A.I.M. Mutual Insurance Companies jobs

At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This role can be performed remotely anywhere in the US, with preference for those who have either Texas or Iowa jurisdiction experience** Essential Functions: Reviews claim notices, lawsuits, contracts, and policies to verify coverage and compensability Initiates timely contact with customers and thoroughly explains the claim process Obtains statements from insureds, claimants, witnesses, and all other pertinent parties Evaluate reassigned files as they reach the most complex level to identify any missing investigative information Documents claims activities, reserve analysis, summaries of reports in the claim system Completes thorough analysis of pertinent facts and sets and maintains timely, adequate reserves in accordance with the company reserving philosophy and methodology to cover company exposure Re-evaluates claim as new facts are identified through the investigation and medical treatment updates Secures all necessary official reports, claim forms, and pertinent documents Reviews bills, invoices, and receipts, including legal and litigation related expenses, for accuracy and appropriateness Notifies all parties involved that legally require appropriate notice Calculates benefits due and pays accordingly in compliance with state jurisdictional statutes Coordinates return to work with medical provider, nurse case manager, insured, and injured employee Coordinates appropriate medical care, including using appropriate and complex cost containment techniques and resources with catastrophic losses. Maintains accurate and timely diaries on all files on an on-going basis May assist in reinsurance reporting as needed Coordinates Medicare set-aside and lien issues, and documents activity including Medicare (MSP) modules in the claims system Identifies coverage concerns and resolves questions regarding additional insureds and contribution claims Resolves questions of liability, compensability, and settlement value Coordinates independent adjusters, experts, and other vendors and manages their budget and reporting to provide the best outcome Recommends and selects appropriate defense counsel based on the nature of suit and complexity of the matter for litigated claims Identifies, investigates, and proactively pursues opportunities for recovery Handles litigation of severe and complex workers' compensation claims Collaborates with defense counsel on action plans and litigation strategy to manage litigation expenses and obtain favorable outcomes Drafts independent medical exam (IME), state required letters, and denial letters with supervisor approval when appropriate Communicates with insureds, injured workers, and attorneys to negotiate the settlement of claims Prepares settlement evaluations, negotiation ranges and target settlement numbers with claimants, insureds, and defense counsel to negotiate when appropriate Attends depositions, hearings, trials, and mediations Prepares settlement documents in collaboration with all relevant parties with consideration of extrinsic information. Issues timely settlement payments Investigates Medicare liens and timely resolve in accordance with EMC and Medicare guidelines Manages claim recoveries including subrogation, second injury fund, social security, and Medicare offsets Complies with all state-specific and jurisdictional reporting requirements through all required communication channels and documents actions appropriately Submits referrals to Special Investigation, Subrogation, Medical Review Units and Corporate Office Coverage Counsel as appropriate Actively participates in claims roundtables by preparing cases needing group discussion and providing input on cases shared by other claims adjusters Serves as a subject matter expert for workers' compensation claims team members. Assists in handling of claims or suits outside of their jurisdiction Provides guidance to team members with technical issues of a claim and answers questions on coverage, compensability, investigations and plans of action Prepares risk alerts for Underwriting and Risk Improvement Maintains continuing education credits and licenses as required by jurisdiction Education & Experience: Bachelor's degree or equivalent relevant experience Eight years of workers' compensation claims adjusting experience or related experience Attainment of all applicable state licenses within six months of hire Relevant insurance designations preferred Knowledge, Skills & Abilities: Superior knowledge of best claims practices used to resolve the most serious and complex workers compensation claims Advanced knowledge of the claim function Excellent knowledge of insurance contracts, medical terminology and substantive and procedural laws Ability to adhere to high standards of professional conduct and code of ethics Excellent knowledge of computers and claims systems Exceptional organizational and written and verbal communication skills Excellent customer service skills Superior investigative and problem-solving abilities Travel required; a valid driver's license with an acceptable motor vehicle report per company standards required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following: $83,925 - $115,647 or $92,509 - $127,495 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. The Sr. Executive Response Specialist supports, researches, and responds on behalf of G.E.H.A's Leadership Team to manage complex medical and dental issues that have been escalated to G.E.H.A's Senior Leadership Team, OPM, compliance, among others. The Executive Response Specialist is responsible for the end-to-end handling of the escalations, including but not limited to partnering with internal and external subject matter experts to research the member or provider's concerns, perform root cause analyses, and communicate with the members and providers. The ideal candidate is a meticulous problem-solver and skilled communicator who thrives under pressure and consistently demonstrates professionalism and discretion. They are passionate about member advocacy, confident in navigating ambiguity, and adept at investigating and troubleshooting when information is incomplete. This role requires exceptional written and verbal communication skills, as well as the ability to collaborate across multiple teams while maintaining a relentless focus on delivering respectful and timely communication to key stakeholders.SKILLS Duties and Responsibilities: Responsible for handling medical and dental escalations submitted to the Executive Escalations team, including but not limited to: Tracking and reporting on all issues. Researching the member's medical or dental claims history, call transcripts, and eligibility records, to identify any issues or errors that need to be resolved. This includes a detailed review of the claims processing. Working with internal and external subject matter experts to oversee resolution, as appropriate Communicating directly with the member and/or provider via email and/or phone to ensure incremental updates are communicated. Communicating directly with the member, provider, and/or and final resolution is communicated. Responds on behalf of G.E.H.A's Leadership team, and other key stakeholders to manage complex and high-profile medical and dental escalations including OPM grievances. Conducts investigative research including auditing phone calls, emails, claims processing, and process flows to determine root cause. Highlights breakdown points in the customer journey and processes; consults with stakeholders on opportunities for improvement and/or trends. Partners with internal and external partners to support efforts to improve customer experience and claims processing accuracy. Identify areas of potential improvement to internal processes that directly impact the accuracy and speed of claims processing and associated functions. Coordinate and lead working meetings with cross-functional teams to review complex escalations. Requires a powerful sense of accountability and end-to-end ownership to ensure all escalations are resolved quickly and accurately. Supports projects/other duties as assigned. Requirements: Education & Experience Requires a Bachelor's degree in a related field, additional years of qualifying work experience may be considered in lieu of formal education. Requires a minimum of 6 years' experience at a medical or dental insurance plan, that includes at least 3 years of senior claims processing experience, with a comprehensive understanding of the adjudication process for medical and/or dental claims. Requires knowledge of medical terminology, medical codes, and related reference materials. Experience creating collaborative and productive relationships with internal and/or external partners. Attention to detail with the capacity to manage multiple complex issues and deadlines effectively. Excellent problem solving, critical thinking, and analytic skills. Requires strong verbal and written communication skills and proficiency in all channels of communication at levels of the organization and with external partners. Demonstrates a strong understanding of reputational risk and public perception when managing member complaints. The ability to summarize present data and findings in MS Excel, PowerPoint, or Power BI. Must be able to work independently. Preferred Qualifications Experience with Federal Employees Health Benefits Program (FEHBP) or Federal Employees Dental and Vision Program (FEDVIP). Customer Service experience. Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $48,970 - $61,950 USD. At G.E.H.A, the current maximum salary for this role is $69,030 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. The Director - Marketing Planning & Brand Strategy leads the organization's Brand and end-to-end go-to-market planning and tactical execution for all GEHA's medical and/or dental product lines. The ideal candidate is an executive marketing leader and an expert in consumer behavior, branding, strategic planning, and insight identification to carve out unique positioning in the market for Healthcare Payors. The role is responsible for leading a team of brand, planning and campaign managers, each of which manage cross-functional, highly matrixed projects through the annual planning cycle and execution of Open Season, managing strategic plan development, forecasting responses and leads, tactical calendar, media mix inclusive of pro-forma development, and ensuring direct response best practices are incorporated to optimize conversion and meet annual growth targets. The ideal candidate has extensive Payor experience, and is an inquisitive, insights leader with strong business acumen, and demonstrated ability to collaborate across functions.SKILLS Responsibilities Go-to-Market leader with experience managing teams responsible for Brand stewardship and management, as well as go-to-marketing strategy for Healthcare Payor Initiative-taking brand visionary, responsible for leading evolution in organization's brand platform, including foundational brand research and dimensionalization of segments leading to development of unique visual and verbal identity, brand standards, brand pillars, as well as rollout of foundational asset refresh across sales, marketing, field-marketing, and partner ecosystems. Keen ability to partner with internal Creative team and external agencies to translate brand into actionable, purposeful, insights-informed campaign concepts and platforms. Adept and collaborative brand steward, work across organization to unlock brand's full potential in operational, community, growth, and other applications, all while ensuring brand standards are managed. Planning accountability across full calendar year, ensuring collaborative development of Growth go-to-market strategy for product line(s), highly collaborative matrix leader with ability to engage and lead peers across organization from Product, Data and Analytics, Sales, and other functions. Strong commercial leadership voice with end-to-end go-to-market planning for product line(s), forecasting annual growth goals for product line(s) by segment, including development of forecasts by segment, media channel, and media drops/deployment. Planning and strategy leader for all product lines, own strategic vision and tactical execution across all communication channels, lead team in creating and executing multi-channel marketing and growth plans across direct mail, web, telephonic, digital/social, field-marketing, and other channels, and mediums. Work closely with Growth team leaders to create and deliver Growth planning and go-to-market plan to meet and exceed growth goals across acquisition, retention, and engagement initiatives. Lead the team of internal Subject Matter Experts on Health Payor strategic insights, consumerism, and best practices, with keen insights and strong consumer behavior points-of-view on demand generation strategies and tactics. Collaborate closely with internal teams and external agency partners to develop, map, and create foundational planning documents. Expertise in planning segment-specific, micro-targeting, channel mix and go-to-market strategy. Assess new and emerging marketing channels, mediums, approaches, tools, and best practices, including AI and others, to drive process improvement and optimize response rates attract, retain, and engage members. Develop talent - strengthen internal processes, capabilities, and team members by championing training and development of foundational consumer insights and best practices, direct response methodologies, and growth performance optimization strategies. Other duties as assigned. Qualifications & Skills 10+ years of brand and planning leadership, including marketing, growth, go-to-market, and/or sales experience for a Health Payor Bachelor's degree in business, Marketing, or related filed, master's degree preferred. Health Payor experience required, in-depth and acute understanding of planning, go-to-market planning, and consumer behavior in Health Payor space, specifically direct response, to elicit and drive specific consume outcomes to attract, retain, and engage members and prospects. Demonstrated ability to lead large-scale acquisition strategy, with proven history of meeting or exceeding growth goals. Process-oriented leader, with the ability to thrive in ambiguous, fast-changing market and environment. Strong business acumen and mastery of data / insights to develop segments, value proposition(s), and overall growth strategy. Demonstrated ability to mentor, develop and inspire team, comfortable managing and developing people through constructive feedback on both work product and professional develop areas. Purposeful with keen sense of urgency to deliver results. Focus on outcomes and process - attention on delivering the right results, the right way. Strong written, verbal, and visual communication skills, across marketing and business areas, ability to establish rapport across all levels of an organization and stakeholders. Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $158,530 - $200,550 USD. At G.E.H.A, the current maximum salary for this role is $223,470 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. We are seeking a Senior Database Administrator to enhance and secure enterprise database systems across both on-prem and cloud environments. This is a senior-level technical role focused on ensuring optimal performance, availability and security of high-profile databases through proactive maintenance, troubleshooting, and operational excellence. The ideal candidate brings deep expertise in relational databases, NoSQL, and cloud platforms, with a passion for leveraging emerging technologies to drive operational excellence and innovation.SKILLS Duties and Responsibilities Database Administration & Optimization Administer, maintain, and optimize relational databases (e.g., SQL Server, Azure SQL, Snowflake, PostgreSQL). Lead performance tuning, indexing, query optimization, and root cause analysis to ensure high availability and data integrity. Monitor system health and proactively resolve bottlenecks, blocking issues, and anomalies. Track and analyze key performance indicators (KPIs) to support capacity planning and system health. Cloud Environment Management Support and manage cloud-based database environments across all platforms. Lead migrations, integrations, and operations in cloud ecosystems using best practices for scalability, reliability, and cost-efficiency. Utilize cloud-native tools for monitoring, automation, and diagnostics. Security, Compliance & Governance Partner with security teams to design and enforce robust database security protocols, including encryption, access controls, and cloud IAM policies. Ensure compliance with HIPAA, PII, PHI, and other regulatory frameworks. Conduct audits, implement remediation plans, and maintain secure data workflows across environments. Backup, Recovery & Disaster Preparedness Develop and maintain backup, recovery, and disaster recovery strategies for on-prem and cloud platforms. Implement encryption, compression, off-site retention, and long-term archival policies. Design high-availability architectures and phased environment controls for non-production isolation. Data Integration & ETL Operations Support ETL and batch processing systems, ensuring timely and accurate data movement. Collaborate with development teams to integrate secure, cloud-native data pipelines and workflows. Architecture, Infrastructure & Automation Administer Windows on virtual machines and attached storage Contribute to physical and logical database design, network topology, and system monitoring. Automate operations using scripting tools like PowerShell and Terraform Documentation & Change Management Create and maintain comprehensive documentation for configurations, procedures, recovery plans, and deployment models. Oversee code promotion, change control, and configuration management across environments. Use source control systems to manage database scripts and participate in release planning. Collaboration & Mentorship Work closely with cross-functional teams (Infrastructure, DevOps, Application Development, Architecture) to support deployments and troubleshoot issues. Mentor DBAs and provide guidance on database architecture. Lead strategic technical initiatives and contribute to enterprise data management planning. Research & Continuous Improvement Conduct business analysis and gather requirements to recommend cost-effective solutions and enhancements. Evaluate existing systems and recommend improvements using current technologies. Research emerging trends, including NoSQL, vector databases, and LLM-oriented platforms to support AI-driven initiatives. Knowledge, Skills and Abilities Bachelor's degree in Computer Systems or related field; equivalent experience or certifications may be considered. 