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A leading insurance company is seeking an AI Compliance Director in Chicago. This strategic role involves overseeing AI governance, monitoring regulatory frameworks, and conducting compliance-focused risk assessments. Applicants should have 10+ years of experience in compliance or AI governance, a relevant degree, and strong leadership skills. Competitive compensation is offered, with a pay range of $97,000 to $189,000 annually based on experience and location. The position also provides opportunities for growth within a hybrid work environment. #J-18808-Ljbffr

Blue Cross and Blue Shield of Vermont is looking for a Customer Service Representative to join our Federal Employment Program team. Our company culture is built on an unwavering focus on our members and giving them the best service possible. We offer a balanced, flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401k, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development. COMPENSATION: The hourly wage for this position is $18.00/hour. Additional compensation opportunities and incentives will be detailed during the interview process. Please note that this wage listed is our good faith estimate for this role. We also offer a robust benefits package with significant value (see below). LOCATION : Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. Customer Service Representative Responsibilities: Complete a program comprised of classroom and on-the-job training that will provide the technical knowledge and customer service skills needed to accurately answer most member and provider questions. Learn and utilize customer service skills in order to successfully handle all customer interactions in a consistent, courteous, and professional manner. Accurately document, track, and research all inquiries in Customer Focus (CF) according to department guidelines and written procedures. Achieve a level of call volume and quality goals as set forth in the Customer Service Career Pathing Guidelines. Successful achievement of these goals will help enable to CSR to transition to a Customer Service Representative II position. Customer Service Representative Qualifications: High school graduate or equivalent required. Analytical and critical thinking skills required. Computer literacy, strong typing and spelling skills required. One to two years of successful customer service experience, preferably in a health insurance or health care setting is desired. The ability to multitask, problem solve and work independently is necessary. Customer Service Representative Benefits: Health insurance (including vision) Dental coverage (free to employees) Wellness Program 401(k) with employer match + automatic employer contribution Life Insurance Disability Insurance Combined time off (CTO) - 20 days per year + 10 paid holidays Tuition Reimbursement Student Loan Repayment Dependent Caregiver Benefits Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at **************************************************************** *Full job description attached to ADP job posting.

Logistics: Palmetto GBA,- one of BlueCross BlueShield's South Carolina subsidiary companies. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. Location: This a full-time remote position. You will work an 8-hour shift scheduled during our normal business hours of 8:00 a.m.-5:00 p.m. Monday - Friday. It may be necessary, given the business need to work occasional overtime. What You'll Do: Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal conference calls and/or in-person educational visits with providers that are consistently over utilizing services, on progressive corrective action, or have unacceptable denial rates and/or error rates under the medical review program. Conducts coverage and documentation workshops for provider staff (Medicare providers and physicians' staff). Researches, composes, and coordinates the preparation of all regulatory based provider education materials. Performs analysis of effective reports to determine actions to be taken regarding medical reviewed its/audits. Determines what providers are over-utilizing services and what services are being over-utilized. Works with medical review department and provides input regarding actions taken in response to provider billing practices. Targets providers where greatest abuse of Medicare program has occurred. Participates in the medical review process and inter reviewer reliability (IRR) studies. Assists in training of medical review associates regarding coverage and medical review process. To Qualify for This Position, You'll Need the Following: Required Education: If LPN, graduate of accredited School of Licensed Practical Nursing; if LVN, graduate of accredited School of Licensed Vocational Nursing; if RN, graduate of approved School of Nursing. Required Experience: If LPN or LVN, 7 years of clinical experience or equivalent combination of clinical and educator experience. If RN, 5 years of clinical experience or equivalent combination of clinical and educator experience. Required Software and tools: Microsoft Office. Required Skills and Abilities: Knowledge of medical terminology and disease processes. Demonstrated proficiency in word processing and spreadsheet software. Good judgment skills. Effective customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar. Analytical or critical thinking skills. Basic business math proficiency. Knowledge of mathematical or statistical concepts. Ability to persuade, negotiate, or influence. Required Licenses and Certificates: Active LPN or LVN licensure in state hired, OR active compact multistate LPN license as defined by the Nurse Licensure Compact (NLC), OR active RN licensure in state hired OR active compact multistate RN license as defined by the Nurse Licensure Compact (NLC) others. Ability to handle confidential or sensitive information with discretion. We Prefer That You Have the Following: Preferred Work Experience: 3 years of provider relations and Medicare experience. Preferred Skills and Abilities: Knowledge of claims processing software. In-depth knowledge of Medicare program, guidelines, regulations governing coverage. Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Full-time Description Indiana Farmers is currently looking for a Business Systems Analyst. This position has the opportunity to work a hybrid or remote schedule. The right candidate will work with various business product and technology delivery teams to elicit, document, communicate user behavior, user context and system features. The individual will work with Stakeholders, Subject Matter Experts, Product Managers, Application Developers and System Architects both internal to Indiana Farmers as well as third party vendors, to document system usability and changes to system designs and integrations to meet the business value. The Business Systems Analyst will then validate functionality, ensure system quality and ensure user value is met. Benefits for the Business Systems Analyst: Free Health insurance Free Dental insurance Free Vision insurance Free Life insurance Free Short-Term & Long-Term Disability insurance 2% 401k Company Match 11% 401k Company Contribution Excellent Paid Time Off Generous paid time for Parental Leave Day of Service We promote from within our widely-talented workforce regularly and consistently offer opportunities to learn and grow Student Loan Assistance Program Educational Incentive Program Several committees to explore, to connect with co-workers and build relationships Two robust Employee Assistance Programs for you and your family Flexible Work Arrangements that include work locations in the office, hybrid schedules and fully remote. The type of arrangement available is determined by the position and business needs Matching funds of up to $100 annually are available from the company for your favorite charitable organization Associate recognition awards, fun gatherings, and opportunities to make friends are part of our culture An on-site fitness center, as well as free and convenient parking, make life easier Requirements Qualifications and Responsibilities for the Business Systems Analyst : Minimum 2 years of experience in business analysis, quality assurance, or related discipline Experience working with and developing test plans and test scripts Excellent organizational skills and the ability to multi-task, manage sub-projects and meet deadlines Excel, MSWord, Windows 365 experience Knowledge of project methodologies and software development lifecycles Identifies, considers, develops, and clearly documents business value and user value Assists and directs business units in developing user stories, acceptance criteria and specifications to solve business challenges Performs detailed analysis and reproducible steps on defects found during testing, or by system users by running queries, extracting XML, and identifying impacts to the system users Excellent oral, written, verbal and interpersonal communication skill Knowledge of automated testing, SharePoint and Jira, preferred Why work for Indiana Farmers Insurance? Imagine working for an employer like this: An average associate retention rate of 95% over the last 5 years Financially stable as shown by our A- (Excellent) rating by AM Best Truly customer focused A strong legacy of excellent performance throughout our 149 years in business! For more information about Indiana Farmers Mutual Insurance Company, please go to ********************************************** Indiana Farmers Insurance is an equal opportunity employer!

Full-time Description We may not currently be hiring for the type of position aligned with your career goals, but... we may soon! Not many companies in today's world have a 95% retention rate of associates like Indiana Farmers Insurance. We value and retain our Associates through a combination of interesting work, opportunities to learn and grow, great co-workers, and a top-notch total rewards package. We are a financially strong mutual insurance company that values making SMART decisions and implementing them sensibly. We also value having a good balance between our work and personal lives. All these factors combined mean a positive and stable workplace for our associates and excellent service for our members! If you have interest in Sales, Underwriting, IT, Claims, Research & Development, Finance, Quality Assurance, Marketing, Business Analysis &/or Property/Casualty Insurance in general and the following description of our company culture and benefits package sound appealing, please send us your resume! We want to add you to our Talent Pipeline! Requirements Each position has its own set of requirements. We encourage you to continue to check our website and apply for any specific career opportunities that spark your interest. If we feel any positions are suitable for your skillset, we may reach out and invite you to apply! Benefits Enjoyed by All Associates: Free Health insurance Free Dental insurance Free Vision insurance Free Life insurance Free Short-Term & Long-Term Disability insurance 2% 401k Company Match 11% 401k Company Contribution Excellent Paid Time Off Generous paid time off for Parental Leave Day of Service We promote from within our diverse workforce regularly and offer regular opportunities to learn and grow Student Loan Assistance Program Educational Incentive Program (Designation & Tuition Reimbursement) Several committees to explore, to connect with coworkers and build relationships Two robust Employee Assistance Programs for you and your family Flexible Work Arrangements that include in the office, hybrid schedules and fully remote. The type of arrangement is determined by the position and business needs Day of Service to volunteer with a charitable organization of your choice Matching funds of up to $100 annually are available from the company for for your favorite charitable organization Associate recognition awards, fun gatherings and opportunities to make friends are part of our culture An on-site fitness center, as well as free and convenient parking, make life easier Above all we offer an ICARE company culture! The values of ICARE are: Innovation + Collaboration + Accountability + Respect + Empowerment Why work for Indiana Farmers Insurance? Imagine working for an employer like this: 95% retention of our associates over the last 5 years despite a competitive marketplace Financially stable organization as shown by our A- (Excellent) rating by AM Best Truly customer focused A strong legacy of excellent performance throughout our 148 years in business Indiana Farmers Insurance is an equal opportunity employer!

