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  • Special Investigation Unit Investigator

    Centene Corporation 4.5company rating

    Centene Corporation job in Columbus, OH

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **We are currently hiring for multiple positions. Candidates for these role must reside in one of the following states: CA, HI, IL, NE, and OH.** **Position Purpose:** Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste, abuse, and fraud + Document activity on each case and refer issues to the appropriate party + Perform data mining and analysis to detect aberrancies and outliers in claims + Develop new queries and reports to detect potential waste, abuse, and fraud + Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions + Assist with complex allegations of healthcare fraud + Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies + Complete various special projects and audits + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Bachelor's Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation experience. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $55.1k-99k yearly 19d ago
  • Special Investigation Unit Investigator

    Centene 4.5company rating

    Remote Centene job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. We are currently hiring for multiple positions. Candidates for these role must reside in one of the following states: CA, HI, IL, NE, and OH. Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining and analysis to detect aberrancies and outliers in claims Develop new queries and reports to detect potential waste, abuse, and fraud Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions Assist with complex allegations of healthcare fraud Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies Complete various special projects and audits Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation experience. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $55.1k-99k yearly Auto-Apply 21d ago
  • Gastroenterologist Opening with Private Group in Mentor, Ohio

    Tenet Healthcare 4.5company rating

    Mentor, OH job

    OneGI is seeking a BC/ BE Gastroenterologist in Mentor, Ohio. A terrific opportunity to join an outpatient practice that provides world-class care! Highlights: General GI Practice; only 1 office location! APP support Infusion, Pathology, Imaging, Research, Anesthesia, Hem Banding available support services 1 ASC location with ownership potential 2-year practice partnership track Benefits: Competitive Base Salary with Competitive Production Earnings Sign On Bonus and Moving Expenses Medical, Dental, Vision, 401k Match Malpractice Insurance At One GI , we provide exceptional gastroenterology care that puts patients at the forefront. Since our inception in 2020, we have grown rapidly while remaining steadfast in our commitment to driving excellence and upholding the highest standards in gastroenterology practice. Our renowned physician leadership, collaborative team culture, state-of-the-art ancillary services, and robust network strength empower our physicians to deliver personalized, compassionate care tailored to each patient's unique needs. One GI is more than just an organization; it's a community of over 1,300 dedicated individuals united by a shared purpose: creating a better healthcare experience for patients, colleagues, and communities. We are a diverse team of professionals who bring our unique perspectives and expertise to the table, fostering an environment of collaboration and continuous improvement. Each One GI practice is the leading provider of gastroenterology care in its respective community, retaining its regional name and unique reputation while leveraging the expansive resources and backing of our national organization. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
    $157k-236k yearly est. 1d ago
  • Gastroenterology Opening with Private Group in Canton, Ohio

    Tenet Healthcare 4.5company rating

    Canton, OH job

    OneGI is seeking a BC/ BE Gastroenterologist to join an established practice in Canton, Ohio. A patient-centric group providing world-class care! Highlights: General GI Practice w/ APP support Pathology, Research, Imaging, Anesthesia support services Strong relationship with community hospital 1 ASC location with ownership potential 2-year practice partnership track Benefits: Competitive Base Salary with Competitive Production Earnings Sign On Bonus and Moving Expenses Medical, Dental, Vision, 401k Match Malpractice Insurance At One GI , we provide exceptional gastroenterology care that puts patients at the forefront. Since our inception in 2020, we have grown rapidly while remaining steadfast in our commitment to driving excellence and upholding the highest standards in gastroenterology practice. Our renowned physician leadership, collaborative team culture, state-of-the-art ancillary services, and robust network strength empower our physicians to deliver personalized, compassionate care tailored to each patient's unique needs. One GI is more than just an organization; it's a community of over 1,300 dedicated individuals united by a shared purpose: creating a better healthcare experience for patients, colleagues, and communities. We are a diverse team of professionals who bring our unique perspectives and expertise to the table, fostering an environment of collaboration and continuous improvement. Each One GI practice is the leading provider of gastroenterology care in its respective community, retaining its regional name and unique reputation while leveraging the expansive resources and backing of our national organization. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
    $29k-33k yearly est. 1d ago
  • VP Assistant General Counsel

    Medical Mutual 4.8company rating

    Cleveland, OH job

    Join Medical Mutual, Ohio's oldest and one of the largest health insurers, and help us deliver peace of mind to over 1.2 million members! Our mission is to help people live healthier lives by providing high-quality, affordable health coverage and supporting the communities we serve. As VP, Assistant General Counsel, you will be a strategic partner to executive leadership, guiding decisions that protect our reputation and advance our mission. Position is headquartered in Brooklyn, OH 4 days/week onsite. Make An Impact Advise senior leaders and business units on complex legal, regulatory, and transactional matters Lead the legal team in managing risk and supporting business growth Represent Medical Mutual in high-stakes negotiations and litigation Influence corporate strategy and policy development Ensure our organization adapts to changing laws and regulations What We're Looking For J.D. from an accredited law school Licensed (or eligible) to practice law in Ohio or able to transition to practice law in Ohio 10+ years of progressive legal experience, preferably with 5 years of health insurance experience 8+ years in management Strong analytical and problem-solving skills. Proven ability to research and apply legal principles Why Medical Mutual? Competitive salary, bonus, and 401(k) with company match up to 4% and an additional company contribution Excellent medical, dental, vision, life, and disability insurance Generous PTO, holidays, and parental leave Career development, mentoring, and tuition reimbursement Wellness programs, gym access, and business casual dress Inclusive and supportive culture Apply now and help us shape the future of healthcare in Ohio-your leadership will directly impact our members and communities. About Medical Mutual Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us. There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans. At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status. We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
    $117k-164k yearly est. 5d ago
  • Sales Representative, Inbound Remote

