Role Description The Secondary Review Nurse plays a critical role in evaluating clinical requests for Home and Community-Based Services (HCBS). This position ensures that care provided is medically necessary, cost-effective, and tailored to the individual needs of each member, while remaining compliant with state regulations. If you reside within the state of Indiana, you will enjoy the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: - Participate in secondary reviews for HCBS services and Medicaid services - Review and process prior authorization requests for LTSS and HCBS services - Apply clinical judgment and decision support tools to determine medical necessity and appropriateness of services - Collaborate with care managers, physicians, and other stakeholders to ensure continuity of care and alignment with the members’ service plan - Monitor utilization patterns and identify opportunities for improved care coordination and cost containment - Document all clinical decisions and communications in accordance with regulatory and organizational standards - Support quality improvement initiatives and participate in developing education and training for staff - Identify potential quality of care concerns, including instances of over/or underutilization of services and escalate these issues as needed - Stay current with established guidelines and regulatory requirements Qualifications - Current, unrestricted RN license for Indiana - 3+ years of clinical experience in a hospital, acute care, home health/hospice, direct care or case management and the ability to quickly identify needs and issues - 2+ years of experience with completing functional assessments for LTSS services - 2+ years of Medicaid, Medicare, or Managed Care experience and with Long-Term Services and Supports - Intermediate level of knowledge of LTSS experience determining eligibility and appropriate allocation of services - Intermediate level of computer/typing proficiency to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications Requirements - Pre-authorization experience - Utilization Management experience - Case Management experience - Knowledge of state and federal guidelines - Home health or hospice experience - Proven problem-solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (subject to eligibility requirements) Company Description 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. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. 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.

Title: LEAD FIELD AUDITOR (COUNTY AUDITOR) ACTIVELY RECRUITED Location: Chicago United States Full-time Shift Start Time: 8:30 A.M. Shift End Time: 4:30 P.M. Posting Salary: $94,712 - $104,544 yearly Organization : Offices Under the President Job Description: Provide guidance to teams performing diverse and complex compliance, operational, and performance audits of County agencies, bureaus, and partner entities. Lead all phases of audit assignments and projects, including planning, fieldwork, report writing, and issue remediation. Prepare audit programs that align with departmental objectives and ensure audit reviews are completed on time and within budget. Responsible for gathering and analyzing evidence and data. Conduct interviews to obtain an understanding of internal control structures within County agencies and document findings in a clear and concise manner. Prepare audit reports and management letters to clearly communicate audit results and recommendations to leadership. Collaborate with senior management and the audit team to ensure timely identification and escalation of potential issues. Provide guidance and mentorship to audit staff and oversee work, as needed. Ensure engagements are performed in accordance with Generally Accepted Government Auditing Standards and Global Internal Audit Standards. This position is Actively Recruited and At Will. This position may be eligible for a signing bonus. Minimum Qualifications • Graduation from an accredited college or university with a Bachelor's Degree or higher in Accounting, Finance, Information Technology, or related field is required. • Five (5) years in conducting auditing, finance, compliance, risk management, or directly related experience is required. • In good standing as a Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Government Audit Professional (CGAP), Certified Fraud Examiner (CFE), Certified Risk Management Assurance (CRMA), Certified Information Security Manager (CISM), Certified Risk and Information Systems Control (CRISC), or relevant area is required. • Valid driver's license is required. Preferred Qualifications • Experience conducting audits under General Accepted Government Auditing Standards and the Institute of Internal Auditors’ Global Internal Audit Standards is preferred. • Experience conducting performance and/or operational audits of government entities is preferred. Candidates who are contacted will be required to produce original required documents (e.g., current driver’s license, diploma, school transcript, certifications, etc.) listed on the Notice of Job Opportunity within five (5) days of being extended an offer, in writing, by the Bureau Chief of BHR (or designee). Candidates will be notified of how to submit required documents. *Degrees awarded outside of the United States with the exception of those awarded in one of the United States territories and Canada, must be credentialed by the World Education Services (WES), Educational Credential Evaluators (ECE) or a National Association of Credential Evaluation (NACES) member organization. Knowledge, Skills and Abilities • Knowledge of Generally Accepted Government Auditing Standards (GAGAS), the Institute of Internal Auditor’s (IIA) International Standards for the Professional Practice of Internal Auditing and Generally Accepted Accounting Principles (GAAP). • Ability to create audit objectives, scope and audit test plans to ensure compliance with applicable auditing standards. • Skill in evaluating and organizing information in a logical manner to support audit results. • Ability to distinguish between errors, irregularities, and illegal acts, and take appropriate reporting actions when necessary. • Ability to direct the analytical review process. • Excellent verbal and written communication skills. • Ability to communicate effectively, both verbally and in written, including reviewing and responding to the written correspondence. • Proficient in Microsoft Office Suite and Visio. • Ability to travel to various work locations throughout the County. • Ability to mentor junior staff and colleagues. Physical Requirements: Sedentary Work involves exerting up to 10 pounds of force occasionally or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. The duties listed are not set forth for purposes of limiting the assignment of work. They are not to be construed as a complete list of the many duties normally to be performed under a job title or those to be performed temporarily outside an employee's normal line of work. Group and Voluntary Benefits Offered: •Medical, Dental, and Vision •Basic Term Life Insurance •Pension Plan •Deferred Compensation Program •Employee Assistance Program •Paid Holidays, Vacation, and Sick Time •Voluntary Benefits •You May Qualify for the Public Service Loan Forgiveness Program (PSLF) •For eligible employees the County has a hybrid work environment which allows employees telecommuting and flexible scheduling options. Salary: $94,712 - $104,544 yearly The County has a hybrid work environment which allows employees telecommuting and flexible scheduling options. *This position requires successful completion of post-offer tests, which may include a background check, drug screen and medical examination. Falsification of any information in the application process will result in disqualification, dismissal after hire, and/or placement on the County’s Ineligible for Rehire List for a period of two (2) or five (5) years. For current County employees, such falsification may result in discipline, up to and including termination, and placement on the County’s Ineligible for Rehire List for a period of two (2) or five (5) years. See Cook County Code of Ordinances, Article II, Sections 44-54 Unlawful Practices Relating to Employees and Employment - Penalty, 44-56 Political Discrimination; Cook County Employment Plan, Section V.N. Pre-Interview License and Certification Verification; Supplemental Policy No. 2014-2.13 Ineligible for Rehire List; and Cook County Personnel Rules 3.3(b) (7) (d) EEO Statement Cook County Government is an Equal Employment Opportunity (“EEO”) employer. Cook County prohibits illegal discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to race, color, sex, age, religion, disability, national origin, ancestry, sexual orientation, marital status, parental status, source of income, housing status, military service or discharge status, gender identity, genetic information, or any other protected category established by law, statute or ordinance as further defined in Chapter 44. Human Resources, Article II. Personnel Polices, Section 44-53 of the Cook County Code of Ordinances and Chapter 42. Human Relations, Article II. Human Rights, Section 42-35 of the Cook County Code of Ordinances.

