Special Investigation Unit Investigator
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
Senior Care Navigator
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.
This position serves our members with Chronic Conditions.
**Position Purpose:** Assesses, plans, implements, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.
+ Develops or contributes to the development of ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care
+ Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members in a timely manner
+ May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate
+ Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans
+ Identifies problems/barriers for care coordination and appropriate care management interventions for members with higher level of care needs
+ Reviews referrals information and intake assessments to develop or assist in the development of appropriate care plan/service plan for members with higher level of care needs
+ Collaborates with healthcare partners as appropriate to facilitate member care to ensure member needs are met and determine if care plan/service plan revision is needed
+ Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
+ May perform on-site visits to assess member's needs and collaborate with providers or resources, as appropriate
+ May provide education to care managers and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits
+ Serves as a Subject Matter Expert (SME) to support the care navigation team and/or serve as a preceptor for newly hired staff
+ Other duties or responsibilities as assigned by people leader to meet the member and/or business needs
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:** Requires a Bachelor's degree and 4 - 6 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
**License/Certification:**
+ Current state's clinical license preferred
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
Warehouse Coordinator - CuraScript - Onsite
Grove City, OH job
Hours: Monday through Friday 11:30am - 8:00pm. The Warehouse Coordinator role is responsible for performing the following tasks. This role requires independent direction, attention to detail and an understanding of the operation and priorities.
**Essential Functions:**
+ Scheduling of all weekly trucks
+ Ensuring on time departure of all trucks. Notifying leadership of any detention fees.
+ Coordinating with leadership on having all truck orders picked in time for processing.
+ Help QA/palletize truck orders per customer specifications.
+ Serialization and troubleshooting.
+ Confirm all truck orders and place packing slips with appropriate pallets.
+ Load all trucks and keep track of daily trucks.
+ Various other tasks as needed by operations.
+ Utilizing Powered Industrial Trucks is required (Training will be provided)
+ Perform staff level departmental duties as assigned within operations. Maintain quality and productivity standards as established for the operation. Serve as a staff level model for values and behaviors.
+ Provide expert assistance to team members with issues needing technical expertise.
+ Mentor and coach team to improve their understanding and skills.
+ Act as a liaison to resolve order problems.
+ Work collaboratively with team members to ensure best practices are shared. Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve internal and external customer issues and ensure timely resolution **Knowledge, Skills, and Abilities:**
+ Ability to provide coaching, clear directions and mentoring
+ Excellent communication, interpersonal and organizational skills
+ Ability to work effectively with all personnel
+ Ability to prioritize and handle multiple tasks with minimal supervision
+ Ability to make prudent and timely decisions
+ Sound working knowledge of departmental functions and understanding of general department processes
+ Demonstrated leadership tendencies and abilities
+ Keen organizational skills, planning skills, and adaptability
+ Ability to work as part of a team, as well as independently
+ Ability to prioritize and handle multiple tasks with minimal supervision
+ Ability to maintain confidentiality
QUALIFICATIONS
+ HS Diploma or GED required
+ Powered industrial trucks preferred
+ Basic computer skills.
+ RF unit experience helpful.
+ Ability to read, write and type English.
+ Attention to detail to ensure accuracy.
+ Ability and willingness to work required overtime with little to no notice.
ABOUT CURASCRIPT SD
CuraScript SD provides integrated delivery solutions for the safe and efficient distribution of specialty pharmaceuticals and associated medical supplies. With an expertise honed by more than 25 years in the Specialty Distribution business, CuraScript SD supplies biologics, branded drugs, generics, vaccines, infused medications and ancillary supportive care products for office or clinic administration to a wide range of medical providers - including physicians, infusion centers, acute care treatment centers and long-term care facilities.
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 19 - 29 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
**About Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
Associate Claims Specialist - Workers Compensation - Central Region
Columbus, OH job
Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Claims Specialists within the Central Region!
As a Workers Compensation Claims Specialist, the successful candidate will join a dedicated Claims Team, utilizing the latest technology to manage a caseload of routine to moderately complex claims. Responsibilities include investigating claims, assessing liability and compensability, evaluating losses, and negotiating settlements. The role involves interactions with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.
Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in February 2026.
This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I, or a Workers Compensation Claims Specialist II. The salary range posted reflects the range for the varying pay scale across various locations.
To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or Indianapolis, IN, and will be required to work in the office twice a month. Candidates located in Ohio, Montana, and Virginia are eligible for 100% remote work, as we do not have claims offices in these states. Please note that this policy is subject to change.
Responsibilities
Manages an inventory of claims to evaluate compensability/liability.
Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources.
Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages.
Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate.
Evaluates actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
Performs other duties as assigned.
