by Kay Tay | Jan 10, 2024 | Uncategorized
Become a Part of the NIKE, Inc. Team
Telecommuting is available from anywhere in the U.S., except from AK, AL, AR, DE, HI, IA, ID, IN, KS, KY, LA, MT, ND, NE, NH, NM, NV, OH, OK, RI, SD, VT, WV, and WY.
NIKE, Inc. does more than outfit the world’s best athletes. It is a place to explore potential, obliterate boundaries and push out the edges of what can be. The company looks for people who can grow, think, dream and create. Its culture thrives by embracing diversity and rewarding imagination. The brand seeks achievers, leaders and visionaries. At NIKE, Inc. it’s about each person bringing skills and passion to a challenging and constantly evolving game.
NIKE, Inc. knows how to sell sneakers. And apparel. And just about everything an athlete could need. The Nike Sales teams are the front line for getting these products into customer hands. Through sustained relationships with wholesale partners around the world — from a specialty store in Rome to a department store in midtown Manhattan — Nike Sales delivers the products, experiences and brand stories that define the brand. Nike’s success begins with the best sales team in the industry, one that deeply appreciates the consumer, the marketplace, and the products.
Manager Personalization–Nike Inc., Beaverton, OR. Develop the global capability strategy for marketing use cases across Nike’s digital platforms to create engaging, personalized, and rewarding experiences for customers. Collaborate and advocate cross-functionally to plan and implement marketing capability requests, with associated business outcomes, for roadmap placement. Perform capability feature planning for the strategic guidance of how to operationalize marketing content to leverage the new capabilities, execute test, and learn capability programs to pilot and scale. Manage marketing programs for owned platforms or channels, product marketing, and app store marketing. Ingest multiple data sources across consumer research, testing, and business inputs, and develop recommended action. Effectively communicate marketing personalization strategy, requirements, and capabilities, and drive progress with partners across the matrix. Consistently deliver impact and strong cross-functional partnerships. Document and review marketing requirements, and identify and advocate for critical gaps in functionality and roadmap prioritization. Telecommuting is available from anywhere in the U.S., except from AK, AL, AR, DE, HI, IA, ID, IN, KS, KY, LA, MT, ND, NE, NH, NM, NV, OH, OK, RI, SD, VT, WV, and WY.
Applicant must have a Bachelor’s degree in Marketing, Business Administration, or Information and Communication Technologies and 5 years of progressive post-baccalaureate experience in the job offered or a marketing-related occupation. Experience must include:
1. Program management;
2. Data analysis;
3. Capability strategy development;
4. Retail, digital, and brand marketing;
5. Marketing planning in an omni-channel environment;
6. Consumer sentiment analysis;
7. Competitive analysis;
8. Market research; and
9. Content and campaign strategy development. APPLY HERE
by Kay Tay | Jan 10, 2024 | Uncategorized
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary:
This is a remote position that can sit anywhere in the United States.
Aetna’s Medicaid Proposal Graphic Designer supports the business by recommending appropriate actions, strategies and/or alternatives to meet business needs. The Graphic Designer will transform written proposal content into persuasive graphics that align with Aetna’s brand standards. The Graphic Designer has responsibility for leading/managing all graphic development aspects of Aetna Better Health proposals. The Graphic Designer ensures the end state of the proposal project meets business objective(s), is fully compliant with RFP requirements, and that all deliverables and due dates are met.
The Graphic Designer will engage in a highly collaborative process often requiring the management of relationships across the segments or multiple functional areas.
The right candidate for this role will demonstrate the following aptitudes:
– Understand the fundamental principles of graphic design and can adhere to strict brand requirements, applying it consistently
– Facilitate ideation of graphics with content developers and SMEs to translate narrative into compelling, audience-focused graphics
– Excellent attention to detail
– Ability to multi-task, work efficiently, and within an organized manner
– Curious, self-motivated problem solver who actively seeks to expand knowledge base
– Relationship building with fellow colleagues from the executive suite to individual contributors
– Effective communication approach that informs and aligns team members around a common vision
– Will professionally handle constructive criticism
– Willingness to work nights and weekends during active proposal development timeframes as necessary to meet deadlines
Required Qualifications:
– 5+ years of experience creating compelling, audience-aware visuals
– Intermediate to advanced knowledge of Microsoft Office, including Word, PowerPoint and Excel
– Intermediate to advanced knowledge of Adobe Creative Suite (InDesign, Illustrator, Photoshop)
– Proven facilitation skills
– Strong time management, planning, and coordination skills
– Ability to work independently to produce high quality results that meet needs of internal and external customer expectations under tight timeframes
– Strong team collaboration skills, including SMEs and other contributors, writing team, and production team
– Ability to adapt to rapidly changing priorities through the identification and execution on creative solutions
– Ability to communicate effectively with all levels of management
– Able to work evenings and weekends as proposal schedule requires
Preferred Qualifications:
