About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: * Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
* Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
* Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit ****************
Location: Preferably Hybrid (Local to NYC area) or Remote (For Non-Local)
About the team
The Platform team at Capital Rx is made up of a set of passionate, motivated, and driven individuals who are not only experts in technologies but are great problems solvers and brings high energy and inspiration every day. The team always works a sense of ownership and urgency delivering highest quality of work ensuring seamless operations and fostering collaboration across the software engineering department. We own the architecture, framework & standards, infrastructure and CI/CD pipelines which development teams utilize to deliver code to Captial Rx's Judi platform. The team is also responsible for the production environment which requires knowledge with monitoring, alerting and on-call practices. The Platform team performs many functions whether that is tactical operations, providing general solutions for the enterprise or giving guidance or recommendations for individual product teams.
Position Summary:
We are a rapidly growing late-stage health tech company helping millions of lives through our innovative product Judi. We're seeking a highly skilled and experienced Platform Developer to join our platform team. This pivotal role will be instrumental in building, scaling, and maintain the robust and secure infrastructure that powers our mission-critical platform.
You will be a force multiplier, enabling our development teams to deliver features faster and more reliably. You will champion infrastructure-as-code principles, contribute code to platform scalability, drive automation across the entire software development lifecycle, and ensure our platform meets the highest standards of scalability, performance, and security.
Position Responsibilities:
* Develop and support highly available, scalable, and secure platform & infrastructure
* Develop and maintain robust automation pipelines for continuous delivery (CI/CD), and infrastructure provisioning tools like GoCD, Harness, and Terraform
* Write clean, efficient, and well-tested Python code for automation, tooling and service development.
* Manage and optimize relational or in-memory databases, including PostgreSQL, Redshift and Redis, ensuring high performance, reliability, and data integrity.
* Administer and finetune container orchestration platforms such EKS and ECS.
* Implement and manage serverless architectures leveraging AWS Lambda for various platform functionalities.
* Collaborate closely with development teams to ensure infrastructure aligns with application requirements and best practices.
* Contribute to defining and enforcing security best practices across the platform, including adherence to HIPAA standards, FISMA, SOC II, and FedRAMP compliance standards.
* Monitor systems performance, identify bottlenecks, and implement proactive solutions to ensure optimal operation and scalability.
* Participate in on-call rotations to provide operational support and incident response.
* Adopt Agile/Scrum methodologies, actively participating in sprint planning, stand-ups, and retrospectives.
* Evaluate and recommend new technologies and tools to enhance platform capabilities and efficiency.
* Develop internal tooling and automation scripts using Python and work with SQL to support operational workflows.
* Implement observability (monitoring/logging/alerting) best practices for highly available SaaS services.
Requirements
* 5+ years of experience as a Platform Engineer, DevOps Engineer, or Site Reliability Engineer.
* Strong expertise in AWS infrastructure and services including but not limited to EC2, Lambda, ECS, EKS, RDS, S3, VPC, CloudWatch, SQS, SNS, IAM, Kinesis
* Excellent proficiency with Terraform, Python, SQL, and automation tooling.
* Extensive experience with Docker and container orchestration (Kubernetes/EKS).
* Solid understanding and hands-on experience with SQL, database administration (PostgreSQL preferred), and performance tuning
* Experience with CI/CD systems (e.g., GoCD, GitHub Actions, Harness).
* Proven experience in automating Observability & Monitoring (Grafana, Kibana, Prometheus), standardizing incident response for alerts to maintain SLAs and SLOs
* Hands-on experience in environments compliant with FISMA, SOC 2, and/or FedRAMP.
* Background in building highly scalable, performant SaaS platforms.
* Excellent communication, collaboration and problem-solving skills.
* Ability to work effectively with cross-functional teams, including developers, IT security & compliance, product manager, and scrum masters.
* Strong experience in production on call rotations and responding to alerts.
This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Salary Range
$130,000-$180,000 USD
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
$130k-180k yearly 40d ago
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Associate Product Manager
Capital Rx, Inc. 4.1
Capital Rx, Inc. job in New York, NY
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: * Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
* Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
* Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit ****************
Location: New York, NY - Hybrid (Local to NYC area only)
Position Summary:
We're seeking a driven and collaborative Associate Product Manager to help shape the future of Judi, Capital Rx's enterprise health platform. This role is ideal for someone who thrives in a fast-paced environment, is intellectually curious, and is passionate about delivering impactful healthcare technology solutions.
Position Responsibilities:
* Collaborate with other PMs, engineers, UX designers, and other stakeholders to ensure on-time delivery of product features.
* Effectively manage and meet stakeholders' priorities and expectations while assuming the role of a subject matter expert through deep intellectual curiosity and drive to learn.
* Partner with go-to-market and client-facing teams to identify key value-add opportunities.
* Analyze product data to derive insights to assist in the prioritization and post release optimization of the products.
* Work with design team to conduct user experience testing and research.
* Collect and act on feedback from internal stakeholders and external clients to ideate and anticipate new products.
* Create and maintain team specific 15 month rolling product roadmap.
* Develop business requirements and specification documents.
* Perform backlog refinement, epic planning, and other scrum events.
* Conduct user testing prior to and post release of functionality to the customer.
* Publish value driven release notes and user guides.
* Present roadmap updates and product delivery risks to senior leadership.
* Manage and execute day-to-day project management functions with regards to the specific products under development.
* Support general business needs, as required.
* Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.
Minimum Qualifications:
* Bachelor's degree in relevant field.
* 2+ years of experience in a Product Management role, Software Engineering role or related work experience .
* Experience with pharmacy benefit management, health plans or other health care companies.
* Ability to conceptualize and translate complex problems into viable solutions.
* Ability to manage conflicting priorities in a deadline driven environment.
* Highly analytical; demonstratable knowledge of SQL, Excel, or other data visualization tools.
* Excellent communication and collaboration skills with ability to translate between technical and not technical audiences both verbally and in writing.
* Strong attention to detail and project management skills.
* Intellectual and professional curiosity.
* Comfort or experience in a fast-paced, growth-oriented environment.
* Experience with agile framework; certified Scrum Product Owner preferred.
* Experience with Github or similar source code repositories preferred.
* Demonstratable knowledge of the Python programming language preferred
Salary Range
$80,000-$110,000 USD
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
$80k-110k yearly 8d ago
Customer Service Representative
The Phoenix Group 4.8
New York, NY job
We are seeking a Workplace Experience team member to provide exceptional service and operational support across multiple areas of the office. This role plays a central part in creating a seamless and welcoming environment for employees and guests alike. Responsibilities span from front desk and meeting space coordination to travel support and urgent communication needs.