Qualifications
Effective interpersonal, analytical and negotiation abilities required
Ability to provide information in a clear, concise manner with an appropriate level of detail
Demonstrated ability to build and maintain effective relationships
Demonstrated success in a professional environment; success in a customer service/retail environment preferred
Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent
Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory
Licensing may be required in some states
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
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Auto-ApplyPortfolio Scrum Master
Columbus, OH job
Join a team modernizing the future of commercial insurance at Liberty Mutual. Our Small Commercial Software Product tech group is leading the migration to a north‑star architecture on our go‑forward platform, building scalable, API‑first, cloud‑native solutions that will define the next generation of our product landscape.
Your work will deliver measurable impact on Liberty's bottom line as we design and deliver platforms that simplify complex workflows, reduce manual effort, and apply AI and automation to improve efficiency and quality. You'll be the servant leader who partners with product, engineering, and business stakeholders to remove impediments, drive predictable sprints and releases, and turn roadmaps into measurable business value.
Key Responsibilities:
Cross-Team & Portfolio Coordination:
Manages dependencies and initiatives spanning multiple teams and domains
Maintains work visibility, identifies blockers, and escalates issues as needed
Coordinates with stakeholders to ensure alignment and maintain delivery momentum
Serves as communication hub between teams, leadership, and stakeholders
Problem Solving & Consensus Building:
Facilitates complex problem-solving across diverse teams and competing priorities
Builds consensus among stakeholders with different perspectives and objectives
Manages multiple priorities while maintaining strategic focus
Stakeholder Management:
Facilitate difficult conversations and apply conflict resolution skills
Maintains transparency and builds networks of change agents
Supports organizational Agile transformation at both tactical and strategic levels
Familiarity with software development life cycle and experience driving delivery in an agile tech environment
Demonstrated ability to lead complex projects across multiple teams engaged in disparate work
Qualifications
Bachelor`s degree in a relevant field (business, computer science, humanities, etc.) and at least 5 years related experience
Beginner/1st level Scrum certification preferred
Demonstrated experience delivering across multiple teams engaged in disparate work
Experience applying AI and automation to improve efficiency and quality
Knowledge/training equivalent to advanced/2nd level certifications from a reputable Lean-Agile organization a plus but not required (PSM II, ICAgile Professional, Agile Team Facilitation (ICP-ATF), ICAgile Professional, Agile Coaching (ICP-ACC))
Scrum certification strongly preferred
Experience working in a scaled agile framework preferred
Thorough knowledge of business functions and extensive understanding of business operations, strategies and objectives
Track record of continued and recent education in Lean-Agile including training, conferences, user groups, cohorts, self-study, etc
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
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Auto-ApplyDirector, Workforce Management
Columbus, OH job
The Service WFM Leader is accountable for end to end workforce management strategy and delivery across call environments in the Service, Distribution, Product, and UW Lines of Business. This leader will partner closely with our third party vendor to deliver high quality capacity planning, intraday management, scheduling, performance reporting, and event mitigation. The role requires strong stakeholder engagement, vendor management, analytical capability, and people leadership to ensure operational resilience and continuous improvement of the scheduling and intraday functions.
* This position may have in-office requirements twice a week depending on candidate location.*
Responsibilities:
Leadership & People Management
* Lead and develop teams through three direct report managers that provide oversight for ~20 internal WFM staff.
* Partner with vendor leadership to align organizational culture, performance expectations, coaching, and change management.
* Establish clear roles, accountabilities, and SLAs across internal and vendor teams.
Intraday, Scheduling & Event Management
* Be an escalation point for incidents, outages, and planned/unplanned events impacting schedules or service levels.
* Oversee mitigation planning and drive stakeholder buy in for recommended actions; ensure approvals from senior management where required.
Performance Monitoring, Reporting & Analytics
* Oversee reporting of operational results and creation of dashboards and business review decks for stakeholders and vendors.
* Monitor KPIs (e.g., schedule adherence, forecast accuracy, service level attainment) and identify issues affecting outsourced work.
* Drive data driven insights and continuous improvement initiatives; ensure timely distribution of scheduling reports.
Vendor Management & Collaboration
* Manage relationship with third party vendor, including quality standards, performance reviews, issue resolution and change control.
* Coordinate cross functional collaboration with stakeholders and vendor teams to implement mitigation strategies, skilling adjustments, and process changes.
Stakeholder Engagement & Communication
* Build and maintain strong relationships with internal stakeholders across LOBs to secure alignment and approvals for scheduling and mitigation plans.
* Facilitate clear communication between Liberty WFM, business stakeholders, and vendor WFM teams.
Qualifications
* Knowledge of business operations, policies, procedures, and priorities, to include a strong understanding of the function`s value chain and market conditions
* Intermediate to advanced knowledge of data sources, tools, software applications
* Ability to plan/organize/delegate work, communicate effectively, analyze, and solve problems, give constructive feedback and praise, create alignment and adapt
* Displays solid business acumen and integrated thinking
* Competencies typically acquired through a Bachelor`s degree or equivalent experience in addition to a minimum of 5 years of relevant experience to include leadership experience, business analysis work, strategic visioning and execution, and prior experience effectively providing mentoring/guidance to others
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
Auto-ApplyPer Diem Staff Pharmacist
Columbus, OH job
**Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.**
As a per diem Staff Pharmacist you'll play a vital role in delivering safe, accurate, and efficient pharmacy services. This is a hands-on opportunity to make a direct impact by ensuring the accuracy of medication orders, verifying technician-prepared products, and safeguarding controlled substances. You'll contribute to a high-performing team by mentoring new staff, maintaining seamless daily operations, and supporting the Director in optimizing pharmacy performance.
