• Liderar a operação do ecossistema digital • Transformar estratégia em execução prática • Coordenar times (tráfego, conteúdo, edição, comercial e produto) • Estruturar e acompanhar projetos (lançamentos, funis, produtos) • Conduzir rituais de alinhamento e acompanhamento de performance • Identificar e destravar gargalos operacionais • Garantir entregas com velocidade, qualidade e previsibilidade

Bring your claim expertise and leadership strengths to help deliver accurate and timely recoveries. In this role, you’ll strengthen technical capability, elevate quality outcomes, and help partners solve root-cause issues—while building a culture of learning, clarity, and continuous improvement. Responsibilities - Increase claim accuracy and consistency by coaching processors on workflows, tools, and best practices. - Enable faster, more confident decisions by providing timely, high-quality answers to technical processing questions. - Deliver targeted learning (1:1 and group) that grows capability across routine and complex Centralized Overpayment Recovery scenarios. - Lead or support training sessions to roll out process changes, new guidance, and refresher content. - Use Service Quality Review Meeting (SQRM) insights to identify trends, isolate root causes, and drive corrective action. - Partner with supervisors and cross-site teams (including GSP partners) to improve quality/KPIs through huddles, calibrations, and feedback loops. - Advance continuous improvement by recommending and implementing process, job aid, or control enhancements that reduce rework and improve resolution quality. - Own and report on quality outcomes for the supported team, highlighting risks, wins, and next best actions. Qualifications - Required - High School Diploma or G.E.D. - 2+ years of hands-on claim processing experience, including Centralized Overpayment Recovery (or closely related recovery work). - Strong working knowledge of claim systems and workflows (e.g., Proclaim, Facets, and C-Funds for refunds/recoupments). - Track record of meeting or exceeding key performance metrics in your current or most recent role. - Customer-focused approach with the ability to balance accuracy, speed, and service. - Sound judgment, critical thinking, and accountability for decision outcomes. - Strong problem-solving skills and the ability to use available tools and resources to reach accurate final resolution. - Clear communication skills (written and verbal), including the ability to explain technical topics in simple terms. - Ability to teach, coach, and support others across a range of claim complexities. - Comfort collaborating with teams in multiple locations (in-office and work-from-home partners). Qualifications - Preferred - Experience serving as a Team SME or New Hire Class SME - OPR Experience - Experience partnering with quality coaching and audit teams to drive KPI and accuracy improvements. - Proficiency with Microsoft Word, Excel, PowerPoint, Outlook, and virtual meeting tools (e.g., WebEx or similar). 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 hourly rate of 22 - 33 USD / hourly, 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. 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.

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Salary Range: $16.50 - $26.50 Union Position: No Department Details Summary The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if insurance meets prior authorization criteria. Job Description Collects necessary documentation and communicates with third party payers, healthcare professionals and customers to prioritize requests. Verifies patient registration and confirms benefit coverage, including deductibles and out-of-pocket expenses; researches and verifies covered benefits for ordered tests, procedures, and other services. Responsible for assuring that prior authorization for medical services, including testing, procedures, surgery, Durable Medical Equipment (DME), and medications is completed and confirmed. Obtains diagnosis(es)/CPT code(s) from medical chart and/or provider office. Contacts third party payer to determine appropriate prior authorization process. Works closely with provider offices to obtain and clarify documentation to demonstrate medical necessity. If medical necessity criteria are not met, follows up with provider offices with guidance for Advanced Beneficiary Notices (ABN) or waivers that releases the financial burden of scheduled services from the facility to the patient. Reviews professional services denials; works with clinics and third party payers on appeal process. Assures all required referrals are in place; may work on outgoing referrals for care outside Sanford Health. May have minimal telephonic patient interaction concerning provider referrals. May notify appropriate insurance companies when patients have checked in for inpatient services and procedures requiring observation periods. Documents work in case management module; provides direction to utilization management, case management, and nursing regarding what action needs to be taken. Collaborates with case management, social work, utilization management, and other cross-functional teams across the enterprise. Assists with the design and management of data including the preparation of reports and presentations. Qualifications High school diploma or equivalent preferred; post-secondary education helpful. Minimum of two years of experience in a hospital or clinic setting required. Understanding of medical terminology, insurance background, office equipment and computers is required. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.

