Sales Specialist, AI Solutions

by Irma Moore | Dec 2, 2024 | Uncategorized

The Sales Executive, AI Solutions promotes and sells Practical Law and CoCounsel solutions to new acquisitions through outbound telephone calls to new law firm customers within an assigned territory. You will be expected to meet/exceed sales and telephone activity target objectives as established. Additionally, the Sales Executive will be expected to meet/exceed a defined sales quota target targeting new customers.

This position supports the efforts of the Small Law Firm organization within Thomson Reuters Legal by growing our Practical Law Solutions footprint. You’ll be expected to manage inbound leads, prospect for new opportunities and consistently apply superior salesmanship to win competitive opportunities. This position calls for a high level of consultative and solution based selling.

About the Role:

In this opportunity as a Sales Executive, AI Solutions you will:

• Focus daily effort selling to Small Law customers that are new subscribers within one to ten attorney size firms within an assigned territory
• Achieve and exceed company and personal sales and telephone activity goals through negotiations and product offering within set parameters
• Gather and log all call information, sale orders, and profile activity within Salesforce, Thomson Reuters CRM system, correctly and accurately, ensuring proper marketing sources are credited appropriately
• Individually manage In-bound trial request leads and territory assignments
• Develop and deliver accurate sales forecasts
• Assume other responsibilities as required or requested by Inside Sales Management

Relationship Management:

• Build, maintain and enhance client’s experience through consultative conversation while asking leading questions and offering superior product knowledge coupled with excellent customer service
• Work with organizations (Order Fulfillment, Credit, Customer Service, etc.) throughout Thomson Reuters to ensure customer accounts are handled efficiently and accurately and customer issues are resolved in a timely manner
• Actively contribute to and works responsibly in a team environment, including collaborating with Field Sales Reps and Full Inside Sales Executives (SE) Reps 
• Obtain customer and competitive information during daily contacts and distribute as appropriate so as to develop sales strategies
• Maintain a working knowledge of company products, special sales programs and marketing efforts within the sales division
• Actively participate in meetings, training sessions and individual professional development and skill building

About You:

You’re a fit for the Sales Executive, AI Solutions if your background includes:

• Minimum of 2 years successful sales quota attainment experience
• College Degree in business, sales or related field strongly preferred
• Experience in prospecting/cold calling environment required.
• Strong organizational and time management skills coupled with the ability to embrace change
• Pipeline management skills in the CRM environment required – Salesforce.com experience strongly preferred
• Proficient in Microsoft Office applications; including ability to demonstrate online products using web-based tools (WebEx, GLANCE, Oovoo, Skype, etc.) via telephone
• Excellent verbal and written communication skills
• Ability to negotiate products, solutions and price with customers
• Demonstrated knowledge of proper telephone etiquette and professional attitude and integrity
• Legal industry knowledge or experience, a plus

#LI-AY1

What’s in it For You?

You will join our inclusive culture of world-class talent, where we are committed to your personal and professional growth through:

• Wellbeing: Comprehensive benefit plans; flexible and supportive benefits for work-life balance: flexible vacation, two company-wide Mental Health Days Off; work from another location for up to a total of 8 weeks in a year, 4 of those weeks can be out of the country and the remaining in the country, Headspace app subscription; retirement, savings, tuition reimbursement, and employee incentive programs; resources for mental, physical, and financial wellbeing.
• Culture: Globally recognized and award-winning reputation for equality, diversity and inclusion, flexibility, work-life balance, and more.
• Learning & Development: LinkedIn Learning access; internal Talent Marketplace with opportunities to work on projects cross-company; Ten Thousand Coffees Thomson Reuters café networking.
• Social Impact: Ten employee-driven Business Resource Groups; two paid volunteer days annually; Environmental, Social and Governance (ESG) initiatives for local and global impact.
• Purpose Driven Work: We have a superpower that we’ve never talked about with as much pride as we should – we are one of the only companies on the planet that helps its customers pursue justice, truth and transparency. Together, with the professionals and institutions we serve, we help uphold the rule of law, turn the wheels of commerce, catch bad actors, report the facts, and provide trusted, unbiased information to people all over the world.

