Conduct investigations into suspicious activities and fraud alerts, determine the legitimacy of claims, collaborate with law enforcement for recovery efforts, and manage administrative tasks related to fraud reporting and analysis.

Conduct functional behavior assessments and create individualized behavior intervention plans while supervising staff and monitoring client progress through detailed reports. Collaborate with a team to ensure high-quality service delivery for...

Title: Cash Application Analyst Location: US Remote Full time Job requisition id JR26-0783 Job Description: It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services. Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.pplfirst.com). Job Summary The Cash Application Analyst manages cash receipts and accounts receivable reporting, ensuring accurate cash application and reconciliation across systems like Workday and Navision. This role analyzes AR aging, resolves payment discrepancies using SQL and Excel, and collaborates with Accounting, IT, and operational teams to support process improvements, system integrity, and regulatory compliance. Duties & Responsibilities Accounts Receivable Reporting & Analysis - Run AR aging reports from Workday, PowerBI, and Excel and consolidate data on a weekly basis - Prepare AR aging reports for weekly accounting meetings, identifying balances over 365 days and unapplied cash - Design, develop, and prepare accurate AR and cash application reports for internal and external stakeholders using SQL, Excel, and Workday data - Review AR aging buckets to confirm accurate presentation of accounts receivable balances Cash Application & Reconciliation - Pull daily bank reports to identify all deposits - Reconcile payments, investigate denials, and perform research to accurately apply cash in Workday - Utilize SQL queries and advanced spreadsheet analysis to resolve cash application issues - Verify and maintain accurate receivable and cash application balances across multiple systems, including bank platforms, MBS, and Workday Systems Integration & Data Integrity - Monitor the integration between Navision and Workday to identify missing or failed invoice transmissions - Investigate and resolve discrepancies related to system data flow and invoice posting - Ensure consistency and accuracy of financial data across integrated systems Cross-Functional Collaboration - Collaborate with Revenue Cycle Management (RCM) managers and analysts to ensure accurate cash application to invoices - Partner with Accounting, IT, and operational teams to support AR accuracy and reporting needs - Work closely with IT to refine billing processes, payment workflows, cash application processes, and management reporting Process Improvement & Documentation - Document policies and procedures related to accounts receivable, billing, and cash application - Identify opportunities for process improvements and system enhancements - Define scope and business requirements for system changes and enhancements for IT development teams Regulatory & Compliance Knowledge - Maintain up-to-date knowledge of state business rules related to Medicaid claiming and healthcare insurance system requirements - Ensure AR and cash application processes align with regulatory and compliance standards System Testing & Change Management - Test system functionality and enhancements prior to release into the production environment - Validate changes to ensure accuracy, functionality, and minimal disruption to financial operations Requirements: - Strong analytical skills, including the ability to evaluate quantitative and qualitative information and reach sound conclusions. - Cash application expertise, with ability to reconcile payments and research discrepancies. - Experience in healthcare finance/Medicaid/insurance billing and knowledge of related business rules. - Proficiency with Workday (finance modules) and SQL for data extraction, reconciliation, and reporting. - Advanced Excel skills, including pivot tables, VLOOKUP/XLOOKUP, data manipulation, automation with macros/VBA, Power Query, and data visualization. - Process improvement oriented with ability to document and streamline workflows. - Ability to read and understand technical specifications. - Ability to work independently and collaboratively with cross-functional teams. Qualifications: - Education: Bachelor’s degree in Finance, Accounting, Business, or related field preferred, substantial professional experience in a related field may be considered in lieu of formal degree. - Experience: 3+ years’ experience in finance/corporate finance with direct exposure to cash applications, healthcare/Medicaid billing, and reconciliation. - Project Management experience preferred. Compensation: $60,000 -$75,000 annually If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Title: Underwriter III - Commercial Locations: Pennsylvania, Delaware, Florida or North Carolina Remote Job ID: R222264 Job Description: Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued and have an opportunity to contribute to the company's success. As an Underwriter III - Commercial within PNC's Central Credit