What You'll Do
Create a welcoming and polished experience for employees, clients, and guests.
Deliver responsive, high-touch customer service in person, by phone, and through digital channels.
Collaborate with teammates to share responsibilities and maintain seamless operations.
Partner with other departments to direct inquiries and resolve issues efficiently.
Serve as a local resource for workplace requests, ensuring smooth handling of needs ranging from logistics to event coordination.
Safeguard sensitive and confidential information with the highest level of discretion.
What We're Looking For
Strong verbal and written communication skills.
A customer-first mindset, with the ability to handle requests thoughtfully and professionally.
Initiative and sound judgment to manage situations independently when needed.
Your Background
High school diploma or equivalent required.
3-5 years of experience in a similar environment (hospitality, reception, call center, facilities, or administrative support).
Prior exposure to professional services or corporate environments a plus.
The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
$31k-40k yearly est. 4d ago
Commercial Lines Underwriter
Burns & Wilcox 4.6
New York, NY job
When someone needs coverage for the unique, the unusual, or the unconventional, they come to Burns & Wilcox. Burns & Wilcox offers unparalleled resources and exposure for those looking to excel in the specialty insurance industry. Interested? Join our team!
Responsibilities
Build, maintain, and grow a book of business
Manage agency relationships and serve as lead client contact
Create and execute marketing plan to increase new and renewal business
Rate, quote and bind each risk to determine acceptability, coverage, and pricing for large or complex renewals as well as new business
Develop and submit underwriting referrals to company brokerage facilities and Burns & Wilcox management
Monitor key metrics to formulate corrective action impacting new business hit, renewal retention, premium growth, and loss ratio
Lead, train, and develop Assistant and Associate Underwriters
Qualifications
Bachelor's degree or equivalent combination of education and experience
Minimum 3 years of commercial lines underwriting experience required, excess & surplus experience preferred
Demonstrated proficiency in sales and marketing
Proven organization skills and ability with a strong attention to detail
Interest in continued education and professional development
Insurance license, CPCU, CIC or comparable designations preferred
Compensation Package
Base compensation for position ranges between $105,000 to $130,000 based on qualifications
Flexible, hybrid & remote options
Health benefits & 401K with employer match
Employer paid continuing education courses and designations
Many opportunities for career advancement
About our Company
Burns & Wilcox, the flagship organization of H.W. Kaufman Group, is North America's leading wholesale insurance broker and underwriting manager. Burns & Wilcox offers wide ranging and comprehensive solutions to serve retail insurance brokers and agents of all sizes, from the large houses to the more than 30,000 independent brokers and agents worldwide. Fueled by its freedom from Wall Street and private equity, Burns & Wilcox is a privately owned company whose standards of service, depth of market relationships and outstanding talent are unsurpassed in the specialty insurance sector.
Equal Opportunity Employer
The H.W. Kaufman Group of companies is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate.
$105k-130k yearly 1d ago
Project Management Testing Coordinator
Tapco Underwriters, Inc. 4.2
Burlington, NC job
ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Test TAPSYS/New system updates for Underwriting Department, Account Services, Endorsements, Compliance and Breakdown in development environments and re-test subset in production environment post release, to ensure modifications work properly.
2. Test and approve new policy forms and carrier implementation for new carriers and states in TAPSYS for Policy Issuance in a development environment and re-test subset in production environment post release, to ensure modifications work properly.
3. Test Policy Output to ensure carrier and state compliance once pushed to production.
4. Act as liaison for Business Unit and IT Department for Testing/Implementation.
5. Correspond with third party vendors for set-up, testing and release of future policy issuance systems.
6. Work with Business Analyst on Docucorp/Formsmaker/VPI/Carrier Issuance System changes and releases (including testing and implementation).
QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Bachelor's Degree or Equivalent Work Experience
2. Three years of insurance experience
3. Property & Casualty Licensing
4. Substantial knowledge of insurance processes, TAPCO carriers and statutory regulations
5. Ability to plan, organize and manage multiple priorities
6. Ability to work under time constraints and meet deadlines
7. Ability to review information, make decisions, and manage time effectively with minimal to no supervision
8. Working knowledge of TAPSYS system and Microsoft Office software
9. Ability to operate a Computer, calculator, multi-line phone, scanner, copier, and other office equipment
10. Ability to adhere to all organizational policies and procedures
Preferred Qualifications:
1. Previous Underwriting, Policy Issuance and/or Auditing Experience
CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace.
EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify
$69k-97k yearly est. 3d ago
Senior Transitional Care Assistant
VNS Health 4.1
New York, NY job
As a Senior Transitional Care Assistant, you act as a navigator, educator and advocate, you will empower your clients with the knowledge and tools they need for seamless transitions of care. You'll serve as a liaison between the client and the healthcare delivery team, while also providing administrative and customer service support.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched 401k retirement saving program
Personal and financial wellness programs?
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement and CEU credits?
What You Will Do
Understands and discusses the client-defined healthcare and functional goals and anticipated post-discharge care needs to ensure a smooth transition home or to other level of care setting.
Works closely with the Care team to monitor and track client progress. Prepares detailed, accurate and timely documentation.
Facilitates periodic case record reviews and case conferences with the Care team for assigned clients.
Establishes and promotes an ongoing collaborative relationship with direct caregivers, hospital administration, physicians, nurses, discharge planners, case managers, social workers, unit clerks, homecare agencies and other facility personnel.
Documents all interaction with the interdisciplinary team in the EMR.
Follows up with clients and maintains expected timeframes as per workflow.
Qualifications
Licenses and Certifications:
Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs
Education:
Associate's degree in human services or a related field or the equivalent work experience, required
Bachelor's degree in a human services or related field, preferred
Work Experience:
Minimum of two years of customer service experience in the medical field (i.e., hospital, long term care, home care, medical office), required
Ability to adapt to change and work in a team-based environment, required
Strong follow up skills required, as well as the ability to manage multiple priorities, required
Demonstrated ability to educate clients, conduct phone interviews/coaching, and coordinate services for multiple chronically ill patients, required
Must be organized and detail oriented
Experience entering data, navigating, and retrieving information through computer systems, required
Proficient computer skills in Microsoft office, preferred
Bilingual skills may be required, as determined by operational needs
Pay Range
USD $25.46 - USD $31.86 /Hr.
