• Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes • Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle process • Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity • Consults with Physician Advisor to discuss medical necessity, length of stay, and appropriateness of care issues • Identify and manage concurrent and retroactive denials through communication with attending physicians, case management, multidisciplinary team, external physician resource group and payers • Appropriate and complete documentation of clinical review and denial management in the case management documentation system and in the billing system • Manages the concurrent denial process by referring to appropriate resource for concurrent and retrospective appeal activity process • Prepares and facilitates audits using appropriate screening tools and documentation • Accountable to job specific goals, objectives and dashboards which contribute to the success of the organization • Participates in organizational improvement activities including patient satisfaction, Six Sigma committee, department and/or divisional teams and community activities • Understands and applies applicable federal and state requirement • Identify and reports compliance issues as appropriate

Title: Fashion Category Manager, Apparel Location: New York City NY United States Full time This role sits within the US Fashion category management team and supports the strategy and growth of one of eBay's core businesses. The team is focused on developing strategies and driving category performance and buyer satisfaction. As a key contributor to category success, you will be accountable for growing our C2C seller portfolio. You will collaborate cross-functionally with Product, Marketing, Analytics and Global Business Unit partners, helping shape strategy, enhance the customer experience, and grow the category. What you will accomplish: - Shape and execute the Fashion category strategy by applying market insights and category expertise to drive sustainable growth - Build and optimize the assortment plan, balancing pricing, promotions, and selection to improve discoverability, increase GMV, and enhance buyer satisfaction in a competitive market - Develop and implement seller success plans to grow strategic accounts, strengthen long-term partnerships, and recruit new sellers to expand inventory - Partner with Product and the Global Business Unit to design and launch features that improve the buyer and seller experience, contributing to business requirements, ideation, and research validation - Collaborate with Marketing, Site Merchandising, PR, and Social teams to deliver integrated onsite and offsite campaigns that increase consideration, traffic, and conversion - Represent the Fashion category internally and externally, sharing insights and building engagement across communities What you will bring: - 3-5+ years of experience in, or a strong demonstrated passion for, the preloved Fashion industry - Ability to analyze data, extract key insights, and translate findings into clear, actionable recommendations - Strong written and verbal communication skills, including the ability to build clear and compelling presentations - Strategic thinking skills with a proactive, results-focused approach - Comfort working in a fast-paced online or e-commerce environment - Ability to build collaborative relationships with internal and external partners to achieve shared goals - Adaptability and agility when responding to changing priorities This role offers opportunities for professional growth and development within a collaborative, fast-moving environment! Additional Details The base pay range for this position is expected in the range below: $107,200 - $143,100 Base pay offered may vary depending on multiple individualized factors, including location, skills, and experience. The total compensation package for this position may also include other elements, including a target bonus and restricted stock units (as applicable) in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as PTO and parental leave). Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

Role Description Risk at Revolut operates across all functions, products, and regions to monitor front-line performance and ensure the business operates safely. They're among the first to be involved in new initiatives, from tech to customer support. We're looking for a Model Risk Manager with expertise in data and analytics to apply ML/AI techniques across a variety of business areas. You'll challenge and improve existing modelling processes to support growth, ensuring models drive business decisions and adhere to regulatory compliance standards. Up to shape what's next in finance? Let's get in touch. What you'll be doing - Providing senior management with key insights on material models - Identifying improvements to modelling processes and methodologies, and assigning reliable model risk ratings - Providing recommendations to model developers to keep incidences of adverse outcomes within the risk appetite - Embedding solid model risk management practices across the entire model lifecycle - Increasing leadership's understanding of model assumptions, limitations, outputs, and overlays using available multi-channel distribution tools Qualifications - 3+ years of experience validating and/or developing credit risk models - Expertise in validating and/or developing market, liquidity, or capital risk models - Familiarity with finance, treasury, FinCrime, and/or data science models - Knowledge of machine learning techniques - Proficiency in Python and SQL - Knowledge of model risk legislation and regulations in France or in another EU country - The ability to work well under pressure and communicate effectively with the key stakeholders Nice to have - Experience in banking or financial services, handling model risk findings with regulators and collaborating with internal audit teams - Familiarity with AI/ML model governance, explainability, or advanced analytics in financial services - Knowledge of cloud-based model deployment or monitoring solutions - Exposure to C/C++/Docker languages Important notice for candidates - Only apply through official Revolut channels. - We don't use any third-party services or platforms for our recruitment. - Always double-check the emails you receive. - Make sure all communications are being done through official Revolut emails, with an @revolut.com domain. - We won't ask for payment or personal financial information during the hiring process. - If anyone does ask you for this, it's a scam. Report it immediately.

Role Description At Revolut, Operations means problem-solving at scale. Our team tackles the company's toughest challenges with speed, precision, and creativity. They design systems that unlock efficiency and power global growth. We're looking for a forward-thinking Operations Manager to be at the forefront of managing our financial processes, driving efficiency, and enhancing control frameworks and how we conduct audits. What you'll be doing: - Leading initiatives to build out dashboards for monitoring financial performance and key metrics - Driving automation efforts to streamline finance processes and enhance operational efficiency - Identifying opportunities for continuous improvement, and implementing best practices across finance functions - Reducing time for integration of new initiatives into our finance ecosystem - Collaborating with external auditor analytics experts to ensure seamless audit processes - Facilitating the exchange of information and data analysis to support audit requirements - Ensuring compliance with audit standards and regulations, while also fostering a constructive relationship with auditors - Collaborating with Product Designers and Software Engineers to improve the usability and functionality of the accounting platform UI - Building new finance tools and working with Software Engineers to implement them Qualifications - Fluency in English and Spanish - A bachelor's degree in STEM, finance, or economics from a top university with a minimum 2:1 grade - 3+ years of project/change management experience in a Big 4 or similar fast-paced financial services environment, with a focus on data analytics, assurance, or process improvement - Proficiency in handling large, high-volume transaction datasets, with working knowledge of SQL - A proven track record of delivering outstanding results with quantifiable business outcomes - Excellent organisational skills with the ability to plan and execute work efficiently - A positive attitude with a willingness to tackle tasks ranging from manual processing to complex analytics projects - Exceptional project management skills Requirements - To be a Chartered Accountant (ACA or equivalent) with experience applying IFRS in a complex and regulated environment - Experience designing and implementing finance optimisation initiatives, including process optimisation and target operating model design - Expertise in managing the system development lifecycle, from requirements gathering to testing and go-live - Relevant programme management qualifications, such as Prince II or Lean Six Sigma certification - Familiarity with Python Important notice for candidates: - Only apply through official Revolut channels. - We don't use any third-party services or platforms for our recruitment. - Always double-check the emails you receive. - Make sure all communications are being done through official Revolut emails, with an @revolut.com domain. - We won't ask for payment or personal financial information during the hiring process. - If anyone does ask you for this, it's a scam. Report it immediately.