Products Group organization, you will be based remotely in Pennsylvania, Delaware, Florida or North Carolina. PNC is an in-office company that fosters a supportive culture where employees can thrive and achieve balance. We encourage candidates to connect with their recruiter and hiring manager to understand workplace expectations and ensure the role aligns with their goals. PNC will not provide sponsorship for employment visas or participate in STEM OPT for this position. Job Description - Works independently with little or no oversight. Exercises exception and elevated approval authority. Prepares loan offerings for all types of transactions at any level of complexity or in management of a portfolio as assigned. Interacts with internal/external customers. Serves as a subject matter expert for certain asset classes, and may represent or lead the department on special projects or assignments. - Using independent judgment to identify risks and mitigants, prepares offerings and/or scorecards, such as risk ratings, by analyzing credit, collateral strength and financial worthiness of loan/transaction parties. If relevant, performs ongoing credit risk management for assigned portfolio. May coach and/or review the work of other underwriters and fill in for manager as required. - Contacts internal/external customers and other parties as appropriate to gather information and to clarify inconsistent, incorrect or missing information. Performs relevant pre-approval and post-approval activities. - Identifies and/or confirms all external regulatory requirements. Ensures internal policies/procedures are followed. - Makes recommendations on credit decisions or makes credit decisions directly, as appropriate. - Roles at this level typically require a university / college degree, with 3+ years of relevant / direct industry experience. Certifications are often desired. In lieu of a degree, a comparable combination of education and experience (including military service) may be considered. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: - Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions. - Managing Risk - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they adhere to and support PNC's Enterprise Risk Management Framework. Qualifications Successful candidates must demonstrate appropriate knowledge, skills, and abilities for a role. Listed below are skills, competencies, work experience, education, and required certifications/licensures needed to be successful in this position. Preferred Skills Credit Decisions, Decision Making, Financial Analysis, Identifying Risks, Process Improvements, Results-Oriented, Risk Assessments Competencies Accuracy and Attention to Detail, Coaching Others, Credit Analysis and Verification, Decision Making and Critical Thinking, Effective Communications, Financial Analysis, Knowledge of Underwriting, Managing Multiple Priorities, Office Support Tools, Operational Functions Work Experience Roles at this level typically require a university / college degree, with 3+ years of relevant / direct industry experience. Certifications are often desired. In lieu of a degree, a comparable combination of education, job specific certification(s), and experience (including military service) may be considered. Education Bachelors Certifications No Required Certification(s) Licenses No Required License(s) Pay Transparency Base Salary: $55,000.00 - $115,000.00 Salaries may vary based on geographic location, market data and on individual skills, experience, and education. This role is incentive eligible with the payment based upon company, business and/or individual performance. Benefits PNC offers a comprehensive range of benefits to help meet your needs now and in the future. Depending on your eligibility, options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and spouse/child life insurance; short and long-term disability protection; 401(k) with PNC match, pension and stock purchase plans; dependent care reimbursement account; back-up child/elder care; adoption, surrogacy, and doula reimbursement; educational assistance, including select programs fully paid; a robust wellness program with financial incentives. In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. Disability Accommodations Statement At PNC we foster an inclusive and accessible workplace. We provide reasonable accommodations to employment applicants and qualified individuals with a disability who need an accommodation to perform the essential functions of their positions. Equal Employment Opportunity (EEO) PNC provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or other categories protected by law. This position is subject to the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA) and, for any registered role, the Secure and Fair Enforcement for Mortgage Licensing Act of 2008 (SAFE Act) and/or the Financial Industry Regulatory Authority (FINRA), which prohibit the hiring of individuals with certain criminal history. California Residents Refer to the California Consumer Privacy Act Privacy Notice to gain understanding of how PNC may use or disclose your personal information in our hiring practices.