In the United States, Thomson Reuters offers a comprehensive benefits package to our employees. Our benefit package includes market competitive health, dental, vision, disability, and life insurance programs, as well as a competitive 401k plan with company match. In addition, Thomson Reuters offers market leading work life benefits with competitive vacation, sick and safe paid time off, paid holidays (including two company mental health days off), parental leave, sabbatical leave. These benefits meet or exceeds the requirements of paid time off in accordance with any applicable state or municipal laws. Finally, Thomson Reuters offers the following additional benefits: optional hospital, accident and sickness insurance paid 100% by the employee; optional life and AD&D insurance paid 100% by the employee; Flexible Spending and Health Savings Accounts; fitness reimbursement; access to Employee Assistance Program; Group Legal Identity Theft Protection benefit paid 100% by employee; access to 529 Plan; commuter benefits; Adoption & Surrogacy Assistance; Tuition Reimbursement; and access to Employee Stock Purchase Plan.Thomson Reuters complies with local laws that require upfront disclosure of the expected pay range for a position. The location(s) for this role include one or more of the following metro locations: Los Angeles, New York City, San Francisco, Washington, DC. The target total cash compensation range for the role in any of those locations is $161,700 – $300,300. The location(s) for this role include one or more of the following states: CA, CO, CT, IL, NV, TX, WA and/or remote. The target total cash compensation range for the role in any of those locations is $147,000 – $273,000. The target total cash compensation range in other locations may vary. This is inclusive of both base pay and any target sales incentive. Pay is positioned within the range based on several factors including an individual’s knowledge, skills and experience with consideration given to internal equity. Base pay and any target sales incentive are part of a comprehensive Total Reward program which also includes flexible and supportive benefits and other wellbeing programs.This job posting will close 12/31/2024.

Do you want to be part of a team helping re-invent the way knowledge professionals work? How about a team that works every day to create a more transparent, just and inclusive future? At Thomson Reuters, we’ve been doing just that for almost 160 years. Our industry-leading products and services include highly specialized information-enabled software and tools for legal, tax, accounting and compliance professionals combined with the world’s most global news services – Reuters. We help these professionals do their jobs better, creating more time for them to focus on the things that matter most: advising, advocating, negotiating, governing and informing.

We are powered by the talents of 26,000 employees across more than 70 countries, where everyone has a chance to contribute and grow professionally in flexible work environments that celebrate diversity and inclusion. At a time when objectivity, accuracy, fairness and transparency are under attack, we consider it our duty to pursue them. Sound exciting? Join us and help shape the industries that move society forward. 

Accessibility 

As a global business, we rely on diversity of culture and thought to deliver on our goals. To ensure we can do that, we seek talented, qualified employees in all our operations around the world regardless of race, color, sex/gender, including pregnancy, gender identity and expression, national origin, religion, sexual orientation, disability, age, marital status, citizen status, veteran status, or any other protected classification under applicable law. Thomson Reuters is proud to be an Equal Employment Opportunity/Affirmative Action Employer providing a drug-free workplace.

We also make reasonable accommodations for qualified individuals with disabilities and for sincerely held religious beliefs in accordance with applicable law.

Pharmacy Prior Authorization Coordinator I

by Irma Moore | Dec 2, 2024 | Uncategorized

Overview

Work ShiftSwing Shift (United States of America)

Sentara Health is currently recruiting for a Full-Time, Remote

Pharmacy Prior Authorization Coordinator in Richmond or Tidewater, VA area.

Under the direct supervision of a Pharmacy Team Coordinator, the pharmacy prior authorization coordinator (PAC) is responsible for supporting the Pharmacy Department’s day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial).

This position handles member/provider requests/inquiries regarding pharmacy benefits, prior authorizations, or claim resolution. The PAC also uses the pharmacy computer system to facilitate prior authorizations and participate in patient/provider/customer care activities that do not require the expertise of a pharmacist.  The position will be an internal resource interfacing with members, providers, and internal departments’ personnel to resolve pharmacy claims and prior authorization issues.

