Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary As an Advisor, Data Mining Content Ideation, you will provide strategic and technical leadership in designing, implementing, and scaling advanced data mining and AI-enabled analytics solutions that identify improper payments and improve claims accuracy across medical, dental, and pharmacy domains. This role blends deep healthcare payment integrity expertise, advanced data mining and AI capabilities, and delivery leadership. You will translate complex State, Federal, and client-specific reimbursement policies into scalable analytics, guide cross-functional teams through complex implementations, and ensure successful delivery of high-impact payment integrity solutions for Gainwell clients. You will act as a content authority, product owner, and delivery leader, partnering with engineering, clinical, operations, and client teams to safeguard healthcare resources for vulnerable populations. Your role in our mission Act as Product Owner, Delivery Lead, and Implementation Manager for complex data mining and analytics initiatives. Design, develop, and implement advanced data mining and AI-driven analytics concepts to identify overpayments and improper payments. Support and lead responses to client RFPs, contributing superior written content related to data mining, AI, and payment integrity capabilities. Translate complex healthcare regulations, reimbursement methodologies, and clinical policies into scalable audit algorithms and analytic rules. Lead the incorporation of AI, machine learning, and advanced analytics techniques into payment integrity solutions. What we're looking for 7+ years of Healthcare Payment Integrity, Data Mining, or Advanced Analytics experience. Demonstrated experience in healthcare payment integrity data mining, including validation of claims data accuracy and payment accuracy. Proven experience applying CMS regulations, State/Federal guidelines, coding standards, and reimbursement policies to claims analytics. Strong experience translating business and policy requirements into technical and analytical solutions. Hands-on experience with AI/ML-driven analytics, such as predictive modeling, anomaly detection, pattern recognition, or NLP applied to healthcare or financial data. What you should expect in this role Fully Remote Opportunity - Work from anywhere in the U.S. Minimal Travel Required - Occasional travel opportunities (0-10%). Opportunity to Work on Cutting-Edge AI Solutions in a mission-driven healthcare technology environment. Video cameras must be used during all interviews, as well as during the initial week of orientation The Deadline to submit applications for this posting is November 4, 2026 The pay range for this position is $99,200.00 - $141,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
09/22/2026
Full time
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary As an Advisor, Data Mining Content Ideation, you will provide strategic and technical leadership in designing, implementing, and scaling advanced data mining and AI-enabled analytics solutions that identify improper payments and improve claims accuracy across medical, dental, and pharmacy domains. This role blends deep healthcare payment integrity expertise, advanced data mining and AI capabilities, and delivery leadership. You will translate complex State, Federal, and client-specific reimbursement policies into scalable analytics, guide cross-functional teams through complex implementations, and ensure successful delivery of high-impact payment integrity solutions for Gainwell clients. You will act as a content authority, product owner, and delivery leader, partnering with engineering, clinical, operations, and client teams to safeguard healthcare resources for vulnerable populations. Your role in our mission Act as Product Owner, Delivery Lead, and Implementation Manager for complex data mining and analytics initiatives. Design, develop, and implement advanced data mining and AI-driven analytics concepts to identify overpayments and improper payments. Support and lead responses to client RFPs, contributing superior written content related to data mining, AI, and payment integrity capabilities. Translate complex healthcare regulations, reimbursement methodologies, and clinical policies into scalable audit algorithms and analytic rules. Lead the incorporation of AI, machine learning, and advanced analytics techniques into payment integrity solutions. What we're looking for 7+ years of Healthcare Payment Integrity, Data Mining, or Advanced Analytics experience. Demonstrated experience in healthcare payment integrity data mining, including validation of claims data accuracy and payment accuracy. Proven experience applying CMS regulations, State/Federal guidelines, coding standards, and reimbursement policies to claims analytics. Strong experience translating business and policy requirements into technical and analytical solutions. Hands-on experience with AI/ML-driven analytics, such as predictive modeling, anomaly detection, pattern recognition, or NLP applied to healthcare or financial data. What you should expect in this role Fully Remote Opportunity - Work from anywhere in the U.S. Minimal Travel Required - Occasional travel opportunities (0-10%). Opportunity to Work on Cutting-Edge AI Solutions in a mission-driven healthcare technology environment. Video cameras must be used during all interviews, as well as during the initial week of orientation The Deadline to submit applications for this posting is November 4, 2026 The pay range for this position is $99,200.00 - $141,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary As an Advisor, Data Mining Content Ideation, you will provide strategic and technical leadership in designing, implementing, and scaling advanced data mining and AI-enabled analytics solutions that identify improper payments and improve claims accuracy across medical, dental, and pharmacy domains. This role blends deep healthcare payment integrity expertise, advanced data mining and AI capabilities, and delivery leadership. You will translate complex State, Federal, and client-specific reimbursement policies into scalable analytics, guide cross-functional teams through complex implementations, and ensure successful delivery of high-impact payment integrity solutions for Gainwell clients. You will act as a content authority, product owner, and delivery leader, partnering with engineering, clinical, operations, and client teams to safeguard healthcare resources for vulnerable populations. Your role in our mission Act as Product Owner, Delivery Lead, and Implementation Manager for complex data mining and analytics initiatives. Design, develop, and implement advanced data mining and AI-driven analytics concepts to identify overpayments and improper payments. Support and lead responses to client RFPs, contributing superior written content related to data mining, AI, and payment integrity capabilities. Translate complex healthcare regulations, reimbursement methodologies, and clinical policies into scalable audit algorithms and analytic rules. Lead the incorporation of AI, machine learning, and advanced analytics techniques into payment integrity solutions. What we're looking for 7+ years of Healthcare Payment Integrity, Data Mining, or Advanced Analytics experience. Demonstrated experience in healthcare payment integrity data mining, including validation of claims data accuracy and payment accuracy. Proven experience applying CMS regulations, State/Federal guidelines, coding standards, and reimbursement policies to claims analytics. Strong experience translating business and policy requirements into technical and analytical solutions. Hands-on experience with AI/ML-driven analytics, such as predictive modeling, anomaly detection, pattern recognition, or NLP applied to healthcare or financial data. What you should expect in this role Fully Remote Opportunity - Work from anywhere in the U.S. Minimal Travel Required - Occasional travel opportunities (0-10%). Opportunity to Work on Cutting-Edge AI Solutions in a mission-driven healthcare technology environment. Video cameras must be used during all interviews, as well as during the initial week of orientation The Deadline to submit applications for this posting is November 4, 2026 The pay range for this position is $99,200.00 - $141,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
09/22/2026
Full time