About Us
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 โneighborsโ who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
$25.5-31.9 hourly 1d ago
Associate Counsel - No Fault
Metropolitan Transportation Authority (MTA 4.3
New York, NY job
The Metropolitan Transportation Authority is North America's largest transportation network, serving a population of 15.3 million people across a 5,000-square-mile travel area surrounding New York City, Long Island, southeastern New York State, and Connecticut. The MTA network comprises the nation's largest bus fleet and more subway and commuter rail cars than all other U.S. transit systems combined. MTA strives to provide a safe and reliable commute, excellent customer service, and rewarding opportunities.
This position is eligible for telework, which is currently one day per week. New hires are eligible to apply 30 days after their effective date of hire.
SUMMARY
This position will be responsible for managing all aspects of a NoโFault caseload. NoโFault cases are processed in the Supreme and Civil Courts across all five boroughs as well as in nearby counties.
RESPONSIBILITIES
Manage NoโFault claims, as well as litigation and arbitration, including interโcompany arbitration for loss transfer and uninsured motorist claims.
Respond to complaints, prepare motion documents, and draft discovery requests and responses, including writing legal memoranda.
Review expert and medical reports, obtain subpoenaed records, and analyze both legal and factual issues.
Attend court conferences, argue motions, and defend cases in arbitration.
Oversee the activities of outside counsel to ensure quality and manage costs, while also supporting NoโFault antiโfraud initiatives and the Special Investigation Unit. This includes administering Examinations Under Oath (EUO) for both claimants and providers.
Provide managerial and supervisory oversight to the unit's paralegal team.
Advise management and claims examiners on the applicability of NoโFault law and any changes that may occur.
Effectively research and implement special projects as requested by the General Counsel.
Handle additional special projects assigned by Senior Management.
Select, develop, and motivate personnel within the department. Provide career development for subordinates. Provide prompt and effective coaching and counseling. Responsible for the discipline/termination of employees when necessary. Review the performance of staff. Create a professional environment that respects individual differences and enables all employees to develop and contribute to their full potential.
Other duties as assigned.
KNOWLEDGE, SKILLS, AND ABILITIES
Experience in litigating NoโFault matters.
Must have knowledge of Regulations 68 and 83.
Must have basic knowledge of the NoโFault fee schedule and medical terminology is necessary.
Excellent communication and interpersonal skills.
Excellent organizational and presentation skills.
Candidates should have good interpersonal and analytical skills, including the ability to solve complex legal problems.
Demonstrated ability to work with all internal levels within a given organization, including the MTA Board.
Demonstrated ability to communicate and interact well with external agencies. External agencies may include the Governor's Office for New York State, New York City government, elected and other public officials, as well as any staff located at other federal or state agencies or authorities.
Demonstrated ability to work in a highโprofile, highโpressure environment effectively.
Demonstrated ability to communicate effectively with key internal and/or external stakeholders.
Must have strong managerial skills to effectively direct a staff of professional and technical employees in implementing the shortโ and longโterm goals and direction for the area of responsibility.
Demonstrated ability to complete shortโ and longโterm projects effectively and as efficiently as possible.
Demonstrated analytical capabilities and quantitative skills.
Working knowledge of Windows, Lexis Nexis, Microsoft Office Suite or comparable applications, i.e., Word, Excel, PowerPoint, and Outlook.
PREFERRED
Attainment of or in the process of attaining specific functional licenses or certifications in the area of specialty, if applicable.
Familiarity with the MTA's policies and procedures.
Familiarity with the MTA's collective bargaining procedures.
EDUCATION AND EXPERIENCE: REQUIRED
Juris Doctor Degree from an accredited law school and New York State Bar Admission.
License to practice law, maintained in good standing throughout employment.
A minimum of three to five (3 to 5) years of experience in the field of NoโFault is desirable but not required for a highly motivated candidate who will receive specialized training required for the position.
Other Information
May need to work outside of normal work hours (i.e., evenings and weekends)
Travel may be required to other MTA locations or other external sites.
According to the New York State Public Officers Law & the MTA Code of Ethics, all employees who hold a policymaking position must file an Annual Statement of Financial Disclosure (FDS) with the NYS Commission on Ethics and Lobbying in Government (the โCommissionโ).
MTA and its subsidiary and affiliated agencies are Equal Opportunity Employers, including those concerning veteran status and individuals with disabilities.
The MTA encourages qualified applicants from diverse backgrounds, experiences, and abilities, including military service members, to apply.
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$140k-189k yearly est. 3d ago
Billing Specialist
The Phoenix Group 4.8
New York, NY job
Join a dynamic financial operations team supporting legal professionals and their clients. This role centers on managing client financial interactions, with a focus on invoicing, digital billing platforms, and payment tracking.
Key Responsibilities
Prepare and submit client invoices, including digital formats, ensuring precision and timeliness
Oversee billing workflows, monitor deadlines, and provide status updates on outstanding accounts
Review and interpret custom billing agreements with a critical eye for detail
Serve as a point of contact for internal stakeholders, resolving process-related issues and supporting system enhancements
Collaborate directly with designated legal professionals to manage account lifecycles-from initial setup through payment coordination and account reconciliation
Candidate Profile
At least 2 years of experience in billing within a legal or consulting environment
Familiarity with enterprise financial platforms (e.g., Elite 3E, Aderant, eBillingHub)
Exposure to international billing practices and currency variations is advantageous
Strong analytical skills for interpreting financial data and billing trends
Exceptional accuracy and ability to follow complex instructions
Professional communication skills across all organizational levels
The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
$41k-56k yearly est. 1d ago
General Liability Claims Supervisor
Network Adjusters, Inc. 4.1
Denver, CO job
Network Adjusters is seeking an experienced General Liability/Construction Defect Claims Supervisor to join our third-party administrative insurance handling team. As a Claims Supervisor, you will oversee the full claims process in a fast-paced environment, ensuring compliance and service standards are met. You will hire, onboard, train, and develop a team of adjusters specializing in construction defect claims, guiding them in the proper investigation, documentation, and resolution of first and third party claims. This role offers the opportunity to build and grow a talented claims staff, provide technical support, maintain department protocols, and drive strong customer service outcomes while advancing your own leadership career.
QUALIFICATIONS:
Minimum of three years' experience as a supervisor/manager (preferably in insurance claims).
Minimum of 5 years' experience handling general liability or construction defect claims.
Strong leadership skills, with ability to motivate and develop a team.
Superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims.
Ability to prioritize workload and handle multiple tasks.
Analytical and problem-solving abilities, with a keen attention to detail.
Desire to work in a fast-paced environment.
Excellent evaluation and strategic skills required.
Strong claim negotiation skills.
Proficient in MS Office Suite and other business-related software.
Polished and professional written and verbal communication skills.
Bachelor's degree in a relevant field or equivalent work experience.
