We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Senior Representative, Clinical Services facilitates aspects of the Clinical Services team to ensure smooth operations, including task allocation, performance management, and fostering a positive work environment. Additional responsibilities to include but not limited to the following: - Coordinates with clinical teams to design and implement new programs, protocols, and initiatives to improve patient outcomes and satisfaction. - Drives communication and coordination between healthcare providers, patients, and their families to ensure seamless and effective delivery of care. - Ensures compliance with clinical standards, protocols, and regulatory requirements to maintain high-quality care delivery. - Monitors clinical performance metrics and outcomes to identify areas for improvement, implementing strategies to optimize efficiency and effectiveness. - Evaluates ongoing work area Clinical Services practices and procedures, making recommendations to management for ideas for value-added services for members. - Assists managers with Clinical Services reports and other key metrics, in order to help ensure work area goals and objectives are being consistently met. - Provides guidance and training to frontline clinical staff, promoting professional growth, and ensuring ongoing competency development. Required Qualifications - 5 years experience HealthCare Experience - Microsoft office Suite including (Word, Excel, Outlook, Etc.) Preferred Qualifications - 2 Years of previous customer service experience. - Adept at problem solving and decision making skills - Certified Clinical Medical Assistant (CCMA) - Previous Sales Force, Med-Compass, GPS experience is a plus Education High school Diploma or equivalent GED Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $18.50 - $42.35 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 04/16/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Geode Health is a rapidly growing, national provider of outpatient mental health services. Our Mission is to “Transform mental health by making it more accessible, affordable and effective”. We are looking for a passionate Care Sync Coordinator.  The ideal candidate will be motivated by joining a quickly growing organization.  Excited to help us improve the care experience for patients and referring providers.  The Patient Support Lead is an organized self-starter that ensures a positive scheduling experience for prospective patients.  The CareSync Coordinator serves as a key team player when interacting and communicating with patients that are referred from our key partners.  Most importantly we’re looking to bring someone into our team who is excited about our mission to improve mental healthcare across the country. Expected Hourly Pay: $20.50/hour Job Responsibilities: - The CareSync Coordinator is an essential member of the Care Sync Team by creating a seamless scheduling experience for prospective patients from key referring partners - Creates a timely and stress-free experience for patients through exceptional customer service and professional conduct - Provides proper tracking of visits from key partners to ensure transparency of the referral process - Ensures patient demographic and insurance information accompanying the referral is accurate and complete; follows up as needed to obtain missing and/or correct information - Handle incoming and outgoing calls, emails, and faxes - Assist prospective patients by answering questions and inquiries about our practice - Schedule client appointment via screening questions to best match a therapist/Prescriber to meet their needs and requests - Maintain client HIPAA rights, and other protections of confidentiality and privacy - Submit records to inquiring parties with documentation of proper release forms and materials - Ensure prompt, accurate, and efficient handling of documents for filing and scanning - Copy/scan/fax/email information as required - Obtains and maintains thorough knowledge of insurance plans accepted by the company as well as preauthorization requirements for contracted commercial and governmental plans - Perform other duties and responsibilities as assigned by CareSync Supervisor Ideal Candidate Profile: - Passionate about our mission and inspiring others - Self-starter, for whom no task is too big or too small and takes ownership of their decisions - Contribute to the collective effort both within own scope - and beyond - as needed - Creative and strategic thinker - A lifelong learner who believes in giving and receiving feedback to get better each day - Organized & process-oriented Qualifications/Skills: - At least one year of experience working in a medical office and/or mental health is (preferred) - Experience working with patients who are suffering from anxiety and depression (preferred) - Ability to maintain professional appearance and demeanor, and interface well with patients in a mental health setting (preferred) - Excellent communication skills and ability to work well with a team - Excellent computer skills Education and Experience Requirements: - Associates or bachelor’s degree (preferred) - Some experience in healthcare settings (preferred) - Knowledge of working at a clinical setting (preferred) #LI-Remote At Geode Health, we offer: - Competitive compensation - Flexible schedule - In-person and virtual patient visits - Comprehensive admin support (front office, accounting, finance, payroll, HR, etc) - Professional development opportunities - Clinical community, support, and leadership - Medical, dental and vision benefits - Life insurance - Short and long-term disability - Paid vacation and holidays - Matching 401k plan - State of the art technology Why work for Geode Health? At Geode Health, we take our commitment to patients and providers seriously. We focus every day on how to help patients across the United States get the best possible mental health care available. To achieve this, we focus on ensuring our providers have unmatched support and resources so that they can focus on providing great care. We are backed by KKR, a leading private equity firm with the experience and mission alignment to truly make an impact. Joining Geode Health will put you on the front-end of a rapidly growing movement to increase access and improve outcomes for mental health patients and providers across the nation. To learn more, visit us as www.geodehealth.com Geode Health is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences of our workforce. Estimated hourly pay range: $20.00-$21.00

• Partner with assigned Client Manager(s) to maintain and grow existing business and ensures positive account relationships are maintained. • Assist in the preparation of benefit design analysis for specialized proposals and quotes. • Runs financial reports or performs basic financial analysis on utilization data and market research and analysis. • Analyze operational business problems and provide problem resolution and effect change to all facets of the company. • Support customers during the implementation of sales contracts and throughout the relationship by resolving difficult issues in a timely and professional manner.