    Liberty Mutual 4.5company rating

    Remote or Cleveland, OH job

    Now Hiring: Future Remote Inside Sales Representatives! Apply Today - Classes Start January 2026! Are you ready to launch a rewarding career in insurance sales? We're inviting motivated, people-focused individuals to apply in advance for our Inside Sales Representative training opportunities beginning in January 2026. Key Dates * Unlicensed Class Begins: January 26, 2026 * Licensed Class Begins: February 9, 2026 Why Liberty Mutual? Pay Details: * Starting base salary is $45K with opportunity for growth. * Average earnings range from $55K-$75K through a combination of base salary and generous commission. * Top Performing Agents in their second year and onward, can earn up to $85k+. Our Sales Representative, Inbound Remote position is available for candidates based in the state of Pennsylvania, Virginia, Michigan, Maryland, New Hampshire, Ohio & Kentucky. Applicants must reside within these specified locations to be considered for this role. Positivity. Flexibility. Determination and a persuasive personality. Qualities like these cannot be taught. But they can be sharpened, strengthened, and appropriately compensated when you join Liberty Mutual Insurance as a part of our Contact Center Sales Organization. Bring your unique sales talent to our Fortune 100 company and receive paid-training, licensing in all 50 states, and a dynamic role that directs only warm leads your way (no cold calls) - because we believe in supporting your success, not holding it back. Join our sales team and realize the rewards of a career with unlimited earning potential, generous commissions, and a portfolio of benefits that start on day one. Job Details As an Inside Sales Agent you will be handling inbound calls and warm leads, consulting with customers on their insurance needs and match the correct coverages, products, and benefits to convert sales leads into policyholders. You'd be a great fit if you are: A Passionate Seller: When a lead comes in, you skillfully pick up the phone and use your sales expertise to turn prospects into happy, confident Liberty Mutual policyholders. A Front Lines Liaison: You rise to the role of representing the Liberty brand, you believe in what you're selling, and you enjoy connecting customers to the right products for their individual needs. A Reliable Teammate: Whether you work at the office or from home, you adapt well to different environments, schedules, and the varying needs of our policyholders. A Customer-Centric Closer: While sales is in your title, integrity is in your nature. That means you sincerely care that our customers get exactly the quality products and services they need to embrace today and confidently pursue tomorrow. Position Details: From day one you will begin paid training in a remote work environment. All insurance representatives need to hold a Property & Casualty Insurance license. If you do not have one, no worries, paid training also includes licensing! * Training extends over a period of 16 weeks for licensed hires and 18 weeks for unlicensed hires. * Comprehensive medical benefits from Day 1. * No cold calls, all incoming warm leads. * Opportunities for rewards and recognition. * Must be available to work a schedule of 4 weekdays and 1 weekend day with a mid-morning start time. Example 11am-8pm (CST). This schedule can be expected for a minimum of 12 months before consideration for another shift. * All computer equipment is provided. You must be able to maintain department. Work at home (W@H) requirements which include a professional workspace/room with a dedicated desk and wired (cable, fiber of DSL service) high-speed internet connection with a minimum 100 MBps download speed and 20 MBps upload speed. Liberty Mutual does not support satellite and mobile internet service. Qualifications * 2-3 years sales experience preferred. 2 years of sales/service-related work experience required. * Strong, engaging interpersonal and persuasion skills needed to close sales. * Ability to communicate well to both prospects and customers. * Excellent analytical, decision-making and organizational skills. * Strong typing capabilities and PC proficiency. * Property and Casualty License required after hire. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
    $55k-75k yearly Auto-Apply 12d ago
  • Gastroenterology 100% Outpatient Practice in Brunswick, Ohio

    Tenet Healthcare 4.5company rating

    Brunswick, OH job

    OneGI is seeking a BC/ BE Gastroenterologist in Brunswick, Ohio. A terrific opportunity to join an outpatient practice that provides world-class care! Highlights: General GI Practice; 100% outpatient/ASC setting APP support Infusion, Pathology, Research, Anesthesia, Hem Banding available support services 1 ASC location with ownership potential 2-year practice partnership track Benefits: Competitive Base Salary with Competitive Production Earnings Sign On Bonus and Moving Expenses Medical, Dental, Vision, 401k Match Malpractice Insurance At One GI , we provide exceptional gastroenterology care that puts patients at the forefront. Since our inception in 2020, we have grown rapidly while remaining steadfast in our commitment to driving excellence and upholding the highest standards in gastroenterology practice. Our renowned physician leadership, collaborative team culture, state-of-the-art ancillary services, and robust network strength empower our physicians to deliver personalized, compassionate care tailored to each patient's unique needs. One GI is more than just an organization; it's a community of over 1,300 dedicated individuals united by a shared purpose: creating a better healthcare experience for patients, colleagues, and communities. We are a diverse team of professionals who bring our unique perspectives and expertise to the table, fostering an environment of collaboration and continuous improvement. Each One GI practice is the leading provider of gastroenterology care in its respective community, retaining its regional name and unique reputation while leveraging the expansive resources and backing of our national organization. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
    $164k-288k yearly est. 1d ago
  • Claims Manager II, Hospital Professional Liability