**Pharmacy location:** Located within River Vista Health and Wellness - 1599 Alum Creek Drive, Columbus, OH 43209
**Hours:** Monday-Friday 8:00am-4:00pm
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ ACPE-accredited pharmacy degree (PharmD preferred)
+ Active applicable state pharmacist license in good standing
+ 1+ years of recent pharmacist experience, (hospital setting preferred)
+ Skilled with pharmacy systems and Microsoft Office
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $43.22 to $77.21 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Care Management Support Coordinator III
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.
*****POSITION IS REMOTE WITH 10% POTENTIAL FOR TRAVEL**
*****CANDIDATE MUST RESIDE IN STATE OF OHIO*****
**Position Purpose:** Works with care management team on administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.
+ Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling, and ongoing education for both the member and provider throughout care/service
+ Provides experienced support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
+ May apply in-depth knowledge of assigned health plan(s) activities and resources
+ Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures and protocols
+ Applies in-depth knowledge of care management support activities including care plans and community resources
+ Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
+ Works with care management team on escalating requests and inquiries to management
+ Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed
+ May support training of new hires
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Requires a High School diploma or GED
Requires 2 - 4 years of related experience Pay Range: $20.00 - $34.03 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
Analyst I, Data Science
Columbus, OH job
At Liberty Mutual, the Capacity Modeling and Optimization team within Claims and Service Data Science builds advanced forecasting and staffing optimization models that enable best in class workforce planning across our Claims and Service lines of business. We convert operational data into decision grade analytics that improve assignment strategies, benchmark productivity, and align capacity with demand.
We are hiring a Junior Data Scientist to support the work effort assessment and modeling. With guidance from senior team members, you will help build pipelines and quality checks, develop statistical and simulation models that explain and predict claim/exposure durations and action frequencies, evaluate segmentation and assignment strategies, and support work effort-based staffing forecasts and optimization.
This role may have in office requirements based on candidate location. Level of position offered will be based on skills and experience at manager discretion.
Responsibilities:
Support development of scalable data pipelines and automated quality controls (schema, completeness, drift) across multiple sources.
Build statistical models for duration and action frequency; build exposure/phase level features and run exploratory/variance analyses.
Assist in clustering/segmentation and hypothesis testing to quantify efficiency and service impacts. Help build and run simulation models to compare assignment policies; analyze results and create scenario comparisons.
Help building work effort-based demand forecasts and staffing models; implement components of optimization models with supervision.
Maximize usable data by applying censoring aware methods, imputation, and reconciliation, document assumptions and ensure reproducibility.
Communicate findings through dashboards, reports, and presentations; collaborate with Claims and Service partners to move insights into practice.
Follow MLOps best practices (Git, reproducible workflows, experiment tracking) under mentorship.
Preferred skills and experience:
Solid foundation in statistics and ML: regression/GLM, inference, experimental design; familiarity with survival/censoring, time series, and hierarchical models.
Exposure to operations research and simulation: queueing concepts, discrete event or agent-based simulation; familiarity with OR Tools or Pyomo and SimPy is a plus.
Proficiency in Python and SQL; experience with pandas, NumPy, scikit learn, stats models; visualization using Plotly/Seaborn and dashboarding (e.g., Dash) is a plus.
Experience writing clean, tested code with version control (Git); familiarity with MLflow and workflow orchestration (e.g., Airflow) is a plus.
Comfort working with large, complex operational datasets; strong problem solving, communication, and collaboration skills.
Additional skills and experiences that are nice to have:
Coursework or experience in claims/service operations or workforce management.
Familiarity with cloud platforms (AWS/GCP/Azure) and distributed processing (Spark).
Exposure to Docker and CI/CD; experience deploying models or dashboards with supervision.
Qualifications
Solid knowledge of predictive analytics techniques and statistical diagnostics of models.
Advance knowledge of predictive toolset; expert resource for tool development.
Demonstrated ability to exchange ideas and convey complex information clearly and concisely.
Has a value-driven perspective with regard to understanding of work context and impact.
Competencies typically acquired through a Master's degree (scientific field of study) and 0-1 years of relevant experience or a Bachelor's degree (scientific field of study) and 3+ years of relevant experience.
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
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Auto-ApplySmall Commercial- Consultant, Product Analysis
Columbus, OH job
The Small Commercial State Product team is filling an opening within our dynamic group in our Central/Southeast Region. This position will lead efforts toward profitable growth in our states, while also providing analytical and strategic thought support where needed.