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: VHCS Admin - Support Job Summary: Collaborates with the home health care team to coordinate patient home care across the continuum of home care by requesting authorization for patient visits. Serves in an advocacy role on behalf of patients, families, and caregivers to ensure safe, equitable healthcare provision. Assists in developing and meeting key Pillar outcomes and system improvement goals including financial, satisfaction, and clinical as the Home Care Managed Care Coordinator. . ROLE FOCUS This role primarily involves insurance authorizations, coverage verification, and follow-up with payers. PRIMARY DUTIES - Submitting and tracking authorizations. - Communicating with insurance companies. - Verifying coverage and benefits. - Following up on pending authorization approvals. KEY RESPONSIBILITIES • Request authorizations for Home Health Care from insurance carriers, through whatever method is optimal and the most efficient and effective for that carrier. • Obtain Start of Care (SOC) authorization. • Obtain Add-on prior authorization, obtain prior authorization for Resumption of Care (ROC), obtain concurrent authorization. • Enter authorization request responses. • Case Management Advocacy. • Review written off no authorization (wona) requests from billing team for possible. • Confer with other MCC's, brainstorm on any new payer process changes, and update Payer Auth Requirement document • Review and respond to all messages from all staff including concurrent authorization requests/payer questions. • Review and responds timely to all billing company communication through our “Jira” tool and effectively minimizes the outstanding “Jira” messages in their work que. • Review and correct process errors from authorization Edit reports. • Review validation report errors. • Review and respond timely to Outlook messages and voice mail messages and review Outlook calendar reminders. • The responsibilities listed are a general overview of the position and additional duties may be assigned. • Demonstrates leadership skills and acts as the key information and education resource for the interdisciplinary team as related to insurance authorization needs and securing appropriate services. • Integrates ethical provisions in all areas of the practice. • Deep dive analyses of insurance denials and authorization requests, using excel spreadsheet for data tracking. TECHNICAL CAPABILITIES • Data Analytics (Intermediate): Can analyze and interpret data to derive insight. Applies the appropriate approach to provide creative solutions for the given problem. May have working knowledge in business intelligence and analytics software [such as Tableau, Business Objects, Excel, and R]. • Managed Care Coordinators Management (Intermediate): Demonstrates mastery of insurance carrier authorization management in practical applications for Home Care clinical care coordination of visits. Possesses sufficient knowledge, training, and experience to be capable of successfully delivering results without requiring support and instruction from others. Able to train and educate by setting the example, giving instruction, providing leadership, and generally raising the level of performance of others while on the job. • Authorization Evaluation (Intermediate): Possesses sufficient knowledge, training, and experience to role model and coach less experienced peers. • Evidence Based Practice (INTERMEDIATE): Demonstrates ability to integrate evidence from multiple sources and determine if a practice change should occur. Shares knowledge with peers and other clinical team members independently. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: Work Experience: Relevant Work Experience Experience Level: 5 years Education: Bachelor's Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.