Title: Phone Auditor Location: Lakeland United States Hybrid time type Full time job requisition id R_13233 Job Description: A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, this specific role could have the flexibility to work from home up to 3 days per week. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Underwriting department as a Phone Auditor. The position requires the person to: - Determine proper classifications, premium exposure, and scope of operations applicable to the policyholder based on the audit information obtained - Become familiar with premium auditing policies, procedures, and objectives in order to understand their meaning and use - Effectively communicate with policyholders, independent agents, and other employees through verbal and/or written means - Provide underwriting consultation on proper classification issues - Assists with other duties as assigned Desired Skills & Experience - Bachelor degree (candidates with equivalent military, insurance, or other direct experience considered) - Aptitude for basic math and accounting - Above average communication skills (written and verbal) - Organize and interpret policy data - Ability to handle multiple assignments - Experience in commercial insurance with knowledge of classifications is preferred Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. - Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-BK1 #LI-Hybrid

• Plan, participate, and lead various styles of audit programs. • Conduct/lead EHS compliance audits. • Conduct/lead process safety management and risk management program audits. • Conduct/lead supply chain due diligence/risk audits of various styles. • Conduct/lead waste receiving facility audits of various styles. • Lead development of permitting and EHS compliance strategies for client project development in various industries. • Coordinate for development and management of client EHS compliance programs for construction and operation of facilities in various industries. • Coordinate and oversee execution of EHS compliance tasks for clients in various industries. • Develop and deliver EHS training to clients in various industries. • Provide detailed regulatory interpretation of EHS laws and regulations to our clients and develop compliance strategies. • Maintain and communicate knowledge of current and emerging USEPA, OSHA, and state EHS regulatory requirements. • Develop effective business presentations and proposals for providing competitive, high-value EHS consulting services. • Build and maintain effective client relationships. • Grow existing business base through client outreach and professional relationships. • Provide mentoring, guidance, and coaching to new or less-experienced staff.