RESPONSIBILITIES:
Supervise a Team:
Manage a team of claims adjusters, providing guidance, training, and support to ensure high-quality claim assessments and exceptional customer service.
Coverage Analysis:
Examine claim forms, policies, and other records to determine insurance coverage.
Claims Processing:
Oversee the entire claims process, including the evaluation of damages, determination of loss, settlement negotiations and resolution, while ensuring all compliance regulations are adhered to.
Quality Assurance:
Implement and monitor quality control measures (Best Practices) to ensure accurate and consistent claims handling in compliance with company guidelines and industry standards.
Customer Service:
Collaborate with carriers, attorneys, claimants, and internal policyholders to address inquiries, resolve disputes, and ensure a positive claims experience.
Performance Metrics
: Track and analyze key performance metrics to identify areas for improvement, set performance targets, and implement strategies to meet or exceed goals.
Reporting:
Generate and present regular reports to senior management and clients, highlighting department performance, trends, and areas for improvement.
Compliance:
Stay current with industry regulations and best claims practices to ensure that claims processes are compliant with all legal requirements.
BENEFITS:
401(k) with company match / Retirement planning
Paid time off / Company paid holidays
Comprehensive health plans including dental and vision coverage
Flex Spending Account
Company paid life insurance
Company paid long term disability
Supplemental life insurance
Opportunity to buy into short term disability
Family leave
Employee Assistance Program
This role is based in Denver, CO, and we strongly prefer candidates who can work on-site. Remote arrangements may be considered only for exceptionally well-qualified applicants who meet all required criteria.
The starting salary for this position is $110,000 - $140,000, depending on factors such as licensure, certifications, and relevant experience.
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results-the proof is in our extensive track record of settled claims and unmatched recovery abilities.
$110k-140k yearly 5d ago
General Manager
Malone Workforce Solutions 4.6
Boulder, CO job
General Manager Needed - One of our Best Clients has RETAINED Malone Solutions to help identify their next Leader! This is a can't miss opportunity!
We are looking for a General Manager in the Denver, CO area for an innovative leader in the plastic injection molding, contract manufacturing space. The organization is experiencing tremendous growth and partners with many Fortune 500 OEM's across multiple industries. The ideal candidate will have complete control of this manufacturing facility overseeing all aspects of plant operations, ensuring efficient production, maintaining quality standards, and driving continuous improvement initiatives. This role requires strategic leadership to optimize manufacturing processes, manage resources, and enhance operational efficiency while ensuring customer satisfaction and profitability.
Position Highlights:
Full control of the manufacturing facility with the ability to make strategic decisions
Evaluate and implement new technologies, automation, and process improvements to enhance operational efficiency.
Benefits package that is one of the best in the industry - With performance you will have multiple different ways to make more than your base salary.
NO RED-TAPE: You will have the opportunity to make decisions without having to jump thru hoops!
Relocation: Preferred local candidates, but relocation assistance may be considered.
Executive Leadership that truly cares and is fully invested in your success.
Responsibilities:
Develop and implement business strategies to drive growth, efficiency, and profitability in the injection molding operation.
Manage daily plant operations, including production, quality control, supply chain, maintenance, and safety compliance.
Develop budgets, monitor costs, and ensure financial targets are met while maintaining costโeffective production practices.
Recruit, train, and lead a highโperforming team, fostering a culture of accountability, safety, and continuous improvement.
Work closely with clients and suppliers to meet production demands, address issues, and drive customer satisfaction.
Provide dayโtoโday leadership throughout the business unit. Assume responsibility for location operations and administration.
And more....
Qualifications:
Degree highly preferred - will consider experience in lieu of Degree
10+ years of experience in manufacturing, with a minimum of 5 years in a senior leadership role.
Manufacturing experience required. Plastic Injection molding experience or similar highly desired.
Proven track record of managing plant operations, driving process improvements, and achieving business growth.
Experience with lean manufacturing, Six Sigma, Kaizen, and continuous improvement methodologies.
Familiarity with ISO, FDA, or other industry regulatory standards.
Malone Workforce Solutions is an equal opportunity employer.
$47k-84k yearly est. 2d ago
Spring 2026 - Direct Selling Self-Regulatory Council Externship
BBB National Programs 4.7
New York, NY job
Direct Selling Self-Regulatory Council (DSSRC) Externship
BBB National Programs is where businesses turn to enhance consumer trust and consumers are heard.
We are a non-profit organization dedicated to fostering a more accountable and trustworthy marketplace. As the foremost thought leader on industry self-regulation, we are shaping the way that businesses and consumers interact with one another. We are the home to more than a dozen self-regulation programs that set high standards for businesses and provide third-party accountability and dispute resolution services that help ensure a fair marketplace for consumers. BBB National Programs has worked with industry leaders and government regulatory agencies since 1971 to establish the standards that guide best practices in advertising, privacy, children's and teen's marketing, consumer warranty issues, and dispute resolution.
The Direct Selling Self-Regulatory Council (DSSRC) is an advertising self-regulation program that was launched in 2019 and is administered by BBB National Programs, Inc. DSSRC was created to evaluate the truth and accuracy of product and income claims disseminated by direct selling companies and their sales force members with an emphasis on product and claims being communicated on social media platforms.
DSSRC's basic activities are the review and evaluation of representations direct selling advertising and marketing in all media. When these express and implied claims are found to be untruthful, inaccurate, or inconsistent with the rules, regulations and guidance provided by the Federal Trade Commission (FTC), the Direct Selling Association's Code of Ethics and/or the precedent established by other self-regulation organizations such as the BBB National Programs, Inc.'s National Advertising Division (NAD), DSSRC provides guidance and seeks change through the voluntary cooperation of direct selling companies. DSSRC frequently engages collaboratively with FTC representatives and the staff of State Attorneys General.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Reviewing monitoring data regarding direct selling advertising and marketing on social media and company websites for compliance with the applicable state and federal rules, statutes and guidelines.
Working on legal research projects and gaining valuable knowledge of self-regulatory precedent-setting cases;
Evaluating company compliance with self-regulatory decisions pertaining to major direct selling company marketing campaigns in collaboration with the DSSRC staff;
Identifying problematic product and income claims disseminated by direct selling companies and their sales forces;
Keeping DSSRC staff abreast of new applicable case law including recent FTC actions;
Providing feedback on applicable provisions of the DSSRC Policy & Procedures.; and
Corresponding with the Direct Selling Association, the industry trade association and working with DSSRC's third-party monitoring vendor
Hours: Flexible
This externship is unpaid, but may be considered for school credit
$32k-41k yearly est. 5d ago
Senior Associate Underwriter
Burns & Wilcox 4.6
New York, NY job
Responsibilities
When someone needs coverage for the unique, the unusual, or the unconventional, they come to Burns & Wilcox. Our Associate Underwriters underwrite and supervise a portion of an Underwriter's book of business, support renewal and new business development, and have the opportunity to achieve full underwriting authority. Burns & Wilcox offers unparalleled resources and exposure for those looking to grow their career in the specialty insurance industry. Interested? Join our team!