7+ years of experience in database administration, including mastery of relational database systems (e.g., Microsoft SQL Server, Azure SQL, Snowflake, PostgreSQL). Strong understanding of HIPAA data privacy regulations Strong understanding of database security principles, access control, and compliance frameworks. Proficiency in SQL, Snowflake, and scripting tools such as PowerShell and Terraform. Proven experience supporting cloud-based database environments and cloud-native monitoring and automation tools Deep technical knowledge of database internals including indexing, query plans, statistics, buffer/cache behavior, and performance tuning. Experience with ETL tools and processes including design and support of data warehouse structures and reporting systems. Skilled in change management and code promotion across non-production environments; experienced with source control tools like Git. Strong understanding of server operating systems (Windows/Linux), server hardware, storage systems (SAN, RAID), physical database design, network topologies, and system monitoring. Effective verbal and written communication skills to document procedures, explain technical concepts, and collaborate across teams. Demonstrated ability to work independently, prioritize tasks, and resolve complex technical issues with minimal supervision. Proven ability to contribute to strategic technical initiatives without direct management responsibilities. Bonus Skills and Experience Azure or Snowflake certifications (e.g., Azure Database Administrator Associate, SnowPro Core) Knowledge of data lakehouse architecture, real-time analytics, or AI systems Familiarity with NoSQL databases (e.g., Cosmos DB, MongoDB) and exposure to LLM-related architectures Experience in health insurance, healthcare, or regulated industries Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $108,697 - $137,508 USD. At G.E.H.A, the current maximum salary for this role is $153,223 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. Performs routine administrative workflow tasks that support functions of Clinical Operations. Engages and educates members and providers about GEHA benefits and programs. Identifies cases for internal and external Clinical programs.SKILLS Uses various communication methods to identify and solicit information from providers and vendors as relevant to clinical and business need. Coordinates, reviews and investigates claims to determine the medical necessity and appropriateness of the care Determines simple cases that require review by Medical Director, Pharmacist or nurse. Interprets medical review results to determine compliance with contract provisions. Reports suspicions of compliance, clinical, quality, and regulation concerns Identifies cases for care and cost management Recommend benefit allowances in alignment with contract liabilities Actively engages in communication and response with internal and external customers regarding care management, products, and services Directs processing of contractual benefits after investigation is complete Escalates complex cases to senior team member. Requires two years (60 credit hours) of college or 2 years of healthcare experience. Additional years of qualifying work experience may be considered in lieu of formal education. Requires intermediate proficiency with technology applications and systems. Requires experience using Microsoft office products, i.e., Outlook, Excel, Word, Teams. Requires effective written and verbal communication skills. Must reside in Kansas City Metro Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $47,642 - $60,270 USD. At G.E.H.A, the current maximum salary for this role is $67,158 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

The Customer Experience Business Data Analyst is responsible for analyzing key complex data elements, developing, and building data models, and developing forecasts and trends. They assist in shaping activities and plans that influence the organizational strategy based on insights and conclusions found. The CX Business Data Analyst will monitor the state of analytics across industries, ensuring best practices and accuracy remain at or above standards, collaborate with others across the organization to provide consult and validation for data in service to our customer intimacy focus and directly report recommendations on trends, research, and project conclusions to their supervisor, as well as the Customer Experience Management team. Responsibilities: Provide insight and research with supporting data on customer/industry changes as to the impact and opportunity for NYCM. Conduct forecasting and provide analytical insight on current and future state of the NYCM customer as well as the market. Review, research and perform analysis on identified market trends and emerging customer behaviors, presenting findings and recommendations to management teams. Build and maintain data models and dashboards that support key business decisions. Transform raw data (experience, transaction, and financial) into business insights with collaboration as necessary from business partners. Work to maintain subject matter expertise as it pertains to current and emerging techniques, and the ability to recognize and apply the optimal technique to each initiative. Consult with analysts from other divisions regarding strategic insights and to establish consistency in data quality and understanding. Bring structure to business requests, translate requirements into an analytical research or project approach, and lead multiple complex projects through completion. Conduct and participate in meetings and collaboration as required to facilitate communication, showcase findings, provide recommendations, and ensure alignment with objectives. Develop and maintain a data dictionary, policies, and procedures as it relates to Customer Experience analytics and can be used by the organization. Adherence and compliance to regulation while interacting with customers and their data. Adhere to divisional and corporate quality controls and best practices and procedures to ensure consistency. Work with key stakeholders to develop project roadmap justification for the CX Team as well as divisional partners with support from management. Ensure accurate data collection, processing, and analysis of data reported on. Other duties as assigned. Requirements: Preferred: Bachelor's degree with an emphasis in Finance, Economics, Accounting or Statistics/Mathematics or related field of expertise and three years' experience directly working in data analytics, model development, and forecasting. Required: High School diploma and business experience equivalent to a bachelor's degree in a related data analytics field, economic, or mathematics Qualifications/Skills: Strong computer skills including Microsoft Access, Excel, Word, Visio and Power Point. Strong to expert query and database analytical and development skills. Ex. SQL, SAAS, etc. Understanding of and experience using analytical concepts and statistical techniques, analyzing data, drawing conclusions, and developing actions plans. Ability to work with large amounts of data and with a variety of systems, recognize relationships in various data sets to drawn sound conclusions and insights. Strong business acumen. Strong problem solving, quantitative, analytical, and critical thinking skills with a keen attention to detail. Strong ability to work with large amounts of data and with a variety of systems, recognize relationships in various data sets to draw sound conclusions and insights. Strong ability to plan and manage numerous processes and projects simultaneously. Excellent oral, active listening, and written communication skills. Strong and effective in time management with ability to follow up on open items, remain organized, and professional. Market Range: 8 / Hours: 37.5 / $51,844 - $80,625 Accepting applications through: 10/27/25

The Document Processor (Hybrid) is responsible for handling incoming documents, storage and data entry to keep business operations running smoothly. The position will process incoming mail, faxes, and electronic documents, including image, video and audio files from internal and external customers. In addition, the Document Processor will prepare documents for scanning, scan documents, and index according to classification categories, distribute documents and packages throughout the office and pick-up outgoing mail. Duties & Responsibilities: Open envelopes, removing and sorting contents according to procedures. Review documents to make sure they are accurate and complete, research as needed. Prepare documents for scanning to include prepping functions for specific documents. Separate documents to comply with company formatting standards to meet deadlines. Scan verified and complete documents. Operate and maintain scanning machines. Securely store documents, images, videos, and audio files and discard obsolete records. Distribute mail and packages throughout the office, while picking up outgoing mail. Index documents according to document type for release into the system for use by other personnel with deadlines, implementing high attention to detail, accuracy, and efficiency. Converting documents into PDF format to fulfil customer needs. Retrieve documents as required by company staff. Assist customers with questions. Contact internal and external customers as needed. Research and process checks/return checks Participate in special projects assigned by management while completing daily tasks Attend mandatory meetings and trainings for continued growth and development. Other duties as assigned. Requirements: GED Qualifications/Skills: Basic understanding of both underwriting and claims policies. Knowledge of insurance documents and document classification categories. Good organizational skills. Attention to detail. Good written and communication skills with ability to present to others. Proficient personal computer skills, including electronic mail, routine databases, and word processing. Good interpersonal skills. Good customer service skills Ability to work professionally and effectively in a fast-paced team environment. Ability to multi-task under time sensitive deadlines. Able to view graphic images Market Range: 1 / 40 hours / Hybrid - 3 Days in Office Salary Range: $33,700 - $48,600 Accepting applications through: 10/21/2025

