Role Description Reporting to the Manager of Pharmacy Operations, the Pharmacy Operations Specialist is primarily responsible for supporting the pharmacy utilization management programs, processing prior authorization requests, and providing pharmacy-related customer service to internal and external parties. In addition, the Operations Specialist will support the day-to-day operations of the pharmacy program as needed. Key Functions/Responsibilities - Receive, process, and review all prior authorization requests received through fax, phone, or electronic prior authorization systems in accordance with all regulatory and accreditation requirements. - Properly apply clinical policy criteria to the review of prior authorization requests. - Review and interpret member’s eligibility, claim history, and Pharmacy Program information using the PBM claims software to provide information to both internal and external clients via telephone or email. - Interprets medical and pharmacy data and accurately enters information into system according to regulatory and NCQA accreditation requirements. - Communicate determinations to members and providers via incoming and outgoing telephone calls, fax notifications, and letter notifications. - Responsible for analysis and issue resolution as it pertains to the administration of the formulary and benefits. - Provide pharmacy-related customer service to both internal and external parties. - Process pharmacy authorizations utilizing PBM real time online claims adjudication software. - Support new clinical program implementation. - Serve as a liaison to Member Services and other internal clients for real-time support on pharmacy benefit interpretation, Pharmacy Policy interpretation, and plan design interpretation. - Other responsibilities as needed. Qualifications - Minimum of a High School diploma or equivalent required. - Associate or Bachelor’s degree preferred. - Two or more years of experience in a professional or pharmacy setting. - Previous experience in a managed care environment preferred. - Prior customer service experience preferred. - Excellent Customer Service skills. - Prior experience assisting members and/or providers with telephone inquiries. - Strong organizational, problem solving, communication, and interpersonal skills. - Excellent written and oral communication skills required. - Must have strong data entry and attention to detail in building cases. - Must be able to multitask and be results oriented. Compensation Range $20.19 - $28.37. This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. Note This range is based on Boston-area data, and is subject to modification based on geographic location. Company Description WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Role Description We are seeking a Dutch Speaking Operations Customer Expert to join our team. As a Dutch Operations Customer Expert, you will play a crucial role in ensuring the seamless customer satisfaction for our client in the Online retail Industry. - Handle inbound calls and written inquiries from customers - Provide clear, friendly, and professional support in Dutch - Update and maintain customer data - Work closely with your team to deliver the best customer experience Qualifications - Dutch language skills B2-C1 (spoken & written required) - English or Georgian language proficiency - Strong customer orientation and communication skills - Ability to interact confidently with diverse customer types - Good computer skills + fast typing - Creative, solution-oriented mindset and a strong team player - Willingness to work in shifts, weekends, and public holidays - Experience in a similar role is a plus, but not required Requirements - Compensation UP TO GROSS GEL: - Competitive salary - Performance bonus - Christmas bonus - 2000 GEL sign-on bonus - 2000 GEL referral bonus - 650 GEL Life Event Bonus - Other bonus schemes - Paid Health insurance for you and your family - Paid Training - Fast career growth – promotion to Senior level possible after 6 months - Remote work – presence in Georgia required - Wellbeing offerings: yoga, pilates, events, and more - Psychological support: confidential on-site consultations with professional psychologists - Corporate benefits with partner companies - Late shift transportation Benefits - Sign-on bonus of 2000 GEL - Referral bonus of 2000 GEL - Life Event Bonus of 650 GEL - Paid Health insurance for you and your family - Paid Training - Fast career growth – promotion to Senior level possible after 6 months - Wellbeing offerings: yoga, pilates, events, and more - Psychological support: confidential on-site consultations with professional psychologists - Corporate benefits with partner companies - Late shift transportation

Role Description Remote, full-time operational support role focused on: - Supporting Project Management and Construction teams - Functions similarly to a Project Engineer or Contract Administrator - Subcontractor coordination, project documentation, milestone tracking, compliance verification, and construction communications Key Responsibilities - Subcontractor Management - Research and qualify specialty subcontractors - Coordinate site walks, scheduling, and mobilization - Track subcontractor quotes and maintain pricing records - Support subcontractor onboarding (agreements, W9s, COIs, documentation) - Verify insurance compliance before mobilization - Follow up on subcontractor action items - Project Administration - Generate, issue, and track work orders and submittals - Maintain digital project folders and version control - Prepare project handover and closeout packages - Coordinate project photo shoots and documentation deliverables - Track milestone billing requirements - Maintain subcontractor performance and pricing databases - Construction Communications - Support weekly reporting and project updates - Coordinate