Title: Clinical Appeals RN - Remote - M-F working alternating Saturdays Location: United States Work Type: Remote, Full Time Job ID: 2367603 Job Description: At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Clinical Appeals RN is responsible for providing expertise in clinical appeals and grievances (analyzing, reviewing, and evaluating appeals and grievances), and acting as a Clinical Interface Liaison (clinical problem solver with facilities, providers, carriers, resolution of issues concerning members, benefits, program definition and clarification). You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Please note this team has a schedule as follows - M-F, 8:00- 4:30 in their time zone and alternating Saturdays (2 per month with a weekday off when working a Saturday) . Primary Responsibilities: - Review medical records and verify if the requested service meets criteria - Review pre-service appeals for clinical eligibility for coverage as prescribed by the Plan benefits - Review and interpret Plan language - Coordinate reviews with the Medical Director - Utilize clinical guidelines and criteria - Accurately documenting determinations - Adherence to all confidentiality regulations and agreements - Hours M-F 8a-5p with alternating Saturdays - Comfortable working mandatory overtime You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - Active, unrestricted RN license in state of residence - 2+ years of clinical experience as an RN, including in an acute, inpatient hospital setting - Proficiency in Microsoft Office, Word, Outlook, and Internet applications - Available M-F, 8:00- 4:30 in their time zone and alternating Saturdays (2 per month with a weekday off when working a Saturday) Preferred Qualifications: - Bachelor of Science in Nursing - 1+ years of experience using MCG and/or Medicare criteria - 1+ years of Utilization Management, pre-authorization, concurrent review or appeals experience - Appeals experience - Proven excellent communication, interpersonal, problem-solving, and analytical skills - All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits re subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations

Title: Business Development Manager - HRS/NPP Location: Seatac United States Job Description: About Us Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. Our Mission As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values. The posted compensation range of $51.36 - $70.62 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. Job ID 2026-470331 Employment Type Full Time Department Strategic Plan/Business Devel Hours/Pay Period 80 Weekly Schedule Monday - Friday (8:00 AM - 5:00 PM) Shift Day Remote Yes Category Business Development Job Summary and Responsibilities As our Business Development Manager, you will build and develop business relationships with vendors to promote brand awareness and create profitable relationships in new markets as a means to increasing contract utilization. Every day you will develop outreach and customer opportunities, and furnish leads and reports. You will be expected to grow, expand and enhances existing vendor accounts. To be successful in this role, you must be a self-starter, highly organized with effective time management skills and the ability to work efficiently with minimal supervision. As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories. This role requires up to 40% travel. Key Responsibilities Include: - Establishes long-term professional relationships with primarily existing, but also potentially new, members and vendors (government or relevant associations and industries) to promote the organization’s products and services. - Provides on-going support to vendors ensuring they receive high quality customer service with consultative solutions and opportunities to better use existing contracts. Creates lasting partnerships and co-branding opportunities. - Sells value proposition and its role in helping the vendor succeed in the partnership. Creates selling environment where offering expert advice is valued, and where the vendor’s business is the focal point of all discussion efforts. Job Requirements Required - Bachelor's degree or equivalent experience in business or related field required. - 3 years strategic sales experience in business-to-business sales environment. - Must have a proven track record of developing new business and expanding existing business. - Shows deep understanding of the business and industry. - Displays political savvy and an ability to build mutually beneficial relationships quickly. - Proven ability to build and execute strategic account plans. - Self-starter, highly organized with effective time management skills and the ability to work efficiently with minimal supervision. - Excellent interpersonal skills. Strong customer service skills. - Strong negotiation, networking, communication and persuasion skills in one on one, small group and large group presentation settings. - Excellent writing skills. Ability to write effective proposals. Preferred - 5 years strategic sales experience preferred. - 5 years in government, fire/rescue, law enforcement or experience selling to these markets. - Work involving government procurement and cooperative procurement process is highly valued. Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. Total Rewards Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified. Apply