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary As an Advisor, Data Mining Content Ideation, you will provide strategic and technical leadership in designing, implementing, and scaling advanced data mining and AI-enabled analytics solutions that identify improper payments and improve claims accuracy across medical, dental, and pharmacy domains. This role blends deep healthcare payment integrity expertise, advanced data mining and AI capabilities, and delivery leadership. You will translate complex State, Federal, and client-specific reimbursement policies into scalable analytics, guide cross-functional teams through complex implementations, and ensure successful delivery of high-impact payment integrity solutions for Gainwell clients. You will act as a content authority, product owner, and delivery leader, partnering with engineering, clinical, operations, and client teams to safeguard healthcare resources for vulnerable populations. Your role in our mission Act as Product Owner, Delivery Lead, and Implementation Manager for complex data mining and analytics initiatives. Design, develop, and implement advanced data mining and AI-driven analytics concepts to identify overpayments and improper payments. Support and lead responses to client RFPs, contributing superior written content related to data mining, AI, and payment integrity capabilities. Translate complex healthcare regulations, reimbursement methodologies, and clinical policies into scalable audit algorithms and analytic rules. Lead the incorporation of AI, machine learning, and advanced analytics techniques into payment integrity solutions. What we're looking for 7+ years of Healthcare Payment Integrity, Data Mining, or Advanced Analytics experience. Demonstrated experience in healthcare payment integrity data mining, including validation of claims data accuracy and payment accuracy. Proven experience applying CMS regulations, State/Federal guidelines, coding standards, and reimbursement policies to claims analytics. Strong experience translating business and policy requirements into technical and analytical solutions. Hands-on experience with AI/ML-driven analytics, such as predictive modeling, anomaly detection, pattern recognition, or NLP applied to healthcare or financial data. What you should expect in this role Fully Remote Opportunity - Work from anywhere in the U.S. Minimal Travel Required - Occasional travel opportunities (0-10%). Opportunity to Work on Cutting-Edge AI Solutions in a mission-driven healthcare technology environment. Video cameras must be used during all interviews, as well as during the initial week of orientation The Deadline to submit applications for this posting is November 4, 2026 The pay range for this position is $99,200.00 - $141,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Job Description Job Description Reflect Health is the evolution of S&S Health, a trusted independent third-party administrator founded in 1994 to meet the growing need for access, simplified connectivity, and benefits administration. Headquartered in Mason, OH, we have built a reputation based on innovation, service excellence, and a deep understanding of how to drive better outcomes at lower cost. Over the years, we grew into a national presence serving employers, TPAs, health systems, and benefit consultants across all 50 states. We developed proprietary claims technology, expanded our offerings to include level-funded and fully funded programs, and delivered tangible savings and enhanced experiences for millions of members. We are seeking a Lead IT Systems Engineer to modernize and optimize identity management, workflow automation, and employee technology experience. This hands-on technical leadership role will oversee identity and access management, IT workflow engineering, onboarding automation, and virtual desktop infrastructure (VDI) while driving operational efficiency, security, and service excellence. The ideal candidate is an experienced IT professional with strong expertise in automation, systems engineering, identity management, and infrastructure who is passionate about improving employee experiences through scalable technology solutions. Responsibilities Identity & Access Management: Design, implement, and manage automated identity lifecycle processes, including user provisioning, role changes, and deprovisioning across cloud and business applications. Develop role-based access controls, automate approval workflows, enforce least-privilege access, and support periodic access reviews to maintain security and compliance. Workflow Engineering: Design, configure, and optimize Jira and Jira Service Management workflows, intake processes, automation rules, service queues, dashboards, and reporting. Streamline request management through standardized templates, intelligent routing, and automation to improve visibility, efficiency, and service delivery. Employee Onboarding Automation: Develop and maintain automated onboarding processes that ensure user accounts, system access, hardware, and software are prepared prior to employees' first day. Coordinate workflow automation between IT, Human Resources, and hiring managers while creating user-friendly onboarding resources that enhance the employee experience. Virtual Desktop Infrastructure (VDI): Engineer, deploy, administer, and support Reflect Health's virtual desktop infrastructure environment. Design standardized desktop images, application delivery processes, user profile management, monitoring, patching, capacity planning, and operational documentation to ensure a secure, reliable, and scalable platform. Automation & Process Improvement: Identify opportunities to automate manual IT processes, integrate enterprise systems using APIs and scripting, and implement solutions that improve operational efficiency, reduce administrative overhead, and enhance service quality. Security & Compliance: Support identity governance, access management, infrastructure security, and compliance initiatives by implementing security best practices, maintaining audit readiness, and protecting sensitive business and member information. Reporting & Documentation: Develop operational dashboards, system documentation, technical standards, workflows, and reporting to support performance monitoring, issue tracking, capacity planning, and continuous process improvement. Cross-Functional Collaboration: Partner with Infrastructure, Security, Human Resources, Operations, and business stakeholders to deliver technology solutions that improve employee productivity, strengthen security, and support organizational growth. Qualifications Education & Experience: Background in Computer Science, Information Technology, or a related field, or equivalent practical experience in IT engineering or systems administration, including experience in a senior or lead technical role. Identity & Access Management: Strong experience administering identity and access management platforms and directory services, including Okta, Microsoft Entra ID (Azure Active Directory), Active Directory, or similar technologies. Experience implementing automated identity lifecycle management and role-based access controls preferred. Workflow & Automation: Experience configuring Jira and Jira Service Management, including workflow design, automation, dashboards, and service management processes. Strong scripting and automation skills using PowerShell, Python, APIs, or similar technologies. Infrastructure & Virtual Desktop Experience: Hands-on experience designing, implementing, or supporting virtual desktop infrastructure platforms such as Azure Virtual Desktop, Citrix, VMware Horizon, Windows 365, or similar technologies. Technical Skills: Experience integrating enterprise systems through APIs, automating business processes, and supporting modern cloud infrastructure and endpoint management technologies. Familiarity with infrastructure-as-code and configuration management tools preferred. Analytical & Problem-Solving Skills: Strong analytical and troubleshooting abilities with experience identifying operational inefficiencies, designing scalable technical solutions, and driving continuous improvement initiatives. Project Management Skills: Ability to manage multiple technical initiatives simultaneously, prioritize competing demands, maintain documentation, and successfully deliver projects in a fast-paced environment. Communication Skills: Excellent verbal and written communication skills with the ability to explain technical concepts, collaborate across departments, and provide exceptional internal customer service. Industry Experience: Experience within healthcare, health insurance, benefits administration, or another highly regulated industry is preferred. Familiarity with security frameworks, compliance requirements, and protection of sensitive information, including Protected Health Information (PHI), is highly desirable. Reflect Health is committed to providing a safe and secure workplace for all employees. All final candidates will be subject to background checks and drug screening as part of the hiring process.