field communication and look-ahead planning - Capture meeting notes and action items - Ensure project documentation supports milestone billing and invoicing Qualifications - 4+ years of experience in fully remote administrative or operational support roles - 2+ years of experience in construction administration, project coordination, project engineering, or contract administration - Experience supporting both office-based project teams and field construction teams - Strong project tracking and documentation management experience - Experience with subcontractor coordination and compliance tracking - Excellent organizational and follow-through skills - Ability to manage competing priorities and deadlines - Strong written and verbal English communication skills - Proficiency with Google Workspace and Microsoft Excel - Experience using project management/construction software such as Procore, Buildertrend, JobTread, Asana, or similar Preferred Qualifications - Contract Administrator or Project Engineer experience - Commercial interiors project support experience - Experience reviewing subcontractor quotes and side-by-side comparisons - Familiarity with COI management and insurance compliance - Experience with Bluebeam - Familiarity with photo documentation workflows Benefits - Work with an established Design-Build firm with a strong project pipeline - Growth opportunities within a scaling operation - Collaborate with experienced project managers and construction professionals - Join a company with a 35+ year proven industry reputation

Title: School Operations Manager locations US - GA - Remote time type Full time job requisition id JR114812 Job Description: Residency Requirements: Georgia The School Operations Manager performs and/or oversees various aspects of school operations with an emphasis on compliance activity at all levels, internal and external to the K12 organization. K12, a Stride Company, believes in Education for ANY ONE. We provide families an online option for a high-quality, personalized education experience. Students can thrive, find their passion, and learn in an environment that encourages discovery at their own pace. Passionate Educators are needed at the Stride K12 partner school, Georgia Digital School (GDS). We want you to be a part of our talented team! The mission of Georgia Digital School (GDS) is to provide an exemplary individualized and engaging educational experience for students by incorporating school and community/family partnerships coupled with a rigorous curriculum along with a data-driven and student-centered instructional model. Student success will be measured by valid and reliable assessment data, parent and student satisfaction, and continued institutional growth within the academic community. Join us! This is a full-time position. Ability to work independently, typically 40+ hours per week is required. Ability to maintain a professional home office without distraction during workday, typically 9-5 (or 8-4) or as defined by the school. ESSENTIAL FUNCATIONS: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. - Develop and manage relationships with partner districts, state, and other education stakeholders; - Oversee and maintain student records and data; creates/implements/documents processes that ensure student data validity in K12 and 3rd party databases; - Act as point-of-contact and manages reporting issues including all local, K12, state, and federal reporting requirements; - Work with administrative staff to ensure the school follows and meets all audit requirements; - Manage the development of school policies and procedures, e.g. assists with the Company’s efforts nationally to develop policies and procedures, training standards and curriculum enhancements; - Assist in student recruitment and the planning of school events; - Oversee communication between the Company, students, families, and districts related to student enrollments, registrations, withdrawals and end-of-year reclamation efforts; - Supervise and manage office staff and assist with a wide variety of personnel support issues; Makes daily work assignments and monitors the Enrollment and Registration team’s progress toward goals. SUPERVISORY RESPONSIBILITIES: Directly supervises 2 - 5 Full-Time Equivalents (FTEs). Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems MINIMUM REQUIRED QUALIFICATIONS: - Bachelor’s degree in relative field of study AND - Seven (7) years of relevant professional experience OR - Equivalent combination of education and experience - Ability to clear required background check OTHER REQUIRED QUALIFICATIONS: - Great organizational and time management skills - Proficient MS365; web proficient - Strong technology skills - Experience using search engines (internet) for research projects - Experience using a student information system and/or other type of database - Strong written and verbal communication skills - Ability to travel 20% of the time DESIRED QUALIFICATIONS: - Formal project management experience in fast-paced or start-up environment - Non-profit / education grants management experience - Experience with managing online learning Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Job Type Regular The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is “at-will” as governed by the law of the state where the employee works. It is further understood that the “at-will” nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities Stride, Inc. is an equal opportunity employer. Applicants receive consideration for employment based on merit without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status, or any other basis prohibited by federal, state, or local law. Stride, Inc. complies with all legally required affirmative action obligations. Applicants will not be discriminated against because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.