Title: Claims Operations Manager Locations: Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California; Remote, California OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration. That’s why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully. SERVICE AREA PREFERENCE While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment. We have an opportunity to join the Alliance as the Claims Operations Manager leading the Claims Operations Unit within the Claims Department. This position can be located in one of our service counties (Mariposa, Merced, Monterey, Santa Cruz, or San Benito) or remotely in California with expected travel to Alliance service area(s) once a quarter. Must reside in California upon hire. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Claims Director, this position: - Manages and leads the Claims Operations Unit, acts as a subject matter expert, and provides guidance on claims operations functions and departmental operations - Provides management oversight related to planning, leading, and implementing claims operations activities, including audits, root-cause analysis, quality reporting, compliance coordination, and governance of claims policies and procedures - Oversees the full Provider Dispute Resolution (PDR) lifecycle to ensure accurate, timely, and compliant dispute resolution - Manages, supervises, mentors, and trains assigned staff ABOUT THE TEAM We support the health of our provider relationships. Our teams work closely together to support Alliance members' access to care by ensuring medical services are paid to network providers accurately and on time. THE IDEAL CANDIDATE - Strong understanding of end-to-end claims and PDR operations (volume, accuracy, turnaround) - Uses data and tools to spot trends, make decisions, and actively identify opportunities for automation - Solid experience with Medi-Cal and Medicare, with compliance built into how they work - Focuses on fixing root causes instead of quick fixes - Builds, engages, and supports teams through coaching, accountability, and clear expectations - Brings new ideas, challenges the way things are done, and works closely with other teams to drive better outcomes WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description and list of requirements, click here. - Knowledge of: - Claims processing functions, including data entry, adjudication, and PDR workflows - Medi‑Cal, Medicare, and related regulatory requirements that impact claims processing and dispute resolution - Operational improvement activities, workflow design, and inventory management within a managed care environment - Medical terminology, billing practices, and coding standards relevant to claims adjudication - Audit processes, quality standards, and compliance requirements, related to claims operations and dispute workflows - Research, analysis and reporting methods - Ability to: - Train, mentor, supervise, and evaluate the work of staff, promote an atmosphere of teamwork and cooperation, and motivate staff to achieve goals and objectives - Develop work plans and workflows and organize and prioritize unit activities to meet performance metrics - Organize and prioritize the work of others, delegate effectively, and follow up on work assignments - Interpret, apply and explain complex principles, policies, regulations, terms and procedures related to area of assignment - interpret operational data, identify trends, and apply insights, collaborate with Claims Quality on PDR analytics, and identify opportunities for increased auto‑adjudication - Education and Experience: - Bachelor’s degree in Business, Healthcare Administration, Public Health, or a related field - A minimum of six years of experience in a healthcare or managed care environment which included a minimum of three years of supervisory or management experience in Medi-Cal and Medicare claims operations (a Master’s degree may substitute for two years of the general healthcare or managed care experience); or an equivalent combination of education and experience may be qualifying OTHER INFORMATION - We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams. - While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. - In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. COMPENSATION INFORMATION - Zone 1 Pay Range: $118,000 - $148,000 Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas - Zone 2 Pay Range: $110,000 - $140,000 Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento) The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. All ranges are subject to change in the future. We are happy to provide the full compensation range for the role, answer any questions that you have, or share the applicable pay zone for your location if it’s not one of the typical areas listed. The hiring ranges represent a good‑faith estimate of what we expect to pay for this role upon hire and are not the full compensation ranges. Employees typically have opportunities for growth within the full compensation range over time based on performance and merit. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location). OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. - Medical, Dental and Vision Plans - Ample Paid Time Off - 12 Paid Holidays per year - 401(a) Retirement Plan - 457 Deferred Compensation Plan - Robust Health and Wellness Program - Onsite EV Charging Stations ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet. The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Title: Commerce Operations Location: NY-New York Type: Contract Category: Program/Project Management Industry: Communications Reference ID: JN -042026-106650 Shortcut: http://careers.eliassen.com/C0Hpd9 Description: Hybrid 4 Days a week on-site, Friday remote in New York, NY Our client seeks an Associate Manager, Commerce Operations to execute pricing, availability, and purchase-flow configurations for direct-to-consumer streaming products. The role will support paywall changes, SKU management, price updates, and subscriber messaging while partnering cross-functionally. The position requires precise configuration work, clear communication, and strong project management across multiple concurrent workstreams in a fast-paced environment. Due to client requirements, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance. Rate: $36.00 to $46.83/hr. w2 Responsibilities: - Serve as a point of contact for configuration of sign-up, plan switch, cancellation, promotional, and in-product upsell purchase flows. - Manage copy and messaging throughout the end-to-end commerce user journey, including eligibility rules and transactional communications. - Perform configuration and troubleshooting by reviewing cURL requests and JSON files connecting front-end services to pricing engines and billing systems. - Configure complex offer use cases, including multi-phase pricing, internal vs. external discount allocations, date-based transitions, and currency-specific pricing. - Configure user cohorts that determine product and plan eligibility across various contexts, leveraging subscription attributes, billing credits, entitlements, and device sessions. - Partner with Technical Account Management teams and in-app purchase partners to configure offers across Apple, Google, Amazon, and other third-party platforms. - Stand up and manage end-to-end commerce messaging events, including price increase notices, subscriber agreement updates, and one-time remediation sends. - Provide feedback on commerce tooling to improve scalability, efficiency, and risk mitigation. - Maintain source-of-truth documentation across the business, including JIRA tickets, Commerce Operations runbooks, financial trackers, and Confluence wikis. Experience Requirements: - 3–5 years of relevant work experience in operations, commerce, product operations, or a configuration-focused role. - Strong project management, organizational, and communication skills. - High proficiency in Google Workspace, particularly Google Slides, with the ability to create clear and professional documentation and visualizations. - Experience using JIRA, Confluence, and Airtable or comparable project and documentation tools. - Ability to manage repetitive, detail-heavy tasks with a high degree of accuracy. - Comfortable working cross-functionally in a matrixed and globally distributed organization. - Ability to manage multiple time-sensitive initiatives concurrently. - Self-motivated and capable of operating with limited supervision in a fast-paced environment. - Experience supporting digital subscription businesses, streaming platforms, or entertainment companies (preferred). - Exposure to commerce, pricing, payments, or paywall-related workflows (preferred). - Experience working across international markets and time zones (preferred). - Prior experience in operations, configuration, or tooling-centric roles (preferred). Education Requirements: - Bachelor’s degree in Business Administration or a related field. Recruitment Transparency Notice Eliassen Group values transparency in our recruitment practices. Please be advised that Eliassen Group utilizes artificial intelligence (AI) tools as part of its initial application screening and hiring process. You may receive email and SMS notifications from the Eliassen Virtual Recruiting Team (noreply@eliassen.com, 781-808-2924) inviting you to complete a brief voice screening as part of your application process. These tools assist our hiring teams in different ways, including but not limited to, assistance in reviewing application materials to help identify candidates whose qualifications most closely match the requirements of the position. All AI-assisted evaluations and responses are reviewed by human recruiters before any hiring decisions are made. The use of AI in our process is intended to support fairness, efficiency, and consistency, and Eliassen Group takes measures to prevent bias or discrimination in connection with its hiring practices. By proceeding, you acknowledge, agree, and consent to Eliassen Group’s use of these tools, including AI tools, as part of the application and hiring process. Skills, experience, and other compensable factors will be considered when determining pay rate. The pay range provided in this posting reflects a W2 hourly rate; other employment options may be available that may result in pay outside of the provided range. W2 employees of Eliassen Group who are regularly scheduled to work 30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), dental, vision, pre-tax accounts, other voluntary benefits including life and disability insurance, 401(k) with match, and sick time if required by law in the worked-in state/locality. If anyone reaches out to you about an open position connected with Eliassen Group, please ensure that you are working directly with us by confirming the following: · When you work with Eliassen Group, all email communication will come from an Eliassen.com address, never Gmail, Yahoo, etc. · Eliassen Group will never ask you for personal information (home address, bank account, or check routing number) until you have worked with someone clearly associated with Eliassen Group. If you have any indication of fraudulent activity, please contact fraud@eliassen.com. About Eliassen Group: Eliassen Group is a strategic consulting firm that helps organizations reach further and achieve more through our technology, business advisory, and life sciences solutions. For nearly 40 years, we have combined exceptional people, deep domain expertise, and intelligent capabilities to expand our clients’ capacity and accelerate meaningful outcomes. We are driven by a purpose to positively impact the lives of our employees, clients, consultants, and the communities we serve. Eliassen is committed to building a diverse and inclusive team from a variety of backgrounds, perspectives, and skills. We are an Equal Opportunity and Affirmative Action Employer and all employment decisions are based on merit, performance, and business needs. Eliassen does not discriminate on the basis of race, color, gender identity or expression, sexual preference or orientation, sex (including pregnancy, childbirth, and related medical conditions), marital status, creed, religion, physical or mental disability, genetic information, military or veteran status, age, ancestry, national origin, citizenship status, prohibited criminal record inquiries of applicants and employees, or any other category protected by federal, state, or local laws. Don’t miss out on our referral program! If we hire a candidate that you refer us to then you can be eligible for a $1,000 referral check!