    Liberty Mutual 4.5company rating

    Remote job

    Ready to lead and shape Hospital Professional Liability claims strategy? Apply to this senior-level claims leader position, Claims Manager II. Join a high-performing team leading the Hospital Professional Liability claims unit for IronHealth/NAS Claims. We're looking for a seasoned Claims Manager with deep Hospital Professional Liability experience who wants to lead a technical team, shape claims strategy, and drive measurable improvements across a portfolio of complex and high-severity matters consistent with the standards of Liberty International Underwriters. *This position may have in-office requirements and other travel needs depending on candidate location. You will be required to go into an office twice a month if you reside within 50-miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Westborough, MA. This policy is subject to change. The salary range reflects the varying pay scale that encompasses each of the Liberty Mutual regions, and the overall cost of labor for that region, and based on you location you may not qualify for the top salary listed in the range. Responsibilities Responsible for performance, development and coaching of staff (including hiring, terminating, performance and salary management). Serve as technical resource not only for claims staff, but also cross-functional partners, including Underwriting (UW), Actuarial, Finance and Operations. Work with claims team and external attorneys to review coverages, investigate claims, analyze liability and damages, establish adequate indemnity and expense reserves, develop strategies and resolve claims, including, but not limited to direct participation in mediation and arbitration and active participation in settlement discussions. Perform quality assurance reviews/observations and provide feedback to team as well as action plan for development of team, where necessary. Actively pursue all avenues of recovery including, but not limited to timely recovery of deductibles from insureds and manage subrogation activities. Provide regular reports to claims management regarding losses either exceeding or likely to exceed the authority level in accordance with best practices. Must be able to present effectively, produce appropriate reports and develop team and train team in these skills Partner with underwriting managers/team to provide excellent customer service and to market and meet with brokers, risk managers and reinsurers. Serve as external face claims leader for product line and demonstrate ability to forge and maintain relationships with external customers, effectively resolving concerns where necessary. Ability to effectively articulate the claims value proposition in claims advocacy meetings, account renewals and new business prospecting. Present at industry conferences or publishes external industry content. Lead short to medium-term strategic claims activities/priorities for the product line, with alignment with the strategic priorities of IronHealth and NAS Claims. Oversee projects assigned by the department head. Direct and manage the Claims participation and content for multidisciplinary reviews, monthly UW connectivity meetings, and quarterly actuarial meetings. Ensure timely feedback to senior management, underwriting and actuaries regarding relevant losses, account issues, and trends. Assist and coordinate with underwriting team regarding new policy forms, product development and/or product rollouts and provide timely feedback to senior management and underwriting regarding recommendations. Ability to achieve fluency in Loss Triangle interpretation and Product Level Profitability Understanding/Awareness. Other duties as assigned, including delivery on established operational goals and objectives. Qualifications Qualifications - what will make you successful! Bachelors' degree or equivalent training; advanced degrees or certifications preferred. A minimum of 8+ years of relevant and progressively more responsible work experience required, including at least 2 years of supervisory experience. At least 5 years claims handling within a technical specialty. Requires advanced knowledge of claims handling concepts, practices, procedures and techniques, including, but not limited to coverage issues, product lines, marketing, computers and product competition within the marketplace. Requires advanced knowledge of a technical specialty. Knowledge of law and insurance regulations in various jurisdictions. The ability to effectively interact with brokers and internal departments is also required. Strong verbal and written communications and organizational skills. Strong negotiation, analytical and decision-making skills also required. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $86k-132k yearly est. Auto-Apply 7d ago
  • Actuary, Personal Auto Planning and Monitoring

    Liberty Mutual 4.5company rating

    Remote job

    The Auto Planning and Monitoring loss team within US Retail Markets (USRM) Risk Analytics (RA) is seeking a talented Senior Actuarial Analyst/Actuary! This role is an exciting opportunity to ensure the business is achieving target profitability and driving the right business actions. Our team is responsible for crafting a holistic and compelling opinion of the loss ratio and top-line as part of the quarterly Plan, as well as analyzing, synthesizing, monitoring, and communicating emerging trends to a broad group of stakeholders. In this role, you will perform in-depth analyses to forecast prospective frequency and severity trends. This involves digging into both internal and external (macroeconomic) data, identifying emerging areas of risk, performing deep dives, monitoring against forecasts, and communicating findings to key stakeholders and senior leadership. You will collaborate with multiple teams and functional areas across the organization in the planning-monitoring system. **This role may have in-office requirements dependent upon candidate location.** Responsibilities: Drive informed opinions on quarterly Plan reforecasts through conducting in-depth analyses to explain historical frequency and severity metrics and forecasting future loss trends. Monitor, investigate, and communicate drivers of results, including plan, variance-to-plan, and trends, through both the scheduled and ad-hoc processes. Ensure the timely delivery of planning and monitoring deliverables. Effectively collaborate with cross-functional areas; appropriately interpret, collect, and generate sound and consistent perspectives. Provide clear and concise communication of technical work to broad audiences, cross-functionally, and to senior leadership. Innovate better ways to depict and explain plan changes and monitoring insights. While leveraging analytical, financial, and operational knowledge, utilize advanced data skills and tools, such as SAS, SQL, VBA, and PowerBI, to drive analytical and process improvements. Provide mentorship to junior members of the team. Ideal skills include: Strong communication with cross-functional leadership. Knowledge of macroeconomic industry trends impacting Personal Lines Auto. Pricing, indications and/or reserving experience as pertaining to trend selection. Experience taking open-ended business problems and finding innovative solutions. Qualifications Bachelor's degree required; Master's degree preferred. Associateship or Fellowship in the Casualty Actuarial Society (ACAS/FCAS) designation preferred or comparable education/designation with relevant experience. Minimum 5-7 years relevant experience required. Sound knowledge of actuarial techniques and standards, as well as other business operations including financial, underwriting, legal, statistics, claims, sales, etc. Advanced communication and interpersonal skills and ability to build relationships and interact effectively with others within and outside the organization. Ability to motivate and mentor peers and motivate and train subordinates. Advanced computing skills (MS Office Excel, SAS, etc.) with ability to build complex models. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $79k-118k yearly est. Auto-Apply 38d ago
  • Category Management Advisor

    Cigna 4.6company rating

    Remote or Bloomfield, CT job

    The Category Management Advisor is a strategic sourcing professional responsible for end-to-end sourcing and contracting for technology solutions across Cigna, including software and software-as-a-service (SaaS). This role drives sourcing strategies globally, manages competitive processes, negotiates agreements, and recommends suppliers that best align with business objectives. You will collaborate with internal stakeholders-including Business, IT, Legal, Information Protection, and Privacy-to negotiate complex technology agreements. The ideal candidate has experience managing multiple negotiations simultaneously, adapting to dynamic requirements tied to strategic business and IT objectives, and influencing stakeholders at various management levels. Responsibilities: * Lead and manage the sourcing process from initiation to execution, ensuring stakeholder engagement and alignment. * Develop category strategies considering market trends, spend analysis, strategic importance, and geographic factors. * Drive sourcing initiatives across the organization, managing multiple stakeholders and competing priorities. * Create timelines and organize cross-functional teams to support negotiations and contracting. * Identify and execute sourcing opportunities that deliver cost savings, risk reduction, improved business outcomes, and enhanced service. * Draft, review, and revise contracts, SLAs, Statements of Work, and Change Orders to optimize benefits and minimize risk. * Mentor teams to understand enterprise-wide category needs and evaluate best-in-class suppliers. * Monitor market conditions and cost drivers to forecast trends and inform sourcing strategies. * Promote continuous improvement in sourcing and procurement processes. * Build and maintain strong relationships with suppliers, stakeholders, and internal business partners. * Act as a change agent and mentor, demonstrating adaptability and resilience. * Provide analysis and insights to support decision-making and category initiatives. * Drive total cost of ownership reductions and business improvements through supplier partnerships. * Establish yourself as a trusted advisor to business units. Qualifications: * Bachelor's degree in Business, Supply Chain, or related field preferred. * 5+ years of relevant experience in sourcing or procurement. * Proven experience negotiating software and SaaS contracts. * Strong project management skills with the ability to manage multiple priorities. * Excellent verbal and written communication skills. * Demonstrated leadership ability to influence and motivate cross-functional teams. * Highly organized with strong time management and attention to detail. * Skilled in structured problem-solving and fact-based negotiation tactics. * Strong analytical, interpersonal, and collaboration skills. * Knowledge of procurement and outsourcing principles, theories, and processes. * Ability to thrive in a dynamic, fast-paced environment with periods of ambiguity. * Experience drafting and reviewing complex contracts, including MSAs and SOWs. * Familiarity with eSourcing tools such as Ariba and Icertis. 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 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.
    $50k-86k yearly est. Auto-Apply 25d ago
  • Managed Care Resident - Express Scripts - Remote (Physician Engagement)

    Cigna 4.6company rating

    Remote job

    The Pharmacy Graduate will participate in a 12-month post-PharmD training program with a primary focus on Physician Engagement, including but not limited to; the use of digital applications, data, and insights to enable informed provider decisions. The Physician Engagement Pharmacy Resident will gain managed care proficiency through in-depth longitudinal rotations and as well as enterprise-wide exploratory rotations, while delivering clinical support to the Provider Engagement, Data and Analytics, and Physician Innovation teams. LOCATION: VIRTUAL RESPONSIBILITIES Recommend medications, including initiation, continuation, discontinuation, and alternative therapies based upon established protocols. Utilize Express Scripts' multiple data analytics programs and tools to monitor and analyze trends in providers prescribing patterns. Collaborates with client, client's Express Scripts' account team and others to optimize opportunities to inform and influence providers. The goal is to improve clinical and financial outcomes and support trend management including appropriate promotion of generic and formulary prescribing toward client and Express Scripts' strategic goals. Provide clinical support for Physician Innovation teams' research and development efforts, predictive capabilities, and reporting and outcomes processes. Activities and discussions to gain knowledge of Pharmacy Benefit Management (PBM) services, including claims processing, coverage reviews, pharmacy networks, formulary management, and client management. Effectively participate in and contribute to staff meetings, committees and departmental work groups to share best practices, improve processes and/or other items relating to provider engagement. Provide patient and health care professional education and medication information. Design and present education and/or training activities via newsletter publications, clinical journal clubs, and department in-service opportunities. 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: Please upload or email per instructions for each: CV - Upload/attach to Workday application. Letter of Intent (max 300 words; Explain why you are interested in our program and managed care) - Upload/attach to Workday application. Any recommendation letters - Upload/attach to Workday application Deadline for application for this program is 12/31/2025 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 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.
    $29k-34k yearly est. Auto-Apply 60d+ ago
  • Provider Relations & Claims Advocate - Evernorth Behavioral Health - Remote

