Who are you?   Personify Health is looking for a Senior Financial Analyst to support the Company’s US-based Corporate FP&A team. This role reports into the Company’s US-based Finance Manager and will support critical monthly closing, reporting, and forecasting processes for the Company’s commercial, R&D and G&A-related areas of the business.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Provide monthly reporting, insights, and variance analysis to Plan that provides critical visibility and improves actionable decision making. - Partner with Accounting and HR to reconcile transactions, correct/enhance/validate data were necessary. - Drive long-term process improvement and policy development initiatives that improve and enhance our overall data and forecasting capabilities for vendor-level expenses and contract renewals. - Support the annual budget and quarterly forecast processes and prepare associated materials as needed. - Help consolidate, report, and analyze financial data were necessary; Partner with Financial Reporting team on month-end reporting. - Prepare / validate key data input files for use in monthly reporting. - Identify trends and recommend actions based on sound financial analysis. - Adhoc reporting and analysis for the Company’s leadership team. 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.

Who are you? We are seeking an IT Business Analyst to play a pivotal role in driving our organization's transformation initiatives. In this role, you will be responsible for meticulously analyzing business/technical needs and requirements and leveraging current information technology to address them effectively. Working under direct supervision, you will collaborate with senior IT professionals to coordinate IT projects and initiatives, ensuring alignment with organizational goals.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Facilitate interviews with business and technology departments, to coordinate comprehensive needs and potential interdependencies. - Partner with Product Owners to identify requirements for system and process enhancements. - Gather user requirements and acceptance criteria from partners and translate them to user stories for the technical teams to work from. - Analyze business problems and make recommendations for creative solutions. - Facilitate, prioritizes, and proposes business process re-designs to improve process results. - Embrace change and provide encouragement to guide others through change, handle conflict. - Foster relationships across multiple business and technology areas. - Increase awareness of best practices to improve business capabilities. - Recommend modifications to IT systems with the aim of enhancing business systems, optimizing operational efficiency, and reducing costs. - Assist with the evaluation and adaption of existing technology to accommodate changes in business requirements, ensuring seamless integration and functionality. - Develop and document procedures for the effective utilization of processes and IT technology, encompassing both on-premises and cloud-based solutions. - Collaborate in the development of training materials to support process changes and the introduction of new technologies, ensuring smooth adoption and proficiency among stakeholders. 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.

Who are you?   As the Senior Program Manager, Data Operations, you will oversee complex projects related to data management, analytics, and process optimization. Your role involves collaborating with cross-functional teams, ensuring project success, and aligning data operations with key business priorities and deliverables, driving value for both internal and external customers. Looking for an individual to support CST or EST hours.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Project Leadership: Manage end-to-end project delivery for data operations projects, including planning, execution, and monitoring. - Program Management: Oversee multiple related projects within the data domain, ensuring alignment with organizational objectives. - Stakeholder Engagement: Collaborate with business leaders, data scientists, engineers, and other stakeholders to define project scope, objectives, and success criteria. - Resource Management: Allocate resources effectively, balancing workload and skill sets across project teams. - Risk Management: Identify and mitigate project risks, ensuring timely resolution. - Quality Assurance: Maintain high standards for data accuracy, consistency, and reliability. - Change Management: Facilitate smooth transitions during project implementation. - Reporting and Metrics: Provide regular updates on project status, milestones, and KPIs. - Process Improvement: Continuously enhance data-related processes and workflows. - Vendor Management: Coordinate with external vendors and partners as needed. - Budget Oversight: Monitor project budgets and expenses. 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.