Job Requirements

• High School Grad or Equivalent
• Certified Pharmacy Technician (CPhT)
• NHA Pharmacy Technician Certification (CPhT)
• Pharmacy Technician 1 year required
• Pharmacy Call Center or Authorization experience preferred
• Managed Care, Health Plan or PBM experience preferred
• State Registration required based on location, VA or NC

Benefits:  Sentara offers an attractive array of full-time benefits including Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Sentara recognizes our employees by offering:

• Comprehensive health care plans
• Generous paid annual leave
• 401a/401k/403b plan
• Long and short-term disability
• Tuition Reimbursement
• Flex spending and life insurance
• You can expect employee recognition, performance rewards, plus countless services and programs to enhance work/life balance

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity.   Join a team that has a mission to improve health every day, join the Sentara Team! 

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and

growth.

keywords:  pharmacy technician, managed care, health plan, Indeed, Monster

Job SummaryUnder the direct supervision of a Pharmacy Team Coordinator, the pharmacy prior authorization coordinator (PAC) is responsible for supporting the Pharmacy Department’s day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial). At a minimum, the PAC provides knowledgeable and courteous customer service and response to members and providers. This position handles member/provider requests/inquiries regarding pharmacy benefits, prior authorizations, or claim resolution. The PAC also uses the pharmacy computer system to facilitate prior authorizations and participate in patient/provider/customer care activities that do not require the expertise of a pharmacist. This position will be an internal resource interfacing with members, providers, and internal departments’ personnel to resolve pharmacy claims and prior authorization issues.The Pharmacy Prior Authorization Coordinator will be able to accept ownership for effectively solving member or provider issues, complaints, and inquiries, keeping member satisfaction at the core of every decision and behavior.

Qualifications:HS – High School Grad or EquivalentCertified Pharmacy Technician (CPhT) – Certifications – Pharmacy Technician Certification Board (PTCB), Pharmacy Technician Certification (CPhT) – Certification – National Healthcareer Association (NHA)Call Center, Managed Care, Pharmacy Technician

SkillsActive Learning, Active Listening, Communication, Learning Strategies, Microsoft Office, Monitoring, Quality Control Analysis, Reading Comprehension, Service Orientation, Time Management

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

Senior Security Engineer

by Irma Moore | Dec 2, 2024 | Uncategorized

About the Company

CertiK is a pioneer in blockchain security, leveraging best-in-class AI technology to protect and monitor blockchain protocols and smart contracts. Founded in 2018 by professors from Yale University and Columbia University, CertiK’s mission is to secure the web3 world. CertiK applies cutting-edge innovations from academia to enterprise, enabling mission-critical applications to scale with safety and correctness.

Investors = Insight Partners, Sequoia, Tiger Global, Coatue Management, Lightspeed, Advent International, SoftBank, Hillhouse Capital, Goldman Sachs, Coinbase Ventures, Binance, Shunwei Capital, IDG Capital, Wing, Legend Star, Danhua Capital and other investors.

About the Role

The primary responsibility of this role is for CertiK’s security-related services. Intersecting cybersecurity and blockchain, CertiK’s security offerings include security consulting, security reviews, security auditing of smart contracts and blockchains, verification of smart contracts, penetration testing, and more. 

Responsibilities

• Design/implement robust security solutions, monitor security threats & safeguard sensitive data to ensure security of CertiK’s networks/systems
• Research/develop tools to detect smart contracts security vulnerabilities & enhance audit productivity using formal verification/static analysis/fuzzing methods
• Establish/enforce security policies, manage security vulnerabilities & responses to incidents
• Review source code/security design, conduct threat modeling & provide direct guidance to software development teams
• Create Blockchain security vulnerability database based on common attack vectors/historical hacks
• Analyze abnormal transactions, explore possible impacts on Blockchain projects (DeFi ecosystems) & build corresponding detectors
• Conduct penetration tests on web/mobile (Android & iOS) & perform external/internal network security assessment
• Monitor security breaches, defend systems from cyberattacks & provide technical consulting services in cybersecurity

Requirements

• MS in Security Informatics/Cybersecurity or a related field
• In-depth knowledge of solidity/smart contract/Blockchain technology
• Expertise in binary, threat modeling & security review for programs written in Solidity/JavaScript/Python/C/C++/PHP/Go/Rust
• Familiar with cloud platforms (AWS/Azure/GCP)
• Advanced development/scripting skills in Python/JavaScript

Compensation

Target annual salary for this role performed in the US is $120,000 – $190,000. The exact compensation at which this job is filled will be determined by the skills and experience of qualified candidates.

