Role Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to review medical services with evidence-based criteria, authorize requested services as appropriate. Our Utilization Management RN will be responsible for referring questionable cases to medical directors to prevent unnecessary procedures, treatments, or prolonged hospital stays. Qualifications - Registered Nurse (RN) with current licensure in the state of Wisconsin. - 4 or more years of experience as a Registered Nurse in varied clinical settings (i.e., hospital, clinic, home care, skilled nursing facility, etc.). - 2 or more years of experience in Managed Care (i.e., Prior Authorization, Utilization Review). - Demonstrated experience managing and coordinating care effectively for case managed members. - Strong knowledge of current medical practices, medical coding, trends and patterns of care. - Familiarity with health plan operations, payer/provider relationships, and insurance benefits. - Strong diverse experience and expertise that includes: - The ability to work independently, manage a case load, and prioritization. - Excellent analytical, critical thinking, problem-solving skills and decision-making skills. - Excellent communication and interpersonal skills to work with members, providers, and teams. - Proficiency in Microsoft Office and healthcare software and systems. Requirements - Enjoy working with healthcare professionals to facilitate appropriate and quality services in a cost-effective manner to positively impact medical loss ratio. - Can work closely with Medical Directors to facilitate decision-making process for the Health Services department. - Have experience reviewing medical and behavioral health prior authorization requests for medical necessity and appropriateness of requested treatment according to medical policies and evidence-based criteria. - Have experience working closely with members of Health Services, and key contacts in Sales, Member Services, Claims, Provider Contracting, and Billing & Enrollment. - Can document case summaries and refer cases to Medical Director that do not meet internal or external guidelines, policies, or medical criteria. - Like to be accountable to monitor and maintain inventory in the Utilization Management queue to meet productivity standards. - Enjoy evaluating, analyzing, and reporting trends in utilization changes in all healthcare delivery areas. - Can make recommendations and implement changes consistent with Health Services objectives of quality care and reasonable cost. - Would enjoy identifying opportunities and provide recommendations to improve department processes. - Have identified legal or liability issues and refer potential ethical or risk management issues to the appropriate department for resolution. - Have participated in training new nursing staff on department workflows, policies, and procedures. - Can work cross functionally to support other departmental efforts to ensure overall efficiency, quality, productivity, and compliance with all departmental, regulatory and URAC standards. Preferred Qualifications - Bachelor’s degree in nursing (BSN). - Health insurance background in Point of Service (POS), Preferred Provider Organization (PPO), or Medicare Supplement plans. - Knowledge of Utilization Review Accreditation Commission (URAC). - Certified Managed Care Nurse (CMCN). - Technical experience with word processing, spreadsheets, and proficiency with electronic medical record (EMR) systems and/or other managed care software. Remote Work Requirements - High speed cable or fiber internet. - Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net ). Benefits - Remote and hybrid work options available. - Performance bonus and/or merit increase opportunities. - 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately). - Competitive paid time off. - Health insurance, dental insurance, and telehealth services start DAY 1. - Professional and Leadership Development Programs. - Review additional benefits: https://www.wpshealthsolutions.com/careers/ .

Role Description We're hiring our first dedicated QA Lead to own quality across Exein's two flagship products: the Analyzer platform and the Runtime platform. - Analyzer platform: point-in-time firmware, container, and SBOM security scanning, with CVE and compliance analysis. - Runtime platform: live threat detection ingesting telemetry from a fleet of on-device agents. Both products span the full stack: - Rust microservices - Next.js web apps - CLIs - Security agents running from the cloud to constrained embedded hardware. What's missing is someone to own the discipline end to end: to define the strategy, raise the bar, close the coverage gaps, and make release quality a signal the whole company can trust. This is a hands-on leadership role. You'll set the direction and write the automation. Over time, and with impact, it's the seed of a QA function you can grow. Qualifications - Several years in QA/test engineering, including ownership of test automation for a production software product. - Strong automation skills — comfortable reading and writing code, building test suites, and integrating them into CI/CD. - Hands-on experience testing both APIs/backends and web frontends. - A systems mindset — ability to reason about distributed services, event-driven architectures, and auth/multi-tenancy. - Fluency with modern test tooling (e.g. Playwright, Robot Framework, Cypress, BDD/Cucumber-style frameworks). - Ability to set direction independently in a fast-moving environment. - Excellent written communication — precise bug reports and clear rationale. - Experience with regression strategy for platforms with multiple interacting components. Requirements - Own the QA strategy across Analyzer and Runtime — define what "release-ready" means. - Build and extend automated test suites across the stack. - Prevent production incidents by systematically closing the gaps where they originate. - Build cross-cutting regression coverage. - Design test strategy for hard-to-test surfaces. - Make quality visible — drive metrics down (or up) over time. - Partner with engineering as the quality conscience of the release process. - Lay the foundation for a QA function — set standards, tooling, and playbooks. - Grow the Runtime Test Framework. Benefits - Real-world stakes — your work protects devices where a missed defect can have physical consequences. - Breadth you won't find elsewhere — testing across a range of systems most QA engineers never touch. - Real ownership — defining the quality bar for the whole company. - Serious engineering culture — Rust-first services, DDD, AI-assisted development, and strong CI/CD. - Fully remote, mission-driven team — building security from the core out. Company Description Exein exists to solve the security challenges of a world where physical and digital threats are no longer separate problems.