At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This role can be performed remotely in the Des Moines, Iowa area, with ability to work on site twice per quarter** Essential Functions: Manages a team responsible for accurate and timely reporting to regulatory authorities and reporting bureaus. Leads the analysis of regulatory texts, official guidance documents, regulatory updates, and industry publications to understand the nuances of reporting requirements. Maintains a deep understanding of the regulations and reporting requirements impacting assigned lines of business. Collaborates closely with Compliance, legal counsel, and regulatory affairs teams to ensure a comprehensive understanding of regulatory requirements. Oversees risk assessments and impact analyses to evaluate the potential effects of regulatory changes on reporting processes, systems, controls, and business operations. Identifies gaps and implements mitigating measures to effectively address regulatory compliance challenges. Manages the creation of detailed documentation of regulatory interpretations, reporting methodologies, data sources, and compliance activities for audit purposes and regulatory examinations. Communicates with states and reporting bureaus as required to manage expectations, answer questions, and ensure compliance with requirements. Manages and triages incoming requests according to requirements, priority, and due dates; assigns work to team members and monitors team deliverables to ensure timely and accurate completion. Works cross-functionally with various departments including Claims, Underwriting, Finance, and Information Technology to identify, acquire, and report information. Utilizes analytical capabilities to conduct root cause analysis and to investigate compliance issues, identify systemic weaknesses, and implement corrective actions to ensure accurate and timely reporting. Serves as an escalation point for issues impeding team progress and acts as liaison across departments to manage work dependencies. Evaluates team workflows for efficiency and effectiveness, creates process documentation and workflow maps, identifies bottlenecks, and implements process improvements to enhance productivity and quality. Develops team metrics and KPIs to monitor ongoing performance, inform decision making, and communicate priorities to team members and stakeholders. Builds culture and develops team members while overseeing regulatory and bureau reporting functions. Develops training materials, conducts workshops, and organizes knowledge-sharing sessions to facilitate continuous learning and skills development. Collaborates with team members to establish performance goals and monitors status, conducts performance reviews, and provides coaching. Interviews, hires, and recommends salary adjustments for team members. Resolves disciplinary issues, reviews results, action plans, and progress. Develops team expertise and completes succession planning, including identifying talent and implementing development plans for critical positions. Supports diversity, equity, and inclusion initiatives. Fosters an innovative culture, including supporting new ideas and providing guidance on potential changes. Leads selection, onboarding, and ongoing management activities for vendor solutions handling data and report submissions to bureaus or states. Researches and evaluates potential vendors, conducts due diligence including formal assessments, prepares business cases, and negotiates contracts. Collaborates with vendors to integrate the company's systems and processes, providing oversight of data mapping, issue resolution, and deliverable acceptance. Oversees periodic reviews and audits of vendor solutions to ensure the accuracy and integrity of data submissions. Manages vendor contracts including renewal negotiations, amendments, and terminations as needed. Manages the development and maintenance of internal and external data extraction, transformation, and load routines from diverse sources into target systems and files. Oversees the creation of data cleansing routines to ensure data quality and consistency across different sources. Manages the creation of reusable business rules, validation checks, and error handling mechanisms necessary for reporting purposes. Evaluates and leverages different data extraction tools such as SQL, VBA, Denodo, and Excel to prepare and deliver data; manages diverse data sources, integrates data, and oversees data reporting processes. Oversees the creation of data maps and specifications for internal and external stakeholders in support of regulatory requirements. Identifies opportunities to optimize data integration routines, SQL queries, and data processing workflows to improve performance and efficiency. Oversees data quality standards with each industry bureau to ensure EMC receives the correct reporting credits for accuracy and timeliness of reporting. Oversees and manages the performance of the team through Agile ceremonies and traditional project management methodologies to coordinate team projects effectively, foster collaboration, and ensure project objectives are met within scope, budget, and timeline. Liaises with Digital Product Management teams as necessary to integrate regulatory reporting requirements into product backlogs. Manages cross-functional team dependencies, risks and issues, and prioritization processes to ensure team deliverables are met. Collaborates with the Statistical Data Management Product Owner to inform and manage scope and priorities. Establishes regular communication channels with stakeholders to provide project updates, solicit feedback, and address concerns or issues in a timely manner. Directs the creation and maintenance of documentation in OneSumX and Jira as required. Education & Experience: Bachelor's degree in business, statistics, finance or related field, or equivalent relevant experience Ten years of experience with property and casualty insurance regulatory compliance and data analysis, or relevant experience Previous leadership experience Certifications such as Chartered Property Casualty Underwriter (CPCU) or Certified Data Manager (CDM) preferred Knowledge, Skills & Abilities: Thorough understanding of insurance regulations, especially filing of rates, rules, coverage forms and endorsements Strong knowledge of all property and casualty commercial lines coverages and premium development Excellent computer knowledge needed, especially with MS Word, Excel, SQL, Power BI, and similar toolsets Excellent skill in conducting root cause analysis to investigate compliance issues, data discrepancies, and reporting errors, with the ability to identify underlying causes, systemic weaknesses, or process deficiencies Ability to approach complex problems with a systematic and analytical mindset, applying critical thinking skills to dissect issues and explore potential solutions Excellent written and verbal communication skills, including the ability to speak effectively before groups Excellent organizational and problem-solving abilities and strong human relations skills, as well as leadership abilities Excellent ability to analyze large volumes of data from various sources to identify trends, patterns, and anomalies Excellent skills in dissecting regulatory texts, identifying key provisions, and understanding their implications on reporting obligations and compliance activities Ability to manage a variety of tasks at one time while meeting deadlines The hiring salary range for this position will vary based on geographic location, falling within either of the following: $101,677 - $145,733 or $112,094 - $160,670 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. The Technology Team Lead plays a critical role in managing and leading a team of technology professional to achieve the organization's technological goals. The Team Lead is responsible for overseeing and managing a team of technology professionals in their respective area of discipline, to ensure the successful development, implementation, and oversight of technology solutions. The Team Lead is the bridge between the manager (who focuses more strategy and oversight) and the technical team, ensuring that projects are delivered on time, within scope and meet quality standards. As a people leader, the role is also responsible for hiring, onboarding, setting expectations, coaching, 1:1's, quarterly performance and engagement conversations and leading in a way that drives results and high levels of employee engagement. This role involves a balance of technical expertise, leadership, project management, and effective communication to drive the team's performance and deliver high-quality solutions.SKILLS Leadership and Team Management: Lead, mentor and provide day to day guidance to a team of technical professionals, fostering a collaborative and productive work environment by facilitating teamwork and promoting a positive work environment. Effectively manage team workload, allocate tasks, set priorities, and ensure timely project delivery. Partners closely with manager on project expectations/deliverables, team performance, deadlines, and resource planning. Project Coordination and Execution: Collaborate with project managers to define project scope, objectives, and technical requirements. Coordinate with cross-functional teams to ensure alignment of technical solutions with project goals and timelines. Monitor project/service deliverables progress, identify potential risks, and implement mitigation strategies to ensure successful project outcomes. Technical Expertise: Demonstrate strong technical skills and understanding of the technologies utilized in the projects and the services provided by the functional area. Provide technical guidance and support to the team, assisting in problem-solving and addressing technical challenges. Stay updated with industry trends, emerging technologies, and best practices to enhance the team's technical capabilities and efficiency. Collaboration and Communication: Foster open communication within the team and across departments, ensuring a clear understanding of project objectives and expectations. Act as a liaison between the technical team and stakeholders, providing updates on project status, progress, and potential roadblocks. Escalates any areas of concern to manager for consultation and guidance. Effectively communicate technical concepts and solutions to both technical and non-technical stakeholders. Process Improvement: Identify opportunities for process enhancement and optimization within the team's workflow. Propose and implement improvements to streamline processes, increase productivity, and ensure quality deliverables. Encourage and help define the adoption of best practices and standards within the team to maintain high levels of efficiency and quality. Qualifications: Requires a bachelor's degree in a Computer Information Services or a related field. Additional years of qualifying work experience may be considered in lieu of formal education. Requires a minimum of 5 years of relevant experience in project analysis, application development and application programming. Requires 3 years of experience leading projects including working cross functionally to successfully