#LI-Remote

#blockchain

#startups

#hiring

CertiK accepts applications for this position on an ongoing basis.

CertiK is proud to offer medical, vision, and dental insurance, 401(k) plan with company matching, life and accidental death and dismemberment insurance, HSA (with high deductible plan), FSA, and other benefits to all full-time employees, along with flexible paid time off and holidays. CertiK also offers a variable commission program for business development sales roles.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.

CertiK is proud to be an equal opportunity employer. We will not discriminate against any applicant or employee on the basis of age, race, color, creed, religion, sex, sexual orientation, gender, gender identity or expression, medical condition, national origin, ancestry, citizenship, marital status or civil partnership/union status, physical or mental disability, pregnancy, childbirth, genetic information, military and veteran status, or any other basis prohibited by applicable federal, state or local law.

CertiK will consider for employment qualified applicants with criminal histories in a manner consistent with local and federal requirements.

Coding Quality Analyst – National Remote

by Irma Moore | Dec 2, 2024 | Uncategorized

Opportunities with Episource, part of the Optum family of businesses. Join a premier provider of risk adjustment services, software and solutions that’s fueling innovation in the health care industry. Start a rewarding career where your work will empower health plans and medical groups with comprehensive end-to-end solutions designed to navigate health care efficiently. Our culture is rooted in innovation, encouraging our team to stay curious and engaged. By joining us, you become part of a global, remote/hybrid-friendly team dedicated to bridging health care gaps with a strong sense of social responsibility. At Episource, we are enriching lives, including those of our team members through Caring. Connecting. Growing together.

An Coding Quality Analyst serves as a resource to others while performing peer-to-peer overreads on a daily basis. This role will have assignments of projects where deadlines and scope shift frequently. Coding Quality Analyst oversees the quality of main-line coding practices under the direction of their respective manager.

This position is full-time (40 hours / week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours during training will be 8:00am – 5:00pm, Monday – Friday.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

•  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
• Accurately read and analyze CMS as well as client specific coding guidelines
• Responsible for peer-to-peer and vendor over-reads
• Responsible for reviewing medical records previously coded by peer to determine and ensure accuracy, completeness, specificity, and appropriateness of diagnosis codes based on documentation in accordance with established CMS and client-specific guidelines for MRA and ACA coding.
• Prepares and presents written feedback to coding staff and upper management
• Current working knowledge of ICD-10-CM, CPT, HCPCS coding.
• Maintain accurate knowledge of coding compliance and reimbursement procedures related to top Medicare Risk Adjustment HCC’s.
• Requires a strong knowledge of diagnostic coding and HCC documentation requirements.
• Semi-flexible schedule with requirement of 40-hour work week.
• Support and participate in process and quality improvement initiatives, implementation/execution. You are good at organizing and managing multiple priorities and or projects by using appropriate methodologies and tools.
• Problem solving, you are a problem solver with the ability to encourage others in collaborative problem solving.
• Methodical and detail-oriented.
• Requires strong ability to work independently with minimum supervision, excellent reliability, positive attitude, and demonstrated ability to work timely and effectively under strict deadlines.
• Requires an individual to maintain the ability to work in an environment with PHI / PII data.
• May be assigned other duties.
• Must maintain compliance with all company policies and procedures.

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:

• High School Diploma / GED
• Certification from either AAPC and/or AHIMA (CPC, CCS, CRC or CPMA)
• Must be 18 years of age OR older
• 3+ years of HCC/Risk Adjustment coding experience
• 1+ year of coder-based auditing experience
• Knowledge of coding industry standards and practices
• Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management)
• Computer proficiency with direct messaging applications (Microsoft Teams, Webex, etc.)
• Ability to train for the first 4 weeks between Monday – Friday, 08:00AM – 05:00PM and then candidate can work flexible shift after.
• Ability to work full-time including the flexibility to work occasional overtime given the business need

Preferred Qualifications:

• Experience with peer-to-peer reviews

Telecommuting Requirements: 

• Ability to keep all company sensitive documents secure (if applicable) 
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy. 
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. 

