Role Description Provides senior level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures. - Successfully engages the plan's highest priority, high-volume and strategic complex community providers to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers. - Serves as the primary point of contact between Molina health plan and the complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers. - Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service; effectively drives timely issue resolution, electronic medical record (EMR) connectivity, and provider portal adoption. - Resolves complex provider issues that may cross departmental lines and involve senior leadership. - Conducts regular provider site visits within assigned region/service area; determines daily or weekly schedule, to meet or exceed the plan's monthly site visit goals. Proactively engages with the provider and staff to determine non-compliance with Molina policies/procedures or Centers for Medicare and Medicaid Services (CMS) guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. - Provides on-the-spot training and education as needed, including counseling providers diplomatically, while retaining a positive working relationship. - Independently troubleshoots provider problems as they arise, and takes initiative in preventing and resolving issues between the provider and the plan whenever possible. - Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians. - Independently delivers training and presentations to assigned providers and their staff; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs). - Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives. - Serves as a subject matter expert for the provider relations function. - Provides training and support to new and existing provider relations team members. - Role requires 80%+ same-day or overnight travel (extent of same-day or overnight travel will depend on the specific health plan service area). Qualifications - At least 3 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience. - Understanding of the health care delivery system, including government-sponsored health plans. - Understanding of various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc. - Experience delivering training and facilitating educational presentations. - Organizational skills and attention to detail. - Ability to manage multiple tasks and deadlines effectively. - Interpersonal skills, including ability to interface with providers and medical office staff. - Ability to work in a cross-functional highly matrixed organization. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. Preferred Qualifications - Experience in provider services, operations, and/or contract negotiations in a Medicaid, Medicare, and/or Marketplace managed health care setting - ideally with different provider types (i.e. physician, group, hospital). Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

• Lead, mentor, and scale a high-performing team of ~25 analysts and project managers, including multiple layers of management. • Establish clear goals, KPIs, and operating rhythms to ensure successful and timely EHR implementations. • Foster a culture of accountability, collaboration, urgency, and continuous improvement. • Define and implement a scalable operating model to support high-quality, repeatable EHR implementations. • Establish standardized processes, playbooks, and governance to ensure consistency, efficiency, and accountability across all client engagements. • Own end-to-end delivery of EHR integrations for order entry and result reporting across client health systems. • Serve as the executive point of escalation for all customer challenges related to EHR implementations and ongoing service delivery. • Drive continuous improvement in implementation timelines, quality, and customer experience.

Role Description Working under minimal oversight, leads their own branch, while also supervising one or more branch managers in performance of all claim handling related functions. - Leads recruiting and hiring efforts. - Participates in training of branch managers. - Leads compliance and best practice reporting. - Fully responsible for technical proficiency of the branch work product for all assigned branches. - Ensures compliance with client service instructions and performance warranties. - Demonstrates a thorough understanding of corporate policies and procedures. - Uses various metric driven tools such as FOCUS, the Managers Tool Kit and Scoreboard to evaluate performance and identify problem areas in advance of them becoming service issues. - Takes ownership to resolve such issues. - Defines Area and branch goals and communicates them throughout the branch. - Directly and actively engages with clients, Account Management, sales and other parties to continually refine the branches understanding of client requirements. - Motivates people to perform at the highest level. - Communicates with clients, carriers and brokers in a professional, positive and proactive manner. - Works collaboratively with all internal departments. Qualifications - Required: High school diploma and 15 years related claim experience required. - At least 8 years of increasing growth through the management ranks from supervisor to branch manager. - Appropriately licensed and/or certified in all states in which claims are being handled. - Knowledge of all team member related functions. - Preferred: Bachelor's degree preferred. Requirements - Requires exceptional analytical and problem solving skills. - Ensures flawless and consistent execution of client service instructions and performance guarantees. - Ability to actively review work of others via file reviews; identify coaching opportunities, act on needed coaching opportunities and position subordinates for successful development leading to advancement within the organization. Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance. - 401(K) and Roth options. - Tax-advantaged accounts (HSA, FSA). - Educational expense reimbursement. - Paid parental leave. - Digital mental health services (Talkspace). - Flexible work hours (availability varies by office and job function). - Training programs. - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing. - Charitable matching gift program. - And more...

Role Description You will work with a global hospitality leader with: - 100+ years of experience - 7,000+ hotels in 123 countries - 145+ million loyalty members Your mission: help customers plan their perfect stay and deliver an outstanding travel experience. Your Responsibilities: - Assist customers with hotel reservations worldwide - Provide information about rooms, services, and offers - Manage bookings, changes, and cancellations - Support loyalty program members - Handle customer requests via phone, chat, or email - Ensure excellent customer satisfaction Qualifications - Italian (C1) & English (B2+) - Good communication and interpersonal skills - Basic computer literacy & multitasking ability - Customer-oriented mindset - Previous experience in Hospitality a plus Benefits - Permanent contract & job security - Competitive salary + bonuses - Additional health & life insurance - Food vouchers - 21 days paid annual leave - 1.5 hours paid breaks per day - Paid training & career development - Opportunity to work from home (project-based) Company Description Sutherland is a global leader in Customer Experience Management (CXM) with over 37 years of success. In Bulgaria, we are a team of 2,000+ professionals delivering world-class service in 17 languages across multiple locations and from home. Become part of a dynamic, international environment where you can develop your skills and build a long-term career.