09/20/2026
Full time
Job Description Job Description Reflect Health is the evolution of S&S Health, a trusted independent third-party administrator founded in 1994 to meet the growing need for access, simplified connectivity, and benefits administration. Headquartered in Mason, OH, we have built a reputation based on innovation, service excellence, and a deep understanding of how to drive better outcomes at lower cost. Over the years, we grew into a national presence serving employers, TPAs, health systems, and benefit consultants across all 50 states. We developed proprietary claims technology, expanded our offerings to include level-funded and fully funded programs, and delivered tangible savings and enhanced experiences for millions of members. We are seeking a Lead IT Systems Engineer to modernize and optimize identity management, workflow automation, and employee technology experience. This hands-on technical leadership role will oversee identity and access management, IT workflow engineering, onboarding automation, and virtual desktop infrastructure (VDI) while driving operational efficiency, security, and service excellence. The ideal candidate is an experienced IT professional with strong expertise in automation, systems engineering, identity management, and infrastructure who is passionate about improving employee experiences through scalable technology solutions. Responsibilities Identity & Access Management: Design, implement, and manage automated identity lifecycle processes, including user provisioning, role changes, and deprovisioning across cloud and business applications. Develop role-based access controls, automate approval workflows, enforce least-privilege access, and support periodic access reviews to maintain security and compliance. Workflow Engineering: Design, configure, and optimize Jira and Jira Service Management workflows, intake processes, automation rules, service queues, dashboards, and reporting. Streamline request management through standardized templates, intelligent routing, and automation to improve visibility, efficiency, and service delivery. Employee Onboarding Automation: Develop and maintain automated onboarding processes that ensure user accounts, system access, hardware, and software are prepared prior to employees' first day. Coordinate workflow automation between IT, Human Resources, and hiring managers while creating user-friendly onboarding resources that enhance the employee experience. Virtual Desktop Infrastructure (VDI): Engineer, deploy, administer, and support Reflect Health's virtual desktop infrastructure environment. Design standardized desktop images, application delivery processes, user profile management, monitoring, patching, capacity planning, and operational documentation to ensure a secure, reliable, and scalable platform. Automation & Process Improvement: Identify opportunities to automate manual IT processes, integrate enterprise systems using APIs and scripting, and implement solutions that improve operational efficiency, reduce administrative overhead, and enhance service quality. Security & Compliance: Support identity governance, access management, infrastructure security, and compliance initiatives by implementing security best practices, maintaining audit readiness, and protecting sensitive business and member information. Reporting & Documentation: Develop operational dashboards, system documentation, technical standards, workflows, and reporting to support performance monitoring, issue tracking, capacity planning, and continuous process improvement. Cross-Functional Collaboration: Partner with Infrastructure, Security, Human Resources, Operations, and business stakeholders to deliver technology solutions that improve employee productivity, strengthen security, and support organizational growth. Qualifications Education & Experience: Background in Computer Science, Information Technology, or a related field, or equivalent practical experience in IT engineering or systems administration, including experience in a senior or lead technical role. Identity & Access Management: Strong experience administering identity and access management platforms and directory services, including Okta, Microsoft Entra ID (Azure Active Directory), Active Directory, or similar technologies. Experience implementing automated identity lifecycle management and role-based access controls preferred. Workflow & Automation: Experience configuring Jira and Jira Service Management, including workflow design, automation, dashboards, and service management processes. Strong scripting and automation skills using PowerShell, Python, APIs, or similar technologies. Infrastructure & Virtual Desktop Experience: Hands-on experience designing, implementing, or supporting virtual desktop infrastructure platforms such as Azure Virtual Desktop, Citrix, VMware Horizon, Windows 365, or similar technologies. Technical Skills: Experience integrating enterprise systems through APIs, automating business processes, and supporting modern cloud infrastructure and endpoint management technologies. Familiarity with infrastructure-as-code and configuration management tools preferred. Analytical & Problem-Solving Skills: Strong analytical and troubleshooting abilities with experience identifying operational inefficiencies, designing scalable technical solutions, and driving continuous improvement initiatives. Project Management Skills: Ability to manage multiple technical initiatives simultaneously, prioritize competing demands, maintain documentation, and successfully deliver projects in a fast-paced environment. Communication Skills: Excellent verbal and written communication skills with the ability to explain technical concepts, collaborate across departments, and provide exceptional internal customer service. Industry Experience: Experience within healthcare, health insurance, benefits administration, or another highly regulated industry is preferred. Familiarity with security frameworks, compliance requirements, and protection of sensitive information, including Protected Health Information (PHI), is highly desirable. Reflect Health is committed to providing a safe and secure workplace for all employees. All final candidates will be subject to background checks and drug screening as part of the hiring process.
Imperial Management Administrators Services Inc
Pasadena, California
Job Description Job Description JOB DESCRIPTION JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt DEPARTMENT: Quality Improvement and Risk Adjustment REPORTS TO: Sr. Director, Quality Improvement, Risk Adjustment, and Health Analytics AUTHORITY: JOB SUMMARY: The Sr. Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role serves as a subject matter expert on federal risk adjustment regulations, policies, and methodologies. The position involves close collaboration with internal teams, providers, and external partners to improve risk score accuracy, provider engagement, and regulatory compliance. The Sr. Manager will also lead the development and operationalization of reporting tools, analytics, and workflows to support risk adjustment performance and data integrity across programs. This role plays a key part in aligning cross-functional teams, driving RADV audit readiness, and informing enterprise-level decisions related to financial forecasting, coding accuracy, and population health. ESSENTIAL JOB FUNCTIONS: Lead Risk Adjustment Strategy & Operations: Oversee the development, implementation, and continuous improvement of risk adjustment programs across all lines of business, including Medicare Advantage (CMS-HCC), Marketplace (HHS-HCC), and RxHCC models, ensuring regulatory compliance, coding accuracy, and risk score optimization. Stay Current on Model Versions & Methodologies: Maintain deep expertise in CMS-HCC model updates (e.g., V24 vs. V28), RxHCC methodology for Medicare Part D, and HHS-HCC annual model recalibrations, including normalization factors, coding intensity adjustments, and future model transitions as released in CMS Advance Notices and Final Rate Announcements. Manage Department Staff & Cross-Functional Teams: Provide strategic direction and oversight for Risk Adjustment and coding department staff. Assemble and lead cross-functional and ad hoc teams for specific initiatives such as RADV audit readiness, encounter accuracy improvement, and provider education. Build and Manage Risk Adjustment Reporting & BI Tools: Design, implement, and maintain dashboards and reporting tools to monitor performance metrics such as risk score trends, gap closure rates, encounter completeness, RxHCC attribution, and audit readiness benchmarks. Conduct Data Gap Analysis & Targeted Program Design: Perform thorough analyses to identify documentation, coding, and encounter data gaps. Use findings to develop targeted retrospective and prospective strategies to improve risk capture and data completeness, especially