Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Ensures documentation, data capture and opportunities for utilization are compliant, accurate and consistent. Responsibilities: Performs regular, follow-up and focused chart audits/reviews (concurrent and retrospective) for the purpose of assessing the accuracy of clinical documentation and utilization. Ability to work weekends and holidays as needed.Makes decisions on referred individual patient cases regarding: Pre-admission, authorization, Medical necessity and services/setting, transfers, appropriateness of admission, and continued stay. Conducts peer to peer discussions with health plans when required.Works in collaboration with the Medical Director of Centralized UR/HIM, utilization committees and medical staff to maintain and improve utilization and documentation efforts.Serves as a resource to the medical staff for Utilization Review activities. Educates and communicates to the Medical staff the benefits/need for utilization review and documentation. Competencies: Education and Certification Requirements: Medical Doctor (Required)Medical Doctor License (ME LICENSE) - State of Florida (FL), Osteopathic Physician License (OS LICENSE) - State of Florida (FL) Additional Job Information: Complexity of Work: Requires critical thinking skills, effective communication, decisive judgment and the ability to work with minimal supervision. The incumbent must be able to work in a stressful environment and take appropriate action when required. Required Work Experience: Minimum of 1 year of work experience in a clinical setting Other Information: Prior experience in Utilization Management with hospital system or health system preferredAdditional Education Info: Graduate of a medical school approved by the Council on Medical Education of the American Medical Association. Working Conditions and Physical Requirements: - Bending and Stooping = 60% - Climbing = 40% - Keyboard Entry = 100% - Kneeling = 40% - Lifting/Carrying Patients 35 Pounds or Greater = 0% - Lifting or Carrying 0 - 25 lbs Non-Patient = 60% - Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0% - Lifting or Carrying > 75 lbs Non-Patient = 0% - Pushing or Pulling 0 - 25 lbs Non-Patient = 60% - Pushing or Pulling 26 - 75 lbs Non-Patient = 0% - Pushing or Pulling > 75 lbs Non-Patient = 0% - Reaching = 60% - Repetitive Movement Foot/Leg = 40% - Repetitive Movement Hand/Arm = 100% - Running = 0% - Sitting = 100% - Squatting = 80% - Standing = 80% - Walking = 80% - Audible Speech = 100% - Hearing Acuity = 100% - Smelling Acuity = 0% - Taste Discrimination = 0% - Depth Perception = 60% - Distinguish Color = 60% - Seeing - Far = 60% - Seeing - Near = 60% - Bio hazardous Waste = 40% - Biological Hazards - Respiratory = 0% - Biological Hazards - Skin or Ingestion = 0% - Blood and/or Bodily Fluids = 40% - Communicable Diseases and/or Pathogens = 0% - Asbestos = 0% - Cytotoxic Chemicals = 0% - Dust = 0% - Gas/Vapors/Fumes = 0% - Hazardous Chemicals = 0% - Hazardous Medication = 0% - Latex = 0% - Computer Monitor = 80% - Domestic Animals = 40% - Extreme Heat/Cold = 40% - Fire Risk = 0% - Hazardous Noise = 0% - Heating Devices = 0% - Hypoxia = 0% - Laser/High Intensity Lights = 0% - Magnetic Fields = 0% - Moving Mechanical Parts = 0% - Needles/Sharp Objects = 0% - Potential Electric Shock = 0% - Potential for Physical Assault = 40% - Radiation = 0% - Sudden Decompression During Flights = 0% - Unprotected Heights = 0% - Wet or Slippery Surfaces = 0% Shift: Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net

• Performs project duties such as client interviews, note-taking, documentation, using standard tools, and other duties as assigned. • Performs Associate Advisory Consultant role and responsibilities across multiple consulting domains, including: Transformation Business Continuity/Disaster Recovery Mergers & Acquisitions Business Process Optimization IT Asset Management Organizational Change Management • Develops knowledge and skills relevant to standard offerings through mentorship, shadowing, formal training, and on-the-job experiences and obtaining industry-related certifications as determined by management. • Develops strong customer relationships and trust to secure future business. • Achieves a high level of Customer Satisfaction on all consulting engagements by executing to achieve client project expectations set by technical leads and project managers. • Creates, populates, and edits simple templates based on customer requirements. Documents may be text, numerical, process flow, or other format. • Performs overall solution Quality Assurance (QA) tasks for deliverables for assigned client engagements. • Provides support for billable engagements under the direction of a Senior level consulting team member. • Supports consulting sales efforts inclusive of customer meetings, whiteboard briefing sessions, discovery sessions, workshops, preparing scope and service