Job Duties
Underwrite and supervise a portion of an Underwriter's book of business, focused on, but not limited to renewals
Evaluate, classify, and rate each risk to determine acceptability, coverage, and pricing to prepare quotes
Assist Underwriters to develop and execute marketing plans to drive new and renewal business, including in-person agency visits, telemarketing and distributing marketing materials
Mentor and train Assistant Underwriters as needed
Qualifications
Bachelor's degree or equivalent combination of education and experience
3+ years of Personal Lines underwriting support or industry experience
Strong sales and marketing skills required
Proven organization skills and ability with a strong attention to detail
Interest in continued education and professional development to obtain full underwriting authority
Travel, when necessary, in order to foster strong client relationships
Benefits
Compensation up to $80,000.00
Employer paid continuing education courses and designations via access to Kaufman Institute
Health and welfare benefits including medical, vision and dental
401K with employer match
Paid vacation, sick time, and holidays
Access to Kaufman Wellness Program
Flexible and hybrid work options
About Our Company
Burns & Wilcox, the flagship organization of H.W. Kaufman Group, is North America's leading wholesale insurance broker and underwriting manager. Burns & Wilcox offers wide ranging and comprehensive solutions to serve retail insurance brokers and agents of all sizes, from the large houses to the more than 30,000 independent brokers and agents worldwide. Fueled by its freedom from Wall Street and private equity, Burns & Wilcox is a privately owned company whose standards of service, depth of market relationships and outstanding talent are unsurpassed in the specialty insurance sector.
Equal Opportunity Employer
The H.W. Kaufman Group of companies is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate.
$80k yearly 1d ago
Assistant Merchant
Express 4.2
New York, NY job
About PHOENIX
PHOENIX Retail, LLC is a retail platform operating the Express and Bonobos brands worldwide. Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern, confident and effortless style whether dressing for work, everyday or special occasions. Bonobos is a menswear brand known for being pioneers of exceptional fit and a personalized, innovative retail model. Customers can experience our brands in over 400 Express retail and Express Factory Outlet stores, 50 Bonobos Guideshops, and online at *************** and ****************
About Bonobos
We are on a mission to make fits and connections that inspire people to be themselves. Our Bonobos menswear brand is known for being a style instigator and offering perfect-fit risks through our innovative retail model and personalized experience. Launched online in 2007 with its signature line of chinos, Bonobos now offers a variety of styles available to order online and to try on at any one of our 60+ Guideshop locations. Our Guideshops are in-real-life stores that deliver one-on-one service and expert fit advice. Don't think traditional retail, Bonobos is something you haven't seen before.
The Bonobos team is vibrant, collaborative, and inclusive. We value self-awareness, empathy, intellectual honesty, positive energy, and judgment, often over experience. We've created a culture where collaboration and communication are paramount, all while making time for fun and celebrating extraordinary efforts.
Location Name New York Office Responsibilities and Qualifications
Bonobos is seeking an Assistant Merchant to support the Merchant team in achieving seasonal and annual financial objectives by contributing to assortment strategies and ensuring operational efficiency. This role collaborates closely with cross-functional teams, manages daily operational functions, and assists in product development and market research. The Assistant Merchant is responsible for maintaining data integrity, managing samples, preparing for key meetings, and providing insights into market trends and customer behavior.
KEY RESPONSIBILITIES
Assist in developing seasonal assortments, including initial product selection, roadmap creation, and style set-up.
Manage operational tasks, including order management, sample organization, meeting preparation, and data accuracy acrossall systems.
Conduct market research and competitive analysis, providing insights that inform product development and pricing strategies.
Collaborate with cross-functional teams (Production, Planning, Design, eCommerce, Visual, Marketing) to ensure the successful execution of assortment strategies.
Maintain style attribution, adoption, and updates, ensuring accuracy and relevance.
Prepare and present hindsighting selling reports, highlighting opportunities for future season planning.
Support product development by communicating tactical updates to the appropriate teams, including design, production, and sourcing.
Track and manage order delivery and launch timing, reporting exceptions and ensuring deadlines are met.
Partner with the planning team on seasonal financial plans, pricing, and item descriptions.
Compile and distribute product knowledge to internal teams on a monthly or seasonal basis.
Stay updated on trends and customer preferences to inform product selection and assortment decisions.
REQUIRED EXPERIENCE & QUALIFICATIONS
Bachelor's degree in business, retail merchandising, fashion merchandising, or a related field is preferred.
0-3 years of experience in retail merchandising, buying, or related field.
Proficient in Excel and Google; experience with Retail Management Systems (RMS), BeProduct or S5, or similar RMS is a plus.
Strong organizational skills with the ability to prioritize and multitask in a fast-paced environment.
Acute fashion sense with the ability to interpret market trends and customer preferences.
Strong analytical skills and understanding of retail math to assess sales and performance.
Excellent communication, presentation, and negotiation skills.
Ability to manage through conflict, problem-solve, and influence decisions effectively
CRITICAL SKILLS & ATTRIBUTES
Systems and technology-savvy, with a willingness to adapt to new tools and processes.
Strong attention to detail and ability to maintain data integrity across multiple tasks.
Demonstrates strong visual taste level and awareness of current trends.
Ability to defend and effectively communicate ideas and recommendations across teams.
Benefits and Compensation:
PHOENIX offers a range of benefits to help protect full-time associate's health and long-term financial security including:
Medical, pharmacy, dental and vision coverage
401(k) and Roth 401(k) with Company match
Merchandise discount
Paid Time Off
Parental leave for new moms and dads
For part-time associates, PHOENIX is partnering with LIG Solutions to help associates obtain individual insurance coverage that best fits their needs and budget, including major medical, dental, vision, supplemental insurance, life Insurance and more.
Additionally, part-time associates may be eligible to receive paid sick leave, public health emergency leave and to participate in the 401(k) and Roth 401(k) with Company match.
Part-time associates may also be eligible to participate in the Bonobos Guideshop Incentive Plan.
Actual compensation offered is dependent upon a number of factors including, but not limited to, work location, education, relevant skills and experience of the candidate.
