Twin Health At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital Twin technology exclusively toward metabolic health. We start by building a dynamic model of each person’s metabolism — drawing on thousands of data points from CGMs, smartwatches, and meal logs — that maps their personal path to better health. Guided by a dedicated clinical care team, our members have lowered their A1C below the diabetes range, achieved lasting weight loss, and reduced or even eliminated medications, all while living healthier, happier lives. Working here Our team at Twin Health is passionate, talented, and united by a shared purpose: to improve the metabolic health and happiness of our members. We believe in empowering every Twin to make a meaningful impact for our members, our clients, and each other, while enjoying a supportive, collaborative work environment. Twin has been recognized not only for our innovation but also for our culture, including: Innovator of the Year by the Employer Health Innovation Roundtable (EHIR), selected to CB Insights’ Digital Health 150, and named one of Newsweek’s Top Most Loved Workplace® . With more than $100 million raised in recent funding, including a $53 million Series E round in 2025 led by Maj Invest, and a $50 million investment in 2023 led by Temasek, Twin is scaling rapidly across the U.S. and globally. Backed by leading venture firms like ICONIQ Growth, Sequoia, Sofina, Temasek, and Peak XV, we are building the most impactful digital health company in the world. Join us as we reinvent the standard of care in metabolic health. Opportunity At Twin, Certified Medical Assistants work across multiple practice areas and support both clinical and administrative tasks. This role is heavily team-oriented and relies on strong communication and organizational skills. The CMA has primary responsibility for supporting the entire member journey from new member Intake and Enrollment to active member program care management. This role will work in partnership with the nursing team to support operational standards and best practices. Specific daily responsibilities include preparing charts, scheduling appointments and conducting intake tasks such as medication reconciliation, confirming primary care provider (PCP) and specialist details, as well as verifying pharmacy information. MAs working in Enrollment also conduct scheduled member phone calls as part of Twin’s on-boarding process and coordinate with a team of service advisors and Registered Nurses. Proficiency in scheduling and documentation, experience with multiple systems and platforms, as well as the ability to engage with members and teammates are critical success factors for this role. Additional considerations include ability to work with competing priorities and comfort with change. The current available schedules for this position are: - M-W 11-7, Th-F 9-5 CST/PST - Bilingual - M-W 11-7, Th-F 9-5 CST/PST - M-F 9-5 EST - Bilingual - M-W 11-7, TR + Sun 9-5 CST/PST - Tu-TR 11-7, F+Sat 9-5 CST/PST Responsibilities - While the primary assignment could be within any of these practice areas, the Twin MA team is cross-trained and works across multiple practice areas such as Intake, Member Enrollment and Member Program Activation - Works cross-collaboratively to capture, enter and confirm health profile information vital for virtual on-boarding and visits - Collects and maintains accurate Twin members’ health information and upholds compliance (HIPAA) - Conducts new member phone call visits with scripting and completes documentation; effectively engages members about Twin Health and in partnership with Enrollment team - Supports scheduling coordination and helps ensures accuracy of scheduled member visits - Coordinates with the care team and nursing team to provide administrative support for care management activities and team level projects - Also assists with and completes medication requests, tasking actions, lab reminders and scheduling, prior authorizations, and other non-clinical triaging - Demonstrates excellent communication skills with passion and empathy while also documenting with accuracy and detail - May support pilots and efforts at a high-level and help identify impact(s) related to changes - Helps identify and address potential challenges by providing feedback (i.e. may help track and report on specific processes, as determined by managing team) - May include member outreach to help complete med entry and capture missing information - Utilizes EMR tools/platforms, portal messages, phone calls, faxes and/or letters - May help initiate medication refill requests - Assists RN in coordinating and completing on-boarding tasks - Participates in team huddles, care management planning and operations meetings - Participates in continuous process improvement activities and initiatives - May help close loop regarding the sharing of educational materials to members prior to onboarding visit (pharmacy coupons, use of supplements, and need for most accurate and up to date PCP and pharmacy information from