Who are you?   Personify Health (formerly HealthComp + Virgin Pulse) is the nation’s largest independent Third Party Administrator (TPA) managing the medical benefits, claims, and care management for 1 million members and managing the wellbeing, health, and healthcare navigation for an additional 19 million members.   The VP, Health Plan Administration Solutions is the leader of Personify Health’s TPA / Health Plan Administration solution set and product line. You are the “solution CEO” responsible for the overall success of the solutions by creating and evangelizing a compelling strategy and vision, being in market with prospects and clients, and driving cross-functional initiatives including the end-to-end product lifecycle. You will be accountable for the success of your business including bookings, revenue, profitability, renewals, satisfaction, and value creation.   In this role you will wear many hats, but your knowledge will be essential in the following:   - In collaboration with ops/GM, overall market success of the solution / product line including new logo and expansion bookings, renewals, and revenue - Maintain a deep understanding of our prospective client base – problems they are trying to solve, what they have in place today, how they measure success - Build relationships with our client base to guide further solution development - Create and evangelize the solution’s vision externally and apply it across Product, Marketing, Sales, and Operations - Develop and maintain the solution’s master plan including product performance, market and competitive intel, strategy, roadmap, market requirements, buyer personas, and business case - Maintain competitive set expertise to position with and around key installed solutions and guide further solution development that complements this approach - Collaborate cross-functionally with Commercial, Operations, and other departments, manage the full solution/product lifecycle activities and plan from inception to commercialization to maturity to sunset including strategy, vision, pricing, packaging, and place (channels, distribution, market segments) - Manage integrated partner vendor relationships to support the Health Plan Administration business - Be an innovative thought leader and champion Personify Health externally - Become a trusted leader across all departments internally 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.

Who are you?   As a Software Architect at Personify Health, you will be working on a Digital Health SaaS platform that supports millions of engaged, active members in 20 languages across 190 countries, serving over 50 billion+ API calls every year to mobile and web users.    In this role, you will be part of our Architecture team, responsible for supporting an enterprise-wide software portfolio, working across multiple delivery teams aligning on strategic vision, delivery and performance expectations.  This position will involve frequent interactions with various delivery teams where you will be working with a passionate and strong team of engineers and product managers.  With your strong background in cloud technologies and software architecture you will have the opportunity to develop, manage and evolve our tech stack.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Build expertise and establish best practices on the development, monitoring, and maintenance of technologies   - Propose and develop architecture designs and blueprints while ensuring alignment to the broader architecture design principles and technology strategies   - Provide technical leadership and coaching to the more junior team members to enable them to build better software.   - Identify and proactively designs technical debt out of solutions   - Produce comprehensive technical views of the solution area's components at the application, service, and communication layers   - Design end-to-end solutions that meet design, scalability, security, regulatory compliance and maintainability requirements   - Mastering our development process, culture and code base 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.

Who are you?   The Engineering Manager is an experienced leader with demonstrable people skills, technical knowledge, and passion for delivering world-class software. As an engineering manager, you’re responsible for growing and inspiring engineering teams to contribute outstanding quality work. You will lead a group of cross-functional engineers to work closely with product owners, designers, and other engineering teams to ensure the overall business vision aligns with the development work. The ideal candidate comes from a background of having been a talented and self-motivated engineer with management experience and a track record of shipping code to production in rapid iterations in a high volume, high availability SaaS company. A passion for employee engagement and wellness industry is a must-have since Virgin Pulse's motto of changing lives for the better is what motivates us every day.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Run a team that maintains and extends our very large platform including web and mobile applications, API services, and myriad back-end services such as data ingestion for activity tracking devices. - Work closely with product managers and your team to prioritize stories, get them estimated, scheduled for sprints, and keep them on track for delivery. - Manage developers and QA engineers who report to you directly, meeting with them regularly to ensure they are meeting their goals and happy with their career growth. - Collaborate and coordinate with the engineering management group to brainstorm future strategies and plan resource needs. - Work with developers and QA to get everything tested and merged for a release. Review code and help QA with testing when needed. - Collaborate with team to improve operational efficiency and develop vision that leads long term success of engineering teams.  - Ensure delivery on excellent platform up-time guarantees and act as higher-level escalation contact for the platform.  - Cultivate a high performing engineering team culture to meet and exceed key success metrics, which include a people success metric.  - Provide communication to product owners with scope estimates and high-level milestones for evaluations of upcoming projects and work closely with scrum team in an angile environment.   - Provide architectural vision and technical coaching to tech leads and engineers for high-quality delivery of products.   - Work with other engineering teams to plan upcoming projects, coordinate with operation, support, and infrastructure teams to make sure delivery of new project goes out smoothly. - When you are not managing, you are strategizing, providing strategic direction to the team, removing roadblocks, reviewing metrics and data analysis, or building analytics dashboards. - Attend weekly Engineering Management team stand-ups and sync-up on larger Engineering initiatives. - Own and control your team roster, resources and deliverable's 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.

