Title: Clinical Reporting and Insights Partner (OPPE & Quality Analytics), FT, Days Location: Greenville, South Carolina Job IdR1137816 CategoryCorporate Full time Save Inspire health. Serve with compassion. Be the difference. Job Summary The Clinical Reporting and Insights Partner is responsible for carrying out the duties associated with quality performance improvement and data analysis through the deployment of a collaborative, proactive approach to quality, safety and efficiency. The Clinical Reporting and Insights Partner is a member of the quality team engaged in the clinical analytics work efforts that support clinical quality, patient safety and outcomes across the organization. The Clinical Reporting and Insights Partner possesses operational knowledge of new and installed clinical departments and systems and demonstrates proficiency in working with many clinical applications. The position demonstrates expertise in technical problem-solving, needs analysis and solution development; all necessary in fostering user collaboration and buy in. The Clinical Reporting and Insights Partner works with management and staff to define problems, devise solutions, perform work flow analysis, quality control, problem-solving, and change management. The Clinical Reporting and Insights Partner supports advanced clinical quality inquiry leading to ad hoc report generation and further investigative analysis, often leading to new clinically relevant information used to improve quality, safety, service and growth. The position facilitates the establishment of a data driven culture in the clinical quality and operational areas. Coordinates completion of medical staff quality reports to include ongoing professional practice evaluation (OPPE) reports and related functions in accordance with the requirements of accrediting and regulatory bodies. The Clinical Reporting and Insights Partner works in partnership with nursing, physicians, and ancillary leaders and is an active member in quality related committees focusing on improving care and outcomes. The position supports bi-directional communication and education of all involved personnel pertaining to performance improvement activities/methodologies, implications/impact and required organizational changes. The position further supports the campus/site clinical and administrative leadership team, Subject Matter Experts (SME), stakeholder groups and ad hoc teams on quality and clinical data analytics. The role leverages campus/affiliate/system communication and committee forums to ensure mechanisms for reporting and information sharing. ***This position is 100% remote and is accepting applications from both the Greenville and Columbia areas. Essential Functions - All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. - Partners with leaders of the organization in the development and revision of performance indicators and monitoring. Coordinates project development, performs data analysis and synthesizes clinical and administrative data from multiple sources into meaningful summary reports and presentations to all levels within the organization. - Prepares comparative analysis by accurately aggregating and summarizing data in statistical and/or graphical formats for review by clinical and administrative leaders. - Works with statistical data to create advanced charts, tables and graphs at the department, service line, facility or organizational level. - Ensures data integrity, analyzes major trends and reports variances in quality outcomes through the development of system reports and scorecards. Presents findings to key stakeholders in the organization. Monitors both real-time and retrospective quality outcomes, conducts analysis and provides a thorough evaluation for committees, meetings, administration and medical staff needs. - Demonstrates ability to merge clinical data with other types of data, database creation, management, and maintenance. - Works independently and effectively with interdisciplinary teams to correlate data from quality management activities to include problem identification, investigation and resolution as well as monitoring and trending patterns of care. - Coordinates and collaborates with physician leadership to ensure compliance with quality and regulatory standards. Compiles data from multiple sources into a meaningful report that guides clinicians and leaders in their decision-making and action planning. Conducts data analysis including the ongoing systematic review of data sources and special studies to evaluate patient care, patient safety and the impact on care delivery processes. - Identifies national and state best practices or guidelines that promote quality, patient safety, and effective outcomes. - Performs other duties as assigned. Supervisory/Management Responsibilities - This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements - Education - Bachelor's degree in Healthcare, Nursing or related health science field of study. - Experience - Three (3) years of experience in healthcare setting In Lieu Of - NA Required Certifications, Registrations, Licenses - Certified Professional in Healthcare Quality (CPHQ) is preferred. - Certification in Lean/Six Sigma (Green Belt or Black Belt) preferred. Knowledge, Skills and Abilities - Basic computer skills including word processing, spreadsheets, databases and data entry) - Mathematical skills - Knowledge of electronic health record - Organizational and planning skills - Ability to prioritize - Ability to demonstrate success working effectively in situations where need to use strong leadership skills to achieve the expected result. - Communication and multi-media skills. Ability to interact and build relationships within quality improvement teams. - Ability to work independently and meet deadlines. - Project planning skills. Ability to analyze interrelated elements of problems and work systematically to solve them - Conflict management, negotiation, and change management skills. - Knowledgeable of quality improvement and patient safety concerns and tools. - Ability to effectively facilitate and/or lead