Title: Patient Access Intake Specialist II Location: Valencia, CA, US, 91355 Work Type: Remote Department: Customer Service Job Description: Additional Location(s): N/A Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance At Boston Scientific, we&rsquo;ll give you the opportunity to harness all that&rsquo;s within you by working in teams of diverse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we&rsquo;ll help you in advancing your skills and career. Here, you&rsquo;ll be supported in progressing &ndash; whatever your ambitions. Shift Hours: 7:00 AM - 4:00 PM or 8:00 AM - 5:00 PM About the role: The Patient Access Intake Specialist is responsible for the initial review of the patient case through submission to the insurance plan for prior authorization. Works closely with Intracept team members and external customers (physicians and patients) to ensure clean and timely submissions. At Boston Scientific, we value collaboration and synergy. Relocation assistance is not available for this position at this time. Boston Scientific will not offer sponsorship or take over sponsorship of an employment VISA for this position at this time. Work Mode At Boston Scientific, we value collaboration and synergy. This role follows a remote work model. Relocation Relocation assistance is not available for this position at this time. VISA Boston Scientific will not offer sponsorship or take over sponsorship of an employment VISA for this position at this time Your responsibilities will include: - Confirms case information is complete and supports medical necessity. - Obtains additional information from the physician or patient as needed. - Follows up timely on assigned tasks to ensure optimal case progression. - Communicates internally and externally to resolve case related issues. - Submits prior authorization requests by phone or fax to the payer. - Manages incoming faxes and correspondence, distributing to Case Managers in a timely and accurate manner. - Prioritizes tasks according to urgency. - Applies pressure on health plans that refuse to review based on negative or absent coverage policy for the procedure. - Drafts all case related communication to physicians, patients and payers in a clear and concise manner. - Documents all case activity and correspondence for cases in a timely manner to provide chronological details of case progress. - Acts as a resource for fellow team members and new employees. Skills: - Demonstrated ability to navigate the prior authorization process with commercial and government payers. - Strong ability to read clinical records and extract pertinent information for submission. - Demonstrated knowledge of payer medical policies and criteria requirements. - Ability to follow process and protocol and communicate when/if changes are needed. - Ability to work within multiple software systems. - Ability to adapt as the needs of the business change or evolve. - Excellent verbal and written communication skills. - Excellent interpersonal skills. Required qualifications: - 1-2 Years with High School Diploma and/or equivalent experience, training , or apprenticeships - Minimum 2 years commercial insurance prior authorization experience. - Secure home office space with ability to protect HIPAA sensitive materials. - Must be willing to travel as needed (<5%). Preferred qualifications: - Pain management or spine specialty preferred. Requisition ID: 625309 Minimum Salary: $38688 Maximum Salary: $65728 The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) &ndash; &mdash;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.

• Partner directly with the CEO and executive leadership to drive company-wide strategic priorities from concept through execution. • Lead cross-functional strategic initiatives, translating high-level goals into actionable plans, milestones, and measurable outcomes. • Own executive-level operating rhythms, including business reviews, strategic planning cycles, and performance tracking dashboards. • Develop data-driven insights, business cases, and executive-ready presentations to support key decisions and growth initiatives. • Act as a strategic “air traffic controller” across teams, ensuring alignment, accountability, and momentum on critical initiatives. • Identify operational gaps, process inefficiencies, and organizational friction points, and design solutions that scale with the business. • Serve as a trusted thought partner to senior leaders, proactively surfacing risks, opportunities, and recommendations to improve execution and results. • Miscellaneous responsibilities as necessary.