estimates for client Statements of Work (SOW). • Participates and facilitates project team communication and coordination to deliver services. • Provides research, analyses, problem-solving, technical support, and general support for assigned client engagements. • Reviews and understands all assigned Statement of Work (SOW) obligations before engagement delivery. Communicates any issues to the project team. • Mentors Analysts and supports Academy coworkers. • Performs analysis, planning, and implementation functions and coaches analysts on general consulting skills. • Supports internal and client engagements assigned by their resource manager. • Guides other analysts, including coaching and resolving issues. • Supports senior team with Client Executives and partners to develop CDW sales opportunities. • Contributes to best practices, strategies, methodologies, and documentation/templates suitable for use by other consultants and analysts. • Contributes to and provides developing new and improving existing service offerings. • Complies with all-time compliance and time-entry guidelines. Meets billable utilization targets. • Provides perspective to ensure a realistic estimation of scope, cost, and level of effort for proposal generation.

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together If you reside within a reasonable commute in the Buncombe County and 18 surrounding counties (Avery, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey), you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: - Provide oversight and performance evaluation through continuous monitoring and analysis of CMARC/CMHRP program requirements and development of strategies based on performance analysis - Regularly facilitate efficient, effective meetings with the CMARC/CMHRP programs to monitor, present, and discuss progress towards program requirements - Provide ongoing support, develop recommended actions, and best practices to assist OB providers and LHD CMARC/CMHRP Programs in achieving contractual requirements - Build and effectively maintain relationships with OB Providers, CMARC/CMHRP programs, LHD practice leadership and key clinical influencers actively involved in practice transformation through strategic partnerships - Serve as liaison and clinical resource using proven interpersonal and collaboration skills to foster relationships and maintain communication with multiple disciplines (e.g. Clinically Integrated Networks (CINs), internal UHC teams, external stakeholders, and other partners as appropriate) - Collaborate with DHHS and DPH leadership for CMARC/CMHRP programs to ensure appropriate policies, processes, oversight and outcomes - Consult and partner with internal UHC matrix partners and the practice to identify organizational and structural challenges hindering achievement of desired program performance and quality outcomes - Provide education to promote quality and cost-effective outcomes around: pregnancy medical program (PMP), dissemination of the latest information on effective practices, and utilization of tools and resources to meet needs of the population (e.g. best practice guidelines, practice management support, population health program implementation, and/or with other appropriate resources) - Implement basic quality improvement principles to provide technical assistance and support to LHD and OB providers while assessing trends in quality measures and identifying opportunities for quality improvement (e.g. AMH identified quality measures, pay for performance measures) - Uses a systematic approach to identify CMARC/CMHRP program and LHD practice needs, perform data analysis, and develops actionable solutions to improve quality outcomes - Assist practices with analyzing and interpreting data to quickly identify problems, patterns, and high-risk activities - Facilitate discussions around different data visualization strategies, including differences in databases, and basic data sharing and management of resources - Cross-collaborate with the quality, AMH, or provider relation teams for any identified or ongoing practice needs that require the involvement of a subject matter expert - Facilitates and participates in Joint Operational Committee with external care management partners - Participates, coordinates, and/or represents the Health Plan at community based organization events, clinic days, health department meetings, and other outreach events as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - 3+ years of experience working with maternity populations (OB provider or OB clinic setting) OR local health departments - 2+ years of experience with responsibilities in the following areas: data analysis and interpretation, systems analysis, graphical display of data/information, public speaking, group leadership and facilitation, and demonstrated problem solving and critical thinking skills - 2+ years of experience working with the Medicaid population - 2+ years of experience in creating presentations and working with data to formally present information to physicians, administrators, other providers and community partners, engaging different types of learners in various settings (e.g. practice offices, CIN/other partner offices, community settings) - Intermediate experience in software applications skills that include, Microsoft Word, Excel, PowerPoint - This role requires travel to locally up to 75%25 of the time and may require travel up to 2 hours away from your residence on occasion Preferred Qualifications: - Program oversight experience - Maternity experience in OB Provider or Clinic Setting - Knowledge of one or more of: clinical standards of care, HEDIS, NCQA PCMH, and governing and regulatory agency requirements - Resides in North Carolina, specifically Region 1 (which encompasses one of the 18 counties surrounding Asheville, NC) *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Independent Verification & Validation (IV&V) Consultant - Are you a tech enthusiast who loves solving complex problems in large-scale software implementations? - Do you have a keen eye for detail, strong analytical skills, and the ability to spot risks or gaps others might miss? - Would your colleagues describe you as a self-starter who takes pride in your work and thrives in collaborative, fast-paced project environments? If so, we have an exciting opportunity for you at The Greentree Group! WHO WE ARE The Greentree Group is a dynamic, innovative, and thriving company that specializes in delivering advanced technology solutions to federal, state, and commercial clients. With a team of highly skilled professionals, we provide cutting-edge services and are always pushing the boundaries of what’s possible. What sets us apart is our commitment to excellence and our passion for the work we do. At The Greentree Group, we are driven by a shared sense of purpose and a desire to make a difference in the lives of people around us. Whether it's helping our clients achieve their goals, developing innovative solutions to complex problems, or giving back to the community, we are dedicated to making a positive impact. We also believe in investing in our people and providing them with opportunities for growth, development, and advancement. We offer a dynamic and supportive work environment, a culture of continuous learning, and a wide range of benefits and perks that promote work-life balance and personal well-being. Whether you're a seasoned expert or just starting out in your career, if you're passionate about technology, committed to excellence, and eager to take on new challenges, we want to hear from you! ABOUT THE OPPORTUNITY As an Independent Verification & Validation (IV&V) Consultant, you will play a critical role in providing objective oversight and advisory support on large, complex state government IT modernization projects. This position offers the opportunity to work closely with agency stakeholders, system integrators, and other vendors to assess project health, identify risks, and recommend actionable improvements. You will monitor and evaluate modernization activities across the full system development life cycle (SDLC), ensuring alignment with industry best practices, state standards, and contractual requirements. Your contributions will help ensure these projects are delivered on time, within budget, and with measurable business value. Travel Expectations: Willingness to travel up to 50% in support of client engagements/projects if required. SOME RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: - Review and assess methodologies, processes, plans, tasks, work products, and deliverables from system integrators and other vendors; provide objective feedback and recommendations to improve quality and maximize business value. - Monitor and evaluate project activities (e.g., requirements, design, testing, deployment planning, project management) and provide real-time observations, issue/risk documentation, and independent recommendations. - Collaborate with state project staff, system integrators, and additional vendors to ensure alignment across workstreams and identify/resolve gaps. - Assess quality assurance and quality control processes, identify deficiencies, and recommend improvements based on industry standards and best practices. - Contribute to weekly, monthly, and ad-hoc IV&V assessment reports and executive presentations, delivering clear, actionable insights and early warning of risks. - Track the resolution of IV&V findings to ensure accountability and effective risk mitigation. - Apply knowledge of program management, tools, and technologies to assess the effectiveness of vendor approaches and project decision-making. - Support client leadership in risk planning, issue resolution, and project governance to ensure the project remains on track. MINIMUM QUALIFICATIONS: - Bachelor’s Degree in Computer Science, Information