Soft Skills:

• Excellent Verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Ability and skill to maintain strong relationships with multiple stakeholders
• Ability to communicate with different professional levels
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
• Ability to work independently and carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
• High level of ethics, integrity, discretion, and confidentiality.
• Knowledge of customer specifications.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C., Maryland Residents Only: The hourly range for this is $23.22 – $45.43 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Ansible Developer (Remote – 1 year contract)

by Irma Moore | Dec 2, 2024 | Uncategorized

Who is Trace3?

Trace3 is a leading Transformative IT Authority, providing unique technology solutions and consulting services to our clients. Equipped with elite engineering and dynamic innovation, we empower IT executives and their organizations to achieve competitive advantage through a process of Integrate, Automate, Innovate.

Our culture at Trace3 embodies the spirit of a startup with the advantage of a scalable business. Employees can grow their career and have fun while doing it!

Trace3 is headquartered in Irvine, California. We employ more than 1,200 people all over the United States. Our major field office locations include Denver, Indianapolis, Grand Rapids, Lexington, Los Angeles, Louisville, Texas, San Francisco.  

Ready to discover the possibilities that live in technology?

Come Join Us!

Street-Smart – Thriving in Dynamic Times

We are flexible and resilient in a fast-changing environment. We continuously innovate and drive constructive change while keeping a focus on the “big picture.” We exercise sound business judgment in making high-quality decisions in a timely and cost-effective manner. We are highly creative and can dig deep within ourselves to find positive solutions to different problems.

Juice – The “Stuff” it takes to be a Needle Mover

We get things done and drive results. We lead without a title, empowering others through a can-do attitude. We look forward to the goal, mentally mapping out every checkpoint on the pathway to success, and visualizing what the final destination looks and feels like.

Teamwork – Humble, Hungry and Smart

We are humble individuals who understand how our job impacts the company’s mission. We treat others with respect, admit mistakes, give credit where it’s due and demonstrate transparency. We “bring the weather” by exhibiting positive leadership and solution-focused thinking. We hug people in their trials, struggles, and failures – not just their success. We appreciate the individuality of the people around us.

Position Overview

We are looking for two experienced Ansible Developers for a 1-year contract starting in January 2024. These resources will focus on designing, implementing, and maintaining automation solutions for a large-scale infrastructure. The ideal candidates will have expertise in Ansible development, with prior experience working on OpenShift within a Kubernetes-based platform. While the automation being developed is not microservices-based, familiarity with such environments is a plus. 

*Please note, this is a contract position through Trace3*

Key Responsibilities

• Develop, test, and maintain Ansible playbooks, roles, and modules for infrastructure automation.
• Collaborate with cross-functional teams to define automation requirements and implement effective solutions.
• Optimize existing Ansible-based solutions for performance and scalability.
• Integrate Ansible with OpenShift and Kubernetes platforms for enhanced automation.
• Provide detailed documentation for Ansible scripts, workflows, and processes.
• Troubleshoot and resolve issues in Ansible scripts and automation workflows.
• Develop and manage Windows-based Ansible solutions as needed.
• Contribute to CI/CD pipeline integration and automation initiatives.

Required Qualifications

• Proven experience with Ansible development, including writing custom playbooks, roles, and modules.
• Strong understanding of OpenShift and Kubernetes platforms.
• Proficiency in scripting languages such as Python or Bash.
• Experience with infrastructure-as-code principles and tools.
• Familiarity with Windows-based Ansible development 
• Hands-on experience with CI/CD pipelines and automation workflows.
• Excellent problem-solving and debugging skills.
• Strong communication and collaboration abilities.

Actual salary will be based on a variety of factors, including location, experience, skill set, performance, licensure and certification, and business needs. The range for this position in other geographic locations may differ. Certain positions may also be eligible for variable incentive compensation, such as bonuses or commissions, that is not included in the base salary.

Estimated Pay Range

$70 – $75 USD

The Perks:

• Comprehensive medical, dental and vision plans for you and your dependents
• 401(k) Retirement Plan with Employer Match, 529 College Savings Plan, Health Savings Account, Life Insurance, and Long-Term Disability
• Competitive Compensation
• Training and development programs
• Stocked kitchen with snacks and beverages
• Collaborative and cool culture
• Work-life balance and generous paid time off