Title: Patient Access Specialist Location: TX-Webster EDUCATION & EXPERIENCE: Minimum Qualifications: - Associate’s degree and no experience. An equivalent combination of education and experience relevant to the role may be considered for this position. Preferred Qualifications: - Previous experience in a healthcare setting and/or high-volume call center environment preferred. JOB SUMMARY: The Patient Access Specialist represents the voice of UTMB. Creates a nurturing, competent and confident voice atmosphere for all callers to the Access Center. Is skillful in determining the caller’s need while maintaining a seamless atmosphere for the caller regardless of the need to navigate through multiple functions and departments. ESSENTIAL JOB FUNCTIONS: - Provides high level customer service skills for 24/7, 365 days a year Call Center. - Answers high volume of calls while multi-tasking with available resources to schedule appointments and assist callers with their specific needs. - Promotes positive and professional communication - Provides a professional and empathetic voice to the callers to nurture their needs - Analyzes caller concerns and determines best course of action to resolve and address their concern. - Gateway to appointment scheduling for large numbers of UTMB clinics. - Efficiently communicates callers’ requests and determines the best solution. - Able to cancel and reschedule based on patients’ needs and clinic guidelines - Escalates patient concerns and issues-utilizing defined processes - Able to preregister patients as required; obtain patient demographics and insurance information and updates as required to ensure most accurate information is on file - Works with Access center nursing staff to quickly identify and resolve urgent patient issues. - Listens to and re-emphasizes caller concerns, ensuring accurate triage and effective communications. - Facilitates physician consultation requests and assists with patient referrals when appropriate. - Is knowledgeable and proficient in the use of AMCOM, EPIC, Invision, CECC and other software applications used to store and manage patient information and facilitate patient care. - Utilizes several media applications in unison to resolve caller concerns and understands the purpose and proper use of each system - Enforces UTMB regulations and guidelines when utilizing the systems - Is knowledgeable of the entire institution, all clinical departments and resources, Locations, Contact information, Scheduling guidelines, Personnel resources, Area specific guidelines, Age specific guidelines, Disease process specific guidelines and Basic guidelines related to consumer health plans. - Is knowledgeable and proficient in the scheduling process for all clinic areas - Understands the procedures for each clinic and educates the caller - Skilled at utilizing software applications for making appointments - Utilizes critical thinking to determine call priority to support nursing intervention - Enhances customer confidence by expediting callers concerns to appropriate individuals - Crucial to the facilitation of the consumer online appointment request system Marginal or Periodic Functions: - Performs related duties as required. WORKING ENVIRONMENT/EQUIPMENT: - Standard office environments. - Standard office equipment. SALARY RANGE: Actual salary commensurate with experience. WORK SCHEDULE: On-site, Casual Appointment, up to 19.99 hours/week. Employees may qualify for hybrid and/or remote scheduling after successful completion of training and performance expectations. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

Title: Event Strategy and Field Operations Lead Location: Australia/ Sydney City Reference number 106695-44168823 Occupation Traffic and Transport Planning Work type Full-Time Hybrid Job Description: You enjoy solving problems in a complex environment to deliver the best outcomes for millions of people. Here's your chance to design and deliver efficient, customer-focused services that also enhance accessibility, sustainability and overall quality of living for more people than you've imagined. In this role, you'll: Join our Major Events team, where you will lead the development of event transport strategy and oversee on-the-ground operations to ensure major events are delivered safely, efficiently, and with minimal disruption to the broader community. You'll operate at the intersection of strategy and delivery, advising at a senior level while also ensuring seamless execution in complex, high-pressure environments. You'll take ownership of both strategic policy and operational delivery, including: - Leading the development of major event traffic and transport policy, including NSW Government frameworks - Managing event field operations for large-scale, high-profile events - Providing expert advice and recommendations to inform strategic and operational decisions - Representing Transport at senior government forums and stakeholder meetings - Building and maintaining strong relationships across government, emergency services, police, local councils and industry - Overseeing contractors, consultants and internal teams delivering event operations - Driving continuous improvement across systems, processes and event delivery approaches - Contributing to business planning, budgeting, risk management and performance reporting. This is a permanent full time position offering hybrid working options from our Transport Management Centre (TMC) at Eveleigh. As this role leads the delivery of major events, you will be required to regularly work outside of normal business hours, weekends and public holidays. For more information on this position and business unit, view the role description and information pack. About you You're a confident and capable leader who thrives in complex, fast-paced environments and can balance strategic thinking with operational execution. You will bring: - Proven experience developing traffic and transport policy for major events - Strong experience planning and delivering large-scale events or field operations - The ability to make sound decisions under pressure and navigate ambiguity - Excellent stakeholder engagement skills, with experience working across government and external partners - Strong analytical, problem-solving and communication skills - A solid understanding of transport, safety and regulatory frameworks It is also essential that you: - Have a proven record of developing traffic and transport event policy - Live in the Sydney Metropolitan Transport District - Hold a current motor vehicle driver's licence. You're someone who can influence at a senior level, bring people together, and lead teams to deliver outcomes that matter. Who we are Transport for NSW provides a safe, integrated, and efficient transport system. We connect people, communities and industry every day. Join us Our workforce is as diverse as the community we serve. If you'd like further information on our inclusion and diversity initiatives, visit Transport careers. This is an in-person, on-site role. Apply today Aboriginal people and people living with disability are supported throughout the recruitment process and at work, and we encourage you to apply. Visit Supporting Aboriginal People or Supporting People with Disability for more information or speak to your talent team member to arrange any adjustments to how you interact with us.