Position Summary The Claims Supervisor leads a high-performing team of claims processors, driving accuracy, productivity, and service excellence. This role is responsible for daily team operations, performance management and continuous improvement within Provider Operations Team. Key Responsibilities - Lead and manage the daily operations of a claims processing team (approximately 17–20+ employees) to achieve quality, productivity, and service goals. - Translate organizational strategies into clear expectations that engage employees and drive desired behaviors. - Develop, coach, and motivate team members using active performance management tools, with a strong focus on accuracy, quality, and results. - Utilize Management Operating System (MOS) tools and KPI dashboards to monitor performance, identify gaps, and drive continuous improvement. - Partner with capacity planning, resource management, and matrix stakeholders to meet operational, financial, and client commitments. - Act as a change leader by identifying and removing barriers, improving workflows, and enhancing efficiency and quality. - Ensure compliance with all corporate policies, procedures, and regulatory requirements related to claims processing. - Collaborate with Human Resources on staffing, performance management, employee development, engagement, and employee relations. - Foster an inclusive, diverse, and collaborative team environment. - Stay informed of changes in the healthcare and claims environment and adapt processes as needed. - Communicate effectively in a virtual setting, delivering clear, transparent, and timely messages. Qualifications - High School Diploma or GED required. Bachelor’s degree preferred. - 3+ years’ experience in Cigna claims operations highly preferred. - Experience using KPIs and performance metrics to drive results. - Proven ability to lead, coach, and develop employees. - Strong customer focus with a commitment to quality and accuracy. - Excellent communication, interpersonal, and problem-solving skills. - Demonstrated ability to drive change, process improvement, and operational outcomes. - Strong organizational and time management skills. 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 annual salary of 56,500 - 94,100 USD / yearly, 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.

The PB Epic Claim Processor position is responsible for acting as a liaison for hospitals and clinics using TruBridge’s complete business office services. They work closely with TruBridge management and hospital employees to bill insurance companies for all hospital, hospital-based physician and clinic bills. They pursue collection of all claims until payment is made by insurance companies; and perform other work associated with the billing process. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: - Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing. - Secures needed medical documentation required or requested by third party insurances. - Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains. - Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers. - Responsible for consistently meeting production and quality assurance standards. - Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer. - Updates job knowledge by participating in company offered education opportunities. - Protects customer information by keeping all information confidential. - Processes miscellaneous paperwork. - Ability to work with high profile customers with difficult processes. - May regularly be asked to help with team projects. - Ensure all claims are submitted daily with a goal of zero errors. - Timely follow up on insurance claim status. - Reading and interpreting an EOB (Explanation of Benefits). - Respond to inquiries by insurance companies. - Denial Management. - Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles. - Review late charge reports and file corrected claims or write off charges as per client policy. - Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer’s rules and the client’s policy. - Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer. Minimum Requirements: Education/Experience/Certification Requirements - 3 years of recent Critical Access or Acute Care facility and professional claim billing - PB Epic E.H.R Experience Required. - FULL Cycle RCM Experience Required. - Computer skills. - Experience in CPT and ICD-10 coding. - Familiarity with medical terminology. - Ability to communicate with various insurance payers. - Experience in filing claim appeals with insurance companies to ensure maximum reimbursement. - Responsible use of confidential information. - Strong written and verbal skills. - Ability to multi-task. Business Support

Company Overview Join us on our mission to elevate customer experiences for people around the world. As a member of the Everise family, you will be part of a global experience company that believes in being people-first, celebrating diversity and incubating innovation. Our dedication to our purpose and people is being recognized by our employees and the industry. Our 4.6/5 rating on Glassdoor and our shiny, growing wall of Best Place to Work awards is a testament to our investment in our culture. Through the power of diversity, we celebrate all cultures for their uniqueness and strengths. With 13 centers around the world and a robust work at home program, we believe great things happen when we work with people who think differently from us. Find a job you’ll love today! Description: An IT Operations Manager is responsible for overseeing the day-to-day functioning of IT systems, ensuring reliability, security, and efficiency while managing a team of IT professionals. The role blends leadership, technical expertise, and strategic planning to keep an organization’s technology infrastructure running smoothly. Responsibilities: Team & Resource Management - Lead and supervise IT staff (system admins, network engineers, support specialists). - Assign tasks, monitor performance, and ensure timely resolution of IT issues. - Provide training and mentorship to improve team capabilities. System & Infrastructure Oversight - Oversee installation, configuration, and maintenance of servers, networks, and enterprise applications. - Ensure high availability and uptime of IT services. - Manage disaster recovery and backup systems to minimize downtime. Incident & Problem Management - Monitor IT service desk tickets and ensure resolution within SLA timelines. - Implement escalation procedures for critical failures. - Analyze recurring issues and establish preventive measures. Security & Compliance - Enforce cybersecurity policies and ensure compliance with data protection regulations. - Conduct regular audits, risk assessments, and vulnerability checks. - Coordinate with security teams to mitigate threats and breaches. Budget & Vendor Management - Manage IT budgets and optimize costs. - Negotiate with vendors for hardware/software procurement and support contracts. - Evaluate new technologies for cost-effectiveness and efficiency. Strategic Planning & Optimization - Align IT operations with organizational goals. - Contribute to IT roadmaps, capacity planning, and digital transformation initiatives. Qualification: - Bachelor’s degree in Computer Science, Information Technology, or related field. - Master’s degree (MBA or IT Management) is often preferred for senior roles. - Specialized certifications (ITIL, PMP, CISSP, AWS/Azure) add significant value. Technical Expertise - Knowledge of networking, cloud services (AWS, Azure, GCP), virtualization, and cybersecurity. - Familiarity with ITIL framework and service management best practices. - Leadership & Management - Ability to lead cross-functional IT teams and manage performance. - Strong decision-making, delegation, and conflict resolution skills. - Strategic Thinking - Align IT operations with business objectives and digital transformation goals. - Capacity planning, budgeting, and vendor management. - Communication & Collaboration - Excellent verbal and written communication skills. - Ability to work with executives, stakeholders, and technical teams effectively. If you’ve got the skills to succeed and the motivation to make it happen, we look forward to hearing from you.

• Elaboración y corrección de actividades y pruebas de evaluación. • Seguimiento académico del estudiantado. • Dirección y tutoría de Trabajos Fin de Grado y/o Máster (TFG/TFM) . • Participación en la mejora continua de los programas académicos