Pay Range $30.96/hr - $42.31/hr Closing
An equal opportunity employer, PHOENIX does not discriminate in recruiting, hiring or any other terms and conditions of employment hiring on the basis of any federal, state, or locally protected characteristic. PHOENIX only hires individuals authorized for employment in the United States. PHOENIX is committed to providing reasonable accommodation to individuals with disabilities. If you need an accommodation to search and apply for a job position due to a disability, please call ************** and say 'Associate Relations' or send an e-mail to ****************************** and let us know the nature of your request and your contact information.
Notification to Agencies: Please note that PHOENIX does not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, PHOENIX will not consider or approve payment to any third-parties for hires made.
Early Talent
$31-42.3 hourly Auto-Apply 60d+ ago
Formulary Operations Pharmacist - Medicare
Capital Rx 4.1
Capital Rx job in New York, NY
About Judi Health
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:
Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
Judi Healthโข, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
Judi , the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit ****************
Position Summary:
The Formulary Operations Pharmacist - Medicare is responsible for providing operational support for the evaluation, implementation, and maintenance of Medicare Part D formularies and utilization management. This individual supports creation and maintenance of formulary and utilization management lists, preparation of CMS formulary files and member formulary drug lists, preparation and review of updates for implementation, and other formulary and utilization management related tasks and processes. The role requires strong cross functional collaboration and communication skills, and an understanding of Medicare Part D formulary management processes and related CMS rules and regulations.
Position Responsibilities:
Maintain standard and custom formularies for the Medicare line of business in accordance with CMS Medicare guidelines
Support development, implementation, maintenance, and quality control of Medicare Part D formularies, utilization management, and clinical adjudication drug lists
Lead and support preparation of monthly and annual files for CMS formulary submissions, member formulary drug lists and look up tools, and utilization management criteria
Evaluate drugs/drug classes, make formulary positioning and utilization management recommendations, and update formulary management strategies and associated adjudication requirements to operationalize
Evaluate appropriateness of and operationalize custom client formulary and benefit change requests within the formulary and adjudication platform
Support comprehensive testing of client formulary and benefit elections
Provide cross functional support for claim troubleshooting within the adjudication platform
Monitor and analyze regulatory and legislative requirements for Medicare
Support development of project plans to meet new CMS requirements, and support cross functional teams with implementation of programs to meet requirements
Lead formulary change processes within URAC/NCQA/CMS guidelines
Pharmacy and Therapeutics (P&T) Committee participation as an ad hoc member
Conduct formulary reviews and develop drug monographs based on a rotation of clinical pharmacists
Maintain and update the Capital Rx pharmaceutical pipeline, as needed
Develop clinical criteria for review as needed
Support CMS formulary administration audits
Support quality improvement projects as needed
Support Request for Information (RFI) and Request for Proposal (RFP) submissions, as needed
Support general business needs and operations, as needed
Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.
Minimum Qualifications:
Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance
Current, unrestricted registered pharmacist license(s)
Residency/fellowship preferred
2-3 years of formulary experience working for a health plan or PBM preferred
2-3 years of Medicare experience preferred
Knowledge of formulary development and maintenance processes
Knowledge of highly managed specialty medications/strategy
Knowledge of rebate and financial implications of formulary strategies
Experience working with large datasets preferred
Ability to independently identify, research, and resolve issues
Ability to balance multiple complex projects simultaneously
Ability to work extended hours, weekends, and holidays consistent with industry demands
Exceptional written and verbal communication skills
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product
Microsoft office suite with emphasis on Microsoft excel proficiency required
#LI-BC1
Salary Range$125,000-$135,000 USD
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
$125k-135k yearly Auto-Apply 14d ago
Senior UX/UI Designer
Capital Rx, Inc. 4.1
Capital Rx, Inc. job in New York, NY
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: * Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
* Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
* Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit ****************
Position Summary:
The UX/UI Designer Senior I - Judi Care role is an experienced contributor on the UX/UI Design team. They will provide key deliverables for our Judi Care product which integrates provider search, appointment booking, cost estimates, and prescription savings into one seamless experience. They will also demonstrate best design practices, lead by example, produce high quality design solutions, and continuously add value to the design team, their product team, and the organization. They contribute to all phases of the design process including prototyping, design execution, research and documentation.
Position Responsibilities:
* Lead the design process for key member and public facing features of our Judi Care product.
* Deliver visually appealing interfaces with a focus on amazing user experiences, ensuring alignment with business goals and user needs.
* Conduct and oversee user research, including interviews, surveys, and usability testing to inform design decisions.
* Facilitate design thinking workshops and brainstorming sessions to drive innovative solutions.
* Create high-fidelity wireframes, prototypes, and visual designs that effectively communicate design concepts.
* Delight users with modern consumer product experiences that are efficient, learnable, and thoughtfully interconnected.
* Contribute to and help maintain design systems, style guides, and pattern libraries to ensure consistency across product implementation.
* Collaborate closely with product managers, engineers, and other stakeholders to define product requirements and implement design solutions.
* Mentor and provide guidance to junior designers, fostering their growth and development.
* Stay current with UX/UI design trends, tools, and best practices for product design, usability, and accessibility.
Minimum Qualifications:
* Bachelor's Degree, certificate, or equivalent work experience
* 5+ years experience in a UX/UI or Product Design role.
* Mastery of Figma, XD, Sketch or other UX/UI design tools - is willing to work exclusively in Figma, in this role.
* Proven experience designing and delivering responsive designs for complex interfaces with a working knowledge of CSS media queries and Flexbox.
* A strong portfolio demonstrating real-world, consumer facing projects that adhere to foundational UX and UI principles and accessibility standards.
* Working knowledge of HTML and CSS.
* Functional understanding of Github, React.js, and client-side APIs a plus.
* Experience working in healthcare or healthcare adjacent industries a plus. ยท
* Strong communication and collaboration skills.
* Intellectual and professional curiosity.
* Comfort or experience in a fast-paced, growing environment.
Salary Range
$110,000-$130,000 USD
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
$110k-130k yearly 40d ago
Senior Accounting Analyst
The Phoenix Group 4.8
New York, NY job
You'll work closely with the Partnership Accounting Manager to manage partner financial records, oversee profit distributions, and respond to inquiries from partners and internal finance teams. You'll play a key role in improving processes, ensuring accuracy, and mentoring junior analysts.
Key Responsibilities
Maintain and interpret partnership agreements, focusing on financial obligations and retirement provisions.
Process and review partner distributions, deductions, and tax adjustments with precision and timeliness.
Update payroll systems for new and existing partners, including benefits and direct deposit details.
Coordinate with HR, Benefits, Payroll, and Retirement teams to ensure accurate contributions and deductions.
