Role Description Optum NY is seeking an RN Case Manager to join our team anywhere within the U.S. The RN Case Manager role, operating under general administrative direction, is primarily responsible for coordinating referrals from physicians and healthcare facilities for high-risk members. This position involves significant member education related to their illnesses and planned treatments. The Case Manager supports various Case Management and Quality Improvement programs, ensuring timely communication between members, providers, and health plans. Additionally, the role includes maintaining grievance files and associated documentation. The overarching goal of the Case Manager is to identify, coordinate, and provide appropriate levels of care while managing clinical operations and medical management activities across the continuum of care. This includes: - Assessing - Planning - Implementing - Coordinating - Monitoring - Evaluating care The role also encompasses health education, coaching, and treatment decision support for members, requiring a Registered Nurse (RN) qualification. The Case Manager plays a critical role in bridging the gap between healthcare providers, members, and health plans, ensuring that high-risk members receive comprehensive, coordinated, and high-quality care. The position requires strong clinical expertise, excellent communication skills, and a commitment to improving healthcare delivery. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Member Care Coordination: - Collaborates with physicians and multidisciplinary teams to develop and maintain up to date, coordinated care plans. - Acts as a liaison between members and the healthcare team to ensure effective communication and alignment of care plans. - Member Referral Support: - Assists physicians, members, and families in obtaining referrals to specialists. - Provides counseling and support tailored to the clinical needs of the member. - Care Plan Development: - Partners with designated physicians to create and maintain individualized Member Care Plans. - Clinical Improvement: - Actively participates in developing and deploying Coordination of Care activities aimed at enhancing the clinical experience for both referred members and referring physicians. - Liaison Role: - Facilitates communication among care team members to address the needs of both the member and the physician. - Provider/Member Education: - Educates members and care team participants about available community and health plan benefits and services. Qualifications - Bachelor of Science in Nursing (BSN), or 5+ years case management experience in lieu of BSN - Unrestricted current RN licensure in state of New York - 3+ years of diverse clinical experience as a Registered Nurse; preferably in caring for the acutely ill members with multiple disease conditions - 2+ years of experience in health plan case management, complex and disease case management - Experience in a remote and telephonic role - Proficient in Microsoft Office and Adobe products Requirements - BSN - Commission for Case Manager Certification (CCMC) - Experience in discharge planning - Experience in utilization review, concurrent review, or risk management - Background in managed care Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements)

• Building, maintaining, and owning the strategic relationships with the vendor • Serve as subject matter expert on all vendor products, services, and processes through training/certifications • Achieve key performance indicators that support vendor objectives for sales growth and reseller recruitment • Focus on existing reseller enablement through training programs to increase product knowledge and expand the solution mix • Develop & maintain an excellent working knowledge of vendor processes, including partner price methods, deal registrations, up-sell/cross-sell positioning, and best practices around all quote-to-order functions • Engage with the Vendor field sales teams to align business development activities, understand their needs from a distributor, and ensure collaboration with Climb's field sales team • Continuously engage with Climb's top Reseller's sales divisions to educate and promote vendor programs, provide sales support, and assist in closing opportunities, as well as liaise with other vendor departments on behalf of our resellers • Ensuring that vendor renewal opportunities are quoted 90 days in advance and that a high renewal rate/reseller retention is maintained • Complete pipeline reports, prepare management forecasts, and manage the end-of-month opportunity watchlist • Work closely with Climb's Vendor Partner Managers & Marketing team to develop and execute both Reseller & MSP lead generation marketing campaigns, taking point on all lead follow-ups • Conduct/coordinate regular training, enablement, and certification sessions for the Climb field and inside sales team • Identify and drive the execution of ease-of-doing business initiatives that support reseller satisfaction and business process improvement • Participate and/or present at key Vendor, Reseller, and industry events, seminars, & workshops. • Act as the central point of contact for all escalations and implement any required corrective measures • Monitor market trends and changes in the technology industry, specifically around the vendor's area of expertise; investigate opportunities to capitalize on emerging trends and high-growth segments