deliver key initiatives. Technical toolbox should include: Knowledge/Design experience of Web APIs using C# MS Azure experience (e.g., Azure Functions, App Services, Container Services) MS Azure DevOps experience (e.g., GIT Repos, Azure CICD Pipelines) MS (Visual Studio and MS Server Products), MS Office Products, SQL server products, VB Scripting or related scripting languages Familiarity with event driven architecture and messaging SQL Server ETL JSON, API and Web Services Experience with SOAP and SOAP utilities Experience with Security frameworks (e.g., JWT, OAUTH2) Experience in creating REST API documentation using Swagger and YAML or similar tools desirable Requires effective communication and presentation skills and the ability to lead multi-disciplinary development teams and ability to manage multiple project efforts simultaneously. Excellent problem-solving and critical-thinking abilities. Exceptional interpersonal and communication skills. Ability to prioritize tasks, manage time effectively, and adapt to change. Preferred Qualifications Prior experience with Agile methodologies Prior experience leading and influencing teams and stakeholders Prior experience working and leading cross-functionally within an organization Leadership and team management experience, including conflict resolution and performance evaluation Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $123,438 - $156,156 USD. At G.E.H.A, the current maximum salary for this role is $174,002 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **Ideal candidate will be located in Nebraska, Colorado, South Dakota, Wyoming, or Utah.** Essential Functions: Selects, grows and maintains a profitable book of business for assigned high-volume territory with a high level of underwriting authority Evaluates and analyzes highly complex accounts for risk selection and pricing purposes Develops and fosters agency relationships Collaborates with marketing representatives to ensure agents receive superior customer experiences Offers appropriate coverage for exposures and explains decisions to agents Coordinates with marketing and branch management in the agency planning and review processes Serves as a mentor for less experienced underwriters Education & Experience: Bachelor's degree, preferably in insurance or business administration Five years of experience in commercial lines underwriting Insurance designations, such as CPCU preferred Knowledge, Skills & Abilities: Excellent knowledge of underwriting and risk analysis Exceptional problem-solving skills and the ability to make sound decisions Strong customer service skills Strong computer skills, including knowledge of Microsoft Office and social media Ability to work on multiple projects while meeting deadlines Excellent written and verbal communication skills, including the ability to speak effectively before groups Strong presentation skills preferred Ability to work effectively with others, as well as independently Demonstrated leadership qualities Occasional travel; a valid driver's license with an acceptable motor vehicle report per company standards required if traveling The hiring salary range for this position will vary based on geographic location, falling within either the $83,000-$115,000 range or the $92,000-$127,000 range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.

GEHA (Government Employees Health Association, Inc., pronounced G.E.H.A.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. GEHA has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, GEHA empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. The Salesforce Solution Architect helps design and deliver solutions for enterprise-grade customers using Salesforce products. The primary responsibility is to recommend the best solution for a given set of requirements and articulate the trade-offs involved in choosing one solution over another. With Salesforce, there is never just one way to solve a problem. It's the Salesforce Architect's responsibility to choose the solution that will hold up over time, that will scale as the number of users increases, and won't acquire lots of technical debt or require manual changes as time goes on. The evaluations you conduct will adhere to GEHA technology standards, tools, products, and Salesforce best practices. You will be a key player in developing the long-term Salesforce roadmap - from inception through execution.SKILLS Maintain in-dept knowledge of GEHA strategic business plans Provide architectural consulting expertise, direction and assistance to Salesforce Administrators and Developers. Consult with outside Salesforce development vendors on recommended solutions Document and develop in-dept knowledge of GEHA existing architecture/infrastructure and technology portfolio - with a focus on Salesforce and related integrations Conduct research on Salesforce emerging technologies and features. Develop recommendations that will increase cost effectiveness and infrastructure flexibility Make recommendations about Salesforce platform adoption, including development frameworks, languages, and libraries Design, develop and oversee the implementation of end-to-end Salesforce integration Evaluate existing Salesforce implementation and make recommendations for improvements or modifications Acts as a technical mentor for members of the Salesforce IT team, providing input and feedback to others Review business requirements documentation, technical design documentation and participate in peer review cycles with technical and non-technical counterparts Create documents and artifacts that are not currently in place for the Salesforce platform Assign tasks to the appropriate technical resource within the team. Follow up on assigned tasks to ensure adherence to recommended design. Assist with development of delivery milestones Other duties as assigned Required Qualifications & Background At least 5 years' experience in a leading role in delivering Salesforce projects Bachelor's degree or professional qualification in Business, Computer Science, Marketing, Finance or a similar field of study, or equivalent work experience Experience with Apex Visualforce and Javascript Excellent communication skills - written, verbal and interactive when online Salesforce Certification in one or more: Administrator, Developer, Sales Cloud Consultant, Service Cloud Consultant, Platform App Builder Experience with Salesforce Sales Cloud, Service Cloud, Marketing Cloud and Health Cloud A pro-active personality with a can-do attitude Excellent relationship building skills Strong analytical skills with the ability to observe trends. Able to actively make suggestions based on the results Available and responsive to questions, clarifications, and instructions Ability to tailor communication to multiple audiences at all levels Self-starter, experienced in leading projects or delivery work streams Outstanding written communication skills Ability to demonstrate concepts visually and in writing in a way that enables stakeholders to decide with confidence Strategic approach to solution design, with proven ability to develop and execute tactical plans to support the strategy Excellent ability to coach, motivate and direct work tasks to a multi-disciplinary team of Salesforce professionals - both internal and external to GEHA Experience using ADO working in an agile environment for delivery Nice to Have Experience Salesforce Technical Architect certification (CTA) Salesforce Solution Architect certification Salesforce Designer certifications Active in the Salesforce Community Health insurance industry experience Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time GEHA does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. GEHA considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The annual base salary range for this position is $119,985 - $169,135 USD. GEHA is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. GEHA will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. GEHA is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. G.E.H.A is seeking a highly skilled and impeccably detail-oriented Learning Strategist to join the Organizational Talent and Effectiveness team. This position requires advanced expertise in instructional design and content development, advanced proficiency in project management and deep knowledge and application of strategic human resource management. The Learning Strategist supports stakeholder relationships, designs and implements training strategies and readiness plans, change management plans and ensures alignment with company performance goals. The successful candidate collaborates with internal partners to develop high-quality innovative business solutions to advance our organizational strategies and initiatives, and collects, analyzes, and uses data to inform continuous improvement of learning.SKILLS Duties and Responsibilities: Partner with SMEs and stakeholders to identify training needs, develop comprehensive training plans, content, and programming to drive organizational performance, outcomes and belonging. Engage and effectively collaborate with cross-functional teams to ensure consistency in training delivery and messaging. Own, recommend, implement, and monitor improvements to learning content and delivery based on workforce metrics / KPIs and unobtrusive, secondary data analysis. Monitor and evaluate learning effectiveness and outcomes, and report impact through quantitative and qualitative data analysis and feedback mechanisms. Remain current and apprised of industry trends and best practices. Knowledge, Skills, and Abilities: Master's degree in instructional design, educational technology, or a related field. Seven (7) to Ten (10) years of professional experience in education designing, developing, and/or teaching courses, including proven experience with managing projects or instructional services in a corporate setting. Problem solving and critical thinking. Advanced proficiency in e-learning development and authoring tools (Articulate 360, Rise, Adobe Captivate, or similar platforms) and learning management systems (LMS). Advanced understanding of andragogy to create and deliver best-in-class instructional design strategies. Utilize technology to enhance learning experiences and personalize learning pathways. Knowledge and application of best practices using technology for design and learning, including but not limited to, multimedia development, web conferencing, learning management systems, online collaborative tools, and high impact practices for learning and outcomes. Deep knowledge and application of instructional design methodologies (e.g., ADDIE, SAM). Proficient in visual and graphic design (Adobe, Shutterstock); video and multimedia editing (Premiere Pro, Audacity, Camtasia); UX/UI design principles and accessibility/UDL. Direct experience with AI-based onboarding technology to facilitate and streamline remote onboarding processes. Knowledge and application of Section 508 requirements and digital accessibility. Exceptional writing, editing, and proofreading skills, relationship management and people skills, including the ability to collaborate with all levels of the organization and work across organizational boundaries, particularly in the area of instructional design. Other duties as assigned. Preferred Qualifications: Certification in instructional design and project management. 