in hard-to-reach or low-utilization populations. Provider and Vendor Collaboration: Partner with provider groups, ACOs, MSOs, and vendors to ensure alignment with risk adjustment documentation and coding guidelines. Design and monitor clinical documentation improvement (CDI) initiatives to capture accurate and complete conditions, including RxHCC-relevant conditions. Manage Vendor Relationships & Contractual Performance: Oversee vendor selection, contracting, performance monitoring, and ensure vendors are compliant with CMS, HHS, and HIPAA regulations. Evaluate results of chart review, in-home assessment, and coding audit programs to ensure ROI and coding accuracy. Regulatory Monitoring & Policy Implementation: Translate CMS and HHS guidance (e.g., Final Rule, Advance Notice, DIY Instructions) into actionable operational processes. Ensure that all risk adjustment activities are aligned with evolving federal and state policy, including rules around telemedicine, audio-only visits, data submission, and model-specific filtering logic. RADV & Audit Preparedness: Lead internal readiness for RADV (Risk Adjustment Data Validation) audits, including targeted coding audits, sampling validation, and documentation retrieval strategies. Ensure processes are in place to support both CMS RADV and HHS IVA audit requirements. Analytics, Benchmarking & Forecasting: Utilize predictive analytics, industry benchmarks, and statistical modeling to assess financial and coding performance, forecast risk scores, and evaluate the impact of coding pattern adjustments (CPA), dual status, and symmetric caps. Integrate HCC, RxHCC, and HEDIS Data Across Systems: Collaborate with internal data, quality, and clinical teams to align risk adjustment with HEDIS initiatives, STAR measure improvement, and RxHCC data submission processes. Ensure accurate crosswalks between claims, EHR, and supplemental data sources. Provider & Staff Education: Develop and lead training programs for internal staff and network providers on CMS-HCC, HHS-HCC, and RxHCC requirements, documentation best practices, model changes, and audit implications. Use CMS and industry educational resources such as the MLN, EDGE DIY instructions, and model release notes. Data Quality Oversight: Ensure ongoing monitoring and quality assurance of encounter data, HCC coding, supplemental data submissions, and RxHCC files. Validate data submitted to CMS (e.g., RAPS, EDPS, PDE files) and HHS (e.g., EDGE server). Audit & Regulatory Compliance: Maintain compliance with HIPAA, CMS and HHS regulations, ensuring all operational, coding, and documentation standards align with federal and contractual obligations. Operational Oversight & Performance Management: Maintain regular operational reviews, enforce adherence to submission timelines (e.g., initial/mid-year/final sweeps), and ensure alignment with organizational goals for revenue accuracy and regulatory performance. MARGINAL JOB FUNCTIONS: Leads or supports special projects and initiatives as assigned to meet organizational goals. Performs additional duties as required to support department and company objectives. BEHAVIORAL EXPECTATIONS: 1. Continuous Learning & Professional Development Actively participates in staff meetings, departmental updates, and organizational briefings. Attends required trainings, conferences, and workshops to maintain knowledge of current regulatory standards, risk adjustment methodologies, and industry best practices Pursues ongoing professional development to enhance leadership, technical, and compliance-related competencies 2. Customer Focus & Professional Conduct Maintains the confidentiality and privacy of member and organizational data in accordance with HIPAA regulations and company policies Demonstrates respect, professionalism, and courtesy in all interactions with members, providers, colleagues, vendors, and regulatory partners Communicates clearly and effectively with team members and leadership to support collaborative problem-solving and high-quality service delivery Quality, Compliance & Process Improvement Proactively identifies and reports any concerns related to safety, compliance, data security, or operations to the appropriate leadership. Adheres to all internal policies and procedures, as well as applicable federal, state, and contractual requirements Supports and participates in continuous quality improvement initiatives, including process redesign, system enhancement, and performance optimization Promotes a culture of safety, accountability, and compliance throughout daily operations and team activities Ethics, Integrity & Accountability Acts with integrity in all professional activities, upholding the organization's mission, values, and code of conduct Takes ownership of responsibilities, follows through on commitments, and holds self and others accountable for results Maintains transparency and ethical decision-making in alignment with regulatory standards and organizational expectations POSITION REQUIREMENTS: EDUCATION/EXPERIENCE: Bachelor's degree required; equivalent combination of education and relevant experience may be considered in lieu of a degree Minimum 5-7 years of progressive experience in Risk Adjustment, with hands-on expertise in CMS-HCC and HHS-HCC program operations, coding, analytics, and regulatory compliance At least 3 years of supervisory or managerial experience, preferably leading cross-functional teams and/or vendor management in a health plan or provider organization Strong working knowledge of Medicare Advantage (CMS-HCC) and Marketplace (HHS-HCC) risk adjustment regulations, encounter data submission requirements, and model methodologies Experience with RxHCC risk models and PDE submission processes preferred Familiarity with RADV audits, HHS IVA audits, and CMS data submission protocols (e.g., RAPS, EDPS, EDGE) Prior experience collaborating with providers, vendors, and internal data/clinical teams to improve risk score accuracy and documentation quality SKILLS/KNOWLEDGE/ABILITY: Strong knowledge of the U.S. healthcare system, including Medicare Advantage and ACA Marketplace programs, with working familiarity of claims data, encounters, eligibility, and risk adjustment methodologies Proficient in Microsoft Office Suite (Excel, Word, Access) and SQL for data analysis, reporting . click apply for full job details
09/20/2026
Full time
Job Description Job Description JOB DESCRIPTION JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt DEPARTMENT: Quality Improvement and Risk Adjustment REPORTS TO: Sr. Director, Quality Improvement, Risk Adjustment, and Health Analytics AUTHORITY: JOB SUMMARY: The Sr. Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role serves as a subject matter expert on federal risk adjustment regulations, policies, and methodologies. The position involves close collaboration with internal teams, providers, and external partners to improve risk score accuracy, provider engagement, and regulatory compliance. The Sr. Manager will also lead the development and operationalization of reporting tools, analytics, and workflows to support risk adjustment performance and data integrity across programs. This role plays a key part in aligning cross-functional teams, driving RADV audit readiness, and informing enterprise-level decisions related to financial forecasting, coding accuracy, and population health. ESSENTIAL JOB FUNCTIONS: Lead Risk Adjustment Strategy & Operations: Oversee the development, implementation, and continuous improvement of risk adjustment programs across all lines of business, including Medicare Advantage (CMS-HCC), Marketplace (HHS-HCC), and RxHCC models, ensuring regulatory compliance, coding accuracy, and risk score optimization. Stay Current on Model Versions & Methodologies: Maintain deep expertise in CMS-HCC model updates (e.g., V24 vs. V28), RxHCC methodology for Medicare Part D, and HHS-HCC annual model recalibrations, including normalization factors, coding intensity adjustments, and future model transitions as released in CMS Advance Notices and Final Rate Announcements. Manage Department Staff & Cross-Functional Teams: Provide strategic direction and oversight for Risk Adjustment and coding department staff. Assemble and lead cross-functional and ad hoc teams for specific initiatives such as RADV audit readiness, encounter accuracy improvement, and provider education. Build and Manage Risk Adjustment Reporting & BI Tools: Design, implement, and maintain dashboards and reporting tools to monitor performance metrics such as risk score trends, gap closure rates, encounter completeness, RxHCC attribution, and audit readiness benchmarks. Conduct Data Gap Analysis & Targeted Program Design: Perform thorough analyses to identify documentation, coding, and encounter data gaps. Use findings to develop targeted retrospective and prospective strategies to improve risk capture and data completeness, especially