Role Description In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care. - Perform standardized comprehensive needs assessment, identifying and addressing barriers to care and aligning patients with available benefits and resources. - Collaborate with patient, provider and care team to develop and implement a plan of care to ensure medically appropriate cost-effective care. - This is a remote/work at home position. Hire must be open to working eastern time zone hours. Essential Job Functions: - Utilize Motivational Interviewing techniques as a patient-centered approach to activate patients in self-management of their chronic conditions with the goal of improved symptom management and interruption of a negative disease trajectory. - Maintain a caseload of patients according to department policies. - Identify, enroll and manage patients in program for Transitions of Care/Complex Case Management/Chronic Disease Management. - Develop and implement care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols. - Perform medication review and teach-back to ensure patient understanding and ability to adhere to medical regimen. - Collaborate with PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan. - Perform patient outreach according to established protocols and document in electronic medical record. - Identify, execute, and track needed referrals to care and community resources. - Provide resource management to improve care, patient experience and reduce unnecessary cost and utilization: right care, right place, right time. - Assist patient in advanced care planning to complete Advanced Directives. - Document all communications with patient and/or care team in electronic medical record. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation. Qualifications - Associate’s Degree (required) - Specialty/Major- Nursing - Bachelor’s Degree (preferred) - Specialty/Major- Nursing (BSN) - RN compact license, or Multi-State License (required) - Case Management certification (preferred) Requirements - 2-3 years acute care, home health or case management experience Other Knowledge, Skills and Abilities - Required: Excellent interpersonal communication and negotiation skills. Strong analytical, data management and computer skills. - Preferred: Demonstrated success in improving the health of a distinct population of patients in the ambulatory or community setting. Patient Population - Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. - Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. - Neonates (0-4 weeks) - Infant (1-12 months) - Pediatrics (1-12 years) - Adolescents (13-17 years) - Adults (18-64 years) - Geriatrics (65 years and older) Benefits - Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) - Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts - Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders - Tuition assistance, professional development and continuing education support - Benefits may vary based on the market and employment status.

• You contribute to and execute Medical Affairs strategy across product development programs focused on metabolic health, including over-the-counter CGM and related health solutions • You serve as a medical representative on product development teams providing subject matter expertise across metabolic health • You participate in product design, clinical strategy, claims planning, and lifecycle activities • You collaborate cross-functionally to ensure products are clinically relevant, safe, and aligned with user needs • You conduct risk management activities, including hazard and harm identification, risk analysis, benefit-risk assessments, and mitigation strategy development • You inform scientific literature review and evidence generation strategies • You participate in key opinion leader engagement activities, including identification and relationship management of leading metabolic health experts • You ensure compliance with applicable regulatory and quality standards • You represent Medical Affairs in internal and external forums as appropriate

Role Description The Encounter Data Management Lead is responsible for leading AI-driven reconciliation and automation efforts to improve encounter data quality and reduce manual work. In this role, you will own the performance and continuous improvement of AI models used in reconciliation processes. You’ll work across business and technical teams to identify opportunities, optimize outcomes, and scale automation solutions. This role requires strong experience applying AI in real-world environments, along with the ability to translate data insights into operational improvements. You will report to the Associate Director, Encounter Data Management. Key Responsibilities: - Lead initiatives that use AI and automation to improve encounter data accuracy and efficiency - Monitor and evaluate AI model performance, including reconciliation rates, error trends, and data quality outcomes - Identify gaps and partner with technical teams to enhance models and improve results - Analyze complex data issues and use AI-driven insights to determine root causes and solutions - Collaborate with business and technical partners to prioritize enhancements and automation opportunities - Communicate AI performance, risks, and progress to stakeholders in a clear, actionable way - Maintain and prioritize a roadmap of AI improvements, backlog items, and automation initiatives - Work independently to solve complex problems and make decisions based on data and business impact Qualifications - 4+ years of experience working with AI or machine learning models, including monitoring and improving model performance - 4+ years of experience working in a healthcare environment - 2+ years of project or program leadership experience - Experience using data to identify trends, solve problems, and improve processes - Ability to work across teams and communicate technical concepts to non-technical audiences Requirements - Experience working with AI/ML tools, data platforms, or automation technologies - Familiarity with claims adjudication systems (CAS) or encounter submission platforms such as Edifecs - Experience supporting or partnering with data science teams - Background in process automation or transformation initiatives Benefits - Medical, dental and vision benefits - 401(k) retirement savings plan - Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) - Short-term and long-term disability - Life insurance - Many other opportunities Additional Information - WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. - Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. - A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. - Satellite and Wireless Internet service is NOT allowed for this role. - A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information - While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Application Deadline 07-31-2026

Role Description At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help organisations navigate complex regulatory landscapes and enhance their internal controls to mitigate risks effectively. As a risk management generalist at PwC, you will provide advisory and practical support to teams across a wide range of specialist risk and compliance areas. Focused on relationships, you are building meaningful client connections, and learning how to manage and inspire others. We are seeking a Senior Associate, Valuations to work with our Risk Advisory team. If you have experience valuing illiquid investments, financial instruments, or alternative assets, you will apply your expertise to complex analyses, challenge key assumptions, and prepare high-quality client deliverables. This remote work opportunity is open to Caricom nationals. The role will focus primarily on valuation services, for which responsibilities include: - Conducting financial analyses and valuations of a variety of financial instruments, including private equity, private debt, venture capital, and real estate; - Reviewing valuation reports and analysis prepared by clients and clients' advisors; - Collaborating effectively with cross-functional and multidisciplinary teams, including internal specialists and global colleagues, to deliver high-quality outcomes; - Preparing independent analysis to assess the reasonableness of the key assumptions and valuation conclusions reached, and performing sensitivity and scenario analyses as necessary; - Preparing written deliverables, including valuation reports, memorandums, and presentations for internal and external clients. Other responsibilities, with respect to the broader services provided by the Advisory team, may include: - Assisting in planning and executing risk advisory engagements including financial, operational, and regulatory risk assessments; - Conducting process walkthroughs and performing internal controls testing to identify gaps and recommend improvements; - Analysing client’s financial statements and performance metrics to identify risks and opportunities; - Assisting with the preparation of client-facing materials, including presentations, information packs, and stakeholder communications; - Ensuring compliance with firm risk management, quality assurance, and professional standards, maintaining accuracy, integrity, and confidentiality in all work performed. Qualifications - A minimum of three (3) years of experience in a professional services environment such as audit, consulting, or corporate finance, ideally with a focus on the valuation of illiquid investments. - An internationally recognised professional qualification in accounting/finance (ACA, CA, etc) is essential. - A valuation / finance focused qualification (CFA, ABV, CBV, etc), or progress towards obtaining one, would also be preferred. Requirements - Required Skills: Accepting Feedback, Active Listening, Analytical Thinking, Anti-Money Laundering (AML), Coaching and Training, Communication, Compliance Advisement, Compliance Oversight, Compliance Program Implementation, Compliance Risk Assessment, Confidential Information Handling, Contract Review, Contractual Risk Mitigation, Contractual Risk Monitoring, Contract Writing, Creativity, Crisis Management, Data Loss Prevention (DLP), Data Security, Discretion and Business Ethics, Embracing Change, Emotional Regulation, Empathy, Financial Risk Management, and more. Benefits - Available for Work Visa Sponsorship: Yes - Government Clearance Required: Yes