    Cigna 4.6company rating

    Remote job

    The Claims & PR Advocate is a phone queue-based position responsible for servicing inbound claim-related calls from members, providers, and provider office staff. Advocates will handle back-to-back calls throughout the day, with occasional outbound calls required to resolve claim issues. This role demands strong multitasking, technical proficiency, and independent problem-solving skills. Note: This position requires a Bachelor's degree to qualify. Key Responsibilities: Answer inbound calls from members and providers regarding claims, contracting, and provider relations. Work in a structured call queue environment, handling a high volume of calls daily. Make outbound calls as needed for issue resolution or follow-up. Use multiple applications during calls to research and resolve inquiries. Call topics may include: Claim status inquiries and explanations Requests for claim reprocessing or adjustments Provider contract questions and demographic updates Authorization corrections to ensure proper claim payment Requests for duplicate EOBs or check reissuance Escalated issue handling via Advocate Handoff/Help Request (AHHR) Complaint submissions on behalf of members or providers Emailing resources and documentation to callers Required Skills: Proven customer service experience Prior experience in Evernorth Behavioral Care Specialist/Advocacy role preferred Experience handling behavioral health claims and provider relations calls is a plus Ability to thrive in a virtual team environment Strong interpersonal and communication skills Effective listening and organizational abilities Technical aptitude with multiple systems and applications Independent problem-solving and time management skills Proficient typing and PC skills Training Schedule: Monday through Friday, 8:30 AM - 5:00 PM CT Work Schedule: After training, shifts are Monday through Friday between 7:00 AM - 7:00 PM CT The recruiter will provide specific shift options Education Requirement: Bachelor's degree is required 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 24 - 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. 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.
    $34k-56k yearly est. Auto-Apply 1d ago
  • Crisis Intervention Specialist

    Centene 4.5company rating

    Remote Centene job

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. This role supports a 24 hour/365 day crisis call center. Applicants must reside in Louisiana. Position Purpose: Work in collaboration with schools of higher education, county first responders, law enforcement, emergency departments, providers, crisis mobile teams and the Cenpatico Crisis Line provider to support the delivery of coordinated and effective crisis services. Develop relationship with all local schools of higher education and coordinate crisis prevention and disaster recovery efforts Verify crisis provider services are delivered in accordance to contract expectations Facilitate the issuing of Corrective Action letters to providers for non-compliance to contract requirements Verify follow-up occurs after crisis interventions to effectively coordinate care Educate local schools of higher education about how to identify the early warning signs of mental illness and what actions to take to safeguard students, faculty and the community Support the Crisis System Plan and the development of provider crisis programs and services within the Provider Network. Monitor the performance of the Crisis Line provider, Crisis Mobile Teams and other providers of crisis services Support the development of Crisis Response Center processes to verify effective coordination of care with other providers Establish baseline data; collect, analyze and report outcomes and progress in reaching program goals. Support the coordination of crisis system processes among system partners, including schools of higher education, crisis providers, intake agencies, emergency rooms, police and fire Conduct root causes analyses, conduct rapid cycle improvement processes Conduct cross departmental and cross system collaborative meetings to execute initiatives and resolve system issues Receive and respond to external system partner related issues in a timely manner Troubleshoot service delivery and coordination issues on behalf of system partners Educate system partners regarding policies and procedures related to referrals, website education, and problem solving Implement and monitor project plans to meet goals and timelines Request corrective action plans from providers that are non-compliant and/or fail to meet contract requirements Develop training modules and train appropriate users Support the involvement of Peer and Family Support Services, and wrap around and community based services to both stabilize and reduce crisis in the community. Provide on-call telephonic coverage 24 hours a day, in rotation as assigned, to provide consultation Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in Behavioral Health or equivalent experience. 5+ years of related experience. Master's degree in Behavioral Health or Social Science preferred. License/Certificates: Licensed Independent Substance Abuse Counselor (LISAC), Licensed Master Social Worker (LMSW), Licensed Bachelor Social Worker (LBSW), Certified Employee Assistance Professional (CEAP) or Licensed Marriage & Family Therapist (LMFT) preferred. For LA Healthcare Connections plan only: One of the following licenses is required: Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), or Licensed Addiction Counselor (LAC) Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $55.1k-99k yearly Auto-Apply 53d ago
  • Associate Quality Practice Advisor

    Centene 4.5company rating

    Remote Centene job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Kansas City Metro area, KS or MO. Up to 25% travel HEDIS knowledge and Data interpretation Provider performance Position Purpose: Establishes and fosters a healthy working relationship between community physician and small provider practices and WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS. Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements. Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement. Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). Assists in delivering provider specific metrics and coaches providers on gap closing opportunities. Assists in identifying specific practice needs where WellCare can provide support. Partners with physicians/physician staff to find ways to encourage member clinical participation in wellness and education. Provides resources and educational opportunities to provider and staff. Captures concerns and issues in action plans as agreed upon with provider. Documents action plans and details of visits and outcomes. Reports critical incidents and information regarding quality of care issues. Communicates with external data sources as needed to gather data necessary to measure identified outcomes. Provides communication such as newsletter articles, member education, outreach interventions and provider education. Supports quality improvement HEDIS and program studies as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history. Ensures that documentation produced and/or processed complies with state regulations and/or accrediting body requirements. Ensures assigned contract/regulatory report content is accurate and that submission adheres to deadline. Enter documentation of findings in identified databases and ensure accuracy in medical records for data collection, DE and reporting. Performs other duties as assigned. Performs other duties as assigned Complies with all policies and standards Kansas City Metro area, KS or MO. Up to 25% travel HEDIS knowledge and Data interpretation Provider performance Education/Experience: Required A Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field or equivalent work experience within a managed care environment related to HEDIS record review, quality improvement, medical coding or transferable skill sets that demonstrates the ability to perform the role. Preferred: A Master's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field. Candidate Experience: Required: 1+ year of experience in related HEDIS medical record review or quality improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff OR 2 years medical coding or other transferable experience and skill set combination that demonstrates the ability to learn and perform the level of the position. A license in one of the following is preferred: Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW), Licensed Vocational Nurse (LVN), Licensed Mental Health Counselor (LMHC), Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse (RN), Acute Care Nurse Practitioner (APRN) (ACNP-BC), Other Foreign trained physician/MD, Health Care Quality and Management (HCQM), Certified Healthcare Professional (CHP), Certified Professional in Healthcare Quality (CPHQ). Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $26.5-47.6 hourly Auto-Apply 15d ago
  • Electro-Mechanical Controls Engineer (Automation Engineer Lead Analyst) - Express Scripts