The Evernorth Formulary Solutions Residency is a 12-month immersive program designed to build a strong foundation in formulary strategy and execution. Residents gain hands-on experience across the full formulary lifecycle-from pipeline strategy to operational implementation. This residency offers a unique lens into the PBM environment and the inner workings of an integrated health services company, preparing participants for impactful post-residency roles within the organization. **Program Highlights** : + Comprehensive Lifecycle Exposure: Residents engage in every stage of the formulary process-from pipeline strategy to operational execution-gaining a well-rounded understanding of the PBM landscape. + Formulary Financial Modeling: create and present formulary recommendations for our marquee formulary + Cross-Functional Collaboration: The program fosters interaction with key departments such as Pharma Contracting, Sales, Clinical Oversight, and Finance, helping residents build a strong internal network and broaden their strategic perspective. + Client-Centric Learning: Residents learn to develop and manage custom formularies tailored to individual client needs, enhancing adaptability and real-world application. + Career Pathway Focus: Designed to support long-term career growth, the residency equips participants for meaningful roles within Evernorth following program completion. **Longitudinal Experiences:** + Introductory Sessions with Key Department Leaders + Commercial Formulary Strategy + Custom Formulary Strategy + Medicare Formulary Strategy + Regulated Markets + Institute of Clinical Oversight and Guidance + Residency Project **Rotational Opportunities:** + Clinical Product + Specialty Pharmacy + Advanced Utilization Management + Pharma Trade Relations + Patent, Pipeline and Emerging Therapeutics + Client Account Management + Areas of Personal Interest within Evernorth **Minimum Requirements:** + 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy + Pharmacy Licensure in any US State (within 90 days of residency start) + Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint + Proficiency in written and verbal communications + Strong career interest in Managed Care pharmacy **Required: Must upload/attach the following to Workday application** + Official Pharmacy School Transcript + CV + Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) + 2 Letters of Recommendations (one of each: Preceptor, Supervisor) sent to **************************************** + Application deadline 12/31/25 Location: Hybrid in Saint Louis, MO; Bloomington, MN; and Morris Plains, NJ. A hybrid position means that you will be expected to work in-person at your assigned office location more than 50% of time per week, with flexibility to work at home for balance of time. If the right candidate doesn't live in one of those 3 areas, virtual will be considered. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 21 - 36 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

Customer Service Associate Representative Our Customer Service Associate Representatives are dedicated team members who excel at customer service, helping us elevate our patient care to new heights. In this crucial role, you are on the front lines with patients, responding to phone inquiries and addressing each with care, detail, and most importantly, empathy. Performs Customer Service duties under direct instruction and close supervision. Work is allocated on a day-to-day or task-by-task basis with clear instructions. Main job functions include: helping patients understand their pharmacy benefits better by using knowledge gained from training, problem-solving skills and added support from your team to answer patient calls effectively. While on calls, you will use expert listening skills to address patient questions and concerns empathetically and document all interactions. Job functions also include assisting patients with prescription refills, scheduling shipments and addressing billing questions. What You Should Have: * High School Diploma / GED required * 1 year of relevant call center experience preferred * 1 year Previous medical insurance or pharmacy experience preferred * General PC knowledge including Microsoft Office and outlook * Excellent communication skills (verbal and written) * Empathetic and genuine customer service skills * Candidates must live on the island of Oahu This is a hybrid role and requires the ability to work in person. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Responsible for the most complex activities associated with maintaining ledger accounts and/or for developing financial statements and/or reports. Analyzes complex financial data and/or reports on the results and/or probable implications. Compiles financial information, processes journal entries into various accounts, and/or reconciles reports and/or financial data. Logistics: Palmetto GBA - one of BlueCross BlueShield of South Carolina's subsidiary companies. Location: This is a full-time position (40 hours/week), scheduled Monday through Friday in a typical office environment. You will work an 8-hour shift during our standard business hours of 8:00 AM to 5:00 PM. After a 90-day training period, the role offers a hybrid work schedule-three days onsite and two days working from home. This role is located at 17 Technology Circle Columbia, SC 29203. What You'll Do: Exercises accounting control over a group of accounts within a given specialized area. Analyzes complex financial data and/or extracts and/or defines relevant information; interprets data for the purpose of determining past financial performance and/or/or to project a financial probability. Records, classifies, and/or summarizes financial transactions and/or events in accordance with generally accepted accounting principles. Provides information to customers, explains accounting transactions, and/or resolves accounting issues and/or discrepancies. Prepares journal entries and/or reconciles the general ledger accounts. Analyzes financial transactions to ensure the proper recording of revenues to the general