Title: Revenue Enablement Manager, Americas Location: Atlanta United States Job Description: At JFrog, we're reinventing DevOps to help the world's greatest companies innovate -- and we want you along for the ride. This is a special place with a unique combination of brilliance, spirit and just all-around great people. Here, if you're willing to do more, your career can take off. And since software plays a central role in everyone's lives, you'll be part of an important mission. Thousands of customers, including the majority of the Fortune 100, trust JFrog to manage, accelerate, and secure their software delivery from code to production -- a concept we call "liquid software." Wouldn't it be amazing if you could join us in our journey? In this role, you will be the primary architect of sales excellence for our Americas field organization, bridging the gap between high-level strategy and frontline execution. By mastering the Challenger Sale methodology and leveraging AI-powered coaching tools, you will ensure our sellers possess the elite soft skills and technical fluency required to power the world's transition to Liquid Software. You are not just a trainer; you are a business partner dedicated to scaling a world-class Enablement Center of Excellence. As a Revenue Enablement Manager in JFrog you will... - Scale Sales Excellence: Architect and lead a high-impact Enablement Center of Excellence that drives measurable increases in win rates and sales velocity across the Americas. - Cultivate Strategic Partnerships: Act as a trusted advisor to Sales VPs and SVPs, aligning enablement initiatives directly with regional revenue goals to ensure total organizational buy-in. - Drive Behavioral Change: Design and facilitate immersive, scenario-based workshops that transform "knowledge" into "skill," specifically focusing on storytelling, negotiation, and executive presence. - Modernize Coaching: Implement and lead the adoption of AI-powered conversational platforms and coaching tools to provide personalized, scalable development for every seller. - Standardize Global Frameworks: Operationalize the Challenger Sale and MEDDICC methodologies across the field, ensuring a unified and elite language of sales qualification and customer engagement. - Optimize GTM Readiness: Collaborate with Product and Marketing to translate complex technical roadmaps into high-value sales assets that empower the field to dominate the DevOps market. To be a Revenue Enablement Manager in JFrog you need... - 10+ years of experience in Sales Enablement, Sales Management, or Productivity, with a proven track record of developing elite enterprise talent. - Expertise in Methodology: Deep, hands-on experience deploying the Challenger Sale and MEDDICC frameworks at scale in a SaaS environment. - AI Tool Proficiency: Experience leveraging AI-driven enablement tech (e.g., Gong, MindTickle, Highspot, or Second Nature) to automate and enhance coaching. - Strategic Influence: Exceptional executive presence with the ability to influence senior leadership and lead large-scale change management initiatives. - Analytical Prowess: A data-centric mindset with the ability to translate enablement activities into clear ROI, pipeline growth, and performance metrics. - Educational Excellence: Proven ability to produce and host high-energy educational events and "Field Academies" for a global, technical audience. WHAT JFROG CAN OFFER… - At JFrog, base salary is only one component of our compensation package. - This position has a base salary range between $170,000 to $195,000. Base salary will be based on your skills, qualifications, experience and location. - This position also includes an equity package of restricted stock units (RSU). In addition, JFrog employees are eligible to participate in our Employee Stock Purchase Plan. - JFrog provides employees comprehensive benefits including medical, dental, vision, retirement, wellness and much more! - JFrog embraces hybrid work: 3 days in office / 2 days remote. JFrog is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, national origin or nationality, ancestry, age, disability, gender identity or expression, marital status or any other category protected by law.