10+ years of experience in instructional design and project management, including proven experience managing several programs and projects in a corporate setting. Experience in the health insurance or healthcare industry. Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $92,379 - $116,865 USD. At G.E.H.A, the current maximum salary for this role is $130,221 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

The Brand Analyst will analyze and evaluate brand performance and perception relative to the market. The Analyst will gather, compile, and understand data including conducting market research, and providing actionable insights to enhance customer engagement, brand equity, and visibility. The Analyst will collaborate with team leads and supervisors on execution/implementation of marketing best practices. Duties & Responsibilities: Conduct market research to identify trends, competitive landscape, and consumer preferences relevant to our brand. Gather raw data from multiple sources. Compile and understand major themes within the data. Draw sound conclusions from large sums of data and recommend resolutions. Make blog, website, and social media recommendations to optimize user engagement. Utilize research methodologies to gather qualitative (why and how) and quantitative (what and when) data on brand perception and consumer behavior. Collaborate cross-divisionally with teams to align brand strategies and campaigns with business objectives. Identify areas of opportunity, challenges, and change impact for brand and cross-divisional initiatives. Monitor and analyze brand performance metrics such as brand awareness, brand sentiment, and assess our brand health. Prepare comprehensive reports and presentations summarizing findings, insights, and recommendations. Assist in the development of campaign effectiveness reporting. Develop and maintain audience segmentation. Present opportunities and recommendations to the Brand Leadership Team to guide and inspire changes to enhance brand experience. Document findings and recommendations. Attend meetings and seminars. Be available to work additional hours, as the business needs dictate. Other duties as assigned. Requirements: High School Diploma and 2 years of experience in marketing, marketing research, data analysis, or a related field. Qualifications/Skills: Ability to gather, interpret, and analyze data from various sources to provide actionable insights and make data-driven recommendations. Ability to identify emerging trends, innovative approaches, and opportunities for brand differentiation to drive growth and brand awareness. Intermediate experience with data analysis tools, such as Google Analytics and Microsoft Excel Excellent oral, active listening, and written communication skills. Fully developed and effective presentation skills. Time management, organizational, keen attention to detail, and prioritization skills. Critical thinking. Ability to work both independently and within a team with minimal direct supervision. Ability to handle stress professionally, calmly, and effectively. Positive and professional attitude. Market range 6 Non-Exempt / Hours: 37.5 hours per week Salary Range: $44,438 - $69,094 Accepting applications until: 10/27/2025

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. Manages large projects with considerable resources and high levels of functional integration. Coordinates system development and delivery for major applications, including custom and commercial off the shelf products, from business analysis to operational readiness. Ensures adherence to GEHA project management principles, processes, and best practices. Interfaces with all areas affected by the project including end users, distributors, and vendors. Ensures adherence to quality standards and reviews project deliverables. Communicates with executive sponsors regarding the status of specific projects.SKILLS Responsibilities Assembles project team. Provides formalized, continuous work direction and leadership to assigned team of professionals, including the scheduling, assignment, and review of project work. Guides project team to create high-value solutions. Develops, tracks, monitors and communicates project progress against the project plan. Analyzes project performance, performs root cause analysis on fluctuations in productivity, and proposes mitigations or strategy shifts to ensure project success. Works with project stakeholders to develop project requirements, quality measures, standards, processes, cost estimates and milestones. Coordinates the input, support and communication with all functional areas that impact or are impacted by project scope, business value, risk, and resource requirements. Manages project change control, decisions, risks, issues, assumptions, and mitigation planning. Adheres to EPMO documentation requirements and participates in the monitoring of quality assurance and project management guidelines. Develops and delivers progress reports, proposals, requirements documentation and presentations to key stakeholders including executive sponsors. Develops and maintains all business relationships vital to the success of the project. Manages large, complex or high priority projects. Consults and provides guidance in determining project solutions while driving decision making. Other duties as assigned. Skills and Experience Requires 7 to 10 years of experience in project management or similar work organizing cross-functional teams and staff of all levels. Requires strong stakeholder management and leadership skills to coordinate and motivate project teams across diverse technical disciplines. Requires experience with various project management methodologies. Requires working knowledge of application development technologies, the Software Development Life Cycle, security best practices, as well as client-server, web, and cloud-based architectures. Requires verbal, written, and interpersonal communication skills and the ability to prioritize and execute tasks in a high-pressure environment. Requires advanced proficiency in Microsoft's Azure DevOps, Word, Excel, Visio, and SharePoint/Teams. Prefers a Bachelor's degree in Business Administration or a related field. Additional years of relevant work experience may be considered in lieu of formal education. Prefers PMP and Agile certifications. Prefers experience in ServiceNow's Project Management Module. Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $100,709 - $127,403 USD. At G.E.H.A, the current maximum salary for this role is $141,963 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. The Senior Network Engineer is responsible for designing, implementing, and maintaining GEHA's enterprise network infrastructure. This role requires advanced technical expertise, strong troubleshooting skills, and leadership in guiding network modernization initiatives, including our transition to Microsoft Azure. The Senior Network Engineer will serve as a subject matter expert, mentor junior engineers, and collaborate across IT teams to ensure secure, scalable, and resilient network operations.SKILLS Configure and maintain Cisco DNA Center / Catalyst Center for automation and assurance. Configure and support Cisco ACI and SD-Access solutions for software-defined networking. Manage and optimize NXOS (Nexus Operating System) environments. Administer and troubleshoot F5 load balancers and Citrix Netscalers. Support migration and integration of workloads into Microsoft Azure, including Azure load balancers, firewalls, and VPN gateways. Apply basic firewall knowledge with Palo Alto firewalls, including rule creation, VPN configuration, and security policy enforcement. Utilize ThousandEyes for end-to-end network visibility and performance monitoring. Deploy, and manage enterprise network infrastructure across LAN, WAN, WLAN, and cloud environments. Provide Tier 3 escalation support for complex network issues. Document designs, configurations, and operational procedures. Mentor junior engineers and contribute to knowledge-sharing initiatives. Required Qualifications Bachelor's degree in Computer Science, Information Technology, or related field (or equivalent experience). Additional years of qualifying work experience may be considered in lieu of formal education. Requires four-eight years of experience implementing systems and networking environments in large managed environment which may include virtualization, Citrix, Microsoft, telecommunications, call center environments, voice services and gateways, knowledge of storage area networking (SAN), servers with varying operating systems and an understanding of the security, integrity and the safety of company operational efficiencies plus other related products. 5+ years of CCNP-level experience. 