ledger. Researches expenses and/or explains cost and/or allocation variances. Prepares budget for assigned departments and/or assists cost center managers as needed. Ensures expenses are allocated in accordance with business contracts and/or departmental operating standards. Develops financial reports for financial analysis, forecasting, trending, budgeting and/or results analysis. Uses various software applications, such as spreadsheets, relational databases, statistical packages, and/or graphics packages to assemble, manipulate and/or/or format data and/or/or reports. Reviews the work of less experienced staff members. Prepares and/or presents training sessions in response to repetitive errors identified in the work performed by those associates. Reviews departmental policies, procedures, and/or forms used by the staff to identify areas of potential improvement in those documents. Suggests updates and/or improvements and/or prepares a preliminary draft of the policies including the updates or improvements as necessary. Responds to requests for proposals. Develops rates and/or pricing assumptions. Reviews contract clauses. Prepares miscellaneous documents and/or detailed audit package that supports all elements of the proposal. Handle special projects as assigned by department manager and/or or requested by other groups such as, but no limited to, coordination of various internal and/or external audit projects, compilation of data for audits by internal and/or external auditors, functionality of accounting/costing system, coordination and/or implementation of system enhancements and/or releases with information systems and/or working with information systems to test and/or monitor internal controls and/or corrective/preventive actions for department. To Qualify For This Position, You'll Need The Following: Required Education: Bachelor's in a job-related field with 24 semester hours in Accounting. (Anyone hired prior to August 1, 2008, in an accounting position only requires 21 semester hours of Accounting.) Required Work Experience: 8 years of accounting experience. Required Skills and Abilities: Comprehensive knowledge of fundamental accounting concepts, practices and procedures. Knowledge of mathematical and statistical concepts. Able to persuade, influence or negotiate with others. Possesses excellent leadership, communication, organizational and analytical skills. Strong decision-making skills. Ability to work independently. Required Software and Tools: Microsoft Office. Ability to use data retrieval applications. We Prefer That You Have The Following: Bachelor's degree-in Accounting or other job-related degree. 10 + years-of accounting experience. Able to write complex queries using database software. Experience with Costpoint. Detail-oriented experience with account reconciliation, financial reporting and general ledger management. Proficient at problem solving, improving processes and ensuring accurate, timely financial data. Intermediate to Expert level Microsoft Excel/Access skills. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment: Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance · Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more. What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Indiana Farmers Insurance is currently looking for an Actuary I to join our Finance and Actuarial Team. As a key member of our Finance & Actuarial Team, you won't just be running models-you'll be shaping our business strategy. You will have the opportunity to enhance our pricing and reserving capabilities, tackle challenging actuarial projects, and see your analysis directly influence company performance to help us achieve our vision. Indiana Farmers Insurance maintains a structured compensation program. The starting salary for this position will be determined based on job-related factors, including the candidate's skills, education, training, certifications, and relevant experience, as well as the scope and complexity of the role. The anticipated starting salary range for the Actuary I position is $62,000-$76,000 and may vary based on the factors outlined above. Benefits for the Actuary I: Free Health insurance Free Dental insurance Free Vision insurance Free Life insurance Free Short-Term & Long-Term Disability insurance 2% 401k Company Match 11% 401k Company Contribution Excellent Paid Time Off Generous paid time for Parental Leave Day of Service We promote from within our widely-talented workforce regularly and consistently offer opportunities to learn and grow Student Loan Assistance Program Educational Incentive Program Several committees to explore, to connect with co-workers and build relationships Two robust Employee Assistance Programs for you and your family Flexible Work Arrangements that include work locations in the office, hybrid schedules and fully remote. The type of arrangement available is determined by the position and business needs Matching funds of up to $100 annually are available from the company for your favorite charitable organization Associate recognition awards, fun gatherings, and opportunities to make friends are part of our culture An on-site fitness center, as well as free and convenient parking, make life easier Requirements Qualifications and Responsibilities of the Actuary I include: College degree in actuarial science, mathematics or related field Minimum of 2 Casualty Actuarial Society (CAS) exams 1+ years of relevant work experience in an actuarial role Complete pricing studies and rate indications for property and liability lines Analyzing competitor rating algorithms to recommend strategic adjustments Assisting with the evaluation of loss reserves Maintain rate books & specification documents for rate changes for multiple lines of business High level of organizational and analytical skills with excellent attention to detail Why work for Indiana Farmers Insurance? Imagine working for an employer like this: An average associate retention rate of 95+ over the past 5 years Financially stable as shown by our A- (Excellent) rating by AM Best Truly customer focused A strong legacy of excellent performance throughout our 149 years in business! For more information about Indiana Farmers, please go to ********************************************** Indiana Farmers Insurance is an equal opportunity employer! Salary Description $62,000 - $76,000, see details within posting