    Cigna 4.6company rating

    Remote or Newark, DE job

    Help us automate and maintain our future. Get ready for a job that encourages you to think strategically yet stay connected with your teams. Do you have problem-solving or strategy experience? If so, prepare to innovate, create, and inspire. The Pharmacy Automation Engineer (Automation Engineering Lead Analyst) is primarily responsible for providing first-level electrical and process Controls support for a highly-automated pharmaceutical filling and packaging system. Perform emergency, corrective, and preventive maintenance activities to restore equipment. In addition, key responsibilities will involve implementing equipment and system upgrades, engineering change controls, and continuous improvements. The position will support equipment installations, upgrades, or equipment expansions. Automation engineer also trains, mentors, and supports the development of other team members Responsibilities * Performs advanced level maintenance and service on automated equipment by using and understanding electrical, mechanical, and pneumatic drawings and schematics, and using special test equipment and tools. * Maintains reliability of the pharmacy automation equipment by executing preventive, corrective, and emergency work orders. * Troubleshoot, service, install and repair automated production equipment, to include equipment modifications, upgrades, and spare parts inventory * Utilizes knowledge and skill to monitor and improve the Mean Time Between Failures (MTBF) of the electro-mechanical equipment, and supporting application software systems. * Observe system for degraded performance using routine inspections, maintenance rounds, and diagnostic equipment. * Use a computerized maintenance management system (MAXIMO) to record labor hours, repair parts, and monitor pharmacy equipment performance. * Recommend alterations to developers and designers to improve the quality or performance of processes and/or machines. * Interpret the output of the reporting systems and take appropriate action that will result in the removal of the root cause problem from the system on a permanent basis. * Document all emergency, corrective, and preventive maintenance work via work orders associated with Computerized Maintenance Management System (CMMS - MAXIMO). * Operates on-site in an on-call capacity. Qualifications * High School diploma; Associates degree preferred. * Associate's degree in Industrial Maintenance or related technical field or 2+ years of maintenance experience in an industrial setting preferred. * 0+ years of relevant experience with a Bachelor's Degree and mechanical electrical experience related to automated, industrial equipment preferred. * Experience working in high volume production or pharmaceutical environment. * Experience in troubleshooting complex PLC/computer-operated electro-mechanical equipment; PLC's, I/O, and field devices; repairing, setting up, adjusting, and tuning mechanical systems and pneumatic systems. * Experience using of all tools and procedures needed to repair precision electro-mechanical machinery successfully the first time. * Experience using preventive and predictive maintenance techniques. * Experience using Maintenance Management Systems (CMMS) to report and follow-up on maintenance procedures and work orders. * Flexibility to occasionally work outside of normal shift hours, including occasional weekends, as needed to satisfy operational requirements in support of customer demand. * Minimal travel to other ESI facilities or vendor sites is possible. * Shift schedule: Sunday - Thursday (6am-2:30pm). 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 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.
    $98k-122k yearly est. Auto-Apply 60d+ ago
  • Executive Underwriter, Middle Market Technology

    Liberty Mutual 4.5company rating

    Columbus, OH job

    We are seeking an experienced Executive Underwriter to underwrite middle market technology accounts focused on Property & Casualty and Technology Errors & Omissions (Tech E&O). This role combines autonomous underwriting authority with commercial development: you will manage a portfolio of brokers and clients, underwrite complex/mid-to-large risk technology accounts, price risk analytically, and shape product and go-to-market strategy for the technology vertical. Responsibilities: Risk Selection: Reviews, rates, underwrites, evaluates, or assesses the business applying for insurance by qualifying accounts, identifying, selecting and assessing risks, determining the premium, policy terms and conditions, obtaining approvals, creating/presenting the proposal to the agent/broker, and successfully negotiating deals. Agent/Broker Relationships: Demonstrates a high level of responsiveness and focus on supporting Agents and Brokers objectives. Establishes, develops, and maintains successful relationships with Agents and Brokers to facilitate marketing of products, through responsive service, site visits, in person renewal meetings or enhanced knowledge of their customers businesses. Develops strong personal brand to build and maintain a long-term quality pipeline with Agents/Brokers. Portfolio Management: Manages a sizable and complex book of technology business by analyzing the portfolio, identifying areas of opportunity for improved growth, profit and diversification, and executing marketing plans to increase market share by making marketing calls to brokers to market and cross market. Documenting the Deal: Documents files in a way that reflects a solid thought process and decision making through comprehensive account reviews, sign-offs and referrals that comply with state regulations, letter of authority, and underwriting guidelines. Leadership: Formally guides, mentors, and coaches underwriters and account analysts in both technical and professional skills. Demonstrates an area of expertise and provides regular updates to other underwriters. Continuous Improvement: Actively participates in continuous improvement by generating suggestions, participating in problem solving activities and using continuous improvement tools to support the work of the team. Qualifications Degree in Business or equivalent typically required A minimum of 7 years expected, typically 10 years or more, of progressive underwriting experience and/or other related business experience CPCU or professional insurance designation preferred Proven analytical ability to evaluate and judge underwriting risks within scope of responsibility Demonstrated ability to communicate complex analyses and information in understandable written and/or oral directives to other persons in the organization for underwriting or training purposes Demonstrated effective communication and interpersonal skills in dealing with internal and external stakeholders Must demonstrate comprehension of most complex technical underwriting issues and be capable of defining and implementing necessary underwriting and administrative processes/workflows to properly manage or administer those issues Proven track record of developing and underwriting profitable business About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $35k-51k yearly est. Auto-Apply 42d ago
  • Consultant, Product Research