in hard-to-reach or low-utilization populations. Provider and Vendor Collaboration: Partner with provider groups, ACOs, MSOs, and vendors to ensure alignment with risk adjustment documentation and coding guidelines. Design and monitor clinical documentation improvement (CDI) initiatives to capture accurate and complete conditions, including RxHCC-relevant conditions. Manage Vendor Relationships & Contractual Performance: Oversee vendor selection, contracting, performance monitoring, and ensure vendors are compliant with CMS, HHS, and HIPAA regulations. Evaluate results of chart review, in-home assessment, and coding audit programs to ensure ROI and coding accuracy. Regulatory Monitoring & Policy Implementation: Translate CMS and HHS guidance (e.g., Final Rule, Advance Notice, DIY Instructions) into actionable operational processes. Ensure that all risk adjustment activities are aligned with evolving federal and state policy, including rules around telemedicine, audio-only visits, data submission, and model-specific filtering logic. RADV & Audit Preparedness: Lead internal readiness for RADV (Risk Adjustment Data Validation) audits, including targeted coding audits, sampling validation, and documentation retrieval strategies. Ensure processes are in place to support both CMS RADV and HHS IVA audit requirements. Analytics, Benchmarking & Forecasting: Utilize predictive analytics, industry benchmarks, and statistical modeling to assess financial and coding performance, forecast risk scores, and evaluate the impact of coding pattern adjustments (CPA), dual status, and symmetric caps. Integrate HCC, RxHCC, and HEDIS Data Across Systems: Collaborate with internal data, quality, and clinical teams to align risk adjustment with HEDIS initiatives, STAR measure improvement, and RxHCC data submission processes. Ensure accurate crosswalks between claims, EHR, and supplemental data sources. Provider & Staff Education: Develop and lead training programs for internal staff and network providers on CMS-HCC, HHS-HCC, and RxHCC requirements, documentation best practices, model changes, and audit implications. Use CMS and industry educational resources such as the MLN, EDGE DIY instructions, and model release notes. Data Quality Oversight: Ensure ongoing monitoring and quality assurance of encounter data, HCC coding, supplemental data submissions, and RxHCC files. Validate data submitted to CMS (e.g., RAPS, EDPS, PDE files) and HHS (e.g., EDGE server). Audit & Regulatory Compliance: Maintain compliance with HIPAA, CMS and HHS regulations, ensuring all operational, coding, and documentation standards align with federal and contractual obligations. Operational Oversight & Performance Management: Maintain regular operational reviews, enforce adherence to submission timelines (e.g., initial/mid-year/final sweeps), and ensure alignment with organizational goals for revenue accuracy and regulatory performance. MARGINAL JOB FUNCTIONS: Leads or supports special projects and initiatives as assigned to meet organizational goals. Performs additional duties as required to support department and company objectives. BEHAVIORAL EXPECTATIONS: 1. Continuous Learning & Professional Development Actively participates in staff meetings, departmental updates, and organizational briefings. Attends required trainings, conferences, and workshops to maintain knowledge of current regulatory standards, risk adjustment methodologies, and industry best practices Pursues ongoing professional development to enhance leadership, technical, and compliance-related competencies 2. Customer Focus & Professional Conduct Maintains the confidentiality and privacy of member and organizational data in accordance with HIPAA regulations and company policies Demonstrates respect, professionalism, and courtesy in all interactions with members, providers, colleagues, vendors, and regulatory partners Communicates clearly and effectively with team members and leadership to support collaborative problem-solving and high-quality service delivery Quality, Compliance & Process Improvement Proactively identifies and reports any concerns related to safety, compliance, data security, or operations to the appropriate leadership. Adheres to all internal policies and procedures, as well as applicable federal, state, and contractual requirements Supports and participates in continuous quality improvement initiatives, including process redesign, system enhancement, and performance optimization Promotes a culture of safety, accountability, and compliance throughout daily operations and team activities Ethics, Integrity & Accountability Acts with integrity in all professional activities, upholding the organization's mission, values, and code of conduct Takes ownership of responsibilities, follows through on commitments, and holds self and others accountable for results Maintains transparency and ethical decision-making in alignment with regulatory standards and organizational expectations POSITION REQUIREMENTS: EDUCATION/EXPERIENCE: Bachelor's degree required; equivalent combination of education and relevant experience may be considered in lieu of a degree Minimum 5-7 years of progressive experience in Risk Adjustment, with hands-on expertise in CMS-HCC and HHS-HCC program operations, coding, analytics, and regulatory compliance At least 3 years of supervisory or managerial experience, preferably leading cross-functional teams and/or vendor management in a health plan or provider organization Strong working knowledge of Medicare Advantage (CMS-HCC) and Marketplace (HHS-HCC) risk adjustment regulations, encounter data submission requirements, and model methodologies Experience with RxHCC risk models and PDE submission processes preferred Familiarity with RADV audits, HHS IVA audits, and CMS data submission protocols (e.g., RAPS, EDPS, EDGE) Prior experience collaborating with providers, vendors, and internal data/clinical teams to improve risk score accuracy and documentation quality SKILLS/KNOWLEDGE/ABILITY: Strong knowledge of the U.S. healthcare system, including Medicare Advantage and ACA Marketplace programs, with working familiarity of claims data, encounters, eligibility, and risk adjustment methodologies Proficient in Microsoft Office Suite (Excel, Word, Access) and SQL for data analysis, reporting . click apply for full job details
Job Description Job Description Benefits: 401(k) 401(k) matching Bonus based on performance Job Title: Technical Team Lead - Citrix VDI & Windows 365 Cloud PC Migration Duration: 6-9 months+ Location: Remote supporting PT / MT. We seek an experienced Technical Team Lead to manage day-to-day operations of Citrix VDI and published app environments and to lead the technical transition to Windows 365 Cloud PCs for 1,800 users. This hands-on role combines platform engineering, operational leadership, and technical project leadership (working with an assigned Project Manager) to ensure a smooth migration, stable service, and operationalized Cloud PCs. Experience with Citrix MetaFrame/MetaVance claims tools and legacy Citrix management utilities for troubleshooting session broker behavior, policies, and application profiling is required. Core Responsibilities Operations & Team Leadership Lead and mentor an engineering team for Citrix VDI, Published App Servers, and Windows 365 Cloud PC operations. Own daily operational health: monitoring, incident response, RCA, maintenance, patching, and capacity management. Drive continuous improvement: runbooks, automation, run-rate tasks, and knowledge transfer to Tier 1/2. Coordinate with service desk, networking, security, and app owners on escalations and outages. Migration & Project Leadership (technical lead) Serve as technical lead for migration from Citrix VDI to Windows 365 Cloud PCs; collaborate with the Project Manager to meet timelines. Define migration strategy, architecture, target state, and operational model. Lead POC, pilot cohorts, and phased rollouts; validate UX and app compatibility before broad onboarding. Produce and maintain migration artifacts: diagrams, cutover playbooks, rollback plans, and deployment runbooks. Oversee image management, provisioning, profile migration, storage, and identity/MDM integration. Platform Engineering & Configuration Manage and tune Citrix infrastructure: Delivery Controllers, StoreFront/Workspace, policies, machine catalogs, PVS/MCS, and published app farms. Design and implement Cloud PC provisioning, sizing (SKU mapping), image management, and optimizations. Configure and maintain Intune/Endpoint Manager policies, Autopilot (if used), and Conditional Access for Cloud PCs. Build and maintain monitoring, alerting, and dashboards for Citrix and Cloud PC environments (LogicMonitor, Citrix Director, etc.). Implement security hardening, least-privilege access, certificate management, and secure connectivity (VPN, SASE, Azure networking). User Experience, Applications & Telephony Ensure optimal UX for latency-sensitive workloads (call center softphones, UC apps) - tune remote protocols, multimedia redirection, and QoS. Work with UC/telephony teams to validate audio/video behavior and resolve mouse latency, black screens, or display duplication. Coordinate application remediation, packaging, and delivery (MSI/MSIX/App V/Citrix App Layering). Integrations, Automation & Tooling Integrate Cloud PCs with AD/Azure AD, SSO, SCCM, ITSM, and monitoring platforms. Automate provisioning, image updates, scaling, and remediation using PowerShell, Azure Automation, or similar tools. Implement telemetry and logging for proactive performance management and capacity forecasting. Documentation, Handoff & Governance Produce runbooks, support guides, and operational playbooks for post-migration teams. Define SLAs/OLAs, maintenance schedules, and change control processes for Cloud PC operations. Required Qualifications 7+ years in end-user computing engineering with 3 years leading technical teams or projects. Deep hands-on experience with Citrix technologies (Virtual Apps & Desktops, StoreFront/Workspace, Director, PVS/MCS). Experience implementing and operating Windows 365 Cloud PCs and/or Azure Virtual Desktop. Strong knowledge of Intune/Microsoft Endpoint Manager, Azure AD, Conditional Access, and device management. Experience with image management, application packaging, and profile management (FSLogix). Solid networking and UC fundamentals: TCP/IP, QoS, VPN/SASE, and telephony behavior in virtual desktops. Proficiency in automation/scripting (PowerShell, Azure CLI) and monitoring/log analytics. Strong communication skills for cross-team coordination and stakeholder engagement. Preferred / Nice-to-Have Experience migrating large Citrix estates to Windows 365 Cloud PC or AVD (1,000+ seats). Background supporting contact center/call center environments and UC integrations (Cisco, Microsoft Teams). Experience with LogicMonitor, Citrix Cloud, or IR Prognosis replacement projects. Azure (AZ-104, AZ-140) or Citrix (CCA/CVP/CCE) certifications. Healthcare/insurance or regulated industry experience. Thanks & Regards Bhanu Prakash DeltaSoft Solutions
09/20/2026
Full time
Job Description Job Description Benefits: 401(k) 401(k) matching Bonus based on performance Job Title: Technical Team Lead - Citrix VDI & Windows 365 Cloud PC Migration Duration: 6-9 months+ Location: Remote supporting PT / MT. We seek an experienced Technical Team Lead to manage day-to-day operations of Citrix VDI and published app environments and to lead the technical transition to Windows 365 Cloud PCs for 1,800 users. This hands-on role combines platform engineering, operational leadership, and technical project leadership (working with an assigned Project Manager) to ensure a smooth migration, stable service, and operationalized Cloud PCs. Experience with Citrix MetaFrame/MetaVance claims tools and legacy Citrix management utilities for troubleshooting session broker behavior, policies, and application profiling is required. Core Responsibilities Operations & Team Leadership Lead and mentor an engineering team for Citrix VDI, Published App Servers, and Windows 365 Cloud PC operations. Own daily operational health: monitoring, incident response, RCA, maintenance, patching, and capacity management. Drive continuous improvement: runbooks, automation, run-rate tasks, and knowledge transfer to Tier 1/2. Coordinate with service desk, networking, security, and app owners on escalations and outages. Migration & Project Leadership (technical lead) Serve as technical lead for migration from Citrix VDI to Windows 365 Cloud PCs; collaborate with the Project Manager to meet timelines. Define migration strategy, architecture, target state, and operational model. Lead POC, pilot cohorts, and phased rollouts; validate UX and app compatibility before broad onboarding. Produce and maintain migration artifacts: diagrams, cutover playbooks, rollback plans, and deployment runbooks. Oversee image management, provisioning, profile migration, storage, and identity/MDM integration. Platform Engineering & Configuration Manage and tune Citrix infrastructure: Delivery Controllers, StoreFront/Workspace, policies, machine catalogs, PVS/MCS, and published app farms. Design and implement Cloud PC provisioning, sizing (SKU mapping), image management, and optimizations. Configure and maintain Intune/Endpoint Manager policies, Autopilot (if used), and Conditional Access for Cloud PCs. Build and maintain monitoring, alerting, and dashboards for Citrix and Cloud PC environments (LogicMonitor, Citrix Director, etc.). Implement security hardening, least-privilege access, certificate management, and secure connectivity (VPN, SASE, Azure networking). User Experience, Applications & Telephony Ensure optimal UX for latency-sensitive workloads (call center softphones, UC apps) - tune remote protocols, multimedia redirection, and QoS. Work with UC/telephony teams to validate audio/video behavior and resolve mouse latency, black screens, or display duplication. Coordinate application remediation, packaging, and delivery (MSI/MSIX/App V/Citrix App Layering). Integrations, Automation & Tooling Integrate Cloud PCs with AD/Azure AD, SSO, SCCM, ITSM, and monitoring platforms. Automate provisioning, image updates, scaling, and remediation using PowerShell, Azure Automation, or similar tools. Implement telemetry and logging for proactive performance management and capacity forecasting. Documentation, Handoff & Governance Produce runbooks, support guides, and operational playbooks for post-migration teams. Define SLAs/OLAs, maintenance schedules, and change control processes for Cloud PC operations. Required Qualifications 7+ years in end-user computing engineering with 3 years leading technical teams or projects. Deep hands-on experience with Citrix technologies (Virtual Apps & Desktops, StoreFront/Workspace, Director, PVS/MCS). Experience implementing and operating Windows 365 Cloud PCs and/or Azure Virtual Desktop. Strong knowledge of Intune/Microsoft Endpoint Manager, Azure AD, Conditional Access, and device management. Experience with image management, application packaging, and profile management (FSLogix). Solid networking and UC fundamentals: TCP/IP, QoS, VPN/SASE, and telephony behavior in virtual desktops. Proficiency in automation/scripting (PowerShell, Azure CLI) and monitoring/log analytics. Strong communication skills for cross-team coordination and stakeholder engagement. Preferred / Nice-to-Have Experience migrating large Citrix estates to Windows 365 Cloud PC or AVD (1,000+ seats). Background supporting contact center/call center environments and UC integrations (Cisco, Microsoft Teams). Experience with LogicMonitor, Citrix Cloud, or IR Prognosis replacement projects. Azure (AZ-104, AZ-140) or Citrix (CCA/CVP/CCE) certifications. Healthcare/insurance or regulated industry experience. Thanks & Regards Bhanu Prakash DeltaSoft Solutions
Foodservice Receiver Private School Full Time Employee Benefits eligible Pay Rate: $20 an hour Be the organized force that keeps a busy private school kitchen running smoothly. Brock & Company is seeking a dependable Foodservice Receiver who takes pride in accuracy, efficiency, and creating order behind the scenes. From inspecting deliveries and managing inventory to supporting light food preparation and meal service, this hands-on role is ideal for someone who enjoys staying active, solving problems, and contributing to a collaborative foodservice team. Join a respected, family-owned company offering full-time benefits, provided meals and uniforms, and a workplace where your attention to detail truly matters. Brock & Company seeks an experienced Foodservice Receiver. This site has deliveries of produce, frozen and dry goods, dairy products and assorted other items. Package totals per delivery range between 20 and 75+ items. This position requires a candidate with strong organizational skills, communication and reading/math comprehension skill. Receivers are responsible for all functions and paperwork relating to receiving. Receivers must maximize food cost and product potential through effective and proper procedures for receiving all products entering the unit including verifying actual product against packing slips, confirming product integrity, and checking product temperatures as needed. They must initial invoices, and distribute to appropriate areas i.e. dry storage, refrigerators and freezers. Receivers are responsible for maintaining cleanliness of receiving area including loading dock and trash areas. Additionally, the receiver will do light food prep including assembling grab and go items, station set - up prior to service with appropriate equipment and food to be determined by the Chef Manager. They will maintain a clean and safe work area via supervisor instruction and applicable health, safety and food handling