**Bilingual Spanish Onsite Health Coach - Evernorth Workplace Care - Miami FL** **Evernorth Workplace Care** offers health care delivery services along with population health and health coaching solutions, conducted in person. **Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live.** Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience. **_Evernorth Workplace Care - Personalized Care Where You Are_** Our experienced Health Coach will: - Provide onsite face-to-face customer coaching and support - Identify customer health education needs through targeted health assessment activities. - Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. - Empower customers to become an active participant in their own health outcomes. - Assist Customer in overcoming barriers to better health - Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. - May perform biometric screenings, including finger sticks, blood pressure, body composition, etc. - Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. - Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. **Qualifications** : - Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion - Bachelor's degree in a health-related field. Master's degree preferred. - Registered Dietitian licensed in respective state is preferred - CPR/BLS certification through the American Red Cross or American Heart Association is required. - High energy level, with dynamic presentation skills is required. - Positive role model in demonstrating healthy behaviors - Passion for health improvement - Ability to work independently - Customer-centric focus - Ability to proactively collaborate professionally with the client and other matrix partners. - Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. - Proven administrative abilities, with strong computer and software application skills. - Bilingual Spanish and ability to pass oral and written assessments **Bonus points for** : - CHES (Certified Health Education Specialist) - Motivational interview training/experience. - Smoking cessation and diabetes experience. This role is based in person in Miami FL. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

Internship Description Based on feedback from past interns, our program is popular because students aren't "paper pushers" or just observers of processes. Indiana Farmers Insurance interns are immersed in important work and projects and have the opportunity to explore other departments and positions. We may not currently be looking for Spring, Summer &/or Fall Interns, but... we may soon! If you are majoring in Insurance & Risk Management, Actuarial Sciences, Information Technology or any other type of Business-related studies and have interest in Sales, Underwriting, IT, Claims, Research & Development, Finance, Quality Assurance, Marketing, Business Analysis &/or Property/Casualty Insurance in general, please send us your resume! We want to add you to our Talent Pipeline! Requirements Each internship opportunity is unique as we incorporate a holistic, well-rounded, customized experience for the students. Fundamental requirements include: The student will honor the agreed upon work schedule and hours. The student will participate in departmental meetings and training when appropriate. The students are requested to share feedback, both verbal and written, regarding their experience. Both during the internship and at the conclusion. We request the students voice any requests for additional time and/or exposure to their particular area of interest. Why intern for Indiana Farmers Insurance? If you are looking for a positive, stable place to intern, take a look at what we offer: 95% retention of our associates over the last 5 years despite a competitive marketplace Financially stable organization as shown by our A- (Excellent) rating by AM Best Truly customer focused A strong legacy of excellent performance throughout our 148 years in business Many of our interns have returned for additional Internships, worked part-time during the school year &/or joined our company upon graduation! If we end up being a good match for one another and you come to work for us full-time, check out some of the awesome rewards and benefits you could be looking forward to! Total Rewards package for full-time Associates includes a competitive salary and benefits: Benefits Enjoyed by All Associates: Free Health insurance Free Dental insurance Free Vision insurance Free Life insurance Free Short-Term & Long-Term Disability insurance 2% 401k Company Match 11% 401k Company Contribution Excellent Paid Time Off Generous paid time off for Parental Leave Day of Service We promote from within our diverse workforce regularly and offer regular opportunities to learn and grow Student Loan Assistance Program Educational Incentive Program (Designation & Tuition Reimbursement) Several committees to explore, to connect with coworkers and build relationships Two robust Employee Assistance Programs for you and your family Flexible Work Arrangements that include in the office, hybrid schedules and fully remote. The type of arrangement is determined by the position and business needs Day of Service to volunteer with a charitable organization of your choice Matching funds of up to $100 annually are available from the company for for your favorite charitable organization Associate recognition awards, fun gatherings and opportunities to make friends are part of our culture An on-site fitness center, as well as free and convenient parking, make life easier Above all we offer an ICARE company culture! The values of ICARE are: Innovation + Collaboration + Accountability + Respect + Empowerment For more information about Indiana Farmers, please go to ********************************************** Indiana Farmers Insurance is an equal opportunity employer!