5+ years of experience in enterprise networking roles. Preferred Qualifications CCNP certification or higher (highly preferred). Microsoft Azure AZ-700 certification (Designing and Implementing Microsoft Azure Networking Solutions). CCIE or equivalent advanced certifications. (CCIE is one step higher than CCNP) Experience with Python automation tools Experience with Zero Trust frameworks. Excellent communication skills - able to explain technical concepts clearly to peers, leaders, and vendors. Team player with a collaborative approach and a commitment to GEHA's core values. Hard-working and dependable, with strong ownership of assigned tasks and follow-through. Curious and eager to learn, staying current with emerging networking and cloud technologies. Ability to work independently and manage multiple priorities effectively. Calm and professional under pressure, especially during incident response situations. Strong analytical thinking and problem-solving skills. Excellent collaboration and communication across technical and non-technical teams. Proven leadership and mentoring abilities. Adaptability in dynamic environments with evolving technologies. Customer focus - ensures reliability and performance for end-users. Strategic mindset aligning network initiatives with business goals. Why GEHA? At GEHA, we recognize the importance of balance and flexibility - most of our roles offer hybrid or remote work options. We provide competitive compensation, comprehensive health and dental benefits, retirement savings plans, tuition reimbursement, and paid time off. Join us in making a difference. At GEHA, your work supports federal employees, retirees, and their families - helping millions live healthier, better lives. Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $106,472 - $134,694 USD. At G.E.H.A, the current maximum salary for this role is $150,088 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

Auto Physical Damage Examiner manages the auto claim process, including customer experience, coverage verification, investigation, evaluation, and disposition of the claim in compliance with applicable insurance regulations and NYCM's best practices. They assess customer needs and develop solutions to meet and/or exceed the customer's expectations throughout the claim process. Duties & Responsibilities: Manage claims involving all types of auto physical damage, including total loss, repairable, glass, towing/roadside assistance, and rental. Manage cycle times and experience through thorough file review and timely disposition. Establish scope of coverage, determine loss exposure, and set appropriate reserves. Conduct thorough file investigations, gathering all necessary information needed to bring the claim to a resolution. Issue settlement payments within the scope of coverage and authority. Evaluate and establish liability against the NYCM policyholder in accordance with state negligence laws. Negotiate with customers on partial settlements. Identify opportunities for subrogation and refer files for recovery. Evaluate double insured files for negligence and transfer financial responsibility to the appropriate policyholder. Evaluate, negotiate, and settle incoming subrogation claims. Identify fraud indicators, submit appropriate SIU referrals, and direct any necessary investigation. Work with assigned vendors to ensure they are meeting our expectations on each claim. Testify in court hearings on behalf of NYCM and our customers. Serve as a panelist with Arbitration Forums, hearing cases and rendering decisions on intercompany disputes for other carriers. Effectively communicate and establish connections with the customers during the claim process. Professional handling of incoming and outgoing customer phone calls. Professional written communications such as emails, texts, requests for information or coverage letters. Guide customers through the claim process, ensuring that they are informed at all stages. Manage customer concerns/complaints, developing solutions to remedy the experience and meet the customer's needs. Other duties as assigned. Requirements: High School Diploma 1 years of customer facing experience Skills & Qualifications: Knowledge of basic insurance principals. Good personal computer skills including electronic mail and record keeping. Customer service orientation. Good written and verbal communication skills. Ability to multi-task, prioritize and manage time effectively. Strong negotiation skills. Critical thinking, problem solving and decision-making skills. Ability to work within a team or independently with minimal direct supervision. Willingness to continue professional development. Positive and professional attitude with ability to influence and support change. Market Range 5 / 40 hours per week / Hybrid Salary: $43,900-$61,400 Accepting applications through: 10/28/25

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. Serves as company point of contact for issues with GEHA partners within the Vendor Manager Office division for vendors with high impact to company cost and program completion. Acts as a liaison between current and future external partners and GEHA to address issues surrounding contract performance.SKILLS Duties and Responsibilities Onboard new external partners, ensuring they meet quality, cost, and compliance requirements. Lead supplier selection process, negotiate contracts, and manage supplier relationships to ensure favorable terms and conditions. Monitors daily workflow and provides guidance on processes and special handling items for major expenses to the business. Manages the daily performance of the current and future external partnerships. Establishes work priorities for the current and future external partnerships and monitors and reviews the work of the partners. Monitors productivity levels of the partners to ensure company goals are met. Maintains current and future external partnerships performance criteria as outlined in the contract and tracks such criteria, against actual performance. Provides external partners performance summary monthly. Evaluates the knowledge and skill levels of the current and future external partnerships staffing to ensure performance levels are meeting and exceeding standards needed to accomplish GEHA's business requirements. Prepares analysis to evaluate partner's contract performance for use in approval of monthly invoices. Manages grievances and partner relation issues as needed and involves the Director when issues become larger. Provides proper training for the current and future external partnerships on new GEHA processes, and any additional training needed on existing processes. Monitors current and future external partnerships recruitment to ensure current and future external partnerships has proper staffing for supporting and maintaining GEHA's business requirements. Works with manager to design metrics and processes to ensure partner relationships are consistently reviewed and managed. Works with executives to determine and analyze new vendor relationships to determine the best partner by managing the RFP process end to end. Build RFP process end to end that can be used for all contracts including how often contracts need to be renewed, can be signed for, etc. Other miscellaneous projects, as assigned. Knowledge, Skills, and Abilities Requires of 6-9 years of experience with demonstrated knowledge and skill in strategic sourcing, procurement or supply chain management, leadership, teamwork, collaboration, problem solving and communication including experience in administering training on processes and procedures. Bachelor's degree. Proven track record of developing and implementing strategic sourcing strategies that drive costs savings and process improvements. Strong negotiation skills and ability to effectively communicate with suppliers and internal stakeholders. Proficiency in using sourcing tools and software applications. Requires effective verbal and written communication skills necessary to perform supervisory/lead and training duties. Business Analysis experience identifying business needs and determining solutions. Requires project management skills and ability to adapt to plans and priorities to address business needs. Incumbent is required to obtain knowledge of the GEHA Affirmative Action Policy and make decisions regarding promotion and termination of employees that comply with its principles. Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $84,959 - $107,478 USD. At G.E.H.A, the current maximum salary for this role is $119,761 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees. G.E.H.A has one mission: To empower federal workers to be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. The Sr. Executive Response Specialist supports, researches, and responds on behalf of G.E.H.A's Leadership Team to manage complex medical and dental issues that have been escalated to G.E.H.A's Senior Leadership Team, OPM, compliance, among others. The Executive Response Specialist is responsible for the end-to-end handling of the escalations, including but not limited to partnering with internal and external subject matter experts to research the member or provider's concerns, perform root cause analyses, and communicate with the members and providers. The ideal candidate is a meticulous problem-solver and skilled communicator who thrives under pressure and consistently demonstrates professionalism and discretion. They are passionate about member advocacy, confident in navigating ambiguity, and adept at investigating and troubleshooting when information is incomplete. This role requires exceptional written and verbal communication skills, as well as the ability to collaborate across multiple teams while maintaining a relentless focus on delivering respectful and timely communication to key stakeholders.SKILLS Duties and Responsibilities: Responsible for handling medical and dental escalations submitted to the Executive Escalations team, including but not limited to: Tracking and reporting on all issues. Researching the member's medical or dental claims history, call transcripts, and eligibility records, to identify any issues or errors that need to be resolved. This includes a detailed review of