Systems, or related field; equivalent experience (minimum 8 years) will be considered in lieu of a degree. - At least five (5) years of experience working on large-scale IT projects, with strong preference for state government modernization initiatives (e.g., licensing/permitting, tax/revenue, unemployment insurance, eligibility, ERP). - Experience providing IV&V or quality assurance oversight on state IT projects, with working knowledge of expected activities and decision points across the entire modernization life cycle. - Strong knowledge of system development life cycle (SDLC) methodologies (Agile, Hybrid, Waterfall) and experience overseeing large-scale IT modernization projects, including custom development, COTS/ERP implementations, and configurable/low-code platforms - Familiarity with tools and technologies commonly used in state IT projects (e.g., testing tools, project management tools, data migration/ETL, cloud platforms). - Demonstrated ability to communicate effectively with both technical and non-technical stakeholders, including client executives and vendor project teams. - Strong analytical, written, and verbal communication skills, with the ability to provide constructive feedback and recommendations. - U.S. Citizenship required. DESIRED QUALIFICATIONS: - Based out of or near Austin, TX (fully remote considered; local candidates preferred). - Four (4) or more years of experience providing IV&V, Quality Assurance, or oversight consulting services on State Government IT modernization projects. - Three (3) or more years of experience with data conversion, data cleansing, and migration activities in large-scale implementations. - Three (3) or more years of experience with testing processes and tools (e.g., unit, integration, system, UAT), including test planning, execution oversight, and results validation. - Three (3) or more years providing technical advisory services to state clients and system integrators on the design, configuration, and implementation of enterprise solutions (e.g., ERP, tax and revenue, licensing/permitting, workers’ compensation, unemployment insurance, eligibility, or IT service management systems). - Experience overseeing COTS/ERP/low-code platform implementations (e.g., Appian, Salesforce, RSI Government Premier, Oracle, SAP) and evaluating vendor fit-gap, customization, and integration decisions. - Familiarity with multi-vendor program environments, with the ability to identify dependencies, risks, and coordination points across vendors. We believe in fostering a positive, inclusive culture that values diversity, teamwork, and personal growth. With opportunities for advancement and a supportive community of colleagues, The Greentree Group is the perfect place to build your career. Learn more about us at www.greentreegroup.com. Please note that this role may require a National Agency Check (NAC) and/or background check, and relocation assistance is not available at this time. Greentree is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, national origin, age, sexual orientation, gender identity, genetic information, or status as a qualified individual with a disability or protected veteran. Compensation / Salary Range: Greentree adheres to federal, state, and local regulations. This is a Full-Time, Salary, Exempt position. Bonuses: Greentree has an employee referral bonus, as well as employee bonuses based on employee contributions and Greentree’s yearly performance. Top Benefits Core Benefits 100% paid by Greentree: Employee Medical Premium on the High Deductible Health Plan (HDHP), Basic Life Insurance and AD&D, Short-Term Disability (STD), Long-Term Disability (LTD), Health Reimbursement Account (HRA), 401(k) Match, Job-Related Certifications, and Training Programs Elected Benefits: Medical, Dental, Vision, HSA, FSA, Voluntary Term Life, 401(k) (Roth and Pretax available) Time Off: PTO, Flexible Schedules, Holidays and Paid Parental Leave: Work-life balance is important – we all enjoy some time off for rest and relaxation! Employees receive a very generous amount of PTO which is granted on start date, plus the ability for quick escalation to the next tier. Flexible/hybrid working schedules and 11 paid holidays, in addition to paid parental leave round out the work-life balance benefits. Paid Training and Development: We encourage and support ongoing employee learning and development, consistent with needs of the company, its clients, and markets. Greentree is committed to paying the cost for job-related certifications and/or training programs. In conjunction with management/employee communication and discussions regarding performance and goals, employees are expected to seek out and pursue development opportunities to meet emerging organizational skill requirements in combination with their own personal growth needs. Greentree also makes job-related tuition reimbursement contributions for those in higher-level education programs.