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE Duties may include the following responsibilities or functions required to support the claims unit. Accurate processing of claims edits, determining primacy for the Coordination of Benefits (COB), adjusting previously paid claims and initiating procedures to recover funds on overpaid claims. Analyzing, investigating, and resolving problem cases; executing recovery processes; and completing special projects. Accountable for complying with all laws and regulations that are associated with duties and responsibilities. NATURE AND SCOPE This role does not manage people This role reports to this job: SUPERVISOR, CLAIMS OPERATIONS Necessary Contacts: In order to effectively fulfill this position, the Claims Specialist II must be in contact with personnel in other Units: Various internal departments and staff including, but not limited to, Provider Services, Legal, Internal Audit, IT, other Benefits Operations Management and staff, Enrollment and Billing, Administrative Services, and District Offices. Various external entities including, but not limited to, Providers, Members, Lawyers, Groups, Commissioner of Insurance, other insurance companies, and other Plans. QUALIFICATIONS Education High School Diploma or equivalent required Work Experience 2 years in medical claims processing required Coordination of Benefits (COB) processing experience preferred Skills and Abilities Strong analytical ability, that includes strong logical, systemic, and investigates thinking. Strong oral and written communication skills and human relations skills are necessary. Working knowledge of relevant PC software. Ability to prioritize multiple streams of work effectively. Licenses and Certifications None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Reviews, researches, and makes necessary updates to claims that may include the following: recalculation of benefits to previously processed claims, the processing of claims edits, or initiation of refund requests, according to contractual benefits or provider reimbursement rules, ultimately providing a high degree of customer satisfaction. Achieves and maintains a clear understanding of all systems, applications, and procedures necessary to identify denial codes, edits, and processing codes pertaining to all claims (including our coordination with additional coverage plans) in order to process both coordinated and non-coordinated claims correctly. Requesting of medical records may be required. Communicates, both orally and in writing, with internal and external contacts in order to provide necessary and accurate information for the establishment of sound claim records. This may include, but is not limited to, the coordination of benefits (COB), medical record requests, etc. Review quality audits for correction or routing within 48 hours of receipt following departmental and corporate guidelines to ensure accuracy of claims processing and customer satisfaction. Researches, investigates, and determines the correct order of benefits for payment to be made by the applicable plans and makes necessary corrections to COB records. Communicates to appropriate department(s) when Medicare has determined primacy incorrectly and ensures a letter is generated to notify Medicare. Failure to report discrepancy could result in a daily fine up to $1,000.00. Analyzes, investigates, resolves problem cases (to include COB records, adjusting previously processed claims and requesting refund of overpaid claims). Reviews all previously processed claims to ensure consistency in payments to maximize recovery of overpayments following corporate and departmental guidelines to ensure financial stability. Executes procedures to recover funds from providers, subscribers, or beneficiaries where overpayments have occurred to ensure accuracy of claims processing and financial stability. Steps in and assists in any other capacity as deemed necessary (i.e., training, implementations, and documentation). May complete special projects as assigned by Management due to internal audit findings, multiple provider status changes, and system errors following corporate and departmental guidelines to ensure financial stability and customer satisfaction. Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

**Join Us to Transform Healthcare with Data-Driven Insights!** Are you passionate about using advanced analytics to make a real difference in healthcare? Join our innovative Digital and Analytics team, where your expertise will help reduce costs, improve outcomes, and shape the future of provider networks. We're looking for a strategic thinker and hands-on data scientist who thrives on solving complex problems and collaborating with diverse partners. **What You'll Do:** + Lead advanced analytics and data science projects to identify high-performing healthcare providers and enable steerage, geo-access, and network adequacy. + Apply advanced analytical techniques to drive improvements in cost, quality, and access across provider networks. + Develop and implement robust, defensible methodologies for provider performance and network design. + Predict and monitor outcomes from provider networks, ensuring solutions are effective and scalable. + Partner closely with business teams (Network Strategy, Risk Management & Affordability, Provider Management) to deliver high-value analytics enhancements. + Present clear, actionable insights and recommendations to non-technical business partners and leadership. + Prototype and iterate cloud-based dashboards in collaboration with stakeholders. + Propose and develop KPIs, operationalizing solutions into coded prototypes or MVPs. + Collaborate with engineering and production teams to scale solutions. + Explore and implement innovative solutions to business challenges in a team environment. **Required Qualifications:** + Minimum 3 years of hands-on healthcare analytics experience, including work with claims, eligibility, profiling, or EMR data. + Advanced degree (Master's or higher) in a quantitative field (e.g., Computer Science, Statistics, Biostatistics, Actuarial Science, Data Science, Epidemiology) or equivalent work experience. + Strong technical skills with SQL and Python or R; experience with cloud-based analytics platforms. + Experience applying advanced analytics techniques (e.g., episode groupers, provider profiling, network adequacy, steerage analytics, geo-spatial/social network analytics, risk adjustment). + Ability to communicate complex findings clearly to non-technical audiences. + Proven track record of delivering results on multiple projects in a fast-paced, matrixed environment. + Strong problem-solving skills and a growth mindset. **Preferred Qualifications:** + Excellent verbal and written communication skills. + Experience with Git/Github. + 2+ years of direct industry experience through conferences or relationship management. + Deep understanding of healthcare delivery systems and clinical processes. **Why You'll Love Working Here:** + You'll join a team of