requirement. The goal of the prohibited substance testing is to increase workplace safety in compliance with the applicable law.