Role Description The Data Entry and Validation (DE&V) Specialist reports to the HPR DE&V Team Manager and supports project intake and uploads into VRM. This role serves as a key liaison between operations staff and the HPR Account Specialists, working with both internal and external clients to facilitate health plan requests. - Triages inventory received by the Health Plan Request Team against Verisma’s facility site list by determining the appropriate Verisma client or identifying if it is not associated with Verisma. - Communicates regularly with the HPR Account Specialists regarding the files they are handling. - Adhere to established guidelines from facilities and requestors concerning fees, exceptions, and standard intake procedures. - Remains current on facility and requestor requirements, including specialized instruction, rates, and approval protocols. - Data enter faxed requests from facilities. - Upload high-volume health plan requests into VRM batches efficiently. - Processes single patient health plan requests using the ROIS App. - Produce clear, professional patient lists from Excel inventory files. - Update inventory files and team trackers consistently. - Responds promptly to emails to prevent any delays in processing. - Conduct daily reviews of uploaded batches to confirm successful completion. - Addresses errors or omissions immediately upon identification or notification. - Develop expertise in navigating both the VRM and ROIS App platforms. - Adapt quickly to last-minute changes in work assignments directed by the DE&V Team Manager, particularly for escalating inventory. - Manage communications with professionalism in alignment with established standards and metrics. - Maintains positive and effective relationships with clients and requestors. - Perform other appropriate duties, as assigned, to meet the needs of the department and the company. - Live by and promote Verisma core values. Qualifications - High school diploma or GED equivalent required. - Able to multi-task and use numerous resources to ensure facility protocols are followed. - Strong project management skills. - Ability to work effectively and independently in high volume and fast paced environments. - Desire to improve processes to create sustainable robust systems. - Microsoft Excel proficient. - Exceptional interpersonal skills and capacity to build effective relationships with co-workers and clients. - Strong level of patience to resolve issues.

Position Type : Full time Type Of Hire : Experienced (relevant combo of work and education) Job Description FIS Management Services, LLC seeks Data Engineers III (AAI Data Engineer- Enterprise Platform) in Jacksonville, FL to develop a next-generation financial technology platform to support data-driven decisions in finance and operations. Build and manage scalable data pipelines and enterprise data warehousing for cross-service analysis and automation. Collaborate with internal teams and external partners to migrate legacy systems to a secure, resilient FIS cloud data platform. Architect and deploy full-scale data applications across the stack—from ingestion to analytics and customer-facing products. Optimize OLAP/BI platforms and data workflows for performance, reliability, and cost-efficiency, ensuring data integrity. Maintain thorough documentation and implement quality checks to support strategic data initiatives and continuous improvement. REQUIREMENTS: Bachelor’s degree or foreign equivalent in Information Systems Technology, Information Technology, Computer Science, Computer Engineering, or related field and five (5) years of progressively responsible experience in the job offered or a related occupation: designing and optimizing data pipelines using ETL/ELT technologies; writing SQL queries; managing data warehousing solutions; implementing performance tuning strategies; implementing programming skills in Python for data manipulation, ETL development, and scripting automation tasks, and built reusable and scalable products for common use across Lines of Business within cloud data platform; identifying short- term and long term solutions for data ingestion and consumption patterns. In the alternative, the employer will accept a master’s degree in the above listed fields and three (3) years of experience in the above listed skills. Telecommuting and/or working from home may be permissible pursuant to company policies. QUALIFIED APPLICANTS: Please apply directly through our website by clicking on “Apply Now.” Privacy Statement FIS is committed to protecting the privacy and security of all personal information that we process in order to provide services to our clients. For specific information on how FIS protects personal information online, please see the Online Privacy Notice. EEOC Statement FIS is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, genetic information, national origin, disability, veteran status, and other protected characteristics. The EEO is the Law poster is available here supplement document available here For positions located in the US, the following conditions apply. If you are made a conditional offer of employment, you will be required to undergo a drug test. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis. Sourcing Model Recruitment at FIS works primarily on a direct sourcing model; a relatively small portion of our hiring is through recruitment agencies. FIS does not accept resumes from recruitment agencies which are not on the preferred supplier list and is not responsible for any related fees for resumes submitted to job postings, our employees, or any other part of our company. #pridepass