ambitious experts who are committed to making healthcare more affordable and effective. We value curiosity, collaboration, and innovation-and we're excited to see how you'll help us deliver on our enterprise commitments! If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 98,200 - 163,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

**Summary:** The Risk & Underwriting Advisor, Retail Network, is responsible for developing and implementing client-specific retail network pricing strategies that ensure competitive positioning in the marketplace. This role collaborates closely with Supply Chain teams and cross-functional stakeholders-including Retail Network Underwriting Analysis, Product, Sales & Account Management (SAM), Core Underwriting, and Next Generation Engine (NGE) Support-to optimize retail network modeling for Health Plan clients and new sales opportunities. The Advisor also provides expert support for ad hoc and complex underwriting analyses with potential financial impact. **Key Responsibilities:** + **Strategic Pricing & Modeling** + Develop tailored retail network pricing strategies for renewing clients and new sales opportunities, including RFPs, Direct Renewals, and Market Checks. + Deliver competitive offers by leveraging market intelligence and client-specific data. + **Analytical Support** + Provide underwriting support for all retail network ad hoc analyses with potential financial implications. + Conduct quantitative and financial cost modeling for clients across diverse lines of business, including Commercial, Medicare Part D, Medicaid, and Health Care Exchange. + **Stakeholder Engagement** + Communicate effectively with Senior Leadership, SAM, and other business partners to present ESI opportunities and drive financial results. + Prepare and deliver strategic presentations for both internal and external audiences. + **Collaboration & Project Participation** + Partner with cross-functional teams to strategize and deliver optimized retail network solutions. + Participate actively in department and company-wide projects, contributing expertise and innovative thinking. **Qualifications:** + Bachelor's degree in Risk Management, Economics, Statistics, Mathematics, or Finance preferred + Minimum of 2 years plus of relevant financial or analytical experience. + Preferred experience in Pharmacy Benefit Management (PBM), Managed Care, Healthcare, or Pharmaceutical industries. + Demonstrated ability to build partnerships and collaborate effectively to achieve shared objectives. + Strong analytical, quantitative, and problem-solving skills. + Proven decision-making abilities, with a solid understanding of key financial indicators. + Excellent verbal and written communication skills, including presentation capabilities. + High motivation and perseverance in the face of challenges. + Strong business acumen, leadership qualities, innovative mindset, and customer-centric approach. + Self-starter with the ability to manage multiple projects simultaneously. + We will consider qualified candidates who prefer to work 100% remote If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 88,700 - 147,800 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Evernorth Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances._

Blue Cross and Blue Shield of Vermont is looking for a Research Specialist to join our Inter-Plan Programs team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced and flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401K, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development. COMPENSATION: The hourly range for this position is $18.00-21.00. Additional compensation opportunities and incentives will be detailed during the interview process. Please note that the range listed above is our good faith estimate of the hiring range for this role. If you are hired at Blue Cross and Blue Shield of Vermont, your final base salary compensation will be determined based on factors such as skills, competencies, education, experience, and internal equity across the current team. We also offer a robust benefits package with significant value (see below). LOCATION : Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. Research Specialist Responsibilities: Responsible for a high level of quality by providing information and or initiating appropriate corrective actions to resolve a customer's inquiry based on a thorough and comprehensive understanding of BCBSVT contracts, policies, systems and procedures. Maintain relationships between the Plan and its customers. Work with all levels of expertise including provider billing clerks to provider business managers, other BCBS plans as well as our subscribers and members. Work closely with other business units to address customer concerns and communicate feedback to our customers Accurate and timely interpretations of the Plan policies and procedures while maintaining the absolute confidentiality of member and provider information. Research Specialist Qualifications: High school graduation or equivalent is required. Two year college degree is preferred A minimum of 1-3 years customer service or claims processing experience in a healthcare or health insurance setting is required. Experience in a provider's billing office is preferred. Research Specialist Benefits: Health insurance (including vision) Dental coverage (free to employees) Wellness Program 401(k) with employer match + automatic employer contribution Life Insurance Disability Insurance Combined time off (CTO) - 20 days per year + 10 paid holidays Tuition Reimbursement Student Loan Repayment Dependent Caregiver Benefits Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at **************************************************************** *full job description attached to ADP posting

Government Employees Health Association, Inc. (G.E.H.A) is a nonprofit member association that provides health and dental benefits that millions of federal employees and retirees, military retirees and their families have counted on since 1937. Offering one of the largest health 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. G.E.H.A has one mission: To empower federal workers to be healthy and well. 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 $109,474 - $138,491 USD. At G.E.H.A, the current maximum salary for this role is $154,318 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. 