• Own the end‑to‑end reconciliation and money movement domain, including ledgering logic, payout flows, and exception handling. • Deeply understand how funds move through the current system — where data originates, how it transforms, where it breaks, and why. • Document an existing, tribal‑knowledge‑heavy system and turn it into a clear, maintainable, auditable operational model. • Lead the architectural direction for a long‑term fix to the post‑capture payout calculation issue, ensuring alignment with both Finance and Engineering. • Partner with engineering teams to design and implement scalable, accurate, and resilient reconciliation and ledgering systems. • Serve as the primary translator between Finance and Engineering — ensuring both sides understand requirements, constraints, and impacts. • Define product requirements, roadmap, and success metrics for reconciliation and money movement systems. • Identify root causes of reconciliation discrepancies and drive cross‑functional resolution. • Build processes, controls, and reporting frameworks that improve accuracy, transparency, and audit readiness. • Provide leadership, clarity, and direction in a domain where ambiguity and complexity are currently high.

Role Description The Director, Client Management will oversee the operational structure and implementation of the Denial Management client service operational requirements, responding to the client and business needs impacting the performance Division’s work product. This position will define and manage process review related to improving operational outcomes, recommendations for efficiencies, and staff performance to ensure efficient functioning of day-to-day business processes. - Oversee Client Managers to ensure organizational goals are appropriately prioritized and defined - Help define and improve the internal processes of the department - Define and oversee revenue cycle performance goals and metrics - Utilize domain knowledge and feedback from internal and external sources to ensure all needs related to Claim and Authorization Denials are met - Help innovate solutions, effectively target, identify, and manage inventory - Manage additions and/or reallocation of current staff/processes to ensure client needs are being addressed - Define client-centric projects and ensure the evolving AR goals of the client and business are met - Assist with the design and development of projects tailored towards meeting broad industry and local client needs within IT infrastructure - Implement strategies to improve performance, increase client revenue, and ongoing satisfaction - Ensure preparedness for client meetings - Communicate issues which require technical and/or business attention to upper management - Ensure compliance with applicable laws and regulatory standards - Advocate for positive changes to department workflow and staffing which can improve outcomes - Provide leadership, mentorship, and guidance to department managers and supervisors - Other duties as assigned - Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards - Understand and comply with Information Security and HIPAA policies and procedures at all times - Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications - Bachelor’s degree in a related field - 7+ years of experience in hospital revenue cycle roles - 5+ years of experience as a director, or similar role overseeing staff, within hospital revenue cycle industry - Background and familiarity with various Hospital Accounting and EMR Systems - Solid ability to analyze, interpret and present data in meaningful ways - Experience managing and overseeing denials programs preferred Requirements - Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes - Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear - Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress - Work Environment: The noise level in the work environment is usually minimal Company Description Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Role Description Do you have a passion for children and education? Would you like to positively impact families in need of help? We want to speak with you! The Director of Portfolio Management provides enterprise-level leadership to ensure strategic initiatives and investments are aligned with the organization’s mission, long-term objectives, and operational priorities. This role is responsible for architecting and leading a comprehensive portfolio governance framework that enables data-driven decision-making, value realization, and effective resource allocation across the enterprise. Reporting into senior leadership, the Director oversees portfolio planning, prioritization, governance, performance management, risk oversight, and benefits realization, bringing transparency and rigor to how initiatives are selected, funded, and delivered. As a trusted advisor and key liaison between executive leadership and delivery teams, this leader facilitates informed investment decisions, resolves cross-portfolio trade-offs, and ensures enterprise capacity and resources are optimally aligned to drive outcomes and maximize portfolio value. Location: Remote (United States) Key Responsibilities: - Architect and lead enterprise-wide governance frameworks that drive alignment of strategic investments with corporate objectives and long-range plans. - Facilitate C-suite portfolio governance forums, enabling high-quality decision-making through advanced scenario planning, trade-off modeling, and strategic risk assessment. - Maintain enterprise visibility of the full strategic initiative portfolio, ensuring optimal balance between near-term operational demands and long-term growth objectives. - Provide executive oversight and mentorship to the portfolio team, ensuring consistent application of governance standards, project assurance practices, and audit. - Design and evolve governance protocols, including scoring models and prioritization criteria, based on organizational performance analytics and strategic shifts. - Own and evolve enterprise portfolio management policies, including stage-gate, intake, scoring, and selection procedures. - Ensure continuous improvement of governance practices based on performance metrics, stakeholder feedback, and benchmarking. - Lead enterprise-level governance committees and facilitate decision-making at the executive level. - Represent the EPMO as a trusted advisor in senior leadership forums, providing enterprise portfolio performance reporting and recommending strategic adjustments through informed data-driven decision making. - Direct the intake, evaluation, and strategic prioritization of enterprise-wide initiatives, ensuring investment decisions are aligned with business objectives and resource constraints. - Develop and maintain an integrated, multi-year strategic roadmap that aligns investment timing with corporate business planning and opportunities. - Serve as the escalation point for enterprise prioritization conflicts, resolving trade-offs with executive sponsors to maximize portfolio value. - Support the annual planning process with scenario-based portfolio modeling and capital/resource forecasting. - Act as the enterprise integrator for strategic initiatives, ensuring clarity of dependencies, sequencing, and benefit realization across portfolios. - Own the enterprise benefits realization lifecycle, tracking value delivery and ensuring measurable outcomes from strategic investments. - Establish and manage enterprise metrics and KPIs to measure portfolio health, strategic contribution, and realized business value. - Drive continuous assessment of initiative