It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. ***Multiple Temp Openings*** Job Summary: The Behavioral Health Specialist is responsible for managing incoming prior authorization and inpatient admission requests for behavioral health services. This role involves reviewing submissions, gathering clinical documentation from providers, verifying member eligibility, and entering information into the Jiva system. The specialist ensures requests are routed appropriately to the clinical team, communicates determinations, resolves escalated issues, and collaborates closely with behavioral health clinicians to support timely and accurate decision-making. Our Investment in You: · Full-time remote work · Competitive salaries Key Functions/Responsibilities: · Manages and prioritizes incoming behavioral health authorization and inpatient admission requests; processes designated services in accordance with departmental protocols and routes cases appropriately to the behavioral health clinical team. · Verifies member eligibility and enters all required data into the Jiva system with accuracy and efficiency to ensure compliance with turnaround time standards. · Communicates with healthcare providers to request, clarify, or follow up on clinical information necessary for authorization determinations. · Oversees incoming requests received through Jiva, fax, and email, ensuring accurate data entry and consistent adherence to established workflows and quality standards. · Consistently meets or exceeds productivity benchmarks while maintaining compliance with regulatory and internal turnaround time requirements. · Notifies providers of authorization decisions, addresses escalated provider inquiries, and ensures clear, professional, and timely communication at all times. · Collaborates with internal departments to enhance understanding of the authorization process and maintains up-to-date knowledge of departmental policies, procedures, and system functionalities. · Actively participates in team functions, including case triage, shared inbox and voicemail management, and department meetings. Supervision Exercised: · None Supervision Received: · Direct supervision weekly Qualifications: Education Required: · Associate’s Degree in Healthcare, Nursing, Social Work or related area, or the equivalent combination of training and experience is required. Education Preferred: · Knowledge of medical terminology. Experience Required: · A minimum of 2 years of experience in a high-volume healthcare office, hospital administration, data entry office, or customer service call center. Experience Preferred/Desirable: · Familiarity with Jiva, FACETS, or other healthcare databases. · Experience working in health plan utilization or claims processing. · Previous customer service experience is desirable. · Behavioral Health experience. Required Licensure, Certification or Conditions of Employment: · Pre-employment background check Competencies, Skills, and Attributes: · Proven ability to prioritize and manage multiple tasks in a fast-paced environment while meeting deadlines. · Capacity to process high volumes of requests accurately. · Excellent listening, verbal, and written communication skills and a strong customer service focus · Teamwork and collaboration skills. · Proficiency in Microsoft Office products. Working Conditions and Physical Effort: · Regular and reliable attendance is an essential function of the position. · Flexibility to work overtime during peak periods. · Position is fully remote, with no or very limited physical effort needed and minimal exposure to physical hazards. Compensation Range $23.08 - $32.45 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. Note: This range is based on Boston-area data, and is subject to modification based on geographic location. About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

• Partner with the Senior Customer & Community Marketing Manager to support the execution of community programs, events and initiatives • Help draft and send community and advocacy communications • Assist with customer storytelling by identifying success stories, spotlighting wins, and creating experiences • Moderate and nurture conversations within our Slack community • Collaborate with Product, Customer Success, and Marketing on community-related initiatives and ad-hoc projects

Role Description The Community Relations Specialist is a market‑facing, field‑based role responsible for growing Pavlov Media’s brand presence and driving service adoption across the Atlanta metro area and broader Georgia footprint. This role serves as an on‑the‑ground ambassador, building relationships with communities, properties, and partners while supporting densification and growth within existing service areas. Working closely with regional community engagement and marketing partners, this position ensures consistent brand representation, coordinates outreach and events, and provides market insight to help expand Pavlov’s footprint. Travel throughout Georgia is a regular component of this role. Remote role based in Atlanta, GA. Candidates must have working knowledge of the Atlanta market. Key Responsibilities - Serve as Pavlov Media’s local brand ambassador across Atlanta and Georgia markets - Plan and attend community events, resident outreach, and engagement activities - Build relationships with property managers, HOAs, and community leaders - Represent Pavlov at meetings, expos, and networking events - Support densification strategies to increase subscriber adoption in existing MDUs - Identify under‑penetrated opportunities within current markets - Partner with Account Managers and Field teams to align outreach with service readiness - Track outreach activity and market feedback in CRM tools - Ensure consistent, on‑brand messaging across all community touch points - Collaborate with marketing to deploy campaigns and collateral locally - Communicate community feedback and concerns to internal teams - Conduct site visits to support ongoing relationships and outreach Qualifications - 2–3 years of experience in community relations, marketing, account management, or related field - Telecommunications, fiber, or MDU experience preferred - Strong relationship‑building and public‑facing communication skills - Comfortable operating autonomously in a field‑based role - Proficiency with CRM tools and Microsoft Office / Google Drive - Valid driver’s license; ability to travel regularly (25–40%) Requirements - Regular car travel throughout Georgia markets - Ability to stand and engage at events for extended periods - Ability to lift up to 25 lbs Benefits - The base salary range for this role is $60,000–$72,000 annually, plus potential bonus eligibility. - 15 company paid holidays - 3 weeks PTO - Medical, Dental, Vision starting day one - 401K with company match - Health and Flexible Savings Account - Life and AD&D, Spousal Life, Child Life Insurance Plans - Educational and professional reimbursement - Short- and long-term disability benefits

• Community Engagement: Build and maintain a strong presence across platforms such as Reddit, Discord, Twitch, and Instagram. • Social Media Management: Create and schedule engaging posts, updates, and announcements to excite and grow our audience. • Fan Interaction: Respond to community questions, participate in discussions, and make fans feel heard and valued. • Monitor and Analyse: Track community sentiment and engagement metrics to refine outreach strategies. • Event Awareness: Stay informed about key gaming industry events, trends, and titles, sharing relevant insights with the team and fans. • Collaborate with Team Members: Work closely with the marketing, narrative, and design teams to align messaging with the studio’s vision.