Title: RN Supervisor UM Prior Auth Location: Sacramento, California, United States Department: Care Coordination Department Care Coordination Hours / Pay Period 80 Shift Day Standard Hours M-F 0730-0500; rotating weekends Location CA-RANCHO CORDOVA Posted Pay Range $53.46 - $79.52 /hour Company Name Dignity Health Medical Foundation Telecommute Yes Job Description: Where You’ll Work Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health – one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. Our 130+ clinics across the state of California deliver high-quality, patient-centric care with an emphasis on humankindness. Through affiliations with Dignity Health hospitals, along with our joint ventures and partnerships, we offer a robust, state-of-the-art health care delivery system in the communities we serve .We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service. One Community. One Mission. One California Job Summary and Responsibilities As the Supervisor of Utilization Management (UM), under the guidance and supervision of the department Manager/Director, you will be responsible and accountable for coordination of services for Mercy Medical Group and Woodland Clinic Medical Group through an interdisciplinary process that provides a clinical and financial approach through the continuum of care. Every day, you will promote the quality and cost effectiveness of medical care by ensuring department staff are applying clinical acumen and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision, this position is responsible for coordinating the daily operations of the UM Pre-Authorization team in order to ensure requests are processed in a consistent and timely manner while observing regulatory guidelines. To be successful in this role, you will have a strong knowledge of Utilization Management, strong leadership skills, and a passion for high-quality patient care. - Responsible for day to day operations of the Pre-Authorization team to include timely response and appropriate evaluation of referral reviews, correct selection of criteria, accurate prep to the UM Physician reviewer when indicated, timely verbal and written documentation, and completion of the file. - Ensures adequate staffing and assignments and adjusts workflow as needed to meet department goals. Manages team schedule including requests for time off and assurance of coverage during physician office hours. - Organizes, structures, and chairs a minimum of one pre-authorization meeting per month, including other staff as appropriate. - Motivates and coaches staff to include new-hire training, problem solving, and special projects. Assists manager with performance activities to include monitoring, coaching, educating, and providing feedback to team. - Ensures UM Physicians are provided the relevant information needed to accurately review a referral. Fosters the relationship between the Pre- Authorization team and the Medical Director and Physician Reviewers. - Tracks cost savings from activities over time to evaluate success of programs. Maintains or removes programs based on organization and department goals. Develops reports for leadership as required. ***This position is work-from-home within driving distance of Sacramento, CA, as there may be occasional onsite meetings. ***This position will work rotating weekends. Job Requirements Required: - 5+ years clinical experience. - 3+ years Utilization experience in health plan/UM operations, Acute or subacute utilization review. - Bachelors degree, or equivalent experience. - Clear and current CA Registered Nurse (RN) license. - Ability to demonstrate leadership and management skills. - Knowledge of all applicable federal and state regulations as well as accreditation standards. - Demonstrates a working knowledge of Utilization Management, UM review processes, and regulatory requirements. - Must have the ability to monitor, compile, report and analyze data/statistics. - Requires excellent human relations, interpersonal and oral/written communication skills. - Able to recognize and address the needs and concerns of customers. - Ability to interact with all levels of the organization as well as with external contacts. - Requires good knowledge and skills with Microsoft Office (ie: Word and Excel) and other computer information systems and applications. Preferred: - 7 years UM experience with Charge/Lead/Supervisory/Management experience in Utilization Management department preferred. - Previous prior authorization experience strongly preferred. - Managed care experience preferred. - Experience working with health plan auditors preferred. - Working knowledge of InterQual preferred. - Knowledgeable of NCQA and ICE preferred.

Design and execute test cases for mortgage workflows, maintain regression test suites, and collaborate with cross-functional teams to ensure accurate test coverage while transitioning to automated testing environments.