Title: Senior Manager, Benefits Job Description:Location: Arlington, VA, US, 22202 Who YOU are and what You can become: We are seeking a highly organized and detail-oriented Sr. Benefits Manager to lead and optimize our benefits operations. The ideal candidate is a hands-on professional with strong HRIS and Excel expertise, exceptional problem-solving abilities, and a passion for delivering outstanding employee experience. In this role, you will manage day-to-day benefits administration, ensure accuracy and compliance across all programs, collaborate with vendors and internal partners, and drive process improvements that enhance efficiency and service delivery. Success in this position requires strong communication skills, operational excellence, and the ability to thrive in a fast-paced environment while managing multiple priorities with precision. Who WE are and where WE are going: ST Engineering is a global technology, defense, and engineering group with a diverse portfolio of businesses across the aerospace, smart city, defense and public security segments. With our U.S. headquarters based in Arlington, VA, we have major operations in over 50 cities across 23 states, employing about 7,000 people in the country. At ST Engineering, we enable a more secure and sustainable world through innovative technology, products and solutions across diverse market segments. For the latest news about the group, visit www.stengg.com and follow the ST Engineering LinkedIn page. What YOU will do: The Sr. Benefits Manager is responsible for the day-to-day administration and operational management of employee benefits programs. This role focuses on hands-on process ownership, ensuring accuracy and efficiency in benefits delivery across health insurance, Voluntary Benefits, retirement plans, wellness initiatives, and leave programs. The position requires strong technical proficiency in benefit administrative systems, and a proficient understanding of HRIS and payroll systems, meticulous attention to detail for data management and compliance, and excellent problem-solving skills to resolve benefits-related issues. The Sr. Benefits Manager serves as the process expert who maintains benefits procedures, coordinates vendor relationships, manages enrollment processes, and ensures seamless benefits operations. They will also manage the day-to-day activities of 3 direct reports, managing and prioritizing shifting workloads. This role emphasizes operational excellence, process improvement, and consistent execution of benefits administration while maintaining compliance with federal and state regulations. - Manage day-to-day benefits administration processes and systems - Coordinate vendor relationships and serve as primary point of contact for benefits providers and third-party administrators. - Oversee annual benefits enrollment processes, including system setup, employee communications, and troubleshooting support. - Responsible for ensuring benefits procedures and documentation are accurate, consistent, and up to date across all benefit programs. - Support the benefits team by guiding complex cases and escalated employee inquiries. - Manage and lead the Benefits COE delivery team by prioritizing workloads, assigning tasks, and ensuring consistent execution of responsibilities. - Implement process improvements to streamline benefits administration and enhance service delivery. - Own the benefit invoicing process - Review, audit, and process vendor invoices to ensure charges are supported and aligned with contractual terms and payment requirements, reconcile claims activity, eligibility files, and payroll deductions to identify discrepancies, resolve variances, and partner with Finance, Payroll, and external vendors to address billing and payment issues accurately and on time. - Analyze billing and claims trends, maintaining strong financial controls, and partnering closely with Finance to ensure timely payments, accurate reconciliation, and clear support for business units, vendors, and internal stakeholders. Benefits Analysis & Data-Driven Decision Making - Conduct comprehensive benefits utilization analysis and trend forecasting to identify optimization opportunities. - Prepare and leverage cost-benefit analyses to inform and recommend program changes, vendor selections, and plan design modifications. - Generate executive-level reports and dashboards to communicate benefits metrics, financial performance, and strategic recommendations to leadership. - Leverage advanced data analytics to benchmark benefits programs against industry standards to identify competitive advantages and recommendations. - Monitor key performance indicators and translate complex data insights into actionable recommendations for leadership