Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. This leadership role, reporting to the VP of Billing and Collections, serves as the authoritative source for all billing, collections, and payments performance data at Pie Insurance. The Senior Manager is responsible for delivering accurate, timely, and actionable financial reporting, and for enforcing robust controls and compliance across Pie's Workers' Compensation and Commercial Auto billing operations. The role encompasses the entire reporting lifecycle—from data extraction and reconciliation to executive-level dashboarding. Key areas of ownership include Accounts Receivable (AR) aging, collections effectiveness, payment lifecycle analytics, bad debt tracking, and audit invoice management. This position provides essential support for month-end close, balance sheet integrity, internal controls compliance, and external audits, requiring close collaboration with Finance, Accounting, Operations, and Product teams. How You’ll Do ItCore Responsibilities: Financial Reporting & Accounts Receivable (AR) Analytics - Own the Aged Trial Balance (ATB): Maintain the authoritative ATB, ensuring accuracy, timeliness, and alignment with the Finance department. - Support Allowance for Doubtful Accounts (AFDA): Provide insights through trend analysis, risk segmentation, and collections performance data. - Generate Comprehensive AR Reports: Produce detailed AR aging reports segmented by product line, payment method, payment plan, and risk indicators. - Develop Collections Performance Dashboards: Create weekly and monthly reports on recovery rates, delinquency, payment success/failure rates, NSF/chargeback volumes, and bad debt projections. - Manage Audit Invoice Reporting: Track premium true-ups, audit payment success rates, and outstanding receivables across all products. - Deliver Financial Analysis: Prepare trend and variance reporting for Management Business Reviews (MBRs), forecasting, and executive operational reviews. Payment Lifecycle Management & Cost Analysis - Establish Payment Source of Truth: Centralize data for all payment activity, including pay-by-pay records, Payment Service Provider (PSP) performance, settlement accuracy, remittances, and recurring payment behavior. - Ensure Data Integrity: Guarantee 100% accuracy between billable activity, collected payments, and General Ledger (GL) balances. - Analyze Payment Mix and Costs: Track payment method mix (ACH, credit card, debit card, check), transaction volumes, channel effectiveness, and the total cost of payments (e.g., Stripe fees, chargeback expenses, collection agency commissions). - Quantify Payment Failures: Assess the financial impact of failed payments, retry logic performance, and down payment effectiveness. - Monitor Churn & Retention: Analyze billing, collections, and payment behavior impacts on customer retention and churn. Collections Performance & Strategy Visibility - Report on Collections Effectiveness: Provide comprehensive reporting on internal vs. third-party collections, including placement effectiveness, recovery rates, and cost-to-collect. - Track Key Collections Metrics: Monitor NOC rates, payment success rates, policy survival rates, and retention by cohort. - Analyze Outcomes: Segment collections outcomes by age, balance, payment method, underwriting segment, and agency performance. - Develop Predictive Models: Build models and scenario analyses to inform collections strategy and resource allocation. - Identify Bad Debt Risk: Establish early warning indicators for bad debt and support segmentation strategies to maximize recovery. Month-End Close & System Reconciliation - Lead Monthly AR Close: Direct monthly activities including AR aging validation and bad debt allowance analysis in collaboration with Accounting. - Execute Critical Reconciliations: Perform reconciliations between core systems (Zuora, Stripe, Salesforce, PPS, Nexus Audit, and GL). - Resolve Discrepancies: Identify, investigate, and resolve reconciliation breaks, payment misallocations, and system discrepancies. - Document Adjustments: Maintain documentation and tracking for premium adjustments, refunds, write-offs, and billing corrections. - Support Audits: Provide clean data packages and variance explanations for quarter-end and year-end audit requests. Controls, Compliance & Audit Support - Execute Internal Controls: Perform Internal controls for financial reporting, including documentation, testing, and remediation of control deficiencies. - Maintain Balance Sheet Integrity: Establish robust reporting controls and reconciliation frameworks. - Manage Audit Trails: Maintain comprehensive audit trails for all financial adjustments, write-offs, and manual system interventions. - Support Audits: Facilitate internal and external audit requests with accurate data samples and process walkthroughs. - Ensure Compliance: Confirm compliant reporting of unclaimed property, refund reserves, and customer fund handling. - Identify and Improve Controls: Identify control gaps and recommend improvements to processes, tooling, or policy. - Document Procedures: Maintain documentation for reporting processes, system access controls, and reconciliation procedures. Data Quality & System Integration - Ensure Data Integrity: Uphold data integrity across all billing platforms (Zuora, Stripe, Salesforce, PPS, Nexus Audit). - Resolve Data Issues: Identify and resolve systematic data issues that compromise financial reporting accuracy. - Support Modernization: Assist Billing Modernization initiatives by validating data migration, testing new reporting outputs, and documenting updated workflows. - Enhance Automation: Partner with Product, Engineering, and Data teams to improve automated reporting capabilities. - Document Methodology: Maintain data dictionaries, field definitions, and reporting methodology documentation. The Right Stuff - 7+ years in financial analytics, data reporting, or AR operations in technology-driven environments. - Public accounting (Big 4 or large regional) / consulting experience highly preferred - Proficiency in SQL for querying enterprise data warehouses and building financial and operational reports directly from structured data sets. - Hands-on experience building dashboards and executive-level reports in Looker (preferred), Power BI, or Tableau. - Experience working with enterprise data warehouses and collaborating with Data Engineering or Analytics teams to source, validate, and operationalize financial reporting data. - Workers' Compensation insurance billing experience is highly advantageous. - Expert proficiency in Excel/Google Sheets (pivot tables, complex formulas, VLOOKUP/XLOOKUP, data visualization). - Comfort and fluency working with and manipulating structured and unstructured data sets. - Exceptional reconciliation skills, with the proven ability to investigate and resolve complex, multi-system discrepancies. - Experience with billing/payment platforms (Zuora, Stripe, Salesforce preferred) and the ability to extract and analyze data from various sources. - Working knowledge of GAAP principles, AR fundamentals, and financial controls - Knowledge of internal control program compliance requirements and financial audit processes. - Demonstrated experience reconciling complex payment ecosystems (PSPs, remittances, recurring payments). - Highly analytical, detail-oriented mindset with an unwavering commitment to data accuracy. - Excellent communication skills, capable of translating technical findings for non-technical audiences and creating high-level executive dashboards. - Comfortable building structure and clarity in ambiguous or nascent environments. The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process. Base Compensation Range $130,000—$165,000 USD Compensation & Benefits - Competitive cash compensation - A piece of the pie (in the form of equity) - Comprehensive health plans - Generous PTO - Future focused 401k match - Generous parental and caregiver leave - Our core values are more than just a poster on the wall; they’re tangibly reflected in our work Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we’ve identified a talented individual who we’d like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate’s knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges. Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members. Location Information Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet. Additional InformationPie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic. Pie Insurance participates in the E-Verify program. Please click here, here and here for more information. Pie Insurance is committed to protecting your personal data. Please review our Privacy Policy. Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process. Pie Named to 2025 America's Best Startup Employers Pie Insurance 2025 State of Workplace Safety Report #LI-REMOTE #BI-REMOTE

Role Description The New Learner Compliancy Specialist II, Credential Support guides newly admitted learners through their credentialing requirements to ensure compliance with College and Experiential Learning standards. This role manages a larger caseload than Specialist I (up to 350 learners) and focuses on building efficiency, troubleshooting, and supporting learners through the full credentialing process. - Guides learners in creating third-party vendor accounts, uploading documentation, and initiating background checks and drug screenings. - Provides guidance on navigating credentialing systems and clarifying College and DFC requirements. - Communicates with learners via phone calls, conference calls, texts, and emails to ensure timely completion of credentialing tasks. - Monitors learner progress, identifies potential compliance risks, and escalates issues when necessary. - Collaborates cross-functionally with colleagues and supervisors to resolve credentialing challenges. - Assists in training new collaborators and contributes to process improvement initiatives. - Maintains accurate documentation and updates within credentialing systems to track learner progress and outcomes. Qualifications - Associate’s Degree required, bachelor’s degree preferred. - Demonstrated experience producing professional communication and correspondence is required. - Experience providing a high standard of customer service is required. - Demonstrated proficiency with Microsoft Office products is preferred. - Experience in credentialing processes or administrative support is highly preferred. Requirements - Budgeted Hiring Range: $27 — $29.50 USD. - All new hires are required to attend New Collaborator Orientation (NCO) in Salt Lake City, Utah. The College will cover travel, lodging, and other accommodations. - Employment is contingent upon successful completion of a background check and drug screen. Benefits - Nightingale’s commitment to diversity and inclusion is reflected both in our learners and collaborators. - We believe the best outcomes for learners from underserved and diverse populations are achieved through collaborators with similar backgrounds and cultures.

JOB DESCRIPTION Job Summary Provides investigative support for special investigation unit (SIU) activities. Responsible for supporting for the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse (FWA). Responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care, and recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. Essential Job Duties • Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or abuse (FWA) is corroborated by evidence. • Conducts both preliminary assessments of FWA allegations, and end-to-end investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and communications development, recommendations and preparation of overpayment identifications, and closure of investigative cases. • Completes investigations within the mandated period of time required by either state and/or federal contracts and/or regulations. • Conducts both on-site and desktop investigations. • Conducts low to medium, and extensive investigations, including reviews of medical records and data analysis, and makes determinations as to whether the investigation and/or audit identified potential FWA. • Performs accurate and reliable medical review audits that may also include coding and billing reviews. • Produces audit reports for internal and external review. • Coordinates with various internal customers (e.g., provider services, contracting and credentialing, healthcare services, member services, claims, etc.), to gather documentation pertinent to investigations. • Detects potential health care FWA through the identification of aberrant coding and/or billing patterns through utilization review. • Prepares appropriate FWA referrals to regulatory agencies and law enforcement. • Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU related requirements. • Prepares detailed preliminary and extensive investigation referrals to state and/or federal regulatory and/or law enforcement agencies when FWA is identified as required by regulatory and/or contract requirements. • Renders provider education on appropriate practices (e.g., coding) as appropriate based on national or local guidelines, contractual, and/or regulatory requirements. • Interacts with regulatory and/or law enforcement agencies regarding case investigations. • Prepares audit results letters to providers when overpayments are identified. • Ensures compliance with applicable contractual requirements, and federal and state regulations. • Complies with SIU policies as and procedures as well as goals set by SIU leadership. • Supports SIU in arbitrations, legal procedures, and settlements. • Actively participates in Medicaid Fraud Control Unit (MFCU) meetings and roundtables on FWA case development and referrals. • May work with other internal departments, including compliance, corporate legal counsel, and medical affairs to achieve and maintain appropriate anti-fraud oversight. Required Qualifications • At least 2 years of investigative experience in the health care industry, or equivalent combination of relevant education and experience. • Valid and unrestricted driver’s license. • Proven investigatory skills including ability to organize, analyze, and effectively determine risk with corresponding solutions, and remain objective and separate facts from opinions. • Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations. • Knowledge of managed care and Medicaid, Medicare, and Marketplace programs. • Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems. • Understanding of datamining and use of data analytics to detect FWA. • Ability to research and interpret regulatory requirements. • Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels. • Strong presentation skills with ability to create and deliver training, informational and other types of programs. • Strong logical, analytical, critical-thinking and problem-solving skills. • Strong sense of initiative, excellent follow-through, and persistence in locating and securing needed information. • Fundamental understanding of audits and corrective actions. • Ability to multi-task and operate effectively across geographic and functional boundaries. • Detail-oriented, self-motivated, and able to meet tight deadlines. • Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities. • Energetic and forward-thinking with high ethical standards and a professional image. • Collaborative and team-oriented. • Effective verbal and written communication skills. • Microsoft Office suite and applicable software program(s) proficiency. Preferred Qualifications • Experience in government programs (i.e., Medicare, Medicaid, Marketplace). • Experience in FWA or related work. • Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE). 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

Company Description If you are looking to join a global company with a family feel, you'll find your perfect fit at Skyward, where we build software solutions for K-12 schools. Just imagine getting to help students, teachers, and school administrators succeed every day — you can't say that about every job! We take great pride in our work, but also in our work environment: teamwork, enthusiasm, continuous improvement, and, of course, a bit of fun. When you join our team there is only one way your career will go - Skyward!  To learn more about Skyward’s careers, history, products, and customers, go to www.skyward.com.   Thank you for your interest! Job Description Job Title: State & Federal Compliance Analyst Location: Stevens Point, WI - Corporate Office *May include remote opportunities in the following states: AZ, FL, IL, IN, KS, MI, MN, PA, TN, TX, UT, WA, WI. No relocation assistance is provided. Starting Salary: $49,352.06 - $54,287.27 (wage to commensurate with experience)   Are you passionate about education, compliance, and technology? Do you thrive in a role that blends research, communication, and software expertise? If so, we want you on our team! Skyward is seeking a State & Federal Compliance Analyst to ensure our software meets evolving state and federal reporting requirements. This role is ideal for someone who enjoys digging into regulations, collaborating across teams, and making a real impact in the education technology space. Click here for a full job description. What you'll do: - Research and interpret state and federal reporting requirements. - Communicate changes to internal teams and customers. - Conduct quality assurance testing and compliance training. - Assist support teams with troubleshooting reporting-related issues. - Create and maintain documentation and training materials. - Verify data migration from third-party software. - Collaborate with product development to ensure compliance is built into our solutions. What you'll need: - A 2-year or 4-year degree, or equivalent experience in school administrative software, state reporting, or compliance research. - Strong interpersonal and communication skills. - Proficiency in Microsoft Office (Excel, Word, PowerPoint). - Analytical mindset with attention to detail. - Ability to work independently and manage multiple priorities. Skyward’s Benefits: At Skyward, we believe in supporting our team members both personally and professionally. Visit our Employee Benefits page for more information on the following offerings: - Paid time off - 8.5 paid holidays - 401(k) retirement plan with company match - Health, dental, and vision coverage - Company sponsored basic life/AD&D, short-term, and long-term disability - Employee Assistance Program - A robust wellness program Want to learn more about this department and the skills it takes to succeed as a member of the Skyward team? Spend some time on our careers page at https://www.skyward.com/careers. You'll learn more about our culture, expectations, and even the day-to-day mission of the department you're applying for.  A better working experience starts here!  Additional Information All your information will be kept confidential according to EEO guidelines. Skyward, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Applicants have rights under Federal Employment Laws. Click the title to view details about the law. - Family and Medical Leave Act (FMLA) - Equal Employment Opportunity (EEO) - Employee Polygraph Protection Act (EPPA) - Transparency in Coverage - Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes these Machine-Readable Files on behalf of Skyward. - Department: Compliance - Starting Salary: $49,352.06 - $54,287.27 - Employment Status: Full-Time - FLSA Status: Hourly Non-Exempt