Role Description We are looking for a Build and Release Manager to support the planning and delivery of projects by coordinating activities, tracking progress, managing risks and dependencies, and maintaining accurate reporting. The role provides governance and administrative support, improves portfolio visibility, and enables project teams to focus on effective, timely delivery. - Partner with business stakeholders to analyse requirements and manage priorities - Act as the primary liaison between Portfolio Management, business stakeholders, and IT delivery teams - Own and maintain the central portfolio backlog and support prioritisation decisions - Manage budgets, resource allocation, and capacity planning - Provide regular portfolio and operational reporting - Align teams, manage dependencies, and support PMO governance activities - Administer portfolio tooling (e.g. Planview), including project initiation, resourcing, tracking, and closure - Plan and coordinate application releases with development teams, including scheduling, UAT, change management, and rollout support - Provide early life support activities following releases Qualifications - Bachelor's degree and 1 year related experience Requirements - Experience supporting IT projects that include both application development and operational/support elements - Working knowledge of project management practices, with a recognised qualification (e.g. PRINCE2 Foundation) or equivalent hands-on delivery experience - Familiarity with common software delivery lifecycles, including Agile and waterfall methodologies - Strong communication skills, with the ability to work effectively with technical teams and engage confidently with business and senior stakeholders - Well-organised and detail-focused, with the ability to coordinate multiple workstreams, priorities, and deadlines concurrently Benefits - Minimum of 25 days holiday, plus bank holidays, and the option to ‘buy’ extra days - Defined contribution pension scheme, which Gallagher will also contribute to - Life insurance, which will pay 4x your basic annual salary, which you can top-up to 10x - Income protection, we’ll cover up to 50% of your annual income, with options to top up - Health cash plan or Private medical insurance - Three fully paid volunteering days per year - Employee Stock Purchase plan, offering company shares at a discount - Share incentive plan, HMRC approved, tax effective, stock purchase plan - Critical illness cover - Discounted gym membership, with over 3,000 gyms nationally - Season ticket loan - Access to a discounted voucher portal to save money on your weekly shop or next big purchase - Emergency back-up family care - And many more…

• Accountable for the Medical Loss Ratio (MLR) compliance and reporting program across assigned lines of business, ensuring accurate calculation, strong governance and controls, and timely submission of federal and state filings. • Provides strategic and operational leadership for end-to-end MLR activities, including methodology oversight, documentation standards, audit readiness, rebate execution, and regulatory examinations. • Leads and develops a team, sets priorities and deliverables, and drives cross-functional alignment with Finance, Actuarial, Legal/Compliance, Government Affairs, and operational partners. • Serves as the escalation point for complex interpretation and judgment matters, proactively identifies and mitigates enterprise risk, and sponsors continuous improvement initiatives that strengthen data quality, consistency, and regulatory confidence. • Provides oversight of the MLR reporting calendar and delivery model for assigned lines of business; set expectations, assign work, and ensure filings to CMS and state regulators are accurate, complete, and submitted on time. • Provides oversight and final review of MLR methodology, assumptions, and classifications; ensure consistent application of federal and state requirements (e.g., ACA commercial markets, Medicare Advantage, Medicaid) and alignment with internal policy. • Leads cross-functional forums and working sessions with Finance, Actuarial, Legal/Compliance, Government Affairs, and operations to drive decisions, resolve issues, and ensure clear ownership of actions that impact MLR results and regulatory posture. • Designs, implements, and maintains MLR governance, internal controls, and documentation standards; approve key artifacts and ensure an audit-ready trail from data sources through final filing outputs. • Oversees MLR performance monitoring and threshold management; interprets drivers, evaluates emerging risk, and sponsors mitigation strategies and corrective action plans in partnership with business owners. • Has oversight of MLR rebate planning and execution, including governance over inputs, leadership approvals, and downstream communications to ensure compliance with federal and state requirements and timelines. • Establishes a risk-based monitoring and review plan; oversees deeper-dive analyses, internal audits, and control testing; ensures remediation is implemented, validated, and sustained. • Maintains awareness of legislative and regulatory changes impacting MLR; assess impact, advise leadership on options and risk, and lead implementation of required policy, process, and control updates. • Maintains oversight of MLR-related policies, procedures, and tools (or their enterprise alignment); set standards for accurate classification of claims, quality improvement activities, and administrative expenses, and resolve interpretation disputes. • Serves as the primary accountable leader for regulatory inquiries, audits, and examinations related to MLR; approve responses, ensure supporting documentation quality, and coordinate cross-functional participation. • Coaches and develops team members; provides consultation and training to stakeholders on MLR requirements, controls, and risk management expectations. • Provides executive-ready reporting and recommendations to senior leadership and governance committees on MLR compliance status, key risks, control effectiveness, and remediation progress. • Contributes process improvement and data governance initiatives (e.g., standardization, automation, reconciliations, evidence retention) to improve oversight, efficiency, and consistency across the MLR lifecycle. • Performs other duties as assigned. Complies with all policies and standards.