Performs highly complex analyses to evaluate business performance and identify trends and issues in assigned states; making actionable recommendations for improvements.
Influences the direction of and implements adapted country-wide initiatives and conducts high level analyses to support strategic direction of assigned states.
Independently manages projects of low to moderate complexity. Presents state reviews, other high complexity analyses and results of country wide initiatives to State Teams, and provide recommendations to State Teams.
Conducts high complexity analysis under minimal direction. As a subject matter expert for assigned states and product, with solid familiarity with regional/countrywide issues, completes state reviews and similar work for complex states or countrywide programs independently.
Queries data to conduct ad hoc analysis of metrics and answer advanced business questions and builds advanced tools and queries for others to use. Serves as point person for high complexity country wide implementations.
Leads own work stream on all projects and manages low to moderate complexity projects.
Provides thoughtful recommendations that influence countrywide decisions and initiatives.
Based on strong understanding of how competitor actions impact marketplace, distribution channel and customers, conducts in depth research of competitor filings utilizing various sources.
Regularly presents research, recommendations and initiatives to State management and other cross functional departments.
Occasionally presents research, recommendations and initiatives to Chief Product Officer and other Sr. Leadership. Monitors, analyzes and reports on competitor activity.
Analyzes trends and is responsible for tactical and strategic recommendations.
Qualifications
Bachelor's degree in business, information management, economics, or other quantitative field. Master's degree preferred.
Minimum 4 years, typically 6 years or more of relevant work experience.
Knowledgeable in data query languages and tools (SAS and SQL); proficient in new and emerging technologies; may possess data modeling skills.
Highly developed communication and presentation skills.
In-depth knowledge of data concepts, strategies, and methodologies.
In-depth knowledge of data architectures, solutions and designs; extensive knowledge of business operations, strategies and objectives.
Highly developed negotiation, facilitation and consensus building skills.
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
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Auto-ApplyPrincipal Software Engineer
Columbus, OH job
Liberty Mutual Global Risk Solutions, Claims Tech
Evergreen Workers' Compensation Transformation Program (Flagship Initiative)
We deliver our customers peace of mind every day by helping them protect what they value most. Our passion for placing the customer at the center of everything we do is drive a transformational shift at Liberty Mutual. Operating as a tech start-up within a Fortune 100 company, we are leading a digital disruption that will redefine how people experience insurance.
Evergreen Vision
Evergreen is Liberty Mutual's multi-year, business-led, and technology-enabled flagship transformation program for our Workers' Compensation line.
We will be trusted advisors in Workers Compensation by deploying our deep expertise to manage claims accurately and efficiently, producing the best outcomes for our customers and injured workers, while also providing best in class insights to improve risk management decision making.
Modern & Scalable Platform for WC
Replacement of existing claims core platform, with a new cloud platform for claims ops. that enables holistic claims handling along with modern capabilities that are market relevant, scalable, and future ready
Business Transformation
Reimagining of key business processes and functions to drive efficient processing and adherence to the best-in-class ways of handing claims
Technology Modernization Acceleration
Retirement of existing claims platform and modernization of the surrounding ecosystem with flexible, composable architecture with modular integrations
Extensible Solution Ecosystem
Improve overall technology landscape by building & enhancing shared scalable component solutions that can be leveraged beyond Evergreen
The Opportunity
As a principal software engineer you will be the technical lead and anchor for an agile squad providing mission critical capabilities for the Evergreen program - setting the foundation for the next-generation Workers' Compensation system. You will provide critical technical leadership while helping to design and build greenfield features in support of our data and utilization management workstreams. You'll leverage your extensive experience building secure, scalable, and resilient APIs to bring our critical business capability layers to life. You will employ your thought leadership, agility, and out-of-the-box thinking to help the team navigate delivery challenges with unique solutions. You will also help reinforce a culture of engineering excellence and code quality across the program, while providing essential mentoring and coaching to your entire team.
Qualifications
8+ years of software engineering experience, demonstrating progressive responsibility and influence.
Bachelor's or master's degree in a technical or business discipline, or equivalent experience
Proven track record working with various modern architectural patterns, including synchronous/asynchronous APIs, event-driven, serverless, microservices, and MVC
Hands-on experience with layered systems architecture, design, and shared software concepts
Extensive experience with clean coding practices and quality-focused design
Experience with CI/CD practices and DevOps principles
Experience with observability tools (e.g., Datadog, Splunk)
Experience designing secure systems, including threat modeling, authentication (authN), authorization (authZ), and STRIDE
Experience leading agile teams using SCRUM, Kanban or SAFe frameworks
Proven success delivering large-scale, multi-team projects or programs
Proven ability to successfully mentor and coach junior engineers
Skills
Experience with API-based platform integration technologies, such as REST, GraphQL, microservices, Node.js, and Spring Boot
Expertise in Java and TypeScript; additional programming language experience preferred
Experience with modern cloud platforms and runtime environments (e.g., AWS, Azure, GCP, Cloud Foundry, Kubernetes)
Strong data engineering foundational skills: SQL, RDBMS, ETL
Proficiency with software development workflow tools, including GitHub, Codacy, Jira, Confluence, etc.
