• manage the Office of Innovation's technology platforms and systems • collaborate closely with Office of Innovation leadership • oversee a small team to design and implement comprehensive policies and processes • spearhead long-term technical operational projects • improve security practices and optimize the use of hardware and software • engage in strategic procurement decisions

Join us for an exciting career with the leading provider of supplemental benefits! Our Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. In this role as the Supervisor of Credentialing, you will lead and innovate within our Credentialing Department where you can drive operational excellence and compliance. As a key player in our organization, you will provide strategic direction and oversight to the Credentialing Specialists across all lines of business. In this role, you will assist in developing and implementing policies, procedures, and best practices that ensure efficient and compliant operations. This is your chance to make a meaningful impact on the healthcare industry while working in a flexible, forward-thinking environment. This is a vital role in supporting the integrity of our operations and ensuring that we provide the highest quality service to our members, providers, and stakeholders. In this critical role, your contributions will directly impact the quality of care that our members receive. By ensuring our providers meet stringent regulatory standards, you’ll help safeguard the organization against risk while supporting the ongoing success of our healthcare programs. Your work will have a tangible, positive impact on patient outcomes and provider relationships, and you'll play a key part in maintaining our company's reputation as a trusted healthcare partner. As the Supervisor of Credentialing, you’ll work to uphold rigorous standards, ensuring adherence to State and Federal regulations, National Committee for Quality Assurance (NCQA) standards, and other industry benchmarks. You will have direct responsibility for leading a team of Credentialing Specialists who carry out the day to day work to enroll providers in the Avesis provider networks. You’ll also have the opportunity to shape the future of provider data standards, process improvements, and team development, all while maintaining a culture of quality and compliance. As the Supervisor, you will be a guide to your team on credentialing processes and maintaining best-in-class practices to support Avesis’ continued growth and success. If you have a passion for healthcare compliance, a proven track record of leadership, and a strategic mindset, we want you to join our fully remote, dynamic team at Avesis. Core Competencies: - Lead a first-class, metrics-driven credentialing operation maintaining compliant operations while achieving best-in-class turnaround times. - Provide leadership, mentoring, training, and coaching to all Credentialing Specialists. - Effectively work with internal department and clinical support to identify best practices and opportunities to improve quality performance. - Meet with direct reports on a routine basis for one on ones, provide performance feedback, and coach/counsel employees as needed. Document performance when needed. Complete annual performance appraisals and recommend salary adjustments. - Keep pace with regulatory changes and work internally to modify systems and processes to mitigate any negative impact. - Manage and maintain positive engagement with CVO and other external credentialing vendors - Maintain a comprehensive understanding of healthcare credentialing requirements. - Support and Implement department goals and continuous process improvement initiatives. - Provide support to the Credentialing Team to ensure adequate performance. Functional Competencies: - Working knowledge of NCQA standards and payer credentialing standards. - Working knowledge of best practices for provider data management and maintenance. - Knowledge of PSV (primary source verifications), CAQH, OIG (Office of Inspector General) & NPDB (National Practitioner Data Bank). - Working knowledge of credentialing databases to manage, track, and verify provider data. - Strong computer, data entry and analysis skills. Behavioral Competencies: - Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. - Initiative: readiness to lead or take action to achieve goals. - Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing. - Member-focused: going above and beyond to make our members feel seen, valued, and appreciated. - Detail-oriented and thorough: managing and completing details of assignments without too much oversight. - Flexible and responsive: managing new demands, changes, and situations. - Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task. - Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required. - Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties. Minimum Qualifications: - Bachelor's degree or equivalent education and experience - CPCS Certification required, may be obtained within 6 months of accepting position - 3+ years of credentialing experience in a managed care setting - Intermediate skill level in Microsoft Excel - 3+ years of experience managing and maintaining provider network databases. - As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient. Preferred Qualifications: - Knowledge of vision or dental industry. - 1-2 years leadership and performance management experience At Avēsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are: Zone A: $55,790.00-$92,990.00 Zone B: $60,810.00-$101,350.00 Zone C: $65,420.00-$109,040.00 FLSA Status: Salary/Exempt This role may also be eligible for benefits, bonuses, and commission. Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter. We Offer - Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way. - Competitive compensation package. - Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period. - Life and disability insurance. - A great 401(k) with company match. - Tuition assistance, paid parental leave and backup family care. - Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent. - Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best. - Employee Resource Groups that advocate for inclusion and diversity in all that we do. - Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability. How To Stay Safe Avēsis is aware of fraudulent activity by individuals falsely representing themselves as Avēsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company. Avēsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avēsis recruiters will come from a verified email address ending in @ Avēsiscom. We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com. To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avēsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity. Equal Employment Opportunity At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!

