¿Por qué unirte a Inlaze? ¡Enlázate a un mundo de oportunidades! Es hora de que te unas a nosotros para mostrarle al mundo que somos la empresa que está cambiando paradigmas, donde revolucionamos las horas, los minutos y los segundos. Únete a un equipo donde todos somos capaces de TODO, donde todos tenemos las mismas oportunidades, sin importar género, raza, orientación sexual, religión, nacionalidad, edad, discapacidad, formación o experiencia. ¿Te ha gustado lo que has leído hasta ahora? Descubre cómo enlazarás magia junto con nosotros a través de tu misión Inlaze. Responsabilidades - Identificar, prospectar y cerrar acuerdos comerciales con operadores (casas de apuestas y casinos online) en mercados hispanohablantes de LATAM. - Gestionar relaciones comerciales con operadores activos, garantizando continuidad y crecimiento de las cuentas. - Analizar métricas de performance por operador (GGR, NGR, FTDs, CPA, tasa de conversión). - Coordinar con equipos internos para asegurar integraciones técnicas y activaciones en tiempo. - Detectar oportunidades de expansión con operadores existentes y nuevos entrantes en los mercados LATAM asignados (Colombia, México, Chile, Centroamérica). Misión del rol Desarrollar, gestionar y escalar relaciones con operadores en mercados hispanohablantes de LATAM, maximizando el rendimiento de las alianzas comerciales y asegurando el crecimiento sostenible del revenue mediante estrategias de adquisición, retención y optimización. 🛠️ Must have - Experiencia en iGaming, SaaS B2B o tecnología de performance — orientada a venta a operadores o empresas, no a consumidor final. - Experiencia en cierre de deals B2B y gestión de cuentas con múltiplos stakeholders. - Conocimiento de métricas de operadores: GGR, NGR, FTD, CPA, baseline, chargeback. - Español nativo o fluente — los interlocutores principales son hispanohablantes. - Inglés intermedio o avanzado — requerido para comunicación con equipos y plataformas internacionales. - Perfil comercial con capacidad de negociación de contratos y modelos de deal. ✅ Nice to have - Conocimiento de los marcos regulatorios de iGaming en Colombia, México o Chile. - Português intermediário ou avançado. - Experiencia con CRM y pipeline de ventas B2B. - Red de contactos establecida en operadores de LATAM. Beneficios 🥰 Programa de referidos de empleados. 🏢 1 día completo para celebrar tu cumpleaños. 📖 Udemy.

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. This position blends strong relationship-building skills with clinical knowledge to navigate complex payer requirements, streamline the authorization process, and support seamless patient transitions. From start to finish, this role drives the authorization process—reviewing prospective, retrospective, and concurrent medical records; coordinating with referring hospitals to secure prior authorizations; and partnering with case management teams at ScionHealth facilities to complete concurrent review authorizations. Acting as a navigator and liaison between Business Development, facility administration, managed care organizations, and payors, the specialist ensures determinations are communicated promptly and accurately to all relevant stakeholders. By combining attention to detail with proactive collaboration, the Utilization Management Manager safeguards revenue integrity, reduces delays, and supports the organization’s mission of delivering exceptional patient care. This role actively contributes to quality improvement, problem-solving, and productivity initiatives within an interdisciplinary model, demonstrating accountability and a commitment to operational excellence. Essential Functions - Extrapolates and summarizes essential medical information to obtain authorization for admission and continued stay to/at ScionHealth Level of Care. - Prepares recommendations to sumbit timely request for reconsideration of denial determination in attempt to have denied authorization requests overturned. - Ensures authorization requests are processed timely to meet regulatory timeframes. - Reviews medical necessity assessments completed by case management, evaluating documentation for specific criteria related to severity of illness, and level of care appropriateness. - Generates written appeals to medical necessity-based payor denials for denials prior to admission and concurrent review authorizations. Appeal letters may be processed on behalf of the physician, combining clinical and regulatory knowledge in efforts to have consideration of authorization. - Documents authorization information in relevant tracking systems. - Effectively builds relationships with business development team, admissions team/clinical staff and managed care team, to coordinate the patient admission functions in keeping with the mission and vision of the hospital. - Supports review of patient referral for clinical and financial approval and/or escalation to leadership for approval following the Care Considerations grid. - Coordinates and facilitates pre-admission Prior Authorizations for patients from the referral sources: - Identifies /reviews medical record information needed from referring facility. - Applies appropriate clinical guidelines to pre-authorization determination process. - Communicates specific patient needs for equipment, supplies, and consult services as related to prior authorization requirements. - Acts as a liaison with the Business Development team through every stage of the authorization process through determination. - Initiates appeals process as appropriate. - Facilitates and coordinates physician-to-physician communication as appropriate to support the denial management process. - Communicates to appropriate teams, including business development and facility administration when clinical authorization and financial approval is complete, following standard authorization process. - Provides hospital team with needed prior authorization information on pending / new admissions. - Coordinate with managed care payor on all coverage issues and supports the LOA process as requested. - Coordinates and facilitates Concurrent Review Authorizations for patients actively in-house at a ScionHealth facility - Identifies /reviews medical record information needed from facility. - Applies appropriate clinical guidelines to concurrent review authorization process. - Review medical necessity review information provided by the case management team and communicates any additinoal questions or information requests - Acts as a liaison with the Case Management team through every stage of the concurrent review authorization process through determination. - Initiates appeals process as appropriate. - Communicates with Medical Advisors or case managers of managed care company as necessary; including during Care Coordination / Managed Care calls - Maintains a knowledge of areas of responsibility and develops and follows a program of continuing education. - Participates in continuing education/ professional development activities. - Learns and develops full knowledge of the CAAT Admission Processes and actively seeks to continuously improve them. Knowledge/Skills/Abilities/Expectations - Strong relationship building skills and a spirit to serve to ensure effective communication and service excellence. - Knowledge of regulatory standards and compliance guidelines. - Working knowledge of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare and Medicaid rules, regulations, coverage guidelines, NCDs and LCDs. - Working knowledge of Medicare, Medicaid and Managed Care payment and methodology. - Extensive knowledge of clinical symptomology, related treatments and hospital utilization management. - Excellent interpersonal, verbal and written skills to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers. - Critical thinking, problem solving, and decision-making capabilities with the ability to discern, collect, organize, evaluate, and communicate pertinent clinical information with effective verbal and written skills. - Technical writing skills for appeal letters and reports. - Effective time management and prioritization skills. - Computer skills with working knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook), word-processing and spreadsheet software. - Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members. - Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. - Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers and others. - Adheres to policies and practices of ScionHealth. - Must read, write, and speak fluent English - Must have good and regular attendance. - Approximate percent of time required to travel: N/A Pay Range: $66,700-$100,500/yr ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Education - Postsecondary non-Degree (Cert/Diploma/Program Grad) of an Accredited School of Nursing required - Associate’s Degree in healthcare or related field required - Bachelor’s Degree in healthcare or related field preferred - Equivalent combination of Education and/or Experience in lieu of education (3+ years in a related field) may be considered. Licenses/Certifications - Healthcare professional licensure preferred. - In lieu of licensure, 3+ years of experience in relevant field required. - Some states may require licensure or certification. Experience - 3+ years of experience in a healthcare strongly preferred. - Experience in managed care, case management, utilization review, or discharge planning a plus.