Who are you? The Delivery Specialist will have responsibility for maintaining a broad understanding and technical knowledge of all Virgin Pulse products and services to ensure quality delivery on service and performance commitments to clients.  This client-facing and engaged role will help execute the strategy coordinated by Account Management and the client team.    In this role you will wear many hats, but your knowledge will be essential in the following:   - Coordinate the documenting, submission, tracking, communication, and monitoring of client program requirements post-implementation (either new logo or cross/upsell implementation) - Help clients to match program needs with operationally efficient delivery options - Build relationships with cross-functional teams (Finance, Implementation, Client Operations, Member Services, Product, DSR, and Live Services teams) to execute on deliverables for clients - Deliver agreed reporting from internal tools - Support member service delivery by resolving needs for of client-specific information, updating training agents and completing documentation - Proactively monitor satisfactory resolution of client technical support issues by appropriate internal team - Working knowledge of tools significant in responsibilities, including but not limited to Salesforce, GenAdmin, Gainsight, MicroStrategy, JIRA and/or Confluence. - Aligning client requests with best practices informed by a thorough understanding of the Virgin Pulse platform. 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.

Who are you?   You are a seasoned client-engaged professional skilled in assessing client situations, understanding strategy and desired outcomes for both the client and the business. You are able to translate this into options which maximize operational effectiveness with a productive and frictionless client and member experience.      The Solution Architect is responsible for executing upon the strategic & operational initiatives of the Solution Architect team cultivating strong cross-departmental relationships and utilizing proactive critical thinking to resolve complex needs of the organization and clients.    The Solution Architect's primary focus is on-demand support for specific clients and prospects that result in client satisfaction, client retention and/or securing bookings and revenue. Their secondary focus, as time and projects dictate, is to own or support proactive organizational efficiency projects.      This role will focus on our Health Plan Administration anchor product and services.    In this role you will wear many hats, but your knowledge will be essential in the following:     - Become a subject-matter expert within the Health Plan Administrator anchor product, including broker/client markets & nuances, product offerings, processes, and potential intersections with other products & services  - Work directly with clients or prospects to provide thoughtful recommendations based on needs identified in partnership with the account/strategy/sales team, which also account for feasibility operationally and cost of service  - Provide subject matter expertise as warranted via prospect or customer needs including but not limited to pre-sales, implementation, and account management support   - Manage at least 1 proactive operational efficiency project annually that seeks to increase client satisfaction or decrease operational lift without compromise to quality of client or member experience  - Establish and maintain key internal collaborator relationships with Product, Engineering, Client Success, Operations, Sales and/or Strategic Development   - Executes tactics to achieve strategic goals and annual operating plan of Solution Architect Team  - Be Resourceful on continued learning and change    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.