multidisciplinary teams. - Ability to demonstrate consistent follow through on action plans. - Ability to demonstrate strong analytical, problem solving, trouble shooting and quantitative skills. - Writing complex database queries, understand hospital cost accounting and reimbursement methods, familiarity with diagnostic and procedure coding systems is required. Expertise with tools related to measuring and driving performance improvement are essential. - Ability to work independently within a defined strategy and within a matrix structure. - Understanding of data collection strategies, data display methods, basic statistical process and performance improvement concepts and principles. Ability to participate in data processes to improve accuracy, efficiency, and productivity of data entry and reporting. - Working knowledge of quality improvement, clinical data review, and performance improvement methodologies - Detail oriented - Ability to work independently and to adhere to standards/definitions of sponsoring agencies/ entities - Ability to utilize appropriate resources to make decisions regarding data abstraction, interpretation and dissemination. Work Shift Day (United States of America) Location Prisma Health Corporate Office Facility 7001 Corporate Department 70019265 Clinical Care Experience - Clinical Data Management Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Title: Personal Health Nurse - Remote Location: Frisco United States Job Description: CCCS uses a holistic approach to medical management. The Personal Health Nurse (PHN) works within a team to move the member through the continuum of medical management with the goals of facilitating quality health care through the most cost-effective means. The PHN performs the Personal Health Management process: assess the member; work with the member, family and physician to identify problems; establish goals and develop plans of care; coordinate services; educate members; and empower members to independently self-manage and to make knowledgeable health care decisions. The PHN works closely with the provider(s) to ensure that services are provided in the most appropriate setting by the appropriate provider(s) by performing functions of Personal Health Management as well as some functions of Utilization Management. Additionally, the PHN interfaces with clients and with CCCS client managers and are responsible for the medical management of designated client(s). All Medical Management Nurses practice within the scope of their licensures. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. - Manages accounts using the 4-Prong approach, meeting expected number of billable hours and using Conifer Value Based Care tools ( CCOO) according to standard protocol. Documents accurate Status, Sub-status, Patient Severity, Medical Management Acuity - Reviews daily calendar for new episodes and tasks due, prioritizes tasks on calendar - Completes a Personal Health Management assessment incorporating analysis of clinical claim chart, discussions with the member and the physician's assessment and treatment plan - Determines and documents member's goals, engages the member in the personal health management process. Develops an ongoing individualized plan of care with timeframes, reasonable and appropriate expected outcomes, specific planned interventions and member's goals. Follows through with interventions and documents outcomes in Current Clinical Status section of care plan - Engages the PCP and treating physicians in the personal health management process, Collaborates with the member and PCP in development of an individualized plan of care - Closes episodes as indicated, i.e. evaluates "Impactability" among other indications for closure. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Understanding of CCCS holistic approach to medical management - Understanding of the client's (customer's) perspective and needs - Understanding of legislative acts, such as the ADA - Competency in Word - Competency using email, attachments - Excellent verbal communication skills with the ability to communicate with members and communicate professionally with individuals who serve in a variety of functions, i.e. physicians, client managers, customer service staff, CCCS executive management, other CCCS Medical Management nurses, hospital utilization review nurses, etc. - Excellent written communication skills with the ability to write in a professional, business manner - Ability to analyze and resolve complex problems - General understanding of cost containment and how it relates to medical management - Excellent organizational, prioritization, and time management skills - Ability and willingness to function both independently and as part of a team Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. - Bachelor's degree in a health-related field - Five (5) years of UM/CM experience preferred - Three to five (3-5) years of diverse clinical experience required - CCM preferred REQUIRED CERTIFICATIONS/LICENSURE Include minimum certification required to perform the job. - RN (Registered Nurse) license required - Current active professional license in the state of residence - Eligibility for unrestricted professional licenses in all states PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Must be able to work in sitting position, use computer and answer telephone - Ability to travel - Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Remote Work Environment TRAVEL - Approximately 5 - 30 % travel may be required dependent on the client assigned As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation - Pay: $64,168.00 - $96,262.00 annually. Compensation depends on location, qualifications, and experience. - Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: - Medical, dental, vision, disability, life, and business travel insurance - Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match - 10 paid holidays per year - Health savings accounts, healthcare & dependent flexible spending accounts - Employee Assistance program, Employee discount program - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.

Title: Client Value Partner - Pharmaceuticals Location: London, United Kingdom Celonis is the global leader in Process Intelligence and the pioneer of Process Mining technology. As one of the world’s fastest-growing enterprise SaaS companies, we are changemakers pushing the boundaries of what’s possible. We invest heavily in advanced AI capabilities—specifically our Process Intelligence Graph—to turn data insights into immediate business action. We believe there is a massive opportunity to unlock global productivity and sustainability by placing intelligence at the core of every business process. Join our mission to make processes work for people, companies, and the planet. The Role: The Client Value Partner (Pharmaceuticals) role is a key addition to our broader Value Engineering team and will play a crucial role in Celonis’ growth strategy. As a CVP, you will spearhead our mission of data-driven business transformation with our most strategic customers within the Pharmaceuticals industry. You will lead extensive teams of Celonis experts to ensure the success and satisfaction of some of our top customer base on their journey to realizing value with Celonis. The CVP is the accountable lead for customer success, acting as the trusted advisor for a strategic customer. This involves engaging with C-Level Executives to collaboratively define the long-term vision for utilizing Celonis to transform their business while mobilizing the necessary Celonis resources. In collaboration with our cross-functional Celonis teams, you will drive measurable business impact across various processes and industries and accelerate the adoption of our platform. The CVP will also champion transformational initiatives across Celonis and customer accounts, fostering innovation and strategic change to maximize value and drive business transformation. We seek experienced professionals with a proven track record in managing executive relationships, driving profitable growth, and blending industry expertise with strong analytical and consulting skills. Join us at the forefront of one of the fastest-growing tech companies worldwide and help guide our customers to become the next Lighthouse Celonis customers. The work you’ll do: Accountable Program Lead & Engagement Manager - Develop and maintain strong relationships with key stakeholders, including C-level internal / external executives, embedding Celonis into their strategic objectives. - Ensure engagements are properly staffed leveraging resources from global cross-functional Celonis teams, such as Servicing, Product & Engineering - Mentor customer on organization design and maturation of Centers of Excellence to focus on increasing adoption of our platform. - Mentor and coach team members, providing guidance and support for their success, and offer feedback to managers on team performance. Driving Customer Value - Responsible for the end-to-end customer value journey - Influence key customer stakeholders through executive communication, product knowledge, and industry/domain expertise. - Work with senior stakeholders to establish the Celonis program roadmap and detailed value plans. - Resolve customer escalations orchestrating internal teams efficiently and effectively in a timely manner - Internalize the customer's strategy and targets and drive Celonis delivery alignment to that strategy, ensuring that we support the customer in solving business-critical problems - Drive value realization and adoption within accounts, ensuring high-quality, on-time project completion, client satisfaction, and meeting usage and adoption targets. Community Builder and Customer Advocacy - Organize and lead customer advisory boards to address industry-specific challenges and innovations, establishing a structured feedback loop to continuously gather insights and improve products and services. - Act as the voice of the customer within the company, ensuring alignment of product development and service offerings with industry needs and customer feedback, while collaborating with the customer advocacy team on advocacy strategies. - Drive customer presence and sponsorship at key Celonis and industry events, serving as a Celonis leader at conferences, webinars, and through published thought leadership. - Collaborate on innovation or new asset development in specific domains, and contribute to playbooks, resources, and tools for the value engineering team to enhance their effectiveness. The Qualifications you need: - Minimum 10 years of relevant customer success, strategy consulting, or related experience within the Pharmaceuticals industry required - Strong experience in driving large scale transformation programs, process re-engineering engagements, and implementations - Experience with AI-based transformation is a strong plus - Deep exposure to and experience with successful change management practices - Ability to navigate large global organizations and have the power of persuasion through data, facts and confidence - Know how to successfully work with internal resources to design, pitch and sell opportunities with relevant subject matter experts and practice leads - Possess a natural and consultative approach when engaging with senior executives - Strong team player who inspires the team with a patient and entrepreneurial leadership style - Project management: ability to organize and manage multiple streams - Strong communication skills - Are self-motivated, proactive team player - Are able to thrive in fast-paced, collaborative, and ambiguous environments with various stakeholders Total compensation package will include base salary + bonus + equity + benefits. What Celonis can offer you: - Pioneer Innovation: Work with the global leader in Process Mining and the Process Intelligence Graph to shape the future of AI-driven business operations. - Ownership from Day 1: Every full-time "Celonaut" is an owner, receiving Restricted Stock Units (RSUs) and merit-based refresh grants. - Unrivaled Family Support: Benefit from our inclusive parental leave policy—24 weeks of fully paid leave for primary carers and 12 weeks for supporting carers, available from your first day of employment. - Work-Life Integration: Enjoy Unlimited PTO (in applicable regions) and generous PTO globally, as well as a flexible hybrid work model that balances remote focus with vibrant office collaboration. - Continuous Growth: Elevate your skills through our 70-20-10 learning framework, mentorship programs, and access to a dedicated learning platform. - Holistic Well-being: Prioritize your health with subsidized Wellhub memberships, mental health counseling, and dedicated "Wellness Weeks" that prioritize work/life balance. - Drive Sustainability: Participate in annual Impact Days, where you receive paid time off to volunteer for community and environmental causes with your local office, or virtually. - Global Inclusion & Belonging: Find community through our Inclusion Think Tank and participate in our annual Inclusion Days, ensuring every voice is heard and valued. - Value-Driven Impact: Join a mission-led organization where our core values—Live for Customer Value, The Best Team Wins, We Own It, and Earth Is Our Future—drive every decision. About Us: Celonis makes processes work — for people, companies, and the planet. Powered by process mining and AI, the Celonis Process Intelligence Platform integrates process data and business context to create a living digital twin of business operations. We enable thousands of companies worldwide to understand how their business actually runs and, together with their partners, build intelligent solutions that transform and continuously improve the way they operate — unlocking billions in value. Celonis is headquartered in Munich, Germany, and New York City, USA, with more than 20 offices worldwide. Get familiar with the Celonis Process Intelligence Platform by watching this video. Celonis Inclusion Statement: At Celonis, we believe our people make us who we are and that “The Best Team Wins”. We know that the best teams are made up of people who bring different perspectives to the table. And when everyone feels included, able to speak up and knows their voice is heard - that's when creativity and innovation happen. Your Privacy: Any information you submit to Celonis as part of your application will be processed in accordance with Celonis’ Accessibility and Candidate Notices By submitting this application, you confirm that you agree to the storing and processing of your personal data by Celonis as described in our Privacy Notice for the Application and Hiring Process. Please be aware of common job offer scams, impersonators and frauds. Learn more here.

• Partner closely with our National Account Consultant team to provide exceptional customer service and support to your assigned National Account customers for Absence, STD, LTD, Life, AD&D, Supplemental Accident, Critical Illness and Hospital Indemnity products • Cultivate meaningful, effective relationships with policyholders and producers through responsive communication, problem resolution and exceeding customer expectations • Work closely with clients to understand their needs and concerns, acting as a liaison between internal home office departments and the clients to initiate plan improvements and resolve administrative inconsistencies, ensuring the best possible outcomes for all parties involved • Research and respond to claim and coverage inquiries, including verifying appropriate premium administration, addressing customer service issues, claim escalations, contract issues and other group Life, Disability, Absence and Supplemental Insurance related requests • Provide reports to policyholders and brokers on claims, utilization, billing, etc. as needed and requested • Facilitate the enrollment process, which will involve preparation of enrollment materials, ensuring accuracy and working with our internal teams to print materials and meet with our benefit counselors to educate them on our product offerings • Participate in various projects or initiatives