Title: Home Health Quality Care Manager (RN) Location: San Diego United States Remote Job Description: Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission-to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare's core values. By joining our team, you will have the opportunity to impact patient's lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family! Mission Healthcare offers competitive benefit packages designed to support the well‑being of our team. Benefits Available to All Benefit-Eligible Employees - 401(k) retirement savings plan - Mileage reimbursement - Employee Assistance Program (EAP) - Paid vacation, sick leave, and holidays Additional Benefits for Employees Regularly Scheduled 30+ Hours per Week: - Medical, dental, and vision insurance - Flexible Spending & Health Savings Accounts - Disability, life, and AD&D insurance - Pet insurance Pay range (depending on experience): Ranging $85K-$95K DOE, Open to Discussion Schedule/Shift: Mon- Fri 8AM-5PM Territory/Location: Remote Responsibilities - Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel. - Provides guidance and counseling to coordinators and Clinical Supervisors/Nursing Supervisors to assist them in continually improving all aspects of home health care services, provided through organization personnel. - Assists Clinical Supervisors/Nursing Supervisors in managing clinical teams and planning. - Provides help in assessment, planning, implementation and evaluation of patient and family/caregiver care to all clinical personnel as indicated. - Assists the Executive Director/Administrator in the preparation and administration of the organization's budget. - Interprets operational indicators to detect census changes and increases or decreases in volume, which could impact staffing levels, revenues or expenses. - Evaluates performance of Clinical Supervisors/Nursing Supervisors. - Assists Clinical Supervisors/Nursing Supervisors to develop skills and techniques in evaluating the performance of clinicians. - Hires, evaluates, and terminates organization personnel. - Conducts clinical performance evaluations annually, or more frequently if indicated. - Oversees the maintenance of patient clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities. - Assures proper maintenance of clinical records in compliance with local, state and federal laws. - Responsible for the maintenance of adequate and appropriate inventory supplies and equipment for the provision of patient services. - Develops, implements and evaluates the orientation program for new organization personnel. Responsible for orientation of new organization personnel, either directly or by delegating to another staff member. - Plans and implements Inservice and continuing education programs to meet education and training needs of organization personnel. - Assists with the evaluation of organization performance via performance improvement program, productivity, quarterly and annual reviews. Assures for the quality and safe delivery of hospice services provided through the Organization. - Assists in the development of organization goals. Develops, recommends, and administers Organization policies and procedures. Qualifications - Registered Nurse with current licensure to practice professional nursing in the state. - Bachelor's degree in nursing from an accredited program by the National League for Nursing. - Master's degree in health care preferred. - Three years of management experience within the last five (5) years in Hospice, at least one (1) year of which was a supervisory or administrative capacity. - A registered nurse with four (4) years' experience within the last five (5) years in a home health agency, primary care clinic or health facility, at least one (1) year of which was in a supervisory or administrative capacity. - Knowledge and expertise in clinical decision-making for the patient population and Quality Management review and evaluation for the organization. - Demonstrated ability to supervise and direct professional administrative personnel. - Ability to market and deal tactfully with customers and the community. - Has excellent observation, verbal and written communication skills. - Knowledge of business management, governmental regulations and CHAP standards. At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. We are committed to building a diverse team and creating an environment that promotes equity and belonging. Equal Opportunity & Veteran‑Friendly Employer: We are proud to be an equal‑opportunity employer committed to building inclusive, compassionate healthcare teams. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristic. All employment decisions are based on qualifications, merit, and business need. Veterans and military spouses are encouraged to apply. As a veteran‑friendly employer and proud participant in the We Honor Veterans Association, we recognize and value the leadership, teamwork, adaptability, and service‑driven experience military‑connected individuals bring to patient‑centered care and healthcare environments. Accessibility Commitment: We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs. Inclusion Efforts: We continually work to enhance our practices by actively combating discrimination and advancing fairness and inclusivity. We encourage applicants from historically underrepresented groups to apply and join us in our mission to diversify our team and foster an environment where diverse perspectives are embraced, and every employee is given the opportunity to thrive. Your Voice Matters: Mission Healthcare values your voice. We believe in maintaining a dialogue about diversity and inclusion within our teams and welcome your perspectives and innovative ideas. Together, we aim to build a workplace that reflects the communities we serve and a culture where everyone belongs. Communication Consent: By submitting an application, you acknowledge and consent to receive communications-including emails, phone calls, and text messages-from Mission Healthcare and its recruiters regarding your application and potential employment opportunities. You may opt out of text messages at any time by responding with "STOP". Let Better Growth Come To You!