Title: Expert, Process Quality Lead Location: Nashville United States Job Description: - Nashville, Tennessee, US - Digital Innovation & Technology - 112326 - Onsite Job Description For this U.S. based position, the expected compensation range is $114,400 - $171,600 per year, which includes base pay and short-term incentive. The compensation range for this full-time position applies to candidates located within the United States. Our salary ranges are determined by reviewing roles of similar responsibility and level. Within the salary range, individual pay is determined by several factors including performance, knowledge, job related skills, experience, and relevant education or training. Schneider Electric also offers a comprehensive benefits package to support our employees, inclusive of medical (with member reward points), dental, vision, and basic life insurance, Benefit Bucks (credits to apply towards your benefits) flexible work arrangements, paid family leaves, 401(k) + match, well-being and recognition (including service anniversary) programs, 12 holidays per year, 15 days of paid time off per year (pro-rated in the first year of employment based on start date), opportunity to purchase company stock (eligibility depends on start date), and military leave benefits. You must submit an online application to be considered for the position. The Company will accept applications on an ongoing basis until the position is filled. If you believe this job posting is not compliant with applicable state pay transparency laws in the U.S., please notify the Company as soon as possible upon discovery by completing this form Job Posting Compliance Form. Summary Schneider Electric is seeking an experienced Process Quality Lead to drive consistency, quality, and efficiency in ERP testing and cross‑functional process governance within our North American digital transformation program, ensuring seamless alignment with global corporate standards. This strategic role focuses on process improvement, documentation quality, audit readiness, and testing governance; not hands‑on software testing. You will partner across business and technical teams to bring structure, consistency, and efficiency to our end‑to‑end ERP release processes. Roles and Responsibilities • Collaborate with Business Testing Leads, Scrum Masters, and technical teams to define end‑to‑end test scenarios. • Oversee testing campaign planning, execution visibility, and cross‑team coordination. • Determine and guide manual vs. automated test coverage in partnership with offshore automation teams. • Ensure timely communication and resolution of defects with both business and technical stakeholders. • Provide daily KPI reporting covering test coverage, execution progress, defect leakage, and UAT success rates. • Review and improve change request documentation for accuracy, completeness, traceability, and audit readiness. • Identify process gaps versus global ERP governance standards and implement improvements. • Strengthen documentation workflows, version control, and evidence capture. • Standardize testing and documentation operating models across teams. • Drive process improvements to reduce cycle times and enhance operational efficiency. • Support the transition from SAP Solution Manager to SAP CALM from a process perspective. • Ensure governance processes are reflected appropriately in new tooling. • Act as the central liaison between business testers, technical teams, and release management. Required Experience and Skills • 10+ years of experience in ERP-focused roles (testing coordination, process governance, release management, or business analysis). • Strong understanding of end‑to‑end business processes; supply chain exposure is highly advantageous. • Background supporting ERP testing cycles (functional, integration, UAT). • Experience driving process improvements and standardizing workflows. • Strong documentation skills and familiarity with audit expectations. • Comfortable influencing cross‑functional stakeholders in complex environments. • Excellent communication, organizational, and analytical skills. • Experience working in Agile/Scrum environments. Preferred • Experience with SAP modules or large‑scale ERP systems. • Familiarity with SAP Solution Manager or SAP CALM. • Experience with global ERP standards, process governance, or release management. • Exposure to large‑scale ERP testing campaigns or ERP implementation programs. PLEASE REVIEW PRIOR TO APPLYING: - This role is required to be onsite in Franklin, TN. We have a hybrid 2 days a week in the office policy. We are unable to consider remote candidates or other locations. - We are unable to consider any contractors or consultants. We are only hiring for direct hire employees. - We are not currently considering candidates who will require any immigration assistance now or in the future. Must be eligible to work in the US on a permanent basis. Looking to make an IMPACT with your career? When you are thinking about joining a new team, culture matters. At Schneider Electric, our values and behaviors are the foundation for creating a great culture to support business success. We believe that our IMPACT values – Inclusion, Mastery, Purpose, Action, Curiosity, Teamwork – starts with us. IMPACT is also your invitation to join Schneider Electric where you can contribute to turning sustainability ambition into actions, no matter what role you play. It is a call to connect your career with the ambition of achieving a more resilient, efficient, and sustainable world. We are looking for IMPACT Makers; exceptional people who turn sustainability ambitions into actions at the intersection of automation, electrification, and digitization. We celebrate IMPACT Makers and believe everyone has the potential to be one. Become an IMPACT Maker with Schneider Electric – apply today! €40 billion global revenue +9% organic growth 150 000+ employees in 100+ countries You must submit an online application to be considered for any position with us. This position will be posted until filled. Schneider Electric aspires to be the most inclusive and caring company in the world, by providing equitable opportunities to everyone, everywhere, and ensuring all employees feel uniquely valued and safe to contribute their best. We mirror the diversity of the communities in which we operate, and ‘inclusion’ is one of our core values. We believe our differences make us stronger as a company and as individuals and we are committed to championing inclusivity in everything we do. At Schneider Electric, we uphold the highest standards of ethics and compliance, and we believe that trust is a foundational value. Our Trust Charter is our Code of Conduct and demonstrates our commitment to ethics, safety, sustainability, quality and cybersecurity, underpinning every aspect of our business and our willingness to behave and respond respectfully and in good faith to all our stakeholders. You can find out more about our Trust Charter here Schneider Electric is an Equal Opportunity Employer. It is our policy to provide equal employment and advancement opportunities in the areas of recruiting, hiring, training, transferring, and promoting all qualified individuals regardless of race, religion, color, gender, disability, national origin, ancestry, age, military status, sexual orientation, marital status, or any other legally protected characteristic or conduct.

Quality Assurance Management Specialist Location: San Francisco, CA Salary: $70,000 to $80,000 Schedule: Hybrid - 3 days onsite / 2 days remote Employment Type: Full-time (40 hours), Exempt Position Summary - Oversee quality assurance and quality improvement efforts across the organization - Ensure regulatory, contractual, and compliance requirements are consistently met - Partner cross-functionally to drive continuous quality improvement Key Responsibilities Compliance & Quality Management - Maintain compliance with applicable licensing, credentialing, and regulatory bodies, including: - HIPAA - The Joint Commission - DHCS (Department of Health Care Services) - SFDPH / CBHA</p> - DSS / CCL (Community Care Licensing) - Private insurance and out-of-county requirements - Partner with the Associate Director of Quality Management, Regional Managers, and Program Directors - Ensure compliance across clinical documentation, EHR standards, data integrity, outcomes tracking, and reporting - Support required incident reporting and external reporting processes Monitoring & Audits - Perform ongoing compliance monitoring activities - Prepare for contract audits, credentialing reviews, and organizational site visits - Track corrective actions and ensure timely resolution Collaboration & Quality Improvement - Support organization-wide quality improvement initiatives - Provide guidance and support related to quality standards and regulatory requirements - Partner with regional and program leadership to strengthen quality practices Qualifications - Bachelor's degree in Healthcare Administration, Public Health, Social Work, or related field preferred - 3-5+ years of experience in quality assurance, quality management, compliance, or healthcare administration - Strong working knowledge of healthcare compliance and regulatory requirements (HIPAA, The Joint Commission, DHCS, DPH, DSS/CCL, etc.) - Experience supporting audits, site visits, credentialing, and licensing processes - Familiarity with EHR systems, clinical documentation standards, and data integrity requirements - Strong analytical, organizational, and documentation skills - Ability to collaborate effectively with cross-functional and clinical teams - Excellent communication skills with the ability to explain compliance requirements clearly - Ability to manage multiple priorities in a fast-paced environment Equal Opportunity Employer/Veterans/Disabled