Enrollment Specialist Lead--------------------------------------------------------------- The Enrollment Specialist Lead serves as a subject matter expert in functional areas related to enrollment across lines of business including the proficient, timely, and accurate entry and maintenance of member eligibility and enrollment data. This position is also responsible for assisting with supervisory responsibilities and helping to ensure compliance with relevant internal, state, and federal guidelines and department procedures. Estimated Hiring Range: $25.42 - $31.07 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Technical - Perform eligibility and enrollment functions including reconciliation of member enrollment and demographic information. - Utilize private health data using multiple systems. - Resolve discrepancies between enrollment and eligibility systems. - Process incoming Medicare and/or Medicaid enrollments according to applicable state, federal, and internal CareOregon guidelines. - Investigate other health insurance coverage status to assist with coordination of benefits. - Ensure compliance with timely processing of eligibility, enrollment records, and/or member notification. - Resolve very complex enrollment and compliance issues. - Assist in the research and resolution of member grievances and complaints, including CMS Complaint Tracking Module responses. - Lead the development of documentation and process guides for relevant OHA and/or CMS enrollment functions. - Assist with User Acceptance Testing for projects and system implementations as needed. - Support the most complex Medicare member Disenrollment and Cancellation from CMS, including Retro-Disenrollments, submission to the CMS Retro Processing Center, and tracking status updates. - Act as an information resource for the team regarding eligibility and enrollment functions. - Serve as a project or process owner within the department. - Assist the supervisor in monitoring enrollment reports and deliverables to ensure timeliness and compliance, including annual and semiannual deliverables such as HEDIS and Part D CMS submissions. - Assist supervisor to collaborate with other teams and programs on process improvement and interdepartmental workflows. - Gather and organize documentation for periodic state and federal audits. - Assist with gathering business requirements for changes to the enrollment process. - Assist supervisor with monitoring outbound file deliveries to business partners. - Support troubleshooting of inbound and outbound enrollment file deliveries. - Monitor OHA and/or CMS communications to support implementation of required changes - Engage with OHA and/or CMS in plan collaboration meetings. - Perform the functions of an Enrollment Specialist when needed. Customer Service - Assist internal and external business partners, sales agents and members regarding enrollment related inquiries such as benefit levels, eligibility status, sales support, grievances, and audits and appeals. - Work collaboratively with internal and external business partners to ensure effective customer service and resolve enrollment-related inquiries. - Use online call tracking system to document all activities from any mode of communication from members, providers and other customers. - Maintain confidentiality for all customers. - Treat all customers with honesty, courtesy, dignity and respect. - Handle escalated phone calls to provide problem resolution when needed. - Provide customer service guidance as needed to Enrollment Specialist staff. Outbound Calls - Conduct outbound calls to Medicaid and/or Medicare members, to assist with eligibility and enrollment. - Conduct outbound calls to external business partners for eligibility verification and enrollment inquiries. Employee Supervision - Provide leadership for a team in support of team direction and goals. - Provide input into staffing needs; assist in recruiting and hiring staff, using an equity, diversity, and inclusion lens. - Participate in organizing, scheduling, monitoring and improving work; help ensure employees have information to meet job expectations and have coverage during absences. - Contribute to the development, communication, and oversight of team and individual goals. - Train, lead, and coach employees; may facilitate team meetings. - Incorporate guidance from CareOregon equity tools into people leadership. - Help monitor employee adherence to department and organizational standards, policies, and procedures. - Assist in evaluating employee performance, providing feedback to support success, recognizing strong performance, and addressing performance gaps and accountability (corrective action). - Perform lead tasks in collaboration with Human Resources as needed. Experience and/or Education Required - Minimum 5 years’ experience in healthcare or insurance in customer service, enrollment, billing or related area -OR- - Minimum 3 years’ experience in Medicare or Medicaid enrollment - Experience working with CMS and/or OHA Preferred - Experience in a training, coaching or lead role - Experience with people and/or project leadership Knowledge, Skills and Abilities Required Knowledge - Advanced understanding of the concepts of managed care - Expert knowledge of Medicare and Medicaid eligibility and enrollment requirements - In-depth knowledge of enrollment processes and functions across lines of business and ability to act as an enrollment Subject Matter Expert in one or more lines of business Skills and Abilities - Advanced understanding of and ability to apply Oregon Administrative Rules (OARs) federal laws and other regulatory requirements that relate to the medical, dental, mental health and health insurance industry and/or Medicaid/Medicare industry - Very strong skills in Microsoft Windows, Word and Outlook - Advanced skill in Excel - Basic or intermediate understanding of EDI 834 file exchange - Very strong skill in the use enrollment systems - Ability to continually generate new ideas to improve quality and productivity - Expert ability to communicate effectively with leadership and be a back-up representative for the Supervisor in inter-departmental meetings - Expert ability to work in a fast-paced environment and manage multiple tasks - Advanced and effective research, analytical and problem-solving skills - Expert ability to adhere to a set schedule and sustain excellent attendance - Expert ability to learn and apply basic knowledge, including completion requirements for CMS systems certifications and re-certifications (HPMS) - Ability to assist with system implementation and configuration - Ability to model professional behavior, support coaching, and assist with development plans for enrollment staff - Advanced customer service skills, including the ability to interact professionally, patiently, and courteously over the phone - Strong active-listening skills - Excellent written and oral communication skills - Ability to articulate very complex issues in an easy-to-understand manner - Ability to share information and insight and give clear and concise information, directions and feedback - Expert ability to work effectively with diverse individuals and groups - Ability to learn, focus, understand, and evaluate information and determine appropriate actions - Ability to accept direction and feedback, as well as tolerate and manage stress - Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day - Ability to hear and speak clearly for at least 3-6 hours/day Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical, ergonomic, and biological hazards. Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used. Work Location: Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer.  The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

• Searching for a strong sales operations analyst that will be responsible for leading, documenting, developing, and implementing business solutions to support the NVIDIA Partner Network Public Sector Distribution Program. • Aligning and driving account management teams through full-sales cycles with activities including special pricing, rebate, EOL terms, and revenue management. • Work directly, with partners to provide excellent customer support and lead events which are critical to meeting revenue targets and improve customer service. • Complete daily sales administration and customer service tasks including forecast management, customer demand fulfillment, accurate feedback, coordinating NPI, EOL, and other operational processes. • Work with multi-functional business owners to ensure the highest level of supply continuity and process improvement. • Strong knowledge of business insight and a shown ability to drive & capture additional insights through quantitative and qualitative data, enhancing overall business intelligence.