Who are you?   We are seeking an experienced and highly skilled Senior Claims Specialist to join our claims processing team. As a Senior Claims Specialist, you will play a pivotal role in ensuring the accurate and efficient processing of healthcare claims, overseeing complex cases, and providing guidance to claims specialists.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Claims Adjudication: Lead the adjudication of complex and high-dollar claims, applying advanced knowledge of policies, procedures, and guidelines. - Claims Review: Conduct in-depth reviews of disputed or escalated claims, collaborating with internal teams and external stakeholders to reach fair and timely resolutions. - Quality: Ensure a high level of quality in claims processing by consistently achieving a financial accuracy rate of 99% and a procedural accuracy rate of 97%, adhering to established guidelines and procedures. - Documentation: Ensure accurate claims information is recorded in claims and patient notes, including accurate indexing, and archiving of documents to facilitate easy retrieval. - Investigation: Investigate and resolve discrepancies and issues related to claims, ensuring prompt and fair resolution. Provide feedback to leadership on how to prevent discrepancies from occurring on future claims. - Communication: Provide timely and concise updates on the status of assigned claims, highlighting any potential issues or complex cases that may require additional attention or guidance as well as proposed solutions. - Process Improvement: Identify opportunities for process enhancements, lead process improvement initiatives, and collaborate with cross-functional teams to streamline workflows. - Mentorship: Provide guidance and training to claims specialists, fostering their professional development and ensuring consistent and accurate claims processing. - Policy Analysis: Analyze and interpret complex contracts and benefit documents to ensure accurate claims processing and compliance. - Customer Escalations: Handle escalated customer inquiries and complaints, demonstrating expert knowledge and exceptional problem-solving skills. - Stay Informed on Procedures: stay up-to-date with company-wide processing procedures and group-specific processing requirements, ensuring that claims processing remains compliant and efficient with the latest industry and organizational standards. 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.

Who are you?   As a Product Manager, you'll work closely with a highly dynamic, fast-paced, and growing team and passionate team of Product Managers, UX Designers (UX), Content Strategists, Researchers, Engineering Managers, and Tech Leads to shape a cohesive, creative, and innovative vision that business customers and end users find to be useful, easy-to-use, and delightful. You enjoy both the upstream part of the process--figuring out the "right product" or enhancement, and the "done right" part of how best to bring it to life for maximum lift and impact. You'll build relationships with other departments including product marketing, member services, customer success, and sales. You'll develop product requirements and roadmaps, incorporating feedback and input from customers, partners and in-house teams on product strategy and finding ways to expand product market reach. You possess a unique blend of business and technical savvy, strong agile and process skills, and the drive to make your product vision a reality.     In this role you will wear many hats, but your knowledge will be essential in the following:   - Collaborate with key stakeholders (ranging from management to marketing/ sales and customers) to define, develop, shape, and refine requirements. - Define, prioritize, and clarify user stories; working with other Product Managers and Product Owners to understand use cases, features, business & technical domain rules and overall product goals. - Define and communicate project goals, problem framing, major solution design scope decisions and target project timelines. - Work with UX Design to create User Stories based on design mockups. - Create detailed product documentation of User Stories to define end user functionality and enable commercialization. - Work with Engineering to estimate User Stories and continuously improve product ownership and other agile processes. - Build and groom product backlog(s). Create and groom short, medium, and long-term product roadmaps and get internal agreement with key stakeholders. - Conduct sprint planning with prioritized User Story requirements in time for sprint planning deadlines. - Identify cross-team dependencies during requirements creation and work to assure impacted team(s) have available capacity and velocity to hit target dates. - Keep abreast with Agile/Scrum best practices and new trends. 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.

Who are you?   As a Product Manager, you'll work closely with a highly dynamic, fast-paced, and growing team and passionate team of Product Managers, UX Designers (UX), Content Strategists, Researchers, Engineering Managers, and Tech Leads to shape a cohesive, creative, and innovative vision that business customers and end users find to be useful, easy-to-use, and delightful. You enjoy both the upstream part of the process--figuring out the "right product" or enhancement, and the "done right" part of how best to bring it to life for maximum lift and impact. You'll build relationships with other departments including product marketing, member services, customer success, and sales. You'll develop product requirements and roadmaps, incorporating feedback and input from customers, partners and in-house teams on product strategy and finding ways to expand product market reach. You possess a unique blend of business and technical savvy, strong agile and process skills, and the drive to make your product vision a reality.     In this role you will wear many hats, but your knowledge will be essential in the following:   - Collaborate with key stakeholders (ranging from management to marketing/ sales and customers) to define, develop, shape, and refine requirements. - Define, prioritize, and clarify user stories; working with other Product Managers and Product Owners to understand use cases, features, business & technical domain rules and overall product goals. - Define and communicate project goals, problem framing, major solution design scope decisions and target project timelines. - Work with UX Design to create User Stories based on design mockups. - Create detailed product documentation of User Stories to define end user functionality and enable commercialization. - Work with Engineering to estimate User Stories and continuously improve product ownership and other agile processes. - Build and groom product backlog(s). Create and groom short, medium, and long-term product roadmaps and get internal agreement with key stakeholders. - Conduct sprint planning with prioritized User Story requirements in time for sprint planning deadlines. - Identify cross-team dependencies during requirements creation and work to assure impacted team(s) have available capacity and velocity to hit target dates. - Keep abreast with Agile/Scrum best practices and new trends. 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.