regulations, and provide customer service in a courteous manner at all times. The receiver may, at times, be asked to assist in line service during meal periods to include proper portions and replenishing. Qualifications: Must be at least 21 years of age. High school education preferred or equivalent combination of education and experience. Must be able to frequently lift 50 pounds. Comprehend written invoices, simple arithmetic and verify numbers. Ability to lift and manipulate heavy objects. Ability to detect problems and report information to appropriate personnel. Ability to receive, stock, and/or deliver goods. Must be able to stand for extended periods of time. Adhere to client and company protocols related to COVID-19 workplace safety and sanitation standards. Duties and Responsibilities Receives and unloads incoming materials and compares information on packing slip. Sorts, counts packages, inspects labels, unpacks, and/or logs inventory which is received. Places all items in the proper location, rotating stock as necessary. Inspects shipments for damages or defects; records discrepancies or damages and notifies supervisor and/or purchasing personnel. Delivers items to requisitioning departments and obtains authorized signatures for accepted items. Traces lost shipments and claims of lost shipments; initiates proof of delivery documents. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Performs miscellaneous job-related duties as assigned. Equal Opportunity Employer - M/F/D/V Uniforms and Meals Provided Please respond with resume or letter of intent PM21 Compensation details: 20-20 Hourly Wage PI935e5-
09/17/2026
Full time
Foodservice Receiver Private School Full Time Employee Benefits eligible Pay Rate: $20 an hour Be the organized force that keeps a busy private school kitchen running smoothly. Brock & Company is seeking a dependable Foodservice Receiver who takes pride in accuracy, efficiency, and creating order behind the scenes. From inspecting deliveries and managing inventory to supporting light food preparation and meal service, this hands-on role is ideal for someone who enjoys staying active, solving problems, and contributing to a collaborative foodservice team. Join a respected, family-owned company offering full-time benefits, provided meals and uniforms, and a workplace where your attention to detail truly matters. Brock & Company seeks an experienced Foodservice Receiver. This site has deliveries of produce, frozen and dry goods, dairy products and assorted other items. Package totals per delivery range between 20 and 75+ items. This position requires a candidate with strong organizational skills, communication and reading/math comprehension skill. Receivers are responsible for all functions and paperwork relating to receiving. Receivers must maximize food cost and product potential through effective and proper procedures for receiving all products entering the unit including verifying actual product against packing slips, confirming product integrity, and checking product temperatures as needed. They must initial invoices, and distribute to appropriate areas i.e. dry storage, refrigerators and freezers. Receivers are responsible for maintaining cleanliness of receiving area including loading dock and trash areas. Additionally, the receiver will do light food prep including assembling grab and go items, station set - up prior to service with appropriate equipment and food to be determined by the Chef Manager. They will maintain a clean and safe work area via supervisor instruction and applicable health, safety and food handling regulations, and provide customer service in a courteous manner at all times. The receiver may, at times, be asked to assist in line service during meal periods to include proper portions and replenishing. Qualifications: Must be at least 21 years of age. High school education preferred or equivalent combination of education and experience. Must be able to frequently lift 50 pounds. Comprehend written invoices, simple arithmetic and verify numbers. Ability to lift and manipulate heavy objects. Ability to detect problems and report information to appropriate personnel. Ability to receive, stock, and/or deliver goods. Must be able to stand for extended periods of time. Adhere to client and company protocols related to COVID-19 workplace safety and sanitation standards. Duties and Responsibilities Receives and unloads incoming materials and compares information on packing slip. Sorts, counts packages, inspects labels, unpacks, and/or logs inventory which is received. Places all items in the proper location, rotating stock as necessary. Inspects shipments for damages or defects; records discrepancies or damages and notifies supervisor and/or purchasing personnel. Delivers items to requisitioning departments and obtains authorized signatures for accepted items. Traces lost shipments and claims of lost shipments; initiates proof of delivery documents. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Performs miscellaneous job-related duties as assigned. Equal Opportunity Employer - M/F/D/V Uniforms and Meals Provided Please respond with resume or letter of intent PM21 Compensation details: 20-20 Hourly Wage PI935e5-
Job Description Job Description Reflect Health is the evolution of S&S Health, a trusted independent third-party administrator founded in 1994 to meet the growing need for access, simplified connectivity, and benefits administration. Headquartered in Mason, OH, we have built a reputation based on innovation, service excellence, and a deep understanding of how to drive better outcomes at lower cost. Over the years, we grew into a national presence serving employers, TPAs, health systems, and benefit consultants across all 50 states. We developed proprietary claims technology, expanded our offerings to include level-funded and fully funded programs, and delivered tangible savings and enhanced experiences for millions of members. We are seeking a Lead IT Systems Engineer to modernize and optimize identity management, workflow automation, and employee technology experience. This hands-on technical leadership role will oversee identity and access management, IT workflow engineering, onboarding automation, and virtual desktop infrastructure (VDI) while driving operational efficiency, security, and service excellence. The ideal candidate is an experienced IT professional with strong expertise in automation, systems engineering, identity management, and infrastructure who is passionate about improving employee experiences through scalable technology solutions. Responsibilities Identity & Access Management: Design, implement, and manage automated identity lifecycle processes, including user provisioning, role changes, and deprovisioning across cloud and business applications. Develop role-based access controls, automate approval workflows, enforce least-privilege access, and support periodic access reviews to maintain security and compliance. Workflow Engineering: Design, configure, and optimize Jira and Jira Service Management workflows, intake processes, automation rules, service queues, dashboards, and reporting. Streamline request management through standardized templates, intelligent routing, and automation to improve visibility, efficiency, and service delivery. Employee Onboarding Automation: Develop and maintain automated onboarding processes that ensure user accounts, system access, hardware, and software are prepared prior to employees' first day. Coordinate workflow automation between IT, Human Resources, and hiring managers while creating user-friendly onboarding resources that enhance the employee experience. Virtual Desktop Infrastructure (VDI): Engineer, deploy, administer, and support Reflect Health's virtual desktop infrastructure environment. Design standardized desktop images, application delivery processes, user profile management, monitoring, patching, capacity planning, and operational documentation to ensure a secure, reliable, and scalable platform. Automation & Process Improvement: Identify opportunities to automate manual IT processes, integrate enterprise systems using APIs and scripting, and implement solutions that improve operational efficiency, reduce administrative overhead, and enhance service quality. Security & Compliance: Support identity governance, access management, infrastructure security, and compliance initiatives by implementing security best practices, maintaining audit readiness, and protecting sensitive business and member information. Reporting & Documentation: Develop operational dashboards, system documentation, technical standards, workflows, and reporting to support performance monitoring, issue tracking, capacity planning, and continuous process improvement. Cross-Functional Collaboration: Partner with Infrastructure, Security, Human Resources, Operations, and business stakeholders to deliver