the claims processing. Working with internal and external subject matter experts to oversee resolution, as appropriate Communicating directly with the member and/or provider via email and/or phone to ensure incremental updates are communicated. Communicating directly with the member, provider, and/or and final resolution is communicated. Responds on behalf of G.E.H.A's Leadership team, and other key stakeholders to manage complex and high-profile medical and dental escalations including OPM grievances. Conducts investigative research including auditing phone calls, emails, claims processing, and process flows to determine root cause. Highlights breakdown points in the customer journey and processes; consults with stakeholders on opportunities for improvement and/or trends. Partners with internal and external partners to support efforts to improve customer experience and claims processing accuracy. Identify areas of potential improvement to internal processes that directly impact the accuracy and speed of claims processing and associated functions. Coordinate and lead working meetings with cross-functional teams to review complex escalations. Requires a powerful sense of accountability and end-to-end ownership to ensure all escalations are resolved quickly and accurately. Supports projects/other duties as assigned. Requirements: Education & Experience Requires a Bachelor's degree in a related field, additional years of qualifying work experience may be considered in lieu of formal education. Requires a minimum of 6 years' experience at a medical or dental insurance plan, that includes at least 3 years of senior claims processing experience, with a comprehensive understanding of the adjudication process for medical and/or dental claims. Requires knowledge of medical terminology, medical codes, and related reference materials. Experience creating collaborative and productive relationships with internal and/or external partners. Attention to detail with the capacity to manage multiple complex issues and deadlines effectively. Excellent problem solving, critical thinking, and analytic skills. Requires strong verbal and written communication skills and proficiency in all channels of communication at levels of the organization and with external partners. Demonstrates a strong understanding of reputational risk and public perception when managing member complaints. The ability to summarize present data and findings in MS Excel, PowerPoint, or Power BI. Must be able to work independently. Preferred Qualifications Experience with Federal Employees Health Benefits Program (FEHBP) or Federal Employees Dental and Vision Program (FEDVIP). Customer Service experience. Work-at-home requirements Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office. A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required. Latency (ping) response time lower than 80 ms Hotspots, satellite and wireless internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information How we value you Competitive pay/salary ranges Incentive plan Health/Vision/Dental benefits effective day one 401(k) retirement plan: company match - dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution Robust employee well-being program Paid Time Off Personal Community Enrichment Time Company-provided Basic Life and AD&D Company-provided Short-Term & Long-Term Disability Tuition Assistance Program While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine. Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer. The hiring range for this position is $48,970 - $61,950 USD. At G.E.H.A, the current maximum salary for this role is $69,030 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization. G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization. G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.

At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This position is eligible to work from home anywhere in the United States** Essential Functions: Leads, researches, and coordinates the strategy execution, day-to-day administration and/or development of assigned program at enterprise level Serves as the subject matter expert for assigned program, providing strategic direction across the business unit Develops comprehensive program strategies and implementation plans to ensure successful execution at the organizational level Collaborates across functional teams, including line of business (LOB) leaders, actuarial, Loss Control, and claims teams to refine existing coverage offerings and design new coverage solutions for established programs Oversees the formulation of short- and long-term strategies and underwriting initiatives within the program, aligning with enterprise-wide objectives to drive business growth and profitability Maintains primary responsibility for profit and loss management within the assigned program, developing and maintaining the program's business plan to ensure financial stability and success Establishes and communicates best practices and underwriting guidelines fostering consistency and excellence in underwriting operations Conducts detailed analyses of premium and loss data, along with other key financial reports, on a monthly and quarterly basis to support sustainable and profitable growth Proactively advises and collaborates with management, providing recommendations for strategic improvements to meet organizational goals and enhance underwriting outcomes Drives innovation through the development of new product concepts, evaluation of existing offerings, and refinement of coverage language to optimize market competitiveness Assesses the cost-benefit implications of market opportunities and product initiatives, recommending data-driven actions, including product enhancements, to strengthen the enterprise's market position Evaluates complex underwriting risks and provides analysis and guidance to the specialty underwriting team in determining the acceptability of business Assesses coverage, limits, and pricing on complex accounts and provides underwriters with authorizations on accounts above their authority Provides leadership in the strategic research, administration, development, and continuous optimization of new business unit programs, ensuring alignment with organizational objectives and industry best practices Identifies market opportunities, analyzes competitive positioning, and develops program enhancements to drive sustainable growth and profitability. Leads efforts to refine underwriting frameworks, policy structures, and risk assessment methodologies to enhance the effectiveness and efficiency of business unit operations Engages in extensive cross-functional collaboration with key stakeholders, including line of business (LOB) leaders, actuarial, Loss Control, and claims teams to facilitate the development of innovative programs that address emerging market demands and evolving risk profiles Works closely with actuary teams to analyze key data trends, assess financial impact, and establish sound pricing strategies that optimize risk management while maintaining competitiveness. Provides strategic direction to claims teams to ensure alignment between coverage offerings and claims management practices, fostering consistency and operational excellence Acts as a key advisor to senior leadership, offering insights and recommendations to support enterprise-wide decision-making related to new program development and strategic growth initiatives Partners with and provides underwriting expertise to departments within the company, including organizing and assisting in preparation and teaching of underwriting workshops and seminars for underwriting teams Acts as a speaker or instructor for internal training exercises or meetings, and provides input or prepares articles, white papers, and underwriting bulletins on complex issues Reviews insurance publications and keeps current on issues by attending seminars and participating in formalized continuing education Represents the Specialty Business unit and EMC on various committees and events as appropriate and approved Partners with the Quality Assurance (QA) team to design, establish, and implement comprehensive internal auditing procedures, ensuring alignment with organizational standards and regulatory requirements Engages in strategic collaboration with underwriting (UW) leadership to assess team performance, identify areas of strength and opportunities for improvement, and develop structured initiatives to drive meaningful change and enhance operational efficiency Education & Experience: Bachelor's degree, preferably in a business or insurance related field, or equivalent relevant experience Ten years of commercial property and casualty underwriting including at least five years of staff underwriting experience in specialty program or related experience Experience in the West territory strongly preferred (ID, UT, AZ, NV) Insurance designations, such as CRIS, AU, CIC, or CPCU preferred Knowledge, Skills & Abilities Advanced, proven knowledge of countrywide underwriting techniques, terminology, policies, and forms in applicable business area Excellent underwriting judgment and decision-making skills Strong knowledge of key performance indicators (KPIs) and ways to improve them Advanced written and verbal communication skills, including presentation skills Ability to work effectively with others, as well as independently and possess demonstrated problem-solving abilities Strong computer knowledge, Internet and keyboarding skills Strong ability to advise, partner, influence and effectively consult with diverse internal and external stakeholders, including senior leaders, executives, and project owners Strong ability to distill and communicate highly complex issues for technical and non-technical audiences Strong ability to translate technical ideas into more general terms for business customers Occasional travel; a valid driver's license with an acceptable motor vehicle report per company standards required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following: $109,818 - $157,391 or $121,061 - $173,534 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.