  In this role you will wear many hats, but your knowledge will be essential in the following:   - Answer and route all incoming phone calls - Provide accurate information to internal and external customers regarding pre-certification process, including gathering demographic, non-clinical, and/or provider data for pre-certification via phone, fax, inter/intranet, Eldorado/Case Pac computer programs - Review service requests and manage the requests as efficiently as possible involving the appropriate department as needed - Perform data entry and maintain complete documentation of case information; assist in document maintenance or revisions; compile monthly reports; maintain logs and files - Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis   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.

Who are you?   Reporting to the Manager, Service Desk, the IT Service Desk Technician will work with the global Service Desk team, supporting 2000 users across 12 countries, and ensuring users are receiving appropriate assistance and service.   Core responsibilities will include ensuring efficient servicing of support tickets from internal users and will focus on Tier 1 support including ownership/stewardship of Office 365, Active Directory, Azure, Intune, and other cloud-based applications.  Additionally, the IT Service Desk Technician is responsible for ensuring meeting rooms, corporate technology, and audio-visual services are operational across all offices.   This is a hands-on role involving servicing tickets while ensuring high levels of customer service quality and availability.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Reports directly to the Manager, Service Desk - Provide first level support to corporate users via phone and email to diagnose and resolve issues; escalating to senior team members proactively where required to ensure efficient closure of tickets. - Respond promptly to support requests and maintain the 4-hour response and 24-hour fix / escalation SLA. - Responsible for office deployments and the maintenance of technologies in that region. - Assist in resolving hardware problems, system upgrades, networking setup and diagnosis, software problems, backup issues and file recovery. - Assist in management of file transfer platform, creating and testing new connections, perform updates and changes to existing connections, review automation rules and workflows to aid in issue resolution. - Triaging tickets effectively - Assisting with SOC/HITRUST evidence and audit requirements - Ensure tickets are closed with correct resolution to avoid tickets being reopened. - Manage end-user expectations and following up on end-user feedback. - Create and maintain a functioning Service Catalog within the ticketing system. - Ensure secure configuration of all user machines and systems to make sure OS and Anti-Virus patching is up to date. - Assist in maintenance of Active Directory and related accounts and services, including mail and file services through standard tools to ensure settings and accounts created / removed in a timely fashion. - Create process and user documentation relating to laptop / PC setup and review configurations before delivery to user, ensuring issues are fed back and corrected before deployment. - Assist in the procurement of hardware and software and manage configuration and deployment throughout the organization. - Track licensing statistics and manage IT asset list, ensuring all records are kept up to date. Help to maintain software licensing requirements. - Delivery of assigned projects within a timely manner. - Test applications and systems to ensure functionality before production deployment. - Assist with special projects as requested. - Perform other duties as assigned. 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.