Familiarity using GenAI on large/diverse datasets and integrating in the development lifecycle
Collaborative and adaptable working style, with demonstrated initiative and ability to prioritize tasks and efforts
Solid negotiation, facilitation, and consensus-building skills
Strong ability to analyze complex technical problems and recommend improvements to address technology gaps, while enhancing reliability, quality, and efficiency
Excellent oral and written communication skills
Closely follows emerging technologies, architectural concepts, and principles
Preferred Qualifications
Strong familiarity with AWS serverless and Spring Boot stacks
Experience in the insurance domain, Workers' Compensation, or claims
AWS Solutions Architect certified
Guidewire Insurance Suite experience
Background in compliance-heavy industries (healthcare, finance, etc.)
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.
Auto-ApplyStrategy Advancement Advisor - Distribution Strategy
Columbus, OH job
**Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does.
The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity ranging from moderate to substantial.
**Become a part of our caring community and help us put health first**
The Strategy Advisor (Distribution) provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for the Enterprise Growth vertical. The Strategy Advisor's work involves complex assignments performed without direction where the analysis of situations or data requires an in-depth evaluation of variable factors. This work may require leading end-to-end strategy engagements.
As part of the Strategy Advancement team, this role will support MarketPoint's investment rationalization and strategic planning efforts. The role requires comfort with ambiguity and creating new solutions in the "white space" where answers are not clear cut or readily available. A successful candidate will be someone who has worked for several years in large matrixed organization (e.g. a publicly traded corporation or large not profit organization) or has several years' experience with stakeholder management (strategy/operations at a top-tier consulting/professional services firm). They will have a demonstrated ability to synthesize large amounts of information into clear and concise outputs (PPT, Excel). This person must be comfortable working collaboratively with senior leaders and subject matter experts alike and should have a high degree of executive presence leading engagements with these stakeholders. This person also will be effective at multitasking and possess keen program and change management skills to balance an evolving set of priorities and deadlines. Healthcare experience is a plus, but not required, though must have a history of mastering an understanding of their prior industry.
Other examples of the kind of work required from this role include leading the analysis of complex business problems and issues using data from internal and external sources. The candidate should bring expertise or identify subject matter experts in support of multi-functional efforts to identify, interpret, and produce strategic recommendations and plans. The candidate's work will substantially shape the thinking of distribution org. They will exercise independent judgment and decision making on complex issues to determine the best course of action and work under minimal supervision.
**Use your skills to make an impact**
About the team: Humana's distribution organization, MarketPoint, plays a key part in driving Humana's long-term vision to achieve leading growth in Medicare and individual products. The MarketPoint strategy team was created to help transform Humana's customer acquisition approach. The team functions with a mandate to think creatively, discover new opportunities and re-envision operations to drive growth and deliver a first-class experience to our members and agents.
**Responsibilities:**
+ Leads multiple short- and long-term work streams sometimes across engagements, including hypothesis development, working sessions, and report-outs with leaders across the company, and documenting key ideas and actions to drive follow-up actions
+ Partners closely with finance, analytics, and operators to optimize, track, and report out on internal and external compensation strategy and results
+ Develop high-quality analysis and deliverables that clearly frame organizational objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations
+ Lead multiple cross functional investment sizing workstreams and provide high-level support for senior leaders to make informed decisions
+ Identify new growth avenues of opportunity through independent analysis and presents actionable findings
+ Lead key portions of presentations at high-visibility meetings
+ Assist MarketPoint leadership in communicating value and impact of MarketPoint initiatives to broader Humana organization
+ Coach junior team members to develop technical and professional skillsets
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree
+ **3+ years** of progressive experience consulting in finance, strategic planning, or related roles.
+ Proven track record in **building compensation models** and **incentive design frameworks** .
+ Advanced proficiency in **financial modeling and Excel**
+ Demonstrated experience **managing large, complex budgets** and guiding senior leadership through **trade-off decisions** .
+ Strong background in **business case development** , including **value sizing** , ROI analysis, and scenario modeling.
+ Ability to influence and partner with senior executives to drive strategic decisions.
+ Exceptional analytical and problem-solving skills with a focus on **data-driven decision-making** .
+ Strong communication skills to present complex financial concepts clearly to non-financial stakeholders.
**Preferred Qualifications**
+ Healthcare industry experience, preferably in the managed care or provider sector
+ Experience in **compensation strategy** within large organizations.
+ Exposure to **enterprise-level budgeting and resource allocation** .