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 Evernorth Formulary Solutions Residency is a 12-month immersive program designed to build a strong foundation in formulary strategy and execution. Residents gain hands-on experience across the full formulary lifecycle-from pipeline strategy to operational implementation. This residency offers a unique lens into the PBM environment and the inner workings of an integrated health services company, preparing participants for impactful post-residency roles within the organization. Program Highlights: Comprehensive Lifecycle Exposure: Residents engage in every stage of the formulary process-from pipeline strategy to operational execution-gaining a well-rounded understanding of the PBM landscape. Formulary Financial Modeling: create and present formulary recommendations for our marquee formulary Cross-Functional Collaboration: The program fosters interaction with key departments such as Pharma Contracting, Sales, Clinical Oversight, and Finance, helping residents build a strong internal network and broaden their strategic perspective. Client-Centric Learning: Residents learn to develop and manage custom formularies tailored to individual client needs, enhancing adaptability and real-world application. Career Pathway Focus: Designed to support long-term career growth, the residency equips participants for meaningful roles within Evernorth following program completion. Longitudinal Experiences: Introductory Sessions with Key Department Leaders Commercial Formulary Strategy Custom Formulary Strategy Medicare Formulary Strategy Regulated Markets Institute of Clinical Oversight and Guidance Residency Project Rotational Opportunities: Clinical Product Specialty Pharmacy Advanced Utilization Management Pharma Trade Relations Patent, Pipeline and Emerging Therapeutics Client Account Management Areas of Personal Interest within Evernorth Minimum Requirements: 4th year (Graduation year) or PharmD. degree from an ACPE-accredited college or school of pharmacy Pharmacy Licensure in any US State (within 90 days of residency start) Proficiency in Microsoft office, specifically Microsoft excel and PowerPoint Proficiency in written and verbal communications Strong career interest in Managed Care pharmacy Required: Must upload/attach the following to Workday application Official Pharmacy School Transcript CV Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) 2 Letters of Recommendations (one of each: Preceptor, Supervisor) sent to **************************************** Application deadline 12/31/25 Location: Hybrid in Saint Louis, MO; Bloomington, MN; and Morris Plains, NJ. A hybrid position means that you will be expected to work in-person at your assigned office location more than 50% of time per week, with flexibility to work at home for balance of time. If the right candidate doesn't live in one of those 3 areas, virtual will be considered. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 21 - 36 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Blue Cross is hiring Clinical Support Representatives to work alongside our clinical review team as part our Utilization Management department. Job responsibilities include verifying member benefits, provider networks, and prior approval requirements for authorization of services all in a call center type environment. Work hours are Monday-Friday 8:00-4:30. Experience working in the medical field as an office assistant, medical coder, or Licensed Nursing Assistant is preferred and familiarity with medical terminology is helpful. Location: If hired, there will be a six week in-person training program at our Berlin, Vermont office. Representatives will continue working on-site five days per week until proficiency has been demonstrated in performing the role independently. After this time, employees within a 50-mile radius will be expected to come to the office on Wednesdays with flexibility to work remotely the rest of the week. Starting pay at $20.00 per hour. Six-week paid training. Target start date is Wednesday, February 18. Robust benefits package including: Health insurance (including vision) Dental coverage (free to employees) Wellness Program with a $500 year-end incentive 401(k) with employer match Life Insurance Disability Insurance Combined time off (CTO) - 20 days per year + 10 paid holidays Tuition reimbursement Student Loan Repayment Dependent Caregiver Benefits And more! Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at **************************************************************** **Complete job description attached to ADP posting

Bilingual Spanish Onsite Health Coach - Evernorth Workplace Care - Miami FL Evernorth Workplace Care offers health care delivery services along with population health and health coaching solutions, conducted in person. Our mission is to deliver proactive, personalized, and holistic patient care and coaching by acting on health data and insights to improve the overall health and wellness of our clients' employees, and those they care about most, by providing access to high quality, affordable services where they work and live. Our Evernorth Workplace Care solution isn't a one-size-fits-all model. Using data-driven insights, we'll customize a solution that addresses your organization's most pressing needs-creating a more affordable, predictable, and simple health care experience. Evernorth Workplace Care - Personalized Care Where You Are Our experienced Health Coach will: * Provide onsite face-to-face customer coaching and support * Identify customer health education needs through targeted health assessment activities. * Collaborate with customers to establish health improvement plans, set personalized evidence-based goals, and support customers in achieving those goals. * Empower customers to become an active participant in their own health outcomes. * Assist Customer in overcoming barriers to better health * Lead and support a variety of Health and wellness promotional activities, such as group coaching, wellness challenges and Health related seminars. * May perform biometric screenings, including finger sticks, blood pressure, body composition, etc. * Utilize biometric values and motivational interviewing techniques to collaborate with customer to drive to improve clinical outcomes. * Provide support for health-related site events, which include open enrollment, wellness committee facilitation, flu shot events, health fairs, etc. Qualifications: * Strong Clinical skills with at least 3 or more years of experience health coaching, health education and health promotion * Bachelor's degree in a health-related field. Master's degree preferred. * Registered Dietitian licensed in respective state is preferred * CPR/BLS certification through the American Red Cross or American Heart Association is required. * High energy level, with dynamic presentation skills is required. * Positive role model in demonstrating healthy behaviors * Passion for health improvement * Ability to work independently * Customer-centric focus * Ability to proactively collaborate professionally with the client and other matrix partners. * Understand and own a variety of clinical targets and outcome measurements. Develop action plans that drive clinical value for the customers and clients. * Proven administrative abilities, with strong computer and software application skills. * Bilingual Spanish and ability to pass oral and written assessments Bonus points for: * CHES (Certified Health Education Specialist) * Motivational interview training/experience. * Smoking cessation and diabetes experience. This role is based in person in Miami FL. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.