  In this role you will wear many hats, but your knowledge will be essential in the following:   - Work in conjunction with the management to establish work procedures and processes that support Company and departmental standards, procedures, and strategic directives. - Use appropriate judgment in upward communication regarding department or employee concerns - Monitor, audit and analyze employee performance; identify and resolve problems; prepare and complete action plans; assist in managing system and process improvement. - Meet periodically with staff as directed by manager to review performance. - Plan, organize and distribute work; keep team informed of updates and changes in policy or procedure; instruct employees regarding procedures and methods; resolve difficult or non-routine situations or problems. - Telephonically manage cases on a long or short term basis per established Company guidelines, policies and procedures, as well as other standardized criteria in the healthcare industry. - Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs. - Develop treatment plan in collaboration with the patient, caregivers or family, community resources and multidisciplinary healthcare providers that include obtainable short and long term goals. Monitor interventions and evaluate the effectiveness of the treatment plan in a timely manner; report measurable outcomes that record effectiveness of interventions. - Advocate for the patient by facilitating the delivery of quality patient care, and by assisting in reducing overall costs; provide patient/family with emotional support and guidance. - Negotiate and implement cost management strategies to affect quality outcomes and reflect this data in monthly case management reviews and cost avoidance reports. 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.

  In this role you will wear many hats, but your knowledge will be essential in the following:   - Supervise the chronic disease management team personnel including participating in interviewing, hiring, and training employees; plan, assign, and direct work; appraise performance; rewarding and disciplining employees; addressing complaints and resolving problems. - Keep team informed of clinical updates with trainings, meetings and memos. - Work in conjunction with the VP of UM to establish work procedures and processes that support Company and departmental standards, procedures, and strategic directives. - Track reporting for groups and build good relationships with groups and brokers utilizing account managers as instructed. - Use appropriate judgment in upward communication regarding department or employee concerns. - Maintain and improve CDM operations by monitoring system performance; identify and resolve problems; audit and analyze staff performance; prepare and complete action plans; assist in managing system and process improvement and quality assurance programs as it relates to clinical management and plan - language interpretation. - Oversee the negotiation and implementation of cost management strategies to affect quality outcomes and reflect this data in monthly chronic disease management reviews as it relates to clinical aspects. 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.

Who are you?   Under the supervision of the Director, Operations Enablement, the Trainer will be responsible for delivering product, process, and related trainings with approaches for operational and commercial staff, clients, and members, operations staff on-boarding and product release operational readiness process management. This role will focus on our Health Plan Administration suite of products and services.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Partner cross functionality with internal business partners and subject matter experts to translate processes, products, and related business priorities into learn centric designs. - Ensure that internal audiences are engaged and able to develop critical skills and knowledge for the Health Plan Administration suite of products and services. - Create and facilitate on-boarding & professional development programs for roles across Client Operations, Client Solutions and Client Success departments, including: multi-modal learning, measuring effectiveness, and continuous improvement. - Pathways to growth and promotion within and across functional areas. - Measure against key performance indicators and metrics for each functional area. - Collaborate with the Technical Documentation team to ensure training includes related documentation - from technical interface to user experience – and is clearly outlined and defined. - Manage the creation, execution, and hosting of external/ client-facing operational enablement sessions, as needed. - Lead training sessions as assigned. - Perform all other duties as assigned. 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.

Who are you?   The Health & Wellbeing Program Manager is a client-dedicated member of the Virgin Pulse account team, focused on designing and delivering a comprehensive strategic wellbeing plan, aimed at building a culture of health, enhancing health and wellbeing engagement, and driving health behavior change through awareness and activation. The Health & Wellbeing Program Manager works side by side with the Virgin Pulse account leadership and the client’s HR, benefits, and/or stakeholder teams. This individual will provide advocacy for Virgin Pulse products and demonstrate Virgin Pulse’s mission of Changing Lives for Good. This position will include approximately 10% to 15% travel.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Provide direction and subject matter expertise in defining, designing, developing, communicating, and executing a comprehensive health and wellbeing strategy - Utilize project management skills to develop and execute health and wellbeing programs according to timeline and budget - Monitor, evaluate, and respond to program measurements and participant feedback, including operations and quality, to drive continuous quality improvement initiatives and goals - Serve as an integrated partner and the face of wellbeing to the client population, guiding members to appropriate resources and offerings - Engage and partner with client leadership, stakeholders and internal groups (Diversity & Inclusion, Employee Resource Groups, etc…) to build and support a culture of health - Leverage community partnerships to support client goals including initiatives related to social determinants of health, diversity and inclusion, health, and holistic wellbeing (mental, physical, social, community, financial, and safety wellbeing) - Collaborate with the client’s health plan and vendor partners to identify opportunities for health awareness and engagement, and to drive utilization of the client’s suite of health, benefits, and wellbeing offerings - Launch and lead a Wellness Champion Network across key client locations - Support Virgin Pulse platform enrollment and ongoing engagement to associated solutions, resources, and partners - Lead implementation of health promotion programs including health screenings, flu shots, and open enrollment events - Lead regular data assessment and reporting to internal and external stakeholders and leadership, while defining opportunities, tracking impact, and determining next best steps - Collaborate with Virgin Pulse and client support teams including Marketing, Product, Business Operations, and Customer Service - Partner with Virgin Pulse peers to share best practices and opportunities to drive best-in-class services to our clients - Provide support for renewal and expansion planning as appropriate - Perform other related duties as assigned 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.