Sr. Operations Manager- Certifications Fully Remote &bull; United States or Canada &bull; ES Electrical Job Type Full-time Description Company Summary: The International Code Council is the leading global source of model codes, standards, and building safety solutions. This includes product evaluation, accreditation, technology, training, and certification. ICC Codes, Standards, and solutions are used to ensure safe, affordable, and sustainable communities and buildings worldwide. While our roots are firmly planted in the development of the Codes and Standards, our growth allows us to offer many more services to support our Codes and Standards. ICC Evaluation Service (ICC-ES) is the industry leader in performing technical evaluations of building products, materials and systems for code compliance. This includes our testing services and product certification. Position Summary: The Sr. Operations Manager &ndash; Certifications is responsible for leading and executing certification operations within ICC-ES&rsquo;s Electrical Certification Division. This role combines hands-on technical execution of certification projects as a project engineer with operational leadership responsibilities. The incumbent will actively manage electrical product certification projects while simultaneously building scalable processes, developing operational infrastructure, and preparing the certification function for growth. As business volume increases, the role will progressively shift toward broader operational management, team leadership, performance optimization, and strategic expansion of certification services. This position is ideal for a technically strong, performance-driven professional who is motivated to build and lead a high-quality certification program aligned with ISO/IEC 17065 and SCC accreditation requirements. Essential Functions: - Manage and execute electrical product certification projects from application through certification recommendation in accordance with ISO/IEC 17065 and ICC-ES procedures. - Review product construction, schematics, technical documentation, and test reports for compliance with applicable CSA, UL, IEC, and related standards. - Define project scope, applicable standards, testing requirements, and certification pathways. - Coordinate testing activities with ISO/IEC 17025-accredited laboratories and monitor project progress. - Prepare technical evaluation summaries and support Certification Decision Maker(s) (CDMs) with complete, defensible files. - Serve as the primary technical contact for clients, ensuring clear communication and timely resolution of technical issues. - Design, implement, and continuously improve certification workflows from application intake through certification issuance and surveillance. - Develop and maintain standard operating procedures (SOPs), evaluation templates, checklists, and process documentation in alignment with ISO/IEC 17065 and SCC re-quirements. - Establish and monitor operational KPIs (cycle time, backlog, utilization, quality of re-ports, on-time delivery, customer satisfaction) and drive continuous improvement. - Oversee workload planning, resource allocation, and prioritization of certification activities. - Support recruitment, onboarding, mentoring, and performance development of certification engineers as the team expands. - Ensure certification activities meet all traceability, impartiality, and documentation re-quirements under ISO/IEC 17065 and the ICC-ES Quality Management System. - Support internal audits, management reviews, and external accreditation assessments. - Performs other related duties as assigned - Travel Requirements: 15-25% (maybe higher initially as the role gradually establishes) Secondary Functions: - Partner with the VP of Electrical Services and commercial teams to support certification business growth. - Provide technical input into proposals, scope expansion, and new service development. - Identify opportunities to expand certification scope (new standards, product categories, jurisdictions). - Monitor competitor practices evolving market needs. - Represent ICC-ES in industry forums, technical committees, and accreditation discussions as appropriate. - Foster a culture of technical excellence, accountability, customer focus, and high-performance delivery. - Embrace a start-up mindset: adaptable, hands-on, and comfortable building systems while executing projects. Requirements Essential Skills and Education/Experience: - Bachelor&rsquo;s degree in electrical engineering, Electronics Engineering, or related discipline. - Professional Engineer (P.Eng./P.E.) preferred. - 5&ndash;10+ years of experience in electrical product certification, compliance engineering, or testing within a TIC environment. - Strong knowledge of CSA, UL, IEC standards and conformity assessment principles. - Working familiarity with ISO/IEC 17065 accreditation requirements (SCC or equivalent). - Demonstrated experience managing complex certification projects. - Previous experience leading technical teams or managing operational workflows strongly preferred. - Strong organizational, analytical, and decision-making skills. - Client-focused, team-player, proactive, and performance-oriented mindset - High level of integrity and commitment to impartiality and public safety. - Ability to interpret electrical schematics, product construction details, and applicable safety standards. - Understanding of certification lifecycle management, surveillance programs, and certificate maintenance. - Familiarity with ISO/IEC 17065, and awareness of ISO/IEC 17025 and 17020 frameworks is an asset. Physical Requirements: - Ability to sit for extended periods while working at a computer or desk - Occasional standing, walking, and reaching to access files or office supplies - Manual dexterity for typing, filing, and handling office equipment - Ability to lift and carry up to 20 pounds occasionally (e.g., office supplies, documents) - Visual acuity to read printed and digital materials - Auditory ability to communicate effectively in person and over the phone - May need to climb stairs in multi-level office building Environmental Conditions: - Indoor office environment - Must be able to work in standard office environment with artificial lighting and climate control Disclaimer: This description is not an exhaustive list of all responsibilities, duties, and skills required. The company reserves the right to change or add duties to this position as business needs require. International Code Council offers a competitive starting salary and comprehensive benefits package that includes paid vacation and sick time, health/dental/vision insurance, 401k with generous company match immediately vested, company paid basic life insurance, short-term and long-term disability coverage. Additional voluntary benefit offerings are available such as critical illness insurance, flexible spending accounts, and pet insurance. International Code Council provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, citizen status, religion, ancestry, national origin, age, disability, sex, marital status, military status, pregnancy, sexual orientation or any other basis prohibited by applicable federal, state or local employment laws or regulations in every location in which the company has facilities. (#LI-REMOTE) Salary Description 115-135k