decision-making. System Administration & Compliance - Oversee and manage the benefits administration system (Benefitplace) - hands-on configuration of enrollments, deductions, employee records, and communication; ensure feeds to vendors and associated transactions are processed accurately and timely. - Manage file feeds between HRIS, payroll systems, and third-party vendors, ensuring timely and accurate data transmissions, and perform Quarterly Audits. - Ensure compliance with federal and state regulations, including ACA reporting, COBRA notifications, and required disclosures. - Responsible for benefits system testing for updates and enhancements to ensure functionality before deployment. - Maintain detailed process documentation and standard operating procedures for all benefits administration tasks. What YOU need to be successful: - Bachelor's degree in human resources, Business Administration, or related field required. - Minimum 7 years of progressive hands-on benefits administration experience with demonstrated process ownership and system proficiency; minimum 2 years of experience leading a team in the delivery of benefits programs - Strong working knowledge of SuccessFactors or other HRIS platforms. Proficiency in Excel, including pivot tables, VLOOKUP, formulas, and data management tools. - Demonstrated experience managing benefits processes. - Working knowledge of ERISA, COBRA, ACA, HIPAA, FMLA, and other federal and state benefits regulations with the ability to execute required compliance activities. - Strong attention to detail with the ability to maintain accurate benefits records, audit system data, reconcile discrepancies, and generate standard reports. - Solid understanding of federal and state benefits regulations with hands-on experience processing compliance requirements and required notifications - Solid understanding of 401(k) administration processes including enrollment support, loan processing, and basic compliance tasks. - Strong troubleshooting skills to resolve benefits issues, answer employee questions, and coordinate with vendors to address system or coverage problems. Preferred Qualifications - Professional certifications such as Certified Employee Benefits Specialist (CEBS), SHRM-CP, PHR, or Certified Benefits Professional (CBP). - Experience with self-funded health plan administration, including claims processing, stop-loss coordination, and monthly reconciliations. - Advanced Excel skills including macros, Power Query, or database experience for complex data analysis and reporting. - Efficient in AI system (copilot) integration in day to day activities. - Familiarity with benefits vendor portals and ability to quickly learn new technology platforms. - Experience supporting wellness programs, voluntary benefits, or flexible spending account administration. What WE offer: - 401K with company match and immediate vesting - Medical/Dental/Vision Insurance - Disability - PTO - Tuition Assistance - Life and Accidental Death Insurance - Development and Career Growth Opportunities Remote work schedule It takes diverse talent to solve real-world problems.  ST Engineering is deeply committed to building a workplace community where inclusion is valued, and everyone feels welcomed.  We're proud to consider all qualified applicants for employment without regard to race, color, religion, sex, pregnancy, family status, marital status, sexual orientation, national origin, disability, age, or veteran status, or any other legally protected grounds. So, bring us your personal experience, your perspectives, and your background. It's through our differences that innovative changes are made. Nearest Major Market: Arlington Virginia Nearest Secondary Market: Washington DC Apply now "

• Execute sales strategy to drive Anktiva’s treatment adoption across all clinics and prescribers who treat and manage patients with approved indicators. • Build trusting customer relationships and provide clear educational information to communicate efficacy results and define appropriate patient identification. • Develop and maintain meaningful disease state knowledge and product expertise to provide value proposition to the customer. • Analyze account performance, identify prescriber adoption barriers, and propose solutions to address barriers. • Collaborate with ImmunityBio matrix partners to identify opportunities and/or change territory tactics. • Accountable for the training of all relevant HCP’s on Anktiva dosing, administration, and overall treatment expectations for all accounts within the territory. • Utilize approved resources to educate and answer questions regarding reimbursement and contracting information. • Appropriately utilize company approved marketing tools and resources to craft a targeted approach to manage accounts and geographic territory. • Plan, lead, and execute speaker programs for the top providers and clinics within the territory. • Represent product in a professional, compliant, and ethical manner. • Complete all administration, reporting, and training tasks proficiently and on time. • Perform other duties as assigned.