Role Description The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. - Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. - Respond to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies. - Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses. - Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations. - Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues. - Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results. - Provide clinical and strategic input when participating in organizational committees, projects, and task forces. Qualifications - MD or DO with an active, unrestricted license. - Board Certified in an ABMS or AOBMS specialty - No Pediatrics. - 5+ years of clinical practice experience. Requirements - 2+ years of Quality Management experience. - Intermediate or higher level of proficiency with managed care. - Proven excellent telephonic communication skills; excellent interpersonal communication skills. - Proven excellent project management skills. - Proven data analysis and interpretation skills. - Proven excellent presentation skills for both clinical and non-clinical audiences. - Familiarity with current medical issues and practices. - Proven creative problem-solving skills. - Proven basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. - Internet researching skills. - Proven solid team player and team building skills. Benefits - Compensation generally ranges from $248,500 - $373,000. - Total cash compensation includes base pay and bonus based on several factors including local labor markets, education, work experience, and may increase over time based on productivity and performance in the role. - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

• Provide support for Fluke Reliability software applications to end users in a Microsoft and Web-based environment. • Answer incoming customer support phone calls, email and chat communications. • Find and communicate accurate solutions to issues reported by end users while using Fluke Reliability products through analytical talent and strong troubleshooting abilities. • Work in a strong team environment to provide unparalleled support to customers in a wide variety of industries. • Multi-task during calls to research technical issues while communicating with the customer and clearly and concisely documenting the issue. • Demonstrate a desire to help other people with specific technical issues and be able to understand the support process from the customer point of view.

• Respond to customer inquiries via email, chat, or social media in a timely and professional manner • Provide accurate information and support to customers to resolve their issues • Identify and escalate complex issues to Tier 2 support when necessary • Collaborate with other teams such as technical support specialists, support product specialists, and leadership to resolve customer issues • Record and maintain accurate customer information within our CRM systems (Intercom & Salesforce) • Meet individual and team performance metrics (KPI’s) such as first response times, first contact resolution rates, and customer satisfaction • Continuously improve your own product knowledge and remain up to date with our product, services and processes • Provide constructive feedback to the business and leadership team to improve customer support processes and procedures

Role Description The Customer Service Representative is responsible for receipt of new cases and ensuring proper system drafting and setup. The CSR also is responsible for taking direction and facilitating the case assignment/scheduling process. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results. Qualifications - An Associate’s Degree is preferred. Requirements - Intake new cases and review/verify information and requests. - Draft cases by entering information into the Dane Street system, AccessDS. - Work with client on any information missing pertinent to processing claim. - Sort, organize and create medical document listing if required by client, and in line with specific special handling. - Assign/schedule new cases to physicians for review based on location, reviewer availability, specific guidelines, jurisdictional requirements, and other client requirements. - Ensure that the assigned physician has no conflict of interest with the case assignment. - Monitor, process and track cases to ensure we meet deadlines. - Update clients frequently on cases in progress. - Communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer. - Ensure proper documentation for specified cases is provided to the client. - Other duties & special projects, as assigned and based on business needs. Benefits - Comprehensive benefits package designed to support well-being and peace of mind. - Medical, dental, and vision coverage for you and your family. - Voluntary life insurance options for you, your spouse, and your children. - Other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans. - Basic life insurance, short-term disability, and long-term disability coverage at no cost. - Generous paid time off policy. - 401k plan with a company match. - Apple equipment and a media stipend for remote workspace.