performance, making recommendations for continuation, acceleration, or termination. - Hold formal portfolio reviews and benefits assessments, ensuring transparent reporting to executive stakeholders. - Proactively identify systemic and cross-portfolio risks; develop enterprise-level mitigation plans to protect strategic investments. - Govern enterprise resource allocation and capacity management to ensure successful delivery of strategic initiatives. - Partner to align with budgeting and staffing strategies and evolving portfolio needs. - Lead a portfolio team fostering development and retention. - Own EPMO quality oversight, ensuring project compliance, alignment with standards, and audit assessment across portfolios. - Collaborate with senior leaders across business units to align strategies and resolve portfolio level conflicts. - Champion portfolio management as a discipline, promoting a culture of transparency, accountability, and continuous improvement. Qualifications - Demonstrated success and a proven track record in professional/life experience in specific job functions, projects, or industries. Military service can substitute for professional experience and/or formal education requirements. - Master’s degree in Business Administration (MBA), Project Management, Engineering, or a related field. - In lieu of a master’s degree, a minimum of 12+ years of progressive project management experience, including 5+ years in a portfolio management role, may be considered overseeing enterprise-wide projects. - 5+ years in a portfolio management role. - Deep knowledge of PMI’s Standard for Portfolio Management and portfolio governance best practices. - Strong analytical and decision-making skills, with the ability to synthesize complex data into actionable insights. - Proven ability to influence executive leadership and drive alignment across diverse stakeholders. - Project Management Professional (PMP) certification. - Skilled in using Clarity PPM to deliver real-time portfolio insights, support executive decision making, and enforce governance standards. Requirements - Demonstrated experience using a PPM system such as Clarity (preferred) or another PPM tool for resource allocation, forecasting, capacity planning, and project tracking/reporting of risks, issues, changes, and budgets. - Portfolio Management Professional (PfMP) certification. - 8+ years of progressive PMO experience. Benefits - Enjoy medical, dental, and vision coverage, plus HSA, FSA, and Lifestyle Spending Accounts. - Competitive 401(k) with company match to help you plan for the future. - Remote work options and unique time-off programs—including 14 paid holidays, Care and Parental Leave, and our Flexible Leave policy. - From mentorship programs to management training and professional development opportunities, we invest in your career journey every step of the way. - Our dedicated coaching team is here to help you succeed, and employee-led committees give you a voice in shaping our workplace. Working Conditions and Equipment Use - Work is performed indoors in a typical office environment - not substantially exposed to adverse environmental conditions. - Valid driver license with proof of insurance. - Must be able to lift up to fifteen (15) pounds. - Frequent use of office machines to include telephone, computer, and printer. Step Up For Students is an equal opportunity employer committed to diversity & inclusion in the workplace.

Role Description Humane World for Animals, a global leader in animal advocacy and protection, is seeking a State Director, Iowa for the State Affairs department. In this position you will be operating from a home office under the supervision of the Regional Director. You will be responsible for developing and executing state specific strategies to advance the organization’s legislative and programmatic goals. - Advances public policy priorities through direct lobbying. - Influences and builds relationships with agency officials, lawmakers, executives and staff in support of the organization’s priorities. - Manages and directs policy reform through each stage of the process. - Builds and engages a diverse coalition of stakeholders in support of the organization’s strategic plan and public policy goals in assigned state. - Develops state specific strategy with program teams and other internal stakeholders and implements the plan in assigned state which includes passing public policy, defending against attacks to weaken animal protection laws, and working on priority issues within assigned state. - Serves as a spokesperson for the organization with government officials, key stakeholders and the media. - Seeks out media opportunities to advance public policy goals and increase public awareness of priority issues. - Complies with internal, local, and statewide lobbying regulations, manages the state’s budget, and updates and maintains social media sites with information regarding organizational priorities. - In collaboration with organizational experts, provides guidance, training, and support for local investigators and enforcement officials, and provides hands-on assistance when appropriate. - On occasion, works with the Humane World Action Fund to carry out State PAC work or political activity. - Performs other duties and responsibilities, as assigned. Qualifications - Bachelor’s degree in Political Science, Government/Public Affairs, Communications/Media, or a related field, or equivalent work experience required. - A minimum of five (5) years of progressive work experience in animal protection/advocacy work or other related experience required. - Legislative/lobbying experience strongly preferred. - Volunteer management experience preferred. - Grassroots advocacy and political campaigning experience is a plus. - Strong knowledge of and interest in the animal welfare movement preferred. - Strong knowledge and understanding of the legislative and political process, particularly at the state level. - Excellent written and verbal communication skills. - Ability to prioritize and manage multiple projects simultaneously and be flexible with regard to workload and assignments. - Ability to work with a wide range of stakeholders across diverse political, cultural, socioeconomic spectrums; uphold organizational values related to diversity, equity, and inclusion. - Comfortable in a fast-paced environment with frequent deadlines; high energy, self-motivated and proactive. - Excellent organizational skills. - The ability to analyze and manage problems in advancing legislative strategy and effectively provide solutions. - Strong interpersonal skills. - Strong knowledge of Microsoft Office (Word, PowerPoint, Excel, Outlook); comfortable learning new technological platforms as introduced by the organization. - Attention to detail and commitment to excellence, demonstrated by the delivery of quality and timely outcomes. - Ability to work both independently and as an effective team member in a team environment. Requirements - This is a full-time remote position based from a home office in the state of Iowa. - Candidates must live within a one-hour commute from Des Moines. - Extensive travel across the state with occasional travel out of state required. Benefits - The general salary range for this position is $90,000 - 115,000. - Salary offers will be commensurate with experience, qualifications, skills, training and education. Company Description Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age national origin, sexual orientation, gender identity, disability, marital or parental status or protected veteran status. EOE.