Job Description Summary Job Description As a Commodity Operations Leader you will support the Composites commodity to drive the achievement of business outcomes through strong operating rhythms, deployment of lean tools and continuous improvement of processes. This role requires a high amount of autonomy, and significant levels of operational judgment to achieve outcomes for specific KPI performance and strategic initiative implementation. This role will directly influence the team's ability to achieve quality and timeliness of objectives while leverage FLIGHT DECK tools. Influencing, motivating and coaching skills will be required on a daily basis. To do well in the role, you must have a combination of people, leadership & communication skills, sourcing expertise, an eye for detail and great organizational skills. Requires high “say do ratio” as well as the ability to process and analyze data and stakeholder feedback to support business decisions. The Operations Leader will work to build a network and connectivity across the commodity and also across the sourcing organization - including the commodity’s quality, delivery (SP&E), compliance, commercial operations, and finance partners. This role may serve as Chief of Staff for the Commodity Leader. Roles and Responsibilities: - Accountable for all operating rhythms, KPI management, and operational and process improvements; facilitates connectivity across commodity and partner sourcing teams. Act for commodity leader or staff as needed. - Lead commodity operating rhythms with effective use of time, KPI’s or operating metrics, action plans and problem solving. Create and evolve operating rhythms as needed for outcomes. Train, mentor and coach the team through problem solving. - Develop and execute communication plan for the commodity between leader, staff, and all local, global, or remote team members. - Drive daily/weekly/monthly KPI management for the commodity and sub-sections. Develop thorough metrics, scorecards, and control plans to measure and sustain KPI’s. Review ongoing performance to targets, evaluate misses and work to identify and deploy corrective measures with accountable leaders and/or escalate issues as necessary. - Uses FLIGHT DECK to improve the effectiveness of the interaction between the commercial composites organization. Develop processes for handoffs between roles and functions, and inclusive of local, global or remote team members. - Interface and lead engagements with other adjacent functions (Quality, SP&E, Commercial Ops, Sourcing Commodities, Compliance, Finance, etc) to provide effective coordination of metrics, dashboards, functional processes, and cross-functional coordination. - Uses high level of judgment to make decisions and handle complex tasks or problems across commodity teams, other sourcing organizations, or partner organizations such as engineering or product lines. - Deploy process improvements within the commodity – inclusive of strategic initiatives, operational process changes, and digital tools. - Execute solution-based approaches for team culture, training/onboarding, and change acceleration. - Interprets complex internal and external business challenges and recommends best practices to improve products, processes, or services. Stays informed of industry trends that may inform work. Conduct training and follow up to ensure adoption. - Has ability to assess quality of information given and ask pertinent questions to stakeholders. Able to offer new solutions to problems outside of set parameters and is able to construct and provide recommendations. Uses multiple internal and some external sources outside of own function to help arrive at a decision. Required Qualifications: - Bachelor's degree from an accredited university or college - Minimum 5 years of experience in Commercial Operations, Sourcing/ Procurement, Supplier Relationship Management, Sales, Supply Chain or Contract Management roles Desired Characteristics: - Strong analytical and problem-solving skills; able to challenge existing processes and design solutions using critical thinking and best practices - Proven ability to lead multiple initiatives/projects and work across large, matrixed, fast-paced environments - FLIGHT DECK practitioner and educator, with experience driving lean change and continuous improvement - Effective cross-functional influencer, able to engage and align stakeholders to drive change and deliver on key business objectives - Strong communicator with excellent oral, written, and presentation skills; able to collaborate with internal and external customers - Demonstrated project management skills, including planning, documenting, marketing, and executing projects or improvements - Strong interpersonal and leadership skills; able to build strong internal and external relationships and collaborate in highly effective teams - Commercial and creative mindset, with experience leveraging innovative commercial solutions - Acts with humility, transparency, and focus: respectful, receptive, inclusive, shares information, prioritizes effectively, and makes sound decisions - Self-motivated, able to work independently while coordinating and resolving queries with diverse stakeholders - Willingness to travel ~5% or more as business needs require GE Aerospace offers comprehensive benefits and programs to support your health and, along with programs like HealthAhead, your physical, emotional, financial and social wellbeing. Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to a Health Coach from GE Aerospace; and the Employee Assistance Program, which provides 24/7 confidential assessment, counseling and referral services. Retirement benefits include the GE Aerospace Retirement Savings Plan, a 401(k) savings plan with company matching contributions and company retirement contributions, as well as access to Fidelity resources and planning consultants. Other benefits include tuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation or illness. ​ GE Aerospace (General Electric Company or the Company) and its affiliates each sponsor certain employee benefit plans or programs (i.e., is a “Sponsor”). Each Sponsor reserves the right to terminate, amend, suspend, replace or modify its benefit plans and programs at any time and for any reason, in its sole discretion. No individual has a vested right to any benefit under a Sponsor’s welfare benefit plan or program. This document does not create a contract of employment with any individual. The base pay range for this position is 134,000.00 - 178,000.00. The specific pay offered may be influenced by a variety of factors, including the candidate’s experience, education, and skill set. This position is also eligible for an annual discretionary bonus based on a percentage of your base salary/ commission based on the plan. This posting is expected to close on March 31st, 2026. This role requires access to U.S. export-controlled information. Therefore, employment will be contingent upon the ability to prove that you meet the status of a U.S. Person as one of the following: U.S. lawful permanent resident, U.S. Citizen, have been granted asylee or refugee status (i.e., a protected individual under the Immigration and Naturalization Act, 8 U.S.C. 1324b(a)(3)). Additional Information GE Aerospace offers a great work environment, professional development, challenging careers, and competitive compensation. GE Aerospace is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. GE Aerospace will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable). Relocation Assistance Provided: No #LI-Remote - This is a remote position