Role Description This is a role within a customer service/call center environment, focusing on evaluating agent performance and improving service quality. This is NOT a software testing or IT QA position. - Monitor and evaluate performance of agents specifically on product knowledge, accuracy, tone, compliance and adherence to company policies. - Conduct root cause analysis, case sharing and coaching of individuals, including providing timely feedback. - Analyze quality reports to identify performance trends and recurring issues or areas to improve or value-add. - Ensure standardizing of the internal quality monitoring system, scoring metrics/rubrics and proactively identify new ways to improve overall QA work. - Implement QA strategy with scalable processes/systems that efficiently monitor the accuracy and status of overall team performance. - Assist in developing and revamping of SOP and frameworks, including conducting regular calibration to ensure consistency and accuracy. - Collaborate and coordinate with different departments such as Operation, Training, HR to align initiatives and processes in ensuring efficiency and effectiveness. - Keep abreast with latest updates of the industry and product information, including emerging user concerns in order to update evaluation criteria. Qualifications - Minimally 2-3 years of experience in a customer service environment, i.e., a call center or BPO. - Excellent English and required languages communication skill and reading and writing proficiency is required. - Experience as a Quality Analyst responsible for supporting customers on email and chat channels is highly advantageous. - Prior knowledge in setting goals for continuous improvement of service quality standards and the level of client satisfaction; able to conduct root cause analysis. - Ideally but not limited to, a Bachelor’s degree in Business Administration, Finance/Economics, Communication, Data Science/Analytics. - Advantageous if you have working experience in the finance industries or BPO supporting financial clients. - Able to work under pressure and adapt to a fast-paced environment, show strong sense of responsibility and a passion for customer service management, work proactively with service mindset, strong problem solving and delivery skills. - No problem working on site and rotational shifts if necessary. Benefits - Study Growth Fund: We support your professional development and continuous learning. - Internal Events: Participate in regular team-building activities, workshops, and events designed to promote collaboration and innovation. - Global Collaboration: Be part of a diverse, international team, working alongside colleagues from around the world. - Career Advancement: Access opportunities for growth and advancement within a rapidly expanding global company. - Internal Mobility: Grow with us - Your long-term development is important to us. We offer internal job opportunities to help build your career path.

Role Description - Desenvolver e executar testes automatizados utilizando Playwright, aplicando o padrão Page Objects; - Realizar testes manuais e automatizados com autonomia e qualidade; - Executar testes de integração, regressão, aceitação, exploratórios e de usabilidade; - Validar APIs REST utilizando ferramentas como Postman, Insomnia, Apidog, Bruno ou Swagger; - Utilizar Git/GitHub para versionamento de código e participação em code reviews; - Atuar de forma ativa nas reuniões do time e nos encontros do chapter de QA; - Aplicar pensamento crítico na definição dos cenários de teste mais relevantes para o negócio; - Colaborar com o ciclo de CI/CD, integrando testes automatizados em pipelines (ex: GitHub Actions); - Garantir organização, manutenção e escalabilidade dos testes automatizados. Qualifications - Experiência com automação de testes utilizando Playwright, garantindo a escolha assertiva de seletores e a aplicação rigorosa do padrão Page Object para manutenção e escalabilidade do código; - Domínio na execução de testes manuais e automatizados; - Criar e executar testes robustos para APIs REST utilizando ferramentas como Postman, Swagger, Apidog, Bruno ou Insomnia; - Experiência com versionamento de código (Git/GitHub), participando ativamente de code reviews para garantir a qualidade técnica da suíte de testes; - Capacidade de gerenciar suas entregas com autonomia, garantindo entregas consistentes dentro dos prazos das sprints e ciclos de release; - Executar uma estratégia de testes abrangente, incluindo testes funcionais, de regressão, integração, exploratórios e de usabilidade; - Colaborar com o ciclo de CI/CD, integrando os testes automatizados em pipelines (GitHub Actions); - Aplicar pensamento crítico na priorização de cenários, identificando as funcionalidades de maior valor e criticidade para o negócio dentro da plataforma; - Perfil comunicativo, proativo, resiliente e com vontade de aprender continuamente. Requirements - Experiência com testes de regressão visual (ex: Percy) para garantir a integridade da UI; - Conhecimento em testes de carga/performance (ex: K6); - Experiência em validar a comunicação entre microsserviços para evitar quebras em produção; - Conhecimento em ambientes AWS e vivência em testes executados em ambientes efêmeros; - Experiência com ferramentas como LambdaTest (TestMu); - Familiaridade com PHP (Laravel), Vue ou Nuxt, facilitando a compreensão do código da aplicação e colaboração com os desenvolvedores; - Uso de inteligência artificial aplicada a testes (geração de scripts, massa de dados ou análise de dados); - Experiência com JIRA para gestão de tarefas. Benefits - 💪🏽 TotalPass\Wellhub; - 👨🏾‍🤝‍👩🏽‍🤝‍👩🏼 Seguro de vida em grupo; - 🍕🛒 Vale Refeição/ Alimentação; - 🏨 Plano de saúde e odontológico - Bradesco; - 💻 Ações de treinamento: palestras, fóruns, trocas e conversas de conhecimentos relativos ao nosso negócio. Estamos em constante conexão para aprender mais e juntos; - 👉 Programa +MJVer: programa interno de indicação onde você indica um colega para trabalhar conosco e se esse relacionamento der match, você ganha um prêmio; - 💲 Parcerias: quer desconto? Temos um grupo no Workplace onde divulgamos parcerias com instituições de ensino, escolas de idiomas, academias, restaurantes, produtos e outros serviços;