technology solutions that improve employee productivity, strengthen security, and support organizational growth. Qualifications Education & Experience: Background in Computer Science, Information Technology, or a related field, or equivalent practical experience in IT engineering or systems administration, including experience in a senior or lead technical role. Identity & Access Management: Strong experience administering identity and access management platforms and directory services, including Okta, Microsoft Entra ID (Azure Active Directory), Active Directory, or similar technologies. Experience implementing automated identity lifecycle management and role-based access controls preferred. Workflow & Automation: Experience configuring Jira and Jira Service Management, including workflow design, automation, dashboards, and service management processes. Strong scripting and automation skills using PowerShell, Python, APIs, or similar technologies. Infrastructure & Virtual Desktop Experience: Hands-on experience designing, implementing, or supporting virtual desktop infrastructure platforms such as Azure Virtual Desktop, Citrix, VMware Horizon, Windows 365, or similar technologies. Technical Skills: Experience integrating enterprise systems through APIs, automating business processes, and supporting modern cloud infrastructure and endpoint management technologies. Familiarity with infrastructure-as-code and configuration management tools preferred. Analytical & Problem-Solving Skills: Strong analytical and troubleshooting abilities with experience identifying operational inefficiencies, designing scalable technical solutions, and driving continuous improvement initiatives. Project Management Skills: Ability to manage multiple technical initiatives simultaneously, prioritize competing demands, maintain documentation, and successfully deliver projects in a fast-paced environment. Communication Skills: Excellent verbal and written communication skills with the ability to explain technical concepts, collaborate across departments, and provide exceptional internal customer service. Industry Experience: Experience within healthcare, health insurance, benefits administration, or another highly regulated industry is preferred. Familiarity with security frameworks, compliance requirements, and protection of sensitive information, including Protected Health Information (PHI), is highly desirable. Reflect Health is committed to providing a safe and secure workplace for all employees. All final candidates will be subject to background checks and drug screening as part of the hiring process.
09/15/2026
Full time
Job Description Job Description Reflect Health is the evolution of S&S Health, a trusted independent third-party administrator founded in 1994 to meet the growing need for access, simplified connectivity, and benefits administration. Headquartered in Mason, OH, we have built a reputation based on innovation, service excellence, and a deep understanding of how to drive better outcomes at lower cost. Over the years, we grew into a national presence serving employers, TPAs, health systems, and benefit consultants across all 50 states. We developed proprietary claims technology, expanded our offerings to include level-funded and fully funded programs, and delivered tangible savings and enhanced experiences for millions of members. We are seeking a Lead IT Systems Engineer to modernize and optimize identity management, workflow automation, and employee technology experience. This hands-on technical leadership role will oversee identity and access management, IT workflow engineering, onboarding automation, and virtual desktop infrastructure (VDI) while driving operational efficiency, security, and service excellence. The ideal candidate is an experienced IT professional with strong expertise in automation, systems engineering, identity management, and infrastructure who is passionate about improving employee experiences through scalable technology solutions. Responsibilities Identity & Access Management: Design, implement, and manage automated identity lifecycle processes, including user provisioning, role changes, and deprovisioning across cloud and business applications. Develop role-based access controls, automate approval workflows, enforce least-privilege access, and support periodic access reviews to maintain security and compliance. Workflow Engineering: Design, configure, and optimize Jira and Jira Service Management workflows, intake processes, automation rules, service queues, dashboards, and reporting. Streamline request management through standardized templates, intelligent routing, and automation to improve visibility, efficiency, and service delivery. Employee Onboarding Automation: Develop and maintain automated onboarding processes that ensure user accounts, system access, hardware, and software are prepared prior to employees' first day. Coordinate workflow automation between IT, Human Resources, and hiring managers while creating user-friendly onboarding resources that enhance the employee experience. Virtual Desktop Infrastructure (VDI): Engineer, deploy, administer, and support Reflect Health's virtual desktop infrastructure environment. Design standardized desktop images, application delivery processes, user profile management, monitoring, patching, capacity planning, and operational documentation to ensure a secure, reliable, and scalable platform. Automation & Process Improvement: Identify opportunities to automate manual IT processes, integrate enterprise systems using APIs and scripting, and implement solutions that improve operational efficiency, reduce administrative overhead, and enhance service quality. Security & Compliance: Support identity governance, access management, infrastructure security, and compliance initiatives by implementing security best practices, maintaining audit readiness, and protecting sensitive business and member information. Reporting & Documentation: Develop operational dashboards, system documentation, technical standards, workflows, and reporting to support performance monitoring, issue tracking, capacity planning, and continuous process improvement. Cross-Functional Collaboration: Partner with Infrastructure, Security, Human Resources, Operations, and business stakeholders to deliver technology solutions that improve employee productivity, strengthen security, and support organizational growth. Qualifications Education & Experience: Background in Computer Science, Information Technology, or a related field, or equivalent practical experience in IT engineering or systems administration, including experience in a senior or lead technical role. Identity & Access Management: Strong experience administering identity and access management platforms and directory services, including Okta, Microsoft Entra ID (Azure Active Directory), Active Directory, or similar technologies. Experience implementing automated identity lifecycle management and role-based access controls preferred. Workflow & Automation: Experience configuring Jira and Jira Service Management, including workflow design, automation, dashboards, and service management processes. Strong scripting and automation skills using PowerShell, Python, APIs, or similar technologies. Infrastructure & Virtual Desktop Experience: Hands-on experience designing, implementing, or supporting virtual desktop infrastructure platforms such as Azure Virtual Desktop, Citrix, VMware Horizon, Windows 365, or similar technologies. Technical Skills: Experience integrating enterprise systems through APIs, automating business processes, and supporting modern cloud infrastructure and endpoint management technologies. Familiarity with infrastructure-as-code and configuration management tools preferred. Analytical & Problem-Solving Skills: Strong analytical and troubleshooting abilities with experience identifying operational inefficiencies, designing scalable technical solutions, and driving continuous improvement initiatives. Project Management Skills: Ability to manage multiple technical initiatives simultaneously, prioritize competing demands, maintain documentation, and successfully deliver projects in a fast-paced environment. Communication Skills: Excellent verbal and written communication skills with the ability to explain technical concepts, collaborate across departments, and provide exceptional internal customer service. Industry Experience: Experience within healthcare, health insurance, benefits administration, or another highly regulated industry is preferred. Familiarity with security frameworks, compliance requirements, and protection of sensitive information, including Protected Health Information (PHI), is highly desirable. Reflect Health is committed to providing a safe and secure workplace for all employees. All final candidates will be subject to background checks and drug screening as part of the hiring process.