• Oversee all clinical processes and serve as the client champion for Access TeleCare’s Neurology programs • Build effective relationships with client stakeholders • Develop clinician workflows • Support new program implementation • Create action plans to support service performance • Interface with clinicians to facilitate clinical excellence • Serve as the clinical point of contact for practice-related issues at partner sites • Maintain working rapport with individual providers covering the service to address clinical workflow or practice issues • Build and maintain positive working relationships with partner facility clinical staff • Analyze and present reports on healthcare processes and patient outcomes • Coordinate performance improvement activities focused on specific patient services or organizational quality initiatives

Who We AreScratch Financial (“Scratch”) is a late stage venture-backed financial technology business based in Pasadena, California. At Scratch, everything starts and ends with our mission: being the payment partner of choice for veterinary practices and helping pet parents access the care their animals need without financial barriers. Driven by our award-winning technology, Scratch has become the fastest growing financing provider in veterinary care, with a partner network of 15,000+ practices across the U.S. and Canada. Scratch has 2 main products: - Scratch Pay: Point-of-sale client facing lending, including a BNPL offering and longer-term payment plans - Scratch Checkout: Payment processing that is integrated with the veterinary practice management software We are a company built on the foundation of transforming the way pet healthcare payments are done, and we are looking for innovators who share our commitment to shaping the future of veterinary care financing. If putting compassion first, helping tell the story of groundbreaking products and continuously learning & refining to achieve exceptional outcomes sounds like you, then we encourage you to apply. Position OverviewThe Enterprise Account Manager owns post-sale relationships for enterprise payment processing (Scratch Checkout) accounts, with a focus on driving adoption, performance, retention, and expansion across large, multi-site veterinary organizations. This role acts as a strategic operator and partner to enterprise groups, ensuring successful rollout and ongoing performance of payments across hundreds of locations. The Enterprise Account Manager will work closely with corporate and veterinary practice stakeholders. This role is focused on large enterprise accounts (100+ locations) and requires the ability to navigate complex organizations, multiple stakeholders, and distributed operations. What You'll DoOwn Post-Sale Enterprise Relationships: - Own enterprise accounts post-sale, following transition from Director of Strategic Accounts. - Build and maintain relationships with executive, corporate, and regional stakeholders. - Serve as the primary point of contact to enterprise-level stakeholders and (on an as needed basis) practice staff members. Lead Enterprise Rollouts and Practice Support - Lead rollout of Scratch Checkout across large, multi-location enterprise networks. - Develop and execute scalable rollout strategies across regions and practices. - Train practices and provide support to practices, accounting teams, and other corporate stakeholders during rollout. - Onboarding new acquisitions. Lead Strategic Business Reviews & Planning - Conduct regular executive-level business reviews: - - Share network-wide performance insights. - Identify opportunities for optimization and growth. - Act as a thought partner to enterprise leadership on strategy and operations. Drive Expansion & Revenue Growth Within Accounts - Identify and execute opportunities to expand revenue within enterprise accounts, including: - - Increasing payments penetration across networks - Driving adoption of new products What We Are Looking For - Proven track record of driving adoption and expansion within existing accounts - Experience managing large enterprise accounts (100+ locations or equivalent complexity) - Proven track record of driving adoption and expansion within existing accounts - Highly operational with ability to build scalable processes at scale - Comfortable working cross-functionally across Sales, Support, and Onboarding - Background in veterinary, payments, or multi-location businesses strongly preferred Why You'll Love Working Here - Competitive base salary ranging from $105,000 - $110,000 and OTE of $130,000 - $135,000 Scratch is a remote-first company, giving ultimate flexibility to today's nomadic work style. For those who prefer a hybrid model, we do have an office space in Pasadena available for use (which is stocked with snacks & various beverages). We offer unlimited PTO, covered healthcare, 401k match, cell plan reimbursement, and monthly recognition opportunities. We also provide learning platforms and resources for all to keep growing. Not only that, but we have an equity retention policy to ensure you grow as the company grows financially, as well. And if your family is growing, we offer generous parental leave, too! How to ApplyReady to join our team? To apply, please visit our Scratch Careers Page. Be sure to: - Submit your resume. - Answer the custom questions provided. - Feel free to add any additional information or documents you believe are relevant to your application. We look forward to reviewing your application! *Our team will ONLY contact you from the domain @scratchpay.com or @ats.rippling.com Our CommitmentWe’re innovators who care deeply about the lives of pets, their owners, and veterinary professionals. We believe diversity strengthens our team and drives better solutions. Scratch is committed to diversity in its workforce and is proud to be an equal opportunity employer. Scratch considers qualified applicants without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, marital status, pregnancy, sex, gender expression or identity, sexual orientation, citizenship, or any other legally protected class.