– Experience developing graphics-focused competitive analyses
– Developing executive presentation decks
– Managed care operations experience
***Qualified applicants please submit resume & design portfolio/examples of your design work.
Education:
Bachelor’s degree or equivalent experience
Pay Range
The typical pay range for this role is:
$79,200.00 – $174,200.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. APPLY HERE
by Kay Tay | Jan 10, 2024 | Uncategorized
We’re revolutionizing the fitness & wellness industry, and we’re looking for talented people to help us do it. Mindbody + ClassPass bring together the best of both sides of the market: Mindbody is the industry’s most trusted all-in-one technology platform; ClassPass is one of the most popular apps for fitness & self-care enthusiasts. Together we’re partnering with more than 70,000 fitness studios, gyms, salons, and spas around the world. We’re not just another tech company—we’re far and away the leader of our industry. So join the team, work with mission-led people, and enjoy amazing benefits. Let’s see what we can accomplish together!
Who we are
Collaboration is the core of our Product, Design, and Research teams. We partner with Engineering to develop seamless, efficient, best-in-class products that power the Mindbody platform. We help our customers run and scale their businesses at every interaction, from scheduling to point of sale to client booking and more. We innovate so our customers can grow.
About the right team member
You will lead design strategy and drive impact across a portfolio of product groups that will help our customers grow their business. This includes CRM and marketing, new customer onboarding, generative AI solutions, and third-party integrations. This role collaborates across departments to ensure our experiences are best in class, requiring someone with passionate leadership, a sharp eye for design, and ability to lead a team towards a long-term vision. Working at Mindbody, your leadership and design vision will have a tangible impact on the growth of businesses across the wellness space.
About the role
- Grow, mentor, and lead a team of product designers, guiding your team through complexity and ambiguity.
- Ability to roll up your sleeves and dive into the work, being a hands-on leader through complicated projects.
- Co-create roadmaps that help our customers grow their business and obtain new clients.
- Build strong thought partnership with cross-functional stakeholders to establish a shared vision, strategy, roadmaps, metrics, and goals.
- Keep a high bar – being the champion for product and design excellence.
- Contribute to the operations of growing design organization.
Skills & experience
- 6-8 years of experience in product design with 2+ years managing designers
- Experience in B2B software design, growth and marketing tools a plus
- Portfolio with case studies demonstrating your principles, methodologies, and approach
- Strong customer advocacy with a penchant for data and business-informed design
- Strong design craft, an expert in Figma and modern design standards
- Exemplary critical thinking and creative problem solving
Pay transparency
It is Mindbody’s intent to pay all Team Members competitive wages and salaries that are motivational, fair and equitable. The goal of Mindbody’s compensation program is to be transparent, attract potential employees, meet the needs of all current employees, and encourage Team Members to stay with our organization.
Actual compensation packages are based on several factors that are unique to each candidate, including but not limited to skill set, depth of experience, certifications, and specific work location.
The base salary range for this position in the United States is $161,000 to $242,000. The total compensation package for this position may also include performance bonus, benefits and/or other applicable incentive compensation plans.
Have we piqued your curiosity?
Sound like the role for you? We’d love to hear from you! Even if you’re not 100% sure about potential fit, we still encourage you to apply. We’re looking for the right person, not the perfect series of checkboxes. APPLY HERE
by Kay Tay | Jan 10, 2024 | Uncategorized
This is a fully remote opportunity in OH. Note, quarterly/ad-hoc on-site requirement in Brooklyn, OH.
Responsibilities
Clinical Auditor
Working under general supervision, audits complex outpatient, inpatient and professional claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes provider billing for abnormalities, questionable billing practices and proper coding combinations from a clinical and coding perspective and documents denial reasoning or erroneous activity.
· Audits outpatient, inpatient and professional claims from a clinical and coding perspective applying coding guidelines and edits. Assesses for inappropriate billing combinations, inherent charges, provider supporting documentation, etc.
· Documents audit results including denial reasons, erroneous activities, etc. and updates systems accordingly.
· Maintains knowledge in coding and billing guidelines and trends.
· Reviews provider appeals applying coding guidelines or edits.
· Identifies edits to adjudication system that are not working properly or need to be installed so claims can be processed. Works with more senior levels to implement changes.
· Interacts with internal or external auditors or vendors on claim coding updates, procedure changes, etc.
· Discusses consult findings with Physician Reviewers and reviews edit updates and questions with payment recovery staff.
· Performs other duties as assigned.
Senior Clinical Auditor
Working under limited supervision, audits typically more complex outpatient, inpatient and professional claim irregularities, overpayments and provider appeals from a clinical coding perspective, applying coding guidelines. Analyzes provider billing for abnormalities, questionable billing practices and proper coding combinations from a clinical and coding perspective and documents denial reasoning or erroneous activity.
· Audits outpatient, inpatient and professional claims from a clinical and coding perspective applying coding guidelines and edits. Assesses for inappropriate billing combinations, inherent charges, provider supporting documentation, etc.
· Documents audit results including denial reasons, erroneous activities, etc. and updates systems accordingly.