**Additional Information**
**- Position does have the potential for up to 5% travel.**
**- Position will be working Eastern (EST) hours.**
**Virtual Pre-Screen**
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a HireVue interview. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Work-At-Home Requirements**
At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$115,200 - $158,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-28-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplySales Development Program - Columbus, OH
Dublin, OH job
***$2,000 sign on bonus for external candidates plus an additional $1,000 if candidates have their licensure at time of offer. Guaranteed base pay + monthly sales incentive earning potential.** **Training fully onsite with a hybrid schedule after the completion of training!***
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? **Join us to start Caring. Connecting. Growing together.**
We are growing our team in **Columbus, Ohio** and have multiple Early Careers full-time sales opportunities available - come join our team as a Sales Agent in the Sales Development Program. In this inbound call role, you will receive a competitive base salary and bonuses based on your sales performance. You will consult customers on their insurance needs and match the correct coverages, products and benefits. Our training classes not only prepare you for your role, but we will pay for and provide support for you to obtain the required state insurance licenses. No license is required prior to starting in the role. During training, all new hires will be required to successfully complete the UHC Portfolio Agent New Hire training classes and demonstrate proficiency of the material.
**Work Schedule:**
+ Operating hours: Monday - Friday 7:00AM - 9:00PM; your shift will be provided during training with rotational weekend work
+ Full time position with flexibility desired based on the seasonality of our business
**Work Location:**
+ Fast forward your success by participating in our onsite training program in a standard day shift for 6 - 10 weeks
+ Site location: 5900 Parkwood Place, Dublin, OH 43016
+ Training fully onsite with a hybrid schedule after the completion of training
**Program features:**
+ Participate in a Sales Development Program that will accelerate your career with a company that will help you learn new skills and foster your continued growth
+ Collaborate with experienced professionals, mentors, and sales leaders
+ Build relationships within a close-knit community of peers involved in the development program to expand your network
+ Development program is curriculum based and structured
+ Program commitment is 18 months
**_So, what's in it for you?_**
**Compensation & Benefits:**
+ As a licensed agent, your total compensation is determined by your ability to work hard, sell, and deliver a great customer experience
+ Compensation = Base pay + monthly sales incentive
+ Average first year annual earnings $60K through a combination of base plus sales commissions
+ Top performers can earn $80K+ Sign-on bonus of up to $3,000 for external candidates (2k sign on bonus + an additional 1k if you have resident license at the time of offer)
+ 18 days accrued Paid Time Off during first year of employment plus 8 Paid Holidays
+ Medical Plan options along with participation in a Health Spending Account or a Health Saving account
+ Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
+ 401(k) Savings Plan, Employee Stock Purchase Plan
+ Education Reimbursement
+ Employee Discounts
+ Employee Assistance Program
+ Employee Referral Bonus Program
+ Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
+ Fun and competitive work environment focused both on teamwork and individual success!
**Primary Responsibilities:**
+ Mainly handling inbound calling, NO knocking on doors
+ Answer incoming phone calls from prospective members and identify the type of assistance and information the customer needs with the goal to convert the caller to a qualified lead and ultimately sale
+ Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
+ Using knowledge of the product portfolio to accurately assess the distinct needs of different prospects, explain the differences between various products, and assist the prospect member in selecting a product that best meets their unique needs
+ May make outbound calls to members to follow up on questions or to current members to review current or new products and services
+ Assist the prospect in completion of the enrollment application over the phone with complete, accurate and required information, consistent with product requirements and enrollment guidelines
+ Meet the goals established for the position in the areas of performance, attendance, and consumer experience
+ Meet and maintain requirements for agent licensure, appointments, and annual product certification
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
***This is a full-time position with a start date of Monday, June 8, 2026***
***UnitedHealth Group is not able to offer relocation assistance for this position***
***UnitedHealth Group is not able to offer visa sponsorship now or in the future for this position***
**Required Qualifications:**
+ Currently in final year of obtaining a Bachelor's degree (or obtained degree no longer than 24 months prior to position start date, from an accredited college/university). Bachelor's Degree must be obtained prior to start of employment
+ Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered)
**Preferred Qualifications:**
+ Work or volunteer experience in sales, customer service, health care, or health insurance
+ Experience with Microsoft Office products (Word, Excel, PowerPoint, Outlook)
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $24.04 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Part-time Pharmacy Technician
Columbus, OH job
**Explore opportunities with CPS,** part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind **Caring. Connecting. Growing together.**
The part-time, nonexempt, Pharmacy Technician will assist in various pharmacy activities under the supervision of a licensed pharmacist. Your responsibilities will include preparing, delivering, and restocking medications; performing order entry; procuring drugs; billing. You will carry out your job duties according to written procedures and guidelines based on pharmacy standards and regulatory requirements.
**Pharmacy location:** Located within RiverVista Behavioral Health - 1599 Alum Creek Dr, Columbus, OH 43209
**Hours:** Monday-Friday 8:00am to 4:00pm
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High school diploma or equivalent
+ Active applicable state Pharmacy Technician license in good standing
+ Recent work experience as a Pharmacy Technician
+ Proficiency with pharmacy software
+ Proven excellent customer service skills including effective communication skills, both verbal and written
**Preferred Qualifications:**
+ PTCB/CPhT
+ Automation experience
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Senior Analyst, Product Research- PL Auto Delivery
Columbus, OH job
Are you ready to make a significant impact in the world of personal auto insurance? Join our Personal Lines Auto Delivery team, where you'll play a key role in shaping and executing innovative pricing programs that drive USRM's profit and growth goals. You'll take ownership of end-to-end rollouts for assigned states, ensuring compliance with regulations while collaborating closely with stakeholders like the Director of State Operations. With a focus on project management, you'll simplify complex concepts and conduct deep analyses to guide strategic decisions. If you thrive in fast-paced environments and love creative problem-solving, this role offers a unique opportunity to develop your expertise in pricing and product ecosystems while fostering cross-functional partnerships. Together, we can transform the way auto insurance works!
**This position may have in-office requirements depending on candidate location. The level of position offered will be based on skills and experience at manager discretion. **
Responsibilities:
Fully own and execute on assigned states' end-to-end rollout of the latest personal auto insurance pricing programs.
Gather and document product requirements, clearly communicate requirements to stakeholders, and ensure accurate implementation.
Act as the subject matter expert for the pricing program and assigned states, provide thoughtful recommendations that influence state decisions and help drive corporate strategy.
Lead cross-functional workstreams and manage moderate to high complexity projects.
Conduct complex analyses to drive and support business decisions; where necessary, conduct in depth research of competitor offerings and filings.
Educate IT partners on business vision and plan, and both IT and business partners on the impact of changes.
Independently manage project timelines, flag risks and develop contingency plans, escalate blockers as appropriate.
Regularly update leadership and stakeholders on project progress, addressing concerns and managing communication channels.
Lead job shadow discussions with less experienced analysts. Provides technical training and user support to business groups.
You Would Love this Job if you:
Like to understand how things work (soup to nuts!)
Enjoy making a tangible impact to the state or our bottom line
Excel at project management - this work involves many moving pieces across teams, hand-offs, coordination
Can take complex concepts and simplify for various audiences
Thrive in a fast-paced environment with shifting priorities
Like to develop creative solutions to recurring and unique problems
Have strong attention to detail
Appreciate thought-partnering with Directors of State Operations to implement an accurate rating program
Are a fast learner that can apply new concepts quickly
Can work independently and manage time effectively
What you will gain from this role:
Deep understanding of how we build and bring rating programs to market (e.g., data & mechanics)
Deep understanding of the entire product & pricing ecosystem in USRM
Gain exposure to many different parts of the organization (e.g., State Management, Technology, Data Science)
Project and stakeholder management skills
Foundational knowledge of product & pricing to succeed in Product or other parts of USRM
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
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Auto-ApplySolutions Engineer, Data (Guidewire Policy Center)
Columbus, OH job
The Guidewire Data Migration Solution Engineer will play a key role in the successful migration of policy data from legacy to the new Guidewire PolicyCenter Cloud platform. This role requires deep expertise in data architecture, ETL design, and
end to end data migration lifecycle execution in Guidewire PolicyCenter Cloud
- ensuring accuracy, completeness and auditability of migrated data. The engineer will collaborate with architecture, business and integration teams to design, build, and validate a scalable, high quality data migration framework that supports multiple state roll out.
Key Responsibilities:
Design and implement end-to-end data migration solutions to the Guidewire PolicyCenter platforms.
Develop and maintain ETL workflows for data extraction, transformation, and load using Informatica (IDMC) or equivalent tools.
Design and implement reconciliation and audit frameworks to ensure data quality and completeness.
Define mapping specifications between legacy policy systems and Guidewire target data models.
Conduct data profiling, cleansing, and validation using tools like Informatica (IDMC) Data Quality, Cloud Data Governance & Catalog or SQL based profiling scripts.
Partner with business and technical stakeholders to identify data gaps, transformation logic, and migration sequencing.
Collaborate with infrastructure and Devops teams for environment set up, pipeline automation, and migration run scheduling.
Lead data validation during System Integration and User AcceptanceTesting, resolving defects through analysis and fixes in ETL or mapping layers.
Ensure compliance with data governance, PII handling and security standards.
Participate in Agile sprint planning, backlog refinement and other agile ceremonies.
Qualifications
Bachelor`s or Master`s degree in technical or business discipline or equivalent experience; technical Master`s degree preferred
Generally a minimum of 10 years related experience
Required Technical Skills:
7+ years of experience in data migration or data integration related roles.
Strong expertise in Guidewire PolicyCenter application and its data model.
Hands-on experience with ETL Tools like Informatica (IDMC) or similar.
Strong proficiency in SQL (PostgreSQL, DB2).
Experience with cloud platforms (e.g., AWS, Snowflake).
