The Sr. Representative is responsible for CIM Data and Demographics such as Demo Changes and Fall out, along with LXNX and other issues that arise with provider data. Providing back up to the different team. Learning all the nuances for our National Providers. Provide recommendations for process improvements and elimination of barriers, obstacles and risks and assists with delivery and implementation of solutions using our nuances and various tools for the National Ancillary Team. Responsibilities - Perform tasks such as research fall out issues - Work any work items that come to your box - Follow up with the manager on infractions monthly. - Able to understand the interdependence among business systems, teams and matrix partners; recognizes when changes or additional analysis needs to be conducted and provide appropriate feedback and suggestions. - Participate in peer training and coaching support to obtain required processing knowledge. - Participate in workload balancing daily as needs arise to support work streams and functions - Understands and supports the team as needed. - Understand and follow all loading instruction, policy and procedure documentation. Continually identify and escalate process gaps and opportunities for process efficiencies across documentation to avoid negative customer impacts. - Initiate accurate problem identification and present root cause analysis findings utilizing appropriate data trending tools and resources. Collaborate to implement corrective actions. - Meet deadlines and accept additional tasks and assignments while maintaining established quality, production, and team timeliness standards. - Able to work successfully in a team environment as well as one your own. - Able to work and collaborate with matrix partners to provide regular data performance feedback, close data integrity gaps and proactively seek resolutions. Qualifications - Associate's degree or higher strongly preferred or equivalent work experience required. - Prior experience in the healthcare industry and knowledge of medical terminology (or any combination of education and work experience) preferred. - Knowledge of Microsoft Word, Excel and Access. - Preferred knowledge of HCPM required. - Facets and Proclaim are preferred. - Prior claim exposure/experience preferred. - Preferred, working knowledge of, and/or experience with coding and reimbursement methodologies. - Prior experience with provider data loading preferred. Understand how contracts are set up and current business policies and technology will affect claim payment. - Proven ability to maintain positive working relationships, receiving and providing feedback, coaching and guidance to/from other staff members - Self-starter with proven technical, analytical, negotiating, problem-solving, organizational and time management skills. Self-motivated, detail oriented, decisive, and adaptable to change - Aptitude in demonstrating the ability to maintain a high level of focus and attention to detail while working with complex data and systems - Ability to function well in a fast-paced, demanding environment - Must be able to effectively communicate across a wide variety of topics to various audiences. - Ability to work independently while managing multiple tasks and meeting deadlines while also being a strong team player, partnering with others to collaboratively resolve issues and deliver solutions 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 25 - 37 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.

Who We Are: We’re a high-growth software company with a big mission: empowering K-12 district teams to do more with less.  At LINQ, we get K12. That’s why we help districts transform K-12 school operations with best-in-class, cloud-based software solutions built to help districts return more resources to classrooms. Integrating finance, HR, nutrition management, and payments into a single, secure platform, LINQ reduces administrative burden. LINQ is trusted by 30% of school districts across the U.S. to help them operate more efficiently and serve over 1 billion meals to 17 million students annually, process payroll for 364,000 educators, administrators, and staff, and engage with millions of families through the free LINQ Connect app.    Our team? They’re talented, committed, and fiercely loyal problem-solvers. At LINQ, you’ll find challenging and meaningful work, a team that respects and uplifts one another, and a commitment to constant improvement. Our customers love us because we’re attentive, patient, communicative, and solutions focused. They know they can count on us to not only anticipate their needs but to deliver the right answer every time.  