potential members) - This position supports clinical operations through team workqueues and daily tasking assignments - Performs administrative tasks (indirect care) that support the care team - May perform follow-up calls to members and primary care/providers regarding their experience and any high-level, program-related questions or issue resolution needs - Actively refers to reports and various trackers to help close operationally related gaps - Works under general supervision of the Team Leader and/or Registered Nurse Ops Manager - Confers with managing team leader on any unusual situations - Licensed health professionals are available to non-clinical administrative staff while performing initial screening and related care management/program enrollment tasks - Completes other duties as assigned, such as helping to update policies and procedures, learning new technology, etc. Qualifications - National Certification in Medical Assisting - Strong communication skills, both written and verbal - Empathy and the ability to connect with members and teammates, care team members - 2+ years of college - 5+ years of experience in a healthcare setting, working with clinicians - Role requires proficiency level typically achieved with three-five years of experience in healthcare as a Medical Assistant, Certified Medical Assistant (CMA), Health Unit Coordinator, etc. - Displays ability to communicate with others effectively, listen closely and convey information clearly - Demonstrates strong organizational skills with ability to work efficiently and effectively in a fast paced, innovative environment - Manages multiple, competing priorities and enjoys details - Likes to work independently and as part of a high performing team - Enjoys problem solving and takes initiative to present solutions - Experience with electronic health records and platforms - Experience using audio/visual technology or video conferencing platforms - Knowledge of healthcare practices and medical vocabulary - Knowledgeable in patient intake, capturing necessary medical info and medication reconciliation - Access to high-speed internet and phone lines - Passion for Twin’s purpose to transform lives by empowering people to reverse, prevent and improve chronic metabolic diseases. - Bilingual, fluent in Spanish preferred Compensation and Benefits The compensation range for this position is $21.63 per hour. Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin - A competitive compensation package in line with leading technology companies - A remote and accomplished global team - Opportunity for equity participation - Unlimited vacation with manager approval - 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents - 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options - 401k retirement savings plan We have been made aware of fraudulent interview requests being sent using the Twin Health's name. All communications will come from official Twin Health channels and a twinhealth.com email address. We will never ask you to complete a text interview or request financial details during the interview process.

About Ascend Backed by private equity from people-focused Alpine Investors, Ascend is building a dynamic platform for regional accounting firms that enables them to stay independent while accessing the resources of a Top 25 firm to help them grow. Ascend provides access to growth capital, robust talent acquisition and training, leading quality management resources, best-of-breed technology, AI tools, an offshore captive, shared back-office services, a catalytic leadership system, and modernized equity incentives so that firms can surmount today’s industry challenges to reach their full potential. For more information, visit www.ascendtogether.com. About Alpine Investors Alpine Investors is a people-driven private equity firm that is committed to building great companies by working with, learning from, and developing exceptional people. Alpine prides itself on fostering cultures where people value empowerment, diversity, fairness, integrity, and intellectual honesty. Founded in 2001, Alpine specializes in investments in companies in the software and services industries. Alpine has over $15 billion in AUM and has offices in San Francisco, New York, and Salt Lake City. For more information on the firm, visit www.alpineinvestors.com Position Summary As the Senior Manager, Total Rewards for Ascend, you are accountable for delivering a differentiated total rewards strategy that provides our employees with a stronger benefits and compensation experience than they would receive at independent regional firms. As we scale rapidly, you will leverage our collective buying power and vendor ecosystem to secure superior plan designs, improved service standards, and disciplined cost structures that strengthen both employee experience and financial predictability. Your leadership across benefits and rewards programming will directly enable our Talent team to attract top industry talent and equip our CEOs with the clarity and tools needed to retain A players and budget effectively. Serving as the internal face and product owner of Total Rewards, you will ensure a seamless, high-quality employee experience while introducing scalable, AI-enabled solutions that elevate service delivery and operational efficiency as we grow. Key Responsibilities: Working with the Vice President of People Operations, the Senior Manager, Total Rewards will be responsible for the following: Health and Wellness Benefits - Design and operate a scalable benefits strategy that supports acquisitions, maintains competitive employee offerings, and delivers predictable cost outcomes despite healthcare trend volatility. - Manage broker and vendor performance through defined service standards, renewal planning, and reporting while ensuring reliable open enrollment, billing accuracy, and benefits reporting for leadership. Retirement Programs - Own governance of Ascend’s retirement programs, ensuring fiduciary compliance, payroll accuracy, and seamless integration between HRIS, payroll, and recordkeeping platforms. - Manage retirement vendors and administrators while overseeing onboarding, remittances, compliance testing, audits, and plan design benchmarking. Leave Management - Centralize leave strategy across FMLA, disability, state programs, and paid leave policies to ensure a consistent, compliant experience across all firms. - Define clear ownership between internal teams and vendors while ensuring accurate payroll processing and a supportive employee experience throughout the leave lifecycle. M&A Integrations - Partner with integration leadership to conduct benefits due diligence and ensure Total Rewards is incorporated into deal strategy and transition planning. - Execute Day One benefits transitions and develop repeatable integration playbooks that ensure smooth employee onboarding and predictable rewards costs. Benefits Administration and Systems - Operate a scalable benefits administration ecosystem ensuring accurate data flow across HRIS, payroll, carriers, COBRA partners, and compliance vendors. - Continuously improve benefits systems, reporting, and employee self-service through automation and AI-enabled solutions that reduce operational friction. Skills - Benefits Strategy & Governance: Experience designing scalable benefits programs that balance employee experience, cost discipline, and operational simplicity. - Vendor & Broker Management: Ability to manage broker and vendor relationships, negotiate plan design and pricing, and maintain strong service standards. - Retirement Plan Administration: Knowledge of retirement plan governance, compliance requirements, and payroll integrations. - Leave & Compliance Expertise: Strong understanding of leave programs and regulatory compliance across complex organizations. - HRIS & Benefits Systems: Experience working with benefits administration platforms and integrating them with payroll and HRIS systems. - M&A Integration: Ability to support benefits and rewards transitions in fast-growing or acquisition-driven organizations. - Data Analysis & Reporting: Strong analytical skills to interpret benefits utilization trends and inform leadership decisions. - Automation & Process Improvement: Experience implementing automation and AI-enabled support tools that improve benefits administration and employee experience. - Communication & Stakeholder Management: Ability to translate complex benefits programs into clear guidance for employees, leadership, and firm partners. Qualifications - Bachelor’s degree in Human Resources, Business Administration, Finance, or related field. - Significant experience in benefits administration, compensation analysis, or total rewards leadership roles. - Experience managing vendor ecosystems including brokers, carriers, and retirement plan partners. - Familiarity with HRIS and benefits administration platforms and their integration with payroll systems. - Strong analytical skills and experience building reporting and insights to support leadership decision-making. - Experience operating in fast-growing or multi-entity organizations is strongly preferred. - Certifications such as CEBS, PHR/SPHR, or CCP are a plus. What You Can Count On (We live by our values): - Own it: We seize growth opportunities with the passion, speed and accountability of an entrepreneur. - Serve whole-heartedly: We love our people and serve them with positivity and kindness. - Be excellent: We set a high bar because our mission matters. - Win together: We stay in sync, achieve as a team and celebrate each other. - Bring the sunshine: We have fun and bring enthusiasm to make the journey joyful. At Ascend, we provide a fair and equal employment opportunity for all candidates regardless of race, color, religion, national origin, gender, pregnancy, sexual orientation, gender identity/expression, age, marital status, disability, or any other legally protected characteristic. Ascend hires and promotes individuals solely based on qualifications for the position to be filled and business needs.

Role Description If you are detail-oriented, efficient, and service-minded, you could be just who we are looking for to join our team in cleaning summer houses. NOVASOL's focus is to provide our guests with a great holiday experience, and we look after our homeowners' summer houses as if they were our own. The whole service starts with a good cleaning, which makes the guest feel welcome – this is where we are looking for your help. Qualifications - Has a car you can use - Responsible - Is committed to presenting holiday homes and apartments in the best possible way - Deep cleaning - Can work weekends Requirements - Own car or access to a car - Detail-oriented - Efficient and service-minded Benefits - Competitive hourly wage - Driving allowance according to Danish tax rules - Flexible working hours (although mainly weekends) - Employee benefit, e.g., discount on rental of holiday homes in Denmark and abroad - Training by experienced colleagues - Cleaning products and equipment for use in the properties - Your route will be given to you on an app, so you have easy access to the information you will need

Description About WSDOT The Washington State Department of Transportation (WSDOT) is a multimodal agency with a global reputation for excellence. Our dedicated workforce plans, designs, builds, and operates an integrated transportation system that safely and efficiently moves people and goods throughout the state. In addition to maintaining over 20,000 lane miles of state highway and 4,100 bridges, WSDOT manages the world's longest floating bridge, leads an award-winning Active Transportation Plan, holds the record for the world’s widest tunneling project, and operates the largest ferry system in the nation! The Opportunity WSDOT is currently seeking an Assistant Area Engineer to support the delivery of highway design and construction contracts for the Columbia Gorge Office. This position assists and acts on behalf of the Project Engineer to ensure projects are delivered in alignment with local, state, and federal standards while meeting scope, schedule, and budget expectations. The role helps ensure that projects are well-integrated into the surrounding environment, support all modes of transportation, and are constructible, maintainable, and minimally disruptive to the traveling public. The Assistant Area Engineer prioritizes personal, coworker, and public safety in all work activities and incorporates sustainable transportation practices into project delivery. This position also fosters a culture of belonging and access, promotes workforce development, and supports resiliency across agency assets and operations. What to Expect Among the varied range of responsibilities held within this role, the Assistant Area Engineer will: - Assist in strategically planning the budget, schedule, and workforce needed to deliver the Capital Improvement and Preservation Program (CIPP). - Lead professional and technical staff, including interns, temporary employees, and consultants, in the design and development of multiple transportation improvement and preservation projects. - Ensure assigned projects comply with agency policies and procedures and meet scope, schedule, budget, and documentation requirements while producing constructible, permittable, and biddable contract plans. - Communicate clearly and professionally with leadership, colleagues, support teams, local agencies, stakeholders, and the public. - Collaborate with partners, including citizens, media, elected officials, contractors, and consultants, to plan, build, maintain, and operate an efficient transportation system. - Report project status updates to regional and statewide executive leadership to support accountability and informed decision-making. - Coordinate input and resolve conflicts among internal teams, outside agencies, consultants, and the public to maintain project progress. - Assume management responsibilities in the absence of the Project Engineer, including certifying design and contract documents with a Professional Engineer stamp and ensuring projects are delivered in compliance with applicable standards and environmental laws. Qualifications To be considered for this opportunity, the following are required: - Civil Engineering Expertise: Extensive experience applying transportation engineering principles, including highway design, construction practices, and surveying. Proficient in preparing and reviewing plans, specifications, and estimates (PS&E) for complex highway and transportation infrastructure projects.  - Transportation Design & Delivery: Experience leading transportation projects through planning, environmental review, design, and construction. Familiar with transportation system design, environmental compliance, and state and federal project delivery processes.  - Project Management & Scheduling: Demonstrated ability to plan, organize, and deliver multiple projects on time and within budget. Skilled in developing work plans, coordinating team efforts, and managing schedules. - Budgeting: Experience managing budgets across multiple phases of project development, with a working knowledge of programming and funding processes. - Leadership: Demonstrated strategic leadership through building and leading effective teams; motivating, coaching, and empowering staff; driving change and process improvements; resolving conflicts; and fostering engagement and collaboration across a diverse, interdisciplinary workforce to deliver multiple projects.  - Problem Solving & Decision-Making: Proven ability to identify issues, evaluate options, and implement practical solutions. Skilled in conflict resolution and facilitating constructive dialogue.  - Effective Communication & Collaboration: Strong interpersonal, written, and verbal communication skills to engage internal teams, contractors, stakeholders, and the public. Capable of representing the agency in meetings and on project sites.  - Growth Mindset: Actively demonstrates a commitment to learning and growth. - Service-Oriented: Takes action to meet the needs of others. In addition to the above, the following are also required:  - Licensed as a Civil Professional Engineer in the state of Washington or currently holding a Civil PE license from another state with the ability to obtain Washington State licensure within six (6) months of hire.  - Ability to traverse rough, steep, and uneven terrain.  - Ability and willingness to be available outside of regular business hours, including 24/7 response to emergent or time-sensitive issues as needed to support business operations. It is preferred that qualified candidates also have: - Project Delivery Methods: Experience designing and procuring transportation projects through design-build and design-bid-build methodologies, alignment with applicable industry standards, agency policies, and regulatory requirements.  - FHWA Process Knowledge: Familiarity with Federal Highway Administration (FHWA) processes, procedures, and requirements for delivering federally funded transportation projects. Ability to ensure compliance with federal stewardship obligations, documentation, and reporting standards.  - Change Management: Proven senior-level experience leading organizational and enterprise project change, including shifts in scope, structure, policy, and delivery models. Adept at applying strategic change management practices to guide teams through complex transitions and ensure successful outcomes. Important Notes  - This recruitment may also be used to fill additional positions per business needs. - This position offers flexible/hybrid remote work options. - In addition to base salary, employees may be entitled to other forms of compensation depending on the type, duties, or location of the position. For union-represented positions, more information on other forms of compensation can be found in the applicable Collective Bargaining Agreements. Information on other compensation types for non-represented positions can be found in Chapter 357-28 of the Washington Administrative Code.  - WSDOT does not use the E-Verify system, therefore we are not eligible to extend STEM Optional Practical Training (OPT). For more information, please visit www.uscis.gov.  Why WSDOT  - Work-Life Balance – We are committed to ensure that our staff experience the reward of public service, while also sustaining a routine that suits each individuals’ lifestyle. - Paid Leave – In addition to 12 paid holidays, full-time employees may earn up to 25 paid vacation days per year! - Tuition Assistance – Permanent employees have several options for assistance with education expenses, including tuition reimbursement programs, government discounts at participating colleges throughout the state, and eligibility for federal student loan forgiveness.   - Plan For Your Future – WSDOT offers a comprehensive benefits package that includes a variety of healthcare options. Employees also have their choice of state retirement programs, and much more. Go to State Benefits for more information.  Check out this video to learn more: Why WSDOT? How to Apply Applications for this recruitment will be accepted electronically. Your relevant experience may be evaluated to determine salary. Therefore, it is very important that the “Work Experience” portion of the application be completed in as much detail as possible.In order to be considered for this opportunity, please include the following with your online application: - An attached Resume outlining (in reverse chronological order) your experience to date. - An attached Cover Letter that further explains your qualifications and indicates why you believe you are a viable candidate for this role. - Contact details for a minimum three (3) individuals who can attest to your work performance, technical skills, and job-related competencies. This information can be entered in the “References” section of the online application; does not require an additional attachment.  Please click the "APPLY" button to proceed. Note that you will be prompted to either sign in or create an account. This step is required in order to submit an application to this opportunity.   WSDOT is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. All persons, regardless of race, ethnicity, age, veteran status, sexual orientation, and/ or gender identity, are encouraged to apply. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact the listed Recruiter.WSDOT does not use the E-Verify system, therefore we are not eligible to extend STEM Optional Practical Training (OPT). For more information, please visit www.uscis.gov.  Contact Us For inquiries about this posting, you may contact the assigned Recruiter at yasmin.munoz@wsdot.wa.gov. Please be sure to reference 26DOT-SWR-4W050 in the subject line.