Hands-on experience building and deploying CI/CD pipelines (e.g., GitHub Actions, Bamboo) and Liquibase for database schema versioning.
Exposure to Job Schedulers such as Control-M or Stonebranch.
Preferred Skills:
Guidewire Certified Associate or Ace Developer certification in PolicyCenter.
Experience with PolicyCenter multi state rollout migration projects.
Experience with Guidewire PolicyCenter Migration Tool (PMT).
Intermediate experience using Python for data transformation, integration, and automation.
Familiarity with Guidewire Cloud Data Access (CDA).
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
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Auto-ApplyAssociate Actuary
Columbus, OH job
**Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**In addition, the Associate Actuary will:**
+ Support long term projects aimed at advancing technical maturity, process efficiency, and forecasting accuracy. We are looking for creativity, curiosity, and a desire to explore and influence uncharted territory.
+ Conduct independent research, collaborate across many teams/departments, and require strong communication skills to be successful in the job.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ Associate of Society of Actuaries (ASA) designation
+ Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP)
+ MAAA
+ Strong communication skills
+ Demonstrated ability to communicate technical information with audiences not in the actuarial space
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ 3+ years health industry experience with ASA, or 1+ years health industry experience with FSA
+ 2+ years SQL experience, or equivalent skillset
**Preferred Qualifications**
+ Medicare Advantage background
+ Creative, high degree of self-accountability
+ Experience in Python, PowerApps, and PowerBI
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$106,900 - $147,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-30-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Senior Security Training & Awareness Program Manager
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.
**Position Purpose:**
Responsible for developing and implementing comprehensive Privacy and Information Security awareness and training programs, educating Centene's workforce on security and privacy risks and how to mitigate them. Ensure the training and awareness program effectively drives behavior change so employees act securely and protect sensitive information.
+ Develop and execute a comprehensive Privacy and Information Security awareness and training roadmap to ensure employees understand and embrace their cybersecurity responsibilities.
+ Design and deliver engaging online learning experiences and virtual simulations using approved platforms, applying instructional design principles and content development expertise.
+ Establish and monitor a clear training and professional development curriculum, including targeted programs for high-risk workforce members.
+ Evaluate program effectiveness and recommend improvements based on data-driven insights.
+ Support the communications, awareness campaigns, and security resources on cybersecurity and information protection topics.
+ Manage the customization of vendor-supplied courses for privacy and information security training and awareness.
+ Track and report metrics on behavior change using risk assessment tools and applications.
+ Support leadership with presentations on security risks, accomplishments, initiatives, and metrics.
+ Respond to inquiries via the Centene SECURE mailbox.
+ Develop high-quality content including video scripts, articles, newsletters, posters, and presentations in support of security events and programs.
+ Mentor other team members to build their writing abilities.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:**
Bachelor's Degree in Writing, Journalism, Communications, Marketing, Business Administration, Cybersecurity, Information Systems, other related field, or equivalent experience required
5+ years Information Security experience, or related field required
**Licenses/Certifications:**
GIAC-GISP, CCAP, CSAP, or CISSP preferred but not required
Pay Range: $68,700.00 - $123,700.00 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
Field Nurse Case Manager
Grove City, OH job
Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Optum At Home product, together with an interdisciplinary care team we help patients navigate the health care system, and connect them to key support services. This preventive care can help patients stay well at home.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.
Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities.
The Field Case Manager RN may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.
Primary Responsibilities:
* Reports to RN Manager
* Assess the health status of members as within the scope of licensure and with the frequency established in the model of care
* Establish goals to meet identified health care needs
* Plan, implement and evaluate responses to the plan of care
* Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and social barriers to care
* Works closely with mental health clinicians to help bridge the gap between mental and physical health
* Consult with the patient's PCP, specialists, or other health care professionals as appropriate
* Assess patient needs for community resources and make appropriate referrals for service
* Facilitate the patient's transition within and between health care settings in collaboration with the primary care physician and other treating physicians
* Completely and accurately document in patient's electronic medical record
* Provide patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
* Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
* Actively participate in organizational quality initiatives
* Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
* Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
* Demonstrate a commitment to the mission, core values and goals of UnitedHealthcare and its healthcare delivery including the ability to integrate values of compassion, integrity, performance, innovation and relationships in the care provided to our member
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Years of post-high school education can be substituted/is equivalent to years of experience.
Required Qualifications:
* Current unrestricted licensure as RN in Ohio
* 2+ years of relevant experience
* Experience in assessing the medical needs of patients with complex behavioral, social and/or functional needs
* Demonstrated ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
* Proven solid computer skills, including use of electronic medical records
* Ability to travel 100% of the time in the Cuyahoga County, OH area for field-based work within 60 miles of residence
* Valid driver's license
* Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
Preferred Qualification:
* Field based experience
* Case management experience
* Proven effective time management and communication skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Executive Underwriter, Middle Market Technology
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
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Auto-Apply