LINQ’s Values: • Act with Integrity & Build Trust: Trust is the foundation of our company. We operate with the highest standards of integrity, both internally and externally. We believe in transparency, honesty, and accountability. Building a culture where trust is earned and maintained. • Deliver Excellence: We consistently exceed our clients’ expectations. In every interaction, we strive to anticipate needs, provide swift solutions, and go the extra mile to relentlessly impress our customers. We communicate clearly, consistently, and in a timely way to cultivate lasting relationships. • Embrace Challenges: We embrace a growth mindset. Challenges offer opportunities to learn, grow, and improve. Continuous learning keeps us relevant and effective to ensure our solutions remain on the leading edge of innovation. • Collaborate & Act as One Team: Diverse skills, ideas, and perspectives are our strength. Through open communication, shared goals, and a spirit of unity and mutual respect, we collaborate to achieve excellence, drive innovation, and propel our company forward as a cohesive force. About The Role: The Senior Implementation Consultant partners with clients to gain a comprehensive understanding of their district and business/technical requirements and works to ensure that delivery of LINQ software addresses those needs. The Implementation Consultant ensures the transition to LINQ software is completed according to predetermined timelines and establishes a positive introduction to the new relationship between the client district and EMS LINQ.   What you’ll be doing: - Provide exceptional professional services and education to clients about LINQ software products, including TITAN nutrition software.   - Work with clients in the project planning stage to understand and document requirementsregardingLINQ products, providing best practice information to improve client experience in implementation.   - Design and conduct knowledge transfer and configuration sessions through remote training, onsite training or through webinars and recorded sessions.   - Educate users on LINQ software functionality and product and system configuration,assistingthe client where necessary to complete required functional requirements.     - Collaborate with team members and other LINQ stakeholders to successfully complete implementation projectsin a timely mannerand deliver exceptional client service.   - Assistinternal LINQ teams withcreation of training resources and documentation.   - Play an active role in proactivelyidentifyingproduct issues and troubleshooting issues. Report issues to escalated support team following established LINQ processes, creating documentation as required.   - Keep up to date on administrative tasks such as attending team meetings,enteringand updating data and metrics in project management tool (Wrike, Salesforce), communicating with clients, entering time reports and managing internal communications.   - Notify management andappropriate organization/departmentof issues or unplanned events that could impact the effectiveness/schedule/budget of the implementation.    - Use available resources like LINQ Academy to improve self-knowledge on industry-related issues and business-related skills.   - Participatein LINQ user events (remote and in person) and travel whenrequired to client sites for onsite training.   - Perform other duties as assigned.   - Be an advocate and champion of LINQ software and services.   What We Are Looking For: - BA/BS degree in a technical or business-oriented field   - 5+ years of relevant professional experience, including either K-12 industry operator experience or software implementation technical/professional service, or other relevant business experience.   - Project management experience or certifications (such as PMI-based CAPM or PMP)a plus.   What will Make You Stand Out: - Experience in child nutrition or K-12 education industry preferred   - Strong knowledge and execution in project management and software services delivery   - Exceptional client relationship and communication skills, with the ability to work directly and professionally with clients in both remote and in-person environments   - Ability to work successfully with teams and with leadership to help build efficient and productive work environment.   - Active listening skills and ability to communicate effectively with internal and external stakeholders in both verbal and written form.   - Growth mindset and desire to continually develop and improve knowledge and skills   - Spanish language (spoken and written)proficiencya plus   - Familiarity with Microsoft Office 365 suite (Teams, PowerPoint, Outlook, Excel) and project management software (example: Wrike) a plus.  The Tech: - Microsoft Office - Slack Travel Requirements: - Less than 35% EOE STATEMENT: We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. Why You'll Love Working With Us 🌎Flex Your Workspace: Work remote from one of our eligible states across the US, or if you’re near Austin three days in office a week! 💰Planning Your Future: Our 401(k) plan comes with a 4% employer match on total earnings (not just your base salary). 💸Performance Pays Off: Whether it’s a company bonus or target sales commission, your hard work doesn’t go unnoticed. 🌴Vacation Your Way: Our flexible Open Paid Time Off Plan lets you take the time you need, when you need it. 👶Paid Parental Leave: Take the time you need to welcome your new addition – We’ve got you covered! 