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.
**Location: Position in hybrid and will include field visits. Candidate must reside in New York. Prefer candidate to live in/around Upstate New York.**
***Full time position includes 37.5 hours**
**Position Purpose:**
The Community Quality Liaison serves as a vital link between members and the healthcare system, focusing on improving health outcomes by identifying and closing care gaