Job Description Schedule: This role supports our weekend operations and requires availability every Saturday and Sunday. The weekly schedule is a 5-day (8-hour) schedule, totaling 40 hours per week. Shifts are scheduled within the hours of 8:00 AM–8:00 PM ET. A bit about this role: The Utilization Management Coordinator plays a vital role in supporting Clinical Operations by managing the intake, prior authorization, and clinical coordination workflows. This role ensures timely case intake, accurate authorization set-up, and effective coordination with members, providers, and internal clinical teams to support care transitions and authorization processes. The coordinator will be an important part of building strong relationships with health care providers through proactive communication, managing key operational processes to enable efficient, high-quality clinical decisions. This is a fast-paced environment at a startup that requires exceptional organization, attention to detail, and a natural talent for customer service. We often require management of several tasks at once so enthusiasm and organization are key. Core Responsibilities: Intake, Clinical Coordination & Prior Authorization Intake Management - Monitor intake queues including census validation checks - Manage inbound and outbound correspondences - Ensure referrals and cases are accurately entered into our system or re-routed to delegates as applicable Prior Authorization Support - Perform authorization set-up and case creation in our systems - Manage and resolve authorization-related inquiries across multiple case types - Review member inpatient status and clinical documentation to support episode updates - Ensure required documentation is present for clinical review and determination; this includes request for information (RFI) work and electronic health record (EHR) access Clinical Coordination & Communication - Conduct outbound calls to members and providers to obtain clinical information and communicate UM decisions - Schedule and coordinate Peer-to-Peer (P2P) reviews between providers and Medical Directors - Manage Medical Director case assignments and tracking - Retrieve medical records via hospital EHR portals and external systems - Support the Clinical Team with case coordination and documentation needs Post-Discharge & Transitional Care Coordination - Contact inpatient and post-acute facilities to confirm admission and discharge details - Daily census checks - Assist with discharge planning coordination activities - Support care transition workflows and case follow-up Operational & Reporting Support - Download operational reports (e.g., Looker, snowflake) - Support RFIs and case tracking in inpatient/UM tools - Maintain accurate case status and documentation in our system - Provide operational and administrative support to the assigned team and manager Required skills and experience: - Experience in healthcare operations, utilization management, care coordination, or prior authorization - Strong organizational and multitasking skills in a high-volume environment - Experience working with clinical documentation or medical records - Proficiency with healthcare systems, EHRs, and reporting tools - Effective communication skills with providers and members Desired skills and experience: - Prior experience in Medicare Advantage or managed care - Intake, authorization, or clinical coordination experience - Familiarity with UM or case management workflows - A high school diploma - Required - 1-3 years of administrative or Medical Office experience preferable - Proficient in technology - Google Sheets and suite of google products- Strongly Preferred - Bilingual a plus Key Competencies: - Workflow coordination - Attention to detail - Communication & follow-through - Clinical operations support - Time management - Collaboration with clinical teams - Ability & agility to multitask #LI-Remote Salary Range: $22.50 - $27.50 / hour The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: - Employer sponsored health, dental and vision plan with low or no premium - Generous paid time off - $100 monthly mobile or internet stipend - Stock options for all employees - Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles - Parental leave program - 401K program - And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Buscamos profissionais que incorporem nossos valores, não têm medo de desafios, busquem inovar, experimentar e se aprimorar rapidamente. Nosso objetivo é contratar e reter os indivíduos mais brilhantes, oferecendo crescimento profissional e oportunidades de desenvolvimento em toda a carreira. Se é você, adoraríamos conversar. Sobre o papel Estamos buscando um VENDEDOR INTERNO Principais responsabilidades: - Receber e qualificar as demandas inbound — e-mail, telefone, portal ou CRM — respondendo dentro do prazo de SLA definido - Identificar o interlocutor correto no cliente - Montar propostas com suporte do time técnico, garantindo precisão de escopo, prazo e pricing - Gestão do Funil e CRM - Handoff para Operações Requisitos: - Formação técnica com experiência relevante em vendas B2B industriais - Experiência 1 a 2 anos em vendas B2B, inside sales ou área comercial em empresa de serviços industriais, TIC, manutenção, ensaios, calibração, ou segmentos afins - Experiência com ciclo completo de venda: qualificação de lead, elaboração de proposta, negociação e fechamento - Uso de CRM O que nós podemos oferecer: Somos uma empresa comprometida com a igualdade de oportunidades e a valorização da diversidade em nossa empresa. Não fazemos discriminação com base em raça, religião, cor, nacionalidade, sexo, orientação sexual, idade, estado civil ou deficiência. Acreditamos que a diversidade é uma força vital para a nossa equipe e um motor de inovação para a organização. Respeitamos e valorizamos cada indivíduo, reconhecendo que nossas diferenças nos tornam mais fortes e mais capazes de alcançar nossos objetivos. Estamos comprometidos em criar um espaço de trabalho onde todos se sintam respeitados, valorizados e tenham oportunidades iguais de desenvolvimento. Aqui, a diversidade não é apenas uma palavra, mas uma prática diária que nos ajuda a construir uma cultura mais aberta, criativa e colaborativa, pois sabemos que um ambiente inclusivo enriquece nossas ideias e fortalece nossa equipe. Se esta for uma oportunidade do seu interesse, encorajamos que você se inscreva mesmo que não atenda 100% dos requisitos. Ao participar deste processo de recrutamento & seleção, do Bureau Veritas Brasil, o(a) candidato(a) declara: Estar em condições técnicas e operacionais, no que tange à ergonomia, estação de trabalho e velocidade de conexão internet para desempenhar, quando necessário, o trabalho remoto “home office”; O Bureau Veritas está em conformidade com a Constituição Federal brasileira (no inc. V do seu art. 5o.inc. XXVIII, a, do art. 5o) bem como, a Lei nº 13.709/18, que dispõe sobre o Tratamento e Proteção de Dados Pessoais (LGPD). Sendo assim, mediante o seu consentimento com o envio de informações está em consonância com o Bureau Veritas, respeitando a Legislação supramencionada.

Network Administrator Team: Infrastructure Location: Remote (Must be located in the Eastern or Central Time zone ) About Us:  Join us in revolutionizing healthcare! We build software that simplifies the process of choosing the right health insurance for individuals. Our solutions help our health plan and government customers with the administration, reporting, and operational requirements of their plans. By tackling the complexities of enrollment, administration, renewal, billing, and more, we enable our customers and partners to concentrate on advancing their core missions.   Our Company Culture:  Our culture is built on collaboration, innovation, and appreciation. We value each employee's unique talents and contributions and understand that every individual plays a critical role in our mission to transform healthcare. Every day, we celebrate our team's dedication, creativity, and expertise, which drive us closer to our goals.  At Softheon, our mission is making healthcare more affordable, accessible, and plentiful for every American. Our vision is that everyone can access and choose the healthcare they need.    About the Role:  The Network Administrator is responsible for the installation, maintenance, and reliable operation of the organization’s network infrastructure to ensure optimal performance, security, and reliability. This role ensures that the network operates efficiently and securely to support the company’s business operations and strategic initiatives.

• Administer and maintain Appian AoK environments built for Contract Writing use cases within a DevSecOps platform • Manage Appian deployments, upgrades, patches, and hotfixes in accordance with vendor and organizational standards • Monitor application health, performance, logs, and system alerts; troubleshoot and resolve issues. • Manage users, groups, roles, and security permissions within Appian • Support application releases and environment promotions in coordination with development and DevOps teams • Maintain system documentation, runbooks, and standard operating procedures • Support Appian environments hosted in AWS, including EKS, IAM, CloudWatch, and related services • Monitor cloud infrastructure performance, availability, and cost • Assist with provisioning, scaling, backup, and disaster recovery strategies for Appian environments • Support security controls, patching, and compliance activities in AWS environments • Troubleshoot infrastructure-level issues impacting application performance or availability • Support CI/CD pipelines and deployment automation for Appian applications • Manage environments with Infrastructure-as-Code (IaC) using Terraform • Collaborate with development teams to ensure smooth application deployments and environment stability • Enforce security best practices for Appian and AWS environments • Support audit readiness, logging, monitoring, and compliance requirements (e.g., NIST, FedRAMP, DoD, or similar frameworks as applicable) • Coordinate with cybersecurity teams to remediate vulnerabilities and implement security enhancements