· Identifies additional opportunities for recovery and avoidance. Researches opportunities to better control medical spending and presents ideas to management.
· Researches and maintains knowledge in coding and billing guidelines and trends. Participates in implementation of new or updated policies and processes.
· Reviews provider appeals applying coding guidelines or edits.
· Identifies edits to adjudication system that are not working properly or need to be installed so claims can be processed. Works with lead or manager to implement changes.
· Orients, trains, assists and reviews work of more junior level staff.
· Interacts with internal or external auditors or vendors on claim coding updates, procedure changes, etc.
· Discusses consult findings with Physician Reviewers and reviews edit updates and questions with payment recovery staff.
· Performs other duties as assigned.
Qualifications
Clinical Auditor
· Graduate of a registered nursing program approved by the Ohio State Nursing Board. Bachelor’s degree preferred.
· In lieu of RN, Bachelor of Science in medical related field.
· 3 years as a Clinical Auditor or equivalent combination of clinical and medical auditing experience.
· Certified Medical Auditor (if not certified required to obtain within 18 months of hire).
· Certified Coder preferred.
· Knowledge of ICD codes.
· Knowledge of procedure codes.
· Knowledge of Revenue Codes, HCPC Codes and CPT codes.
· Knowledge of industry standard billing rules and regulations for professional claims billing, outpatient claims billing and inpatient claims billing.
· Knowledge of insurance regulations.
· Knowledge of coding and auditing techniques.
· Good written communication skills.
· Intermediate Microsoft Office and claims adjudications systems skills.
Senior Clinical Auditor
· Graduate of a registered nursing program approved by the Ohio State Nursing Board. Bachelor’s degree preferred.
· In lieu of RN, Bachelor of Science in medical related field.
· 5 years as a Clinical Auditor or equivalent combination of clinical and medical auditing experience.
· Certified Medical Auditor (if not certified required to obtain within 18 months of hire).
· Certified Coder preferred.
· Strong knowledge of ICD codes.
· Strong knowledge of procedure codes.
· Strong knowledge of Revenue Codes, HCPC Codes and CPT codes.
· Strong knowledge of industry standard billing rules and regulations for professional claims billing, outpatient claims billing and inpatient claims billing.
· Strong knowledge of insurance regulations.
· Strong knowledge of coding and auditing technique.
· Strong written communication skills.
· Intermediate to advanced Microsoft Office and claims adjudications systems skills.
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That’s why we offer an exceptional package that includes:
A Great Place to Work:
- Top Workplace in Northeast Ohio. Year after year we’ve received this recognition!
- On-site wellness center at most locations. Enjoy personal trainers, locker room, weight room, elliptical machines, and a variety of classes!
- On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
- Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
- Business Casual attire
Excellent Benefits and Compensation:
- Competitive compensation plans
- Employee bonus program
- 401(k) with company match and an additional company contribution
- Excellent medical, dental, vision, and disability insurance
An Investment in You:
- Career development programs and classes
- Mentoring and coaching to help you advance
- Education reimbursement up to $5K per year
About Medical Mutual:
We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We’re the largest health insurer in Ohio and for over 85 years, we’ve been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in Brooklyn, OH and we have multiple offices throughout the state. Join us at one near you! APPLY HERE
by Kay Tay | Jan 10, 2024 | Uncategorized
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
The Senior Analyst, Network Client Pricing is part of a broader team responsible for providing subject matter expertise and support in client pricing implementations. They have accountability for pricing setups across Employer, Health Plan and Government business segments. The position will be expected to collaborate closely with internal (Account Management, IT, Implementations, Benefits, CVS Health Senior Leaders, etc.) and may also periodically work with external business partners (clients). This role will also be accountable to support future product and pricing projects including new technologies and testing support. In addition, this person will play a pivotal role in any client pricing audit inquiries as well as participate in process improvement initiatives. Detail-orientation, accountability, and judgment are essential given the scope and nature of the role. As the work ebbs and flows, this person may be directed to support broader activities in the team.
Required Qualifications
- 5+ years PBM or Health Care industry experience
- Strong interpersonal skills as demonstrated by successful collaboration to achieve common and shared goals
- Strong time management skills, evidenced by experience being accountable to multiple deliverables on staggered deadlines
- Demonstrated proficiency in Microsoft Excel, PowerPoint, Word and Outlook
- Strong communication skills in both formal and informal written communications and speech
Preferred Qualifications
- Bachelors Degree in healthcare, business or related field
- Six Sigma yellow, green or black belt certification
- 8+ years PBM or Health Care industry experience
- Knowledge of CVS Caremark network programs and procedures, including knowledge of retail pharmacy operations and claims adjudication proficiency
- Intermediate to advanced Microsoft Access database experience
- Demonstrable intermediate project management experience
Education
Verifiable High School diploma or GED is required
Pay Range
The typical pay range for this role is:
$43,700.00 – $100,000.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. APPLY HERE
Recent Comments