Who are you?   The Process Manager will be responsible for overseeing cross-functional coordination of operationalizing incremental product iterations and major product releases involving, but not limited to, Product Management, Commercial Enablement, Client Operations, DSR, Finance, Member Services and Live Services   In this role you will wear many hats, but your knowledge will be essential in the following:   - Facilitate relationship building and communication with primary stakeholders involved in operational readiness for releases and on-going process improvement. - Coordinate considerations across product streams, where applicable. - Manage bi-weekly review of Sprint Release notes with primary stakeholders. - Manage processes and communications for any beta testing efforts. - Facilitate internal client-impacting projects on an as-requested basis - Establish and measure against key performance indicators and metrics - Identify gaps in process knowledge and help develop standard operating procedures - Document existing process knowledge - Implement process management best practices, preferably informed by a certification in or related experience with a recognized program (such as, but not limited to, Six Sigma) 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.

In this role you will wear many hats, but your knowledge will be essential in the following:   - Telephonically manage cases on a long- or short-term basis per established Company guidelines, policies, and procedures, as well as other standardized criteria in the healthcare industry. - Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs. - Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs. - Develop treatment plan for standard and catastrophic cases in collaboration with the patient, caregivers or family, community resources and multi-disciplinary healthcare providers that include obtainable short- and long-term goals. - Monitor interventions and evaluate the effectiveness of the treatment plan in a timely manner; report measurable outcomes that record effectiveness of interventions. - Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care. - Advocate for the patient by facilitating the delivery of quality patient care, and by assisting in reducing overall costs; provide patient/family with emotional support and guidance. - Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis. - Negotiate and implement cost management strategies to affect quality outcomes and reflect this data in monthly case management reviews and cost avoidance reports. - Establish and maintain working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance, and information. - Evaluate and make referral for wellness programs. - Maintain complete and detailed documentation of case managed patients in Eldorado and UM Web; maintain site specific files ensuring confidentiality; prepare reports and updates at 30-day intervals for high-risk cases and 90 days interval for low-risk cases ensuring confidentiality according to Company policy and HIPAA - Perform Utilization Review for assigned members. - Serve as mentors to LVNs and provide guidance on complicated cases as it relates to clinical issues. 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.

In this role you will wear many hats, but your knowledge will be essential in the following:   - Telephonically manage cases on a long or short term basis per established Company guidelines, policies and procedures, as well as other standardized criteria in the healthcare industry. - Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs. - Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs. - Monitor interventions and evaluate the effectiveness of the treatment plan in a timely manner; report measurable outcomes that record effectiveness of interventions. - Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care. - Advocate for the patient by facilitating the delivery of quality patient care, and by assisting in reducing overall costs; provide patient/family with emotional support and guidance. - Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis. - Negotiate and implement cost management strategies to affect quality outcomes and reflect this data in monthly case management reviews and cost avoidance reports. - Establish and maintain working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance and information. - Evaluate and make referral for wellness programs. - Maintain complete and detailed documentation of case managed patients in Eldorado Quick link, and UM Web; maintain site specific files ensuring confidentiality; prepare reports and updates at 30 day intervals ensuring confidentiality according to - Company policy and HIPAA 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.