    Liberty Mutual 4.5company rating

    Remote job

    This is a range posting. Level offered will be based on candidate experience at manager discretion. This position may have in-office requirements depending on candidate location. The US Retail Markets Personal Lines Auto Product Delivery and Development team is hiring for a Senior Analyst/Consultant on the Auto Product Frontier Team. OneAuto is a key component of the Frontier strategy; a multi-year business and technology transformation effort that aims to radically simplify and accelerate how US Retail Market goes to market, powered by a modern, future-ready unified insurance platform. This position will be responsible for evaluating our legacy book migration strategy. The work is investigative and strategic: you will research legacy books, document coverage and rating logic, evaluate compatibility with OneAuto, and recommend whether and how each book should be migrated. Key responsibilities of the role include: Assess technical and product fit between each legacy book and the OneAuto/rating platform capabilities. Develop a recommended migration strategy for each book including rationale, estimated effort, risk, and business impact. Create clear decision artifacts and migration playbooks (impact analysis, acceptance criteria, mapping specifications, remediation tasks). Work with Product, Modeling, IT, Data, Legal/Compliance, and Delivery teams to evaluate feasibility and implement migration plans. Present findings and recommendations to stakeholders and drive consensus across business and technical partners. Track migration status, risks, dependencies, and escalate issues as appropriate. Support Frontier and OneAuto program priorities and timelines; adapt to changing scope and priorities. Required Qualifications Strong Auto insurance product knowledge (personal lines auto preferred); familiarity with policy forms, coverages,endorsements and rating concepts. 3+ years of relevant experience (product, rating, migration, business analysis, or similar) Comfortable working with technical teams; some hands-on technical aptitude required (data mapping, reading rating rules, ability to review configuration or rule code). Strong analytical skills and demonstrated ability to synthesize complex information into clear recommendations. Advanced Excel skills; experience with data analysis and reporting tools. Excellent written and verbal communication skills; ability to create concise decision documents and present to senior stakeholders. Strong organizational, planning, and project management skills; ability to manage multiple books/projects concurrently and work through ambiguity. Preferred Qualifications Experience with rating platforms or policy administration systems Familiarity with rating engines, rule engines, or rule configuration. Basic SQL or data query experience Prior experience evaluating legacy systems and defining migration approaches. Qualifications Bachelor's degree in mathematics, economics, statistics, or other quantitative field Minimum 4 year's relevant work experience, typically 6 years. Master's degree beneficial. Advanced proficiency in Excel, PowerPoint, and statistical software packages (e.g., SAS, Emblem). Must have strong planning, organizational, analytical, decision making and communication skills. Experience managing projects preferred. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $83k-105k yearly est. Auto-Apply 10d ago
  • Global Risk Solutions Claims Internship - Summer 2026

    Liberty Mutual 4.5company rating

    Remote job

    Are you looking to help people and make a difference in the world? Have you considered a position in the fast-paced, rewarding world of insurance? Yes, insurance! Insurance brings peace of mind to almost everything we do in our lives-from family trips to buying your first car to weddings and college graduations. As a valued intern with our claims team, you'll help our customers get back on their feet. The details Think interns just answer the phone and get coffee? Not here. As a Claims Specialist Intern at Liberty Mutual, you'll be a part of a team and work with a mentor to learn firsthand what it's like to pursue a career in Claims at a global Fortune 100 company. We provide broker-sourced specialty property and casualty insurance solutions for U.S.-based businesses with complex or unique risks and high-severity loss potential. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the management process. Our combination of scale, expertise, and creativity enables us to move quickly, solve problems, and think ahead. We are ready to meet customers' needs promptly, with local service and in-depth underwriting experience across a broad spectrum of industries. You'll receive the support, tools, and resources required to conduct thorough investigations, evaluate losses, and negotiate settlements-all in a real-world context. Best of all, at the end of summer, you may have the opportunity to explore a future career with Liberty Mutual, one of the leading property and casualty insurers in the country. Qualifications What you've got * You are enrolled in a Bachelor's degree program with at least one semester remaining following the summer with a strong academic record with a cumulative 3.0 GPA preferred * You have 0-2 years of professional experience. * You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism. * You possess solid negotiation, analytical, and time management skills. * You are detail-oriented and thrive in a fast-paced work environment. * You must be able to work full-time for a 11 weeks * You must have permanent work authorization in the United States. A little about us As one of the leading property and casualty insurers in the country, Liberty Mutual is helping people embrace today and confidently pursue tomorrow. Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information, or on any basis prohibited by federal, state, or local law. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
    $44k-76k yearly est. Auto-Apply 60d+ ago
  • Long Term Services & Support Community Advisor