Description and Requirements Job Description: Software Engineer II (Assistant Manager) Roles & Responsibilities: - Defines objectives by analyzing user requirements, system features and functionality - Designs and develops user interfaces to Internet/intranet applications by setting expectations and features priorities throughout development life cycle; determining design methodologies and tool sets; completing programming using languages and software products; designing and conducting tests - Integrates applications by designing database architecture and server scripting; studying and establishing connectivity with network systems, search engines, and information systems - Completes applications development by coordinating requirements, schedules, and activities; contributing to team meetings; troubleshooting development and production problems across multiple environments and operating platforms - Supports users by developing documentation and assistance tools - Updates job knowledge by researching new internet/intranet technologies and software products; participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organization - Technical Management - Technical Understanding - Analyzing Information - Informing Others, - Staffing, - Problem Solving Skill Set • 4-5 years of experience of development in Web application • Extensive experience in Angular JS, Angular 2+ • Must have worked on projects with Angular 2 and .NET MVC and .Net Core • Extensive knowledge of working on Angular-.NET MVC framework • Extensive experience in SQL server programming, triggers and scheduling job • Expert in Web API development • Strong background in Object Oriented Programming / Analysis and Design concepts, Design Patterns, and Software Development Life Cycle • Creating self-contained, reusable, and testable modules and components • Candidate must possess strong administrative skills including knowledge experience with Outlook, Excel, Power Point, and Word, and be willing to learn new technologies. • Should have experience of development. Experience of support and maintenance will not be considered. Added Advantage/Personal Attributes - Excellent communicator & team-worker with ability to achieve results through shared initiatives - Self -motivated & able to work autonomously - Diligent, punctual and dependable - Able to deliver reliable, consistent and quality outputs About MetLife Recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune World's 25 Best Workplaces™, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us! #BI-Hybrid

• Design end-to-end processes for all new product rollouts, features, or initiatives that impact customers – ensuring seamless customer experience and operational readiness before launch • Lead process improvement initiatives using Lean Six Sigma methodologies (DMAIC, Kaizen, PDCA) to optimize existing workflows • Map current and future state processes using Value Stream Mapping and BPMN to identify inefficiencies and bottlenecks • Conduct root cause analysis (5 Whys, Ishikawa, FMEA) to address systemic issues • Create and maintain comprehensive process documentation, SOPs, and workflow diagrams • Analyze support case data and operational metrics to identify improvement opportunities and quantify business impact • Build business cases for process changes using SQL, Excel, Power BI/Tableau, and statistical analysis tools • Leverage predictive analytics and AI/ML to forecast trends and proactively address issues • Establish baseline metrics and track post-implementation performance • Facilitate cross-functional workshops with agents, team leads, managers, and leadership to design and refine processes • Partner with Learning & Development to create training programs for new and revised processes when required • Collaborate with Global Support Operations to deliver ongoing briefings and enablement to frontline teams • Manage resistance through structured change management (ADKAR, Kotter) and effective communication strategies • Drive adoption and ensure sustained process adherence across teams • Proactively identify problem areas through ongoing monitoring, trend analysis, and frontline feedback • Conduct periodic process audits to ensure adherence and identify gaps or drift • Establish governance frameworks for process ownership, review cycles, and continuous iteration • Champion a culture of continuous improvement through coaching and methodology training • Stay current with emerging technologies (AI, automation, process mining) and industry best practices • Build, mentor, and manage a team of 1-2 Process Improvement Analysts • Set priorities, allocate resources, and manage multiple improvement projects simultaneously • Connect process improvements to business outcomes (customer satisfaction, cost optimization, scalability) • Present findings, recommendations, and ROI projections to senior leadership • Contribute to long-term strategic planning for Global Support transformation