🎉Ten Paid Corporate Holidays: Enjoy a little extra downtime to relax and recharge with the ten paid holidays each year. ❤️Giving Back: Feel good while doing good – 16 paid volunteer hours to support the causes that matter most to you. #LINQCares 🏥Benefits That Have Your Back (And Teeth, Too!): Rock-solid medical, dental and vision coverage. Pick your vibe: a low deductible PPO and pair with an FSA or a HDHP with a sweet HSA – with contributions from LINQ. Dental perks that even cover braces for the kiddos. 💪Wellness Perks: Employer-paid Short-Term Disability, Long Term Disability, Basic Life, and AD&D insurance. Gym reimbursements and tons of extra savings on travel assistance, employee assistance, and even pet insurance options. 🎁Rewards For Referrals: Got an amazing candidate in your network? Send them our way and earn a referral bonus when they join the team! EOE Statement/Accommodation Notice: As a federal contractor and equal employment opportunity employer, LINQ adheres to all applicable laws and regulations regarding employment practices, ensuring that all qualified individuals receive consideration for employment based on their qualifications. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local law. To learn more about your rights and protections under federal law, please refer to the EEOC Equal Employment Opportunity Poster at the following link: https://www.eeoc.gov/poster If you’d like to view a copy of the company’s state or federally required affirmative action plans or policy statement, please email HRHelp@linq.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact HRHelp@linq.com. This email address is reserved solely for job seekers with disabilities requesting accessibility assistance or an accommodation in the job application process. Please do not use this email to inquire about the status of your job application if you do not require accessibility assistance or an accommodation. Messages left for other purposes, such as solicitation, following up on an application or non-disability related technical issues, will not receive a response. PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number.

Role Description Serve as the Pharmacy Implementation Lead to deliver on design & build of enterprise pharmacy architecture and workflow; oversee PharmNet configuration and testing; manage formulary governance and medication order standards; lead and build TPN workflow, pharmacy clinical documentation, MCDS and codeset filtering, pharmacokinetics, rules for clinical monitoring, drive multi-site standardization; partner with pharmacy, clinical, and IT leadership; ensure adherence to safety and regulatory standards; guide interface and automation integration; support go-live readiness, command center operations. Qualifications - Minimum of 10 years of combined, relevant work experience - At least 8 years of experience in healthcare information technology (HCIT) consulting or other client‑facing IT roles - Additional 3 years of experience directly related to the responsibilities of this role - Bachelor’s degree required - Hands‑on experience with Oracle Health pharmacy applications, including: - Medication Manager - Product Manager - Bedrock - Olympus - PHADBTools - Strong knowledge of: - Barcode Medication Administration (BCMA) - Medication‑use workflow optimization - Formulary management and order catalog architecture - CDS and PowerPlans design - Dispensing cabinet, smart pump, and robotics integration - Pharmacy automation and interoperability - Regulatory alignment (TJC, CMS, Leapfrog) - Domain consolidation and multi‑site standardization - Advanced troubleshooting and technical problem‑solving - Experience with HCIT system design and build - Proven ability to perform workflow and technology assessments - Understanding of integration between clinical and revenue cycle systems - Strong presentation skills with the ability to explain complex technical concepts to operational, financial, and application teams - Demonstrated cross‑functional leadership in clinical, technical, and operational environments Requirements - Travel will be required for this role up to 35%. Benefits - Medical, dental and vision coverage with low deductible & copay - Life insurance - Short and long-term disability - Paid Parental Leave - 401(k) + match - Employee Stock Purchase Plan - Generous Paid Time Off – accrued based on years of service - 10 paid company holidays - Tuition reimbursement - Flexible Spending Account - Employee Assistance Program - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits. Company Description At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

• Implement client data, implement new features on existing clients, and assist in data integrity for all clients • Implement client Revenue Cycle data into applicable applications based off project requirements including Benchmark and systems applications • Create and configure ETL processes from multiple data sources in complex formats • Log, track, and document solutions to complex data implementation tasks in Jira • Build custom data transformation processes using commercial ETL tools • Develop new logical data model schemas and tables for the creation and use of physical data model schemas and tables • Attend client project virtual meetings focused on gathering requirements and communicating project progress and timelines • Mentor other Team Members on data implementation solutions