    Centene 4.5company rating

    Remote Centene job

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Supports Long Term Services & Support (LTSS) network providers with recruitment and retention of direct care staff. Promotes self-determination and self-direction options with our membership. Partners with LTSS providers and account management to monitor staffing levels and engage providers and offer assistance with staffing gaps when indicated Conducts virtual and in-person job fairs to assist with recruitment Develops and maintains collaborative partnerships with local colleges and universities, the state workforce commission, agency networks and community groups Provides assistance to members through the following methods: Education and assistance with accessing Employment Assistance and Supported Employment benefits Referrals to the workforce commission and community organizations that link members to employment opportunities Provides support for individuals who self-direct, assist with back-up plan development (as needed) and provide webinars and forums on self-direction Monitors and expands alternative payment models with LTSS providers to provide financial incentive paid to direct care staff for high quality work Education/Experience: Bachelor's degree in Human Resources, Health Care, Sociology or related field or equivalent experience. 3+ years of related, employment specialist, workforce development, job coach, HR, client services, community relations, preferably in a managed care or Medicaid environment or other related experience. Community Health Worker Certification preferred. Candidates must be in one of the following Texas counties to be considered for this role: McMullen County, Texas, Jim Hogg County, Texas, Zapata County, Texas, Duval County, Texas, Maverick County, Texas, Starr County, Texas, Webb County, Texas, Cameron County, Texas. This is a remote role that requires occasional local travel for internal and provider/member-facing meetings. Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $26.5-47.6 hourly Auto-Apply 27d ago
  • Global Cyber Wordings Analyst

    Liberty Mutual 4.5company rating

    Remote job

    Join our global Cyber team as a Wordings Analyst supporting the Global Cyber Wordings Manager in the strategic development and governance of our Cyber and Tech policy suite, including Liberty Cyber Resolution and Liberty Tech Resolution. This role is a hands-on business enabler: you will help translate complex legal and regulatory requirements into clear, market-ready wordings, maintain our global clause library, support manuscript negotiations, and produce practical tools that empower underwriters and strengthen broker confidence. It's an excellent opportunity for an early-career insurance wordings or legal professional to build expertise in a fast-moving, global specialty line and make a visible impact on growth, innovation, and client experience. Key responsibilities: Wording library and drafting support Maintain and expand the global wording library centered on Liberty Cyber Resolution and Liberty Tech Resolution, including endorsements, exclusions, and guidance notes. Redline and prepare first drafts of standard clauses and endorsements; ensure consistency with definitions, coverage intent, and plain-language standards. Track version control, change logs, approvals, and archiving; Assist with localization for different jurisdictions, coordinating translations and filing documentation with Legal/Compliance. Commercial enablement Build practical tools (playbooks, FAQs, objection-handling guides, coverage summaries) to help regional teams position our products and close deals efficiently. Prepare broker/client comparison decks and battlecards; support pitches, RFP/RFI responses, and manuscript negotiations with clause comparisons and recommended alternatives. Triage wording queries from regions; track SLAs and referral approvals per the global governance framework. Partner closely with Underwriting, Product, Global Cyber Engagement, Claims, Legal/Compliance, and regional leaders to deliver accurate, timely support and uphold governance standards. Regulatory and legal stewardship Monitor and synthesize global regulatory and market developments (e.g., Lloyd's cyber war/systemic guidance, GDPR, DORA, NIS2, sanctions) into succinct briefs and recommended wording actions. Maintain audit-ready documentation; assist with regulatory filings or attestations where required. Claims partnership and feedback loop Collaborate with Claims to capture lessons from disputes and litigation trends; draft guidance notes and propose clarifications to improve coverage certainty. Support coverage position letters and documentation packs with research, citations, and clause histories. Innovation and product development support Help draft prototype wordings for new propositions Check alignment between underlying policy wordings and reinsurance treaty/facultative clauses. Administer wording management tools, ensuring robust version control, approval workflows, and usage analytics. Build dashboards and trackers for adoption of standard forms, deviation rates, SLA performance, disputes, and audit findings; provide monthly reporting to stakeholders. Qualifications Bachelor's degree in business, economics, or other quantitative field. Minimum 3 years, typically 4 years or more of relevant work experience. 2 - 5 years of experience in insurance wordings, legal/paralegal support, underwriting support, or product documentation; cyber specialty experience preferred. Strong drafting, redlining, and proofreading skills with a plain-language mindset and exceptional attention to detail. Working knowledge of insurance policy structures, endorsements, exclusions, and coverage interpretation; familiarity with cyber war/systemic language, sanctions, and privacy regulations is advantageous. Research and synthesis skills to translate complex regulatory/legal topics into practical guidance and actionable updates. Proficiency with MS Word (advanced track changes/redlining), Excel (trackers and dashboards), PowerPoint (training/pitch materials), and document/enablement tools. Collaborative, service-oriented approach; comfortable operating in a global matrix and meeting defined SLAs. Curiosity about cybersecurity risks and the incident response ecosystem; willingness to learn common threat scenarios to inform practical drafting. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $76k-99k yearly est. Auto-Apply 41d ago

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Centene may also be known as or be related to CENTENE CORP, Centene and Centene Corporation.