Handle special income arrangements, partner status changes, and FTE adjustments.
Prepare multi-currency distribution schedules for international offices and ensure timely wire transfers.
Collaborate with global finance managers to resolve discrepancies and maintain accurate records.
Respond promptly to partner inquiries and provide clear, detailed explanations.
Identify and implement process improvements to enhance efficiency and accuracy.
Support profit distribution analysis and reporting across multiple teams.
What We're Looking For
Bachelor's degree in Finance or Accounting; advanced knowledge of partnership finance preferred.
5+ years of experience in finance within a global law firm or professional services environment.
Strong understanding of partner compensation processes and best practices.
Advanced Excel skills, including complex formulas and data manipulation.
Ability to manage multiple priorities under tight deadlines with minimal supervision.
Excellent communication and relationship-building skills.
Detail-oriented, organized, and proactive in problem-solving.
Willingness to work overtime when necessary.
The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
$71k-91k yearly est. 4d ago
Oral Surgery Assistant
Employee Benefits Fund 4.4
New York, NY job
Our organization operates several multi-disciplinary ambulatory care centers throughout New York City that were created to serve our Union members and their families. We offer Primary Care, Dental, Radiological, Vision, Mental Health, and other Specialist services at our facilities at no charge to our Union members, removing the financial roadblock that many people face when trying to obtain quality medical care. We are looking for a highly reliable Oral Surgery Assistant for our Midtown Dental Center (based out of Manhattan) to help in our mission of providing top notch dental services to our Union members.
DUTIES AND RESPONSIBILITIES:
Prepares operatory room, instruments and additional supplies for the surgical procedure.
Greets and escorts patient into operatory room and prepares them for the Oral Surgeon/Periodontist by explaining to the patient the procedure and addressing any concerns.
Assists the Oral Surgeon/Periodontist during the surgery by anticipating their needs and providing the necessary instruments/supplies, suctioning, irrigating and charting patient, as directed by the Oral Surgeon/Periodontist.
Monitors vital signs and anesthesiology levels for the patient's well-being during the procedure.
Provides post-operative explanations and education to the patient, as instructed.
Escorts patient to the reception area when the procedure is completed; provides assistance when needed. May arrange for follow-up visit for the patient, if necessary.
Cleans patient area of operatory room, removing instruments and supplies and ensuring that the room is ready for the next patient.
Discards disposable supplies and instruments and performs autoclave testing.
Mounts and takes X-rays when needed. Takes and formats Cone Beam CTs.
Takes notes and documents process for the Oral Surgeon/Periodontist as needed.
Tracks supply inventory and orders additional materials, as necessary.
Contributes to team effort.
Provides excellent customer service.
Performs other duties, as assigned.
EDUCATION AND EXPERIENCE:
High School diploma or GED.
Completion of Dental Assistant program.
Minimum 2 years prior dental office experience assisting in oral surgeries, bone grafting and implants.
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of various surgical procedures, such as Extractions, Frenectonomy, Tori Removal, Cyst Removal, Aveoloplasty, Incision and Drainage, Tumor Removal, Placement of Dental Implants, Guided Tissue Regeneration, bone grafting at time of extractions - socket preservation, bone grafting to repair a defect around existing implant, bone grafting in conjunction with removal of a failing implant, bone grafting for ridge augmentation.
Ability to work well under pressure while handling multiple tasks.
Exceptional listening and communication skills.
Detail oriented.
Highly organized.
Displays/maintains professional behavior at all times.
COMPENSATION AND BENEFITS:
Medical, Dental, and Vision health benefits at no cost to all benefits-eligible employees and their eligible dependents
Paid Time Off (Vacation, Personal, Sick days, and 12 paid Holidays)
401(k) Plan
Life Insurance
Tuition Reimbursement
Member's Health Assistance Program
Pre-Paid Legal Services
$41k-60k yearly est. Auto-Apply 54d ago
Manager, Data Center & Infrastructure
Pacific Life 4.5
Charlotte, NC job
Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most. It's a big ask, but it's one that we have the power to deliver when we work together. We collaborate and innovate - pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it's the right thing to do. Pacific Life is more than a job, it's a career with purpose. It's a career where you have the support, balance, and resources to make a positive impact on the future - including your own.
We're actively seeking a talented Data Center & Infrastructure Manager to join our Cloud & Compute Platforms team in our Charlotte, North Carolina office. Relocation Assistance may be provided.
As a Data Center & Infrastructure Manager you'll move Pacific Life, and your career, forward playing a critical role in supporting Pacific Life's growth and technology modernization. You will fill a new role that sits on a team of 29 people in the Pacific Life Technology division. Your colleagues will include fellow infrastructure professionals. Reporting directly to the Director, you will oversee the day-to-day operations of our data center, computing platform, server, storage, and cloud infrastructure. You will lead a team of professionals, ensuring high availability, efficiency, and security, while executing on the strategic vision set by the Director and executive leadership.
How you'll help move us forward:
* Execute the operational roadmap for data center operations, ensuring alignment with business and IT objectives as defined by the Director.
* Lead and mentor a team of infrastructure platform engineering professionals, fostering a culture of excellence, collaboration, and continuous improvement.
* Oversee capacity planning, ensuring scalability and optimal resource utilization.
* Implement and maintain industry best practices for security, compliance, and operational efficiency.
* Ensure high levels of uptime and reliability through proactive maintenance and incident response strategies.
* Manage vendor relationships and support contract negotiations for facility management and hardware procurement, as delegated by the Director.
* Support the development and execution of disaster recovery and business continuity plans.
* Monitor industry trends and emerging technologies, providing recommendations to the Director for continuous improvement.
* Collaborate with other managers, directors, and stakeholders to ensure operational alignment with broader IT and business goals.
* Provide direct leadership to data center staff, including performance management, coaching, and professional development.
* Develop and implement departmental plans and priorities in coordination with the Director.
The experience you bring:
* 8+ years of experience in data center management, IT infrastructure, or related fields. People leadership experience is required.
* 4-year degree or equivalent experience
* Experience supporting global, multi-site data center operations in a large enterprise environment.
* Strong understanding of networking, server infrastructure, cloud technologies, and hybrid environments.
* Expertise in data center power and cooling systems, redundancy planning, and energy efficiency best practices.
* Familiarity with compliance and security frameworks such as ISO 27001, SOC 2, HIPAA, and GDPR.
* A demonstrated ability to build and lead high-performance teams.
* Experience with budgeting and cost optimization strategies, supporting the Director in financial management.
* Hands-on experience with disaster recovery planning, incident management, and operational risk mitigation.