Overview Role Overview We are looking for a Senior Data Engineer specializing in Looker (LookML) to lead the frontend analytics and data modeling layer of a client-facing insights platform. In this role, you will transform raw data from Google Cloud Platform (GCP) into secure, scalable, and actionable insights for external stakeholders. A key focus of this position is managing a complex multi-tenant Looker environment, maintaining a dynamic LookML layer that routes users to their respective BigQuery datasets. You will ensure a one-to-many dashboard architecture remains high-performing, governed, and secure across multiple client deployments. Responsibilities Responsibilities - Lead the development and maintenance of advanced LookML models, explores, and reusable dashboard frameworks - Manage and optimize a multi-tenant Looker instance, ensuring secure client-level dataset routing - Implement dynamic access controls using Liquid variables, user attributes, and security filters - Design scalable and performant analytics layers on top of BigQuery datasets, supporting complex business use cases - Develop and maintain SQL logic leveraging advanced BigQuery features such as window functions and nested/repeated fields - Oversee version control workflows for LookML projects, dashboards, and metrics using Git-based branching strategies - Administer Looker users, groups, roles, and custom attributes to support client-specific configurations - Ensure data governance best practices are applied across modeling, access, and reporting layers - Collaborate with cross-functional teams to translate raw GCP data into client-ready insights Qualifications Qualifications - 3+ years of experience with Looker and LookML, including complex modeling and instance management - 4+ years of advanced SQL experience, specifically in Google BigQuery (window functions, nested/repeated fields) - 4+ years of hands-on experience working with Google BigQuery in analytics and reporting environments - 3+ years of experience with Google Cloud Platform (GCP) and understanding of its resource structures - 3+ years of experience using Git for version control, branching, and deployment workflows - Proven experience managing multi-tenant BI environments supporting multiple external clients securely within one platform - Strong knowledge of Looker dynamic content tools such as Liquid variables, user attributes, and access filters - Experience in user administration, including roles, groups, and custom client configurations - 2+ years of exposure to broader Business Intelligence (BI) tools and practices - Familiarity with Snowflake (1+ year) is a plus Required Skills Google BigQuery (4), Looker (3), SQL (4), Google Cloud Platform (GCP) (3), Git (3), Business Intelligence (BI) (2), Snowflake (1) Years of Experience Needed 5

JOB DESCRIPTION Opportunity for an experienced, bilingual health care professional with at least 4 years of healthcare experience and at least 2 years of experience working in Care Management within a Managed Care Organization (MCO) to join our Medicaid care management team. In this role you will contribute to strategizing with the leadership team and facilitating updates in service processes and operations. The responsibilities are focused on extracting appropriate data from reports to help identify and close gaps in HEDIS measures, spotting opportunities for improving quality and compliance, and reporting findings to appropriate leadership. Excellent communication skills and experience meeting timely deadlines for deliverables are also needed. Candidates also need solid experience with Microsoft Office Suite tools, Word, Outlook, and Teams and your experience with Excel should be above average to extrapolate and interpret data. This a Monday – Friday position. Job Summary Provides lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral health, and other clinical programs, and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Provides level support to healthcare services department staff - devising/implementing delegation assignment strategies, facilitating healthcare services processes and communicating/coordinating activities. • Resolves issues and complaints that arise in day-to-day healthcare services operations and communicates escalation issues to healthcare services leadership. • Assists in training of healthcare services staff according to department standards, policies and procedures. • Maintains a minimal caseload to ensure adherence to appropriate guidelines and provide assistance to staff who have an ongoing member caseloads that may required additional support. • Collaborates with and keeps healthcare service leadership apprised of operational issues, staffing issues, system and program needs. • As a subject matter expert clinical lead, provides support, recommendations and education as appropriate to all other clinical and non-clinical staff. • Monitors healthcare services staff workload for adherence to policies, procedures, guidelines, and program specific requirements. • Actively participates in the department auditing program to review, communicate findings and identify opportunities for improved quality and compliance. • Shares quality and productivity scores with individual staff for awareness. • Provides feedback to healthcare services leadership on staff performance issues and consults with leadership on corrective action as necessary for performance improvement. • May collaborate with leadership to ensure the daily authorization reconciliation report (DARR) is run each work day and cases found non-compliant or missing compliance elements are remediated promptly. • May collaborate with leadership ensuring the care management monitoring tool (CMMT) is run every work day and cases are addressed to maintain health rid assessment (HRA) and care plan compliance. • Acts as liaison to both internal and external customers on behalf of both Molina and healthcare services department areas. • Maintains confidentiality, effective workplace relationships and adheres to company code of conduct. • Attends/participates in departmental, company-wide, and external committees, task forces, or work groups as assigned. groups as assigned. • Local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 4 years experience in health care, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience. • Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master Social Worker (LMSW). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • Demonstrated knowledge of community resources. • Proactive and detail-oriented. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication. • Ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management certification. • Medicaid/Medicare population experience. • Clinical experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V