Department Name: Grievances & Appeals Work Shift: Day Job Category: General Operations Estimated Pay Range: $23.16 - $34.74 / hour. Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained. Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities. In the role of Senior Grievance & Appeals Coordinator, you will utilize your expertise in Grievance & Appeals and Medicare to oversee diverse tasks and responsibilities, guaranteeing seamless departmental operations. Your duties will include reviewing incoming submissions, addressing urgent matters, conducting thorough case investigations and documentation, maintaining tracking systems, composing responses and decisions, conducting compliance audits, reporting on metrics, and leading training sessions. The position is Remote, with work hours between Monday to Friday, 8:00 a.m. to 5:00 p.m. Availability during some holidays may be necessary for compliance purposes. Residency in Arizona is a requirement for this role to ensure compliance. Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. POSITION SUMMARY This position supports the Grievance & Appeals Department by supporting the development of the team and by assisting in the preparation of the Health Plan in all State Hearings. This position is the standard by which each employee is to handle member and provider grievances, appeals and claim disputes. This position supports the development, implementation, maintenance and continuous improvement of the Grievance & Appeals department, programs and projects and assists the Grievance & Appeals Manager with day-to-day operations, ensuring production and quality standards according to contractual requirements. CORE FUNCTIONS 1. Maintains State Fair Hearing Logs with appropriate information required by HP policy, AHCCCS, HCG and CMS regulations. 2. Reviews all State Fair Hearing requests by members and providers, pulls case files, meets with Grievance & Appeals Manager for further review and action which may include collaboration with others to avoid/reduce grievances, appeals and/or claim disputes. May attend State Fair Hearings. 3. Coordinates and assists the Grievance & Appeals Manager in preparing for higher level of appeals (i.e. Independent Review Entity reviews, hearings, etc.) including telephonic requests. 4. Assists with project management of departmental improvements. Coordinates with other departments on Grievance & Appeals projects/workgroups. 5. Assists the Marketing Department with the production of all member letters and notices. Participates actively in meetings, workgroups and committees relevant to the Grievance & Appeals process. May produces, prepare, quality check or deliver all reporting requirements in the absence of the Grievance & Appeals Manager. 6. Produces and analyzes weekly and monthly data to determine trends and provides recommendations for intervention. Assists with internal, external and self-audits of department and annual data validation. 7. Produces Monthly Operational Dashboard. Produces, analyzes and reports monthly data to ensure regulatory compliance. Updates Grievance & Appeals data in conjunction with the Marketing department on all HP websites. 8. Monitors and resolves member and provider expedited appeals and grievances received after hours and/or holidays when assigned to rotational on-call duty. Coordinates appropriate action by supporting clinical staff for processing of member and provider expedited appeals and/or grievances. 9. This position works under supervision, prioritizing data from multiple sources to provide quality care and support. Incumbents work in a fast-paced, sometimes stressful environment with a strong focus on customer service. Interacts with staff at all levels throughout the organization. MINIMUM QUALIFICATIONS Knowledge, skills and abilities as normally obtained through the completion of an Associate’s Degree in a Healthcare related field or business. Three to four years of grievance and appeal work in a health care environment, or an equivalent combination of education and experience. Maintains knowledge of AHCCCS, HCG, and CMS regulations by participating in training, teleconferences and in-services. Strong knowledge of administrative hearing processes for escalated grievances, appeals and claim disputes; Knowledge of Marketing Guidelines for AHCCCS, HCG and CMS. Knowledge of Health Plan policies, health care quality improvement initiatives and best practices, and program planning and project management best practices. Skill in building and maintaining interpersonal relationships, and preparing and presenting detailed information to ensure understanding for a wide audience base. Ability to plan/direct projects, grasp new knowledge and concepts quickly and apply them, and assign workflow and tasks to other employees as needed for training purposes. Ability to organize, follow through and report results of interventions, conduct Grievance & Appeals related meetings, workgroups and committees, and to work cross functionally across the organization. Ability to support Grievance & Appeals Manager’s work with attorneys, representatives and delegated persons regarding cases at the administrative hearing level. Ability to train new Grievance & Appeals coordinators, capable of mentoring trainees through a “buddy system”. Skill in developing and managing teams; demonstrated critical thinking in resolving issues and conflicts. PREFERRED QUALIFICATIONS Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy