Role Description This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the home office is based in Harrisburg, this position is fully virtual and open to candidates located anywhere within the state. This role offers a unique opportunity for experienced RNs who are looking to step away from bedside care and apply their clinical expertise in a focused, data-driven environment that directly influences patient outcomes and healthcare performance. - Review and abstract clinical data from medical records in accordance with HEDIS measures. - Analyze documentation related to preventive care, chronic disease management, and behavioral health services. - Ensure all information is accurately captured and compliant with NCQA guidelines and measure specifications. - Utilize abstraction tools and electronic medical record systems to document findings. - Maintain audit readiness and ensure a high level of accuracy. - Consistently meet deadlines during peak reporting periods. - Impact healthcare quality scores, reimbursement, and public reporting. - Collaborate with healthcare providers, health plans, and internal quality teams to resolve discrepancies. - Manage workflow in a structured remote environment while maintaining performance expectations. This position is ideal for Registered Nurses seeking greater flexibility, a predictable schedule, and the opportunity to leverage their clinical knowledge in a non-patient-facing role. It provides exposure to healthcare quality improvement, compliance, and population health, helping you build specialized skills that are highly valued across the healthcare industry. Qualifications - Active RN license. - Strong understanding of medical terminology and clinical documentation. - Familiarity with coding systems such as ICD-10 and CPT (highly preferred). - Experience with electronic medical records. - Detail-driven and organized. - Comfortable working independently in a fully remote environment. Requirements - Ability to maintain high standards of accuracy and productivity.

Role Description The Direct Bill Commissions Specialist will: - Retrieve commission statements. - Post In-House and Outsourced Direct Bill Commissions. - Complete Revenue Tracking and Calculation logs daily. - Complete exception research and resolution. - Participate in month end closing. - Provide accounting support to financial accounting areas. A glimpse into your day: - Process benefits, personal, and/or commercial lines direct bill commissions. - Search customer and policy numbers and enter premiums and commissions received from insurance carriers. - Post via manual posting, commission download from the carrier, or through statement conversion. - Process Return Commission statements, ensuring funds have not already been paid to carriers. - Create Direct Bill (DB) entry and check request for payments to carriers when necessary. - Process all journal voucher entries needed to clear the Direct Bill Receivables GL account. - Manage the direct bill receivables report to ensure the ending balance is as close to zero as possible. - Maintain the Monthly Revenue Log including calculation columns and DB commission statement folders. - Communicate with carriers by email or phone to obtain missing commission statements. - Establish or ensure a working login(s) for each company website to pull commission statements. - Process statements received by email or mail. - Ensure all payments received during the month have corresponding statements received and are posted by month end. - Resolve discrepancies and exceptions with carriers and/or company personnel. - Reconcile Direct Bill General Ledger to the Direct Bill Revenue Log for month end closing. - Research and resolve Direct Bill posting issues with outsourcing company. - Act as primary contact for acquisitions following the data merge. - Complete special projects and other duties as assigned. Qualifications - High School Diploma or equivalent. - BA in Accounting, Finance, Economics, Business or Statistics preferred. - 2 years finance and accounting experience preferred. - Working knowledge of Microsoft applications, especially Word and Excel. - Working knowledge of website navigation, especially banking and insurance websites. - Basic knowledge of accounting rules, regulations, policies, and procedures reflective of the financial service industry. - Strong interpersonal skills; strong oral and written communication. - Strong problem solving, relationship management, and critical thinking skills. - Ability to prioritize multiple projects, meetings, and deadlines. - Willingness to assist internal and external customers with any concerns. - Ability to work independently and on a team. Benefits - Competitive pay. - A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays, and more. - Career advancement and development opportunities.

Role Description OpenLoop’s mission is to bring care anywhere by powering telehealth solutions at scale. The Practice Authority Specialist is responsible for establishing, tracking, and submitting collaborative practice agreements (CPA) between healthcare providers, ensuring compliance with state regulations and organizational policies. This role serves as a vital link between clinicians, regulatory bodies, and internal stakeholders. - Manage Collaborative Practice Agreements (CPAs): Establish, submit, and track agreements for clinicians across multiple states, ensuring total alignment with varying state-specific regulations. - Monitor Compliance Lifecycles: Proactively track the status and renewal timelines of CPAs to ensure no lapse in provider practice authority. - Facilitate Stakeholder Relations: Act as a vital liaison between midlevel clinicians, collaborating physicians, and regulatory bodies to streamline agreement execution. - Educate Clinicians: Utilize internal resources to provide clear guidance to providers on complex regulatory requirements and onboarding processes. - System Maintenance: Leverage Jira, Excel, and GSuite to document activities and maintain an accurate, audit-ready database of all practice authority documents. - Other duties as assigned. Qualifications - Bachelor’s degree in Healthcare Administration, Business, or a related field. - 1+ years of experience in healthcare regulatory compliance, recruitment licensure, or collaborative practice management. - Interpersonal skills to simplify complex legal or regulatory concepts for clinicians and internal partners. - Thrive in task-based environments where tracking deadlines and managing documentation accuracy is paramount. - Experience with regulatory tracking systems, Excel, and GSuite; experience with Jira or similar tools is a plus. Benefits - Medical, Dental, and Vision plans - Flexible Spending/Health Savings Accounts - Flexible PTO - 401(k) + Company Match - Life Insurance, Pet insurance, and more

Role Description The Pre-Approval Specialist serves as a liaison between the organization’s internal and external clients. The Pre-Approval Specialist oversees and is directly involved in the loan process from start to finish in efforts to aid CrossCountry Mortgage borrowers to the best financial program. Job Responsibilities: - Provide superior customer service by communicating with borrowers to assist client(s) in understanding loan programs, costs, and various applicable loan documents. - Review and audit income, assets, run DU, and verify credit documentation within mortgage file to ensure loan stability. - Review mortgage loan disclosure packages and deliver to borrower, includes but not limited to rate disclosure and re-disclosure packages. - Assist in managing a pipeline consisting of Conventional, FHA, VA and USDA loans, along with 203k, Jumbo, and reverse mortgage products. - Ensure structure of the loan presents the best program based on the borrower’s financial circumstances. - Review the file for any missing documentation that best supports approval. - Communicate loan program and costs with borrowers. (License required for this duty to be performed.) - Pre-underwrite items to help support approval of the loan (paystubs, credit reports, W2’s bank statements, court orders, etc.). - Input feed for disclosures, present, and set up loan to best fit borrower’s needs. Qualifications - Bachelor’s degree and/or equivalent combination of education/experience. - 3-5 years residential mortgage processing experience. - Experience with Encompass LOS, preferred. - Prior underwriting or processing experience, a plus. - Knowledge of RESPA guidelines and all mortgage and consumer regulations. - Knowledge of DU, LP, Microsoft Outlook, and Windows. - Excellent math and analytics skills. - Excellent communication skills. - Excellent prioritization and time management skills to meet deadlines. Requirements - This job description is intended to convey information essential to understanding the scope of the job and the general nature and level of work performed by job holders within this job. However, this job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position. Benefits - Competitive compensation plan. - Robust benefits package, including medical, dental, and vision. - 401K. - Company-provided short-term disability. - Employee assistance program. - Wellness program. Pay Range - Hourly Rate: 28.00 - 35.00. - Eligible for monthly bonus incentive. - The posted pay range considers a wide range of compensation factors, including candidate background, experience and work location, while also allowing for salary growth within the position.