* Familiarity with automation, monitoring, and management tools for optimizing data center performance.
* Experience working in regulated industries or high-availability environments (e.g., finance, healthcare, etc.).
* Strong communication and leadership skills, with the ability to engage both technical teams and management.
What makes you stand out:
* The ability to manage hybrid cloud infrastructures and integrate on-premises data centers with public cloud providers.
* Experience leading people in multiple geographical regions and countries.
* Experience implementing automation or AI-driven optimization strategies for data centers.
* Strong industry relationships and awareness of emerging data center trends.
* Experience managing container platforms.
* Success in supporting major data center migrations, expansions, or consolidations.
* Relevant certifications (e.g., data center, cloud, or security).
* Experience with Infrastructure as Code and automated configuration management.
* Experience automating CMDB data updates for asset management.
You can be who you are.
We are committed to a culture of diversity and inclusion that embraces the authenticity of all employees, partners and communities. We support all employees to thrive and achieve their fullest potential. What's life like at Pacific Life? Visit Instagram.com/lifeatpacificlife
#LI-KP1
Base Pay Range:
The base pay range noted represents the company's good faith minimum and maximum range for this role at the time of posting. The actual compensation offered to a candidate will be dependent upon several factors, including but not limited to experience, qualifications and geographic location. Also, most employees are eligible for additional incentive pay.
$134,820.00 - $164,780.00
Your Benefits Start Day 1
Your wellbeing is important to Pacific Life, and we're committed to providing you with flexible benefits that you can tailor to meet your needs. Whether you are focusing on your physical, financial, emotional, or social wellbeing, we've got you covered.
* Prioritization of your health and well-being including Medical, Dental, Vision, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents
* Generous paid time off options including: Paid Time Off, Holiday Schedules, and Financial Planning Time Off
* Paid Parental Leave as well as an Adoption Assistance Program
* Competitive 401k savings plan with company match and an additional contribution regardless of participation
EEO Statement:
Pacific Life Insurance Company is an Equal Opportunity /Affirmative Action Employer, M/F/D/V. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Pacific Life Insurance Company.
$134.8k-164.8k yearly Auto-Apply 55d ago
Provider Relations Specialist
Capital Rx, Inc. 4.1
Capital Rx, Inc. job in New York, NY
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: * Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
* Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
* Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit ****************
Location: Remote (For Non-Local) or Hybrid (Local to NYC area or Denver)
Position Summary:
The Provider Relations Specialist serves as a key liaison between the Capital Rx and its pharmacy network providers. This role is responsible for managing provider relationships, maintaining contract integrity, resolving pharmacy inquiries, and supporting network operations. The specialist ensures smooth communication and operational efficiency across all stakeholders.
Position Responsibilities:
* Manage the account for a designated group of pharmacy providers including chain pharmacies and independent pharmacies which shall include:
* serving as the day-to-day contact for an assigned group of pharmacy providers,
* answering relevant emails and phone calls,
* executing pharmacy network reporting requests, and
* escalating issues as needed to the Manager.
* Manage applicable contract routing and dissemination, standard contract and amendment creation, and maintain and update the contract databases.
* Manage the ongoing/consistent outreach to pharmacy providers as necessary to finalize contracts to ensure the department is executing on its goals to close out the agreements.
* Manage the communication of pertinent information such as drug recalls and payer sheet information to pharmacies.
* Act as the first point of contact for the call center help desk regarding pharmacy contractual issues and escalate the issues as needed to the Manager.
* Works closely with the Manager, Provider Relations to execute on the departmental and organizational goals.
* Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.
Minimum Qualifications:
* Bachelor's degree.
* 2+ yrs of PBM experience in provider/network relations, contracting or other relevant experience.
* Strong communication and project management skills with the ability to develop effective working relationships with providers and internal and external stakeholders.
* Intermediate level of proficiency with Microsoft Excel, Word, PowerPoint.
* Highly organized and self-directed with minimal supervision required.
Preferred Qualifications:
* Certification in pharmacy technician or related field is a plus.
Salary Range
$55,000-$75,000 USD
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
$55k-75k yearly 40d ago
Loss Control Consultant
Lockton 4.5
Denver, CO job
We are seeking a Loss Control Consultant to join our team, working under the guidance of the Loss Control Team Lead to support a portfolio of high-value real estate clients. In this role, you will serve as the system administrator for our Risk Management Platform, a critical tool used to track, analyze, and mitigate risks across diverse property types. You will also coordinate and report on loss control initiatives, ensuring our clients have the insights they need to safeguard their investments.
Your clients include owners and operators of:
* Medical office buildings
* Multifamily apartments
* Student housing communities
* Senior living facilities
* Light industrial properties
This position offers the opportunity to combine technical expertise with risk management strategy, directly contributing to the protection and performance of complex real estate assets.
Essential Duties, Responsibilities, and Key Results Areas
* Support implementation of loss control initiatives, with emphasis on:
o Property risk mitigation strategies
o Risk and safety audit tools
o Water intrusion prevention and remediation plans
o Winterization protocols
* In coordination with vendors, help administer and maintain the Risk Management Platform, including location databases and user credentials
* Deliver end-user training to ensure effective system utilization
* Collaborate with asset managers and property teams to resolve open items and drive compliance
* Manage project plans, tracking timelines, milestones, and deliverables for defined loss control initiatives
* Coordinate with Lockton, clients, and operating partners to assess and manage loss exposures
* Prepare and submit weekly status reports.
* Analyze loss data to identify trends and ensure initiatives address leading risk factors
* Contribute to continuous improvement, recommending and implementing effective controls in partnership with the Lockton Loss Control Team Lead
* Perform additional duties as assigned to support overall risk management objectives
Ideal Candidate Attributes
The successful candidate will bring a blend of technical expertise, relationship-building skills, and problem-solving ability. Key attributes include:
* Professional Experience
o Prior background in Risk Management, Safety, or Loss Control
o Proficiency with PC operations and a variety of standard, custom, and web-based applications
* Relationship & Communication Skills
o Strong drive to build and sustain meaningful partnerships with clients, operating partners, and service providers
o Ability to clearly convey technical information to non-technical audiences, both in group presentations and one-on-one settings
* Analytical & Operational Strengths
o Skilled at identifying potential hazards requiring immediate attention and evaluating existing controls
o Capable of coordinating effectively with diverse stakeholders in the loss control process
o Adept at managing multiple, complex project plans while prioritizing tasks to maximize efficiency and productivity
o Flexible and resilient in adapting to shifting work conditions, deadlines, and timelines in a fast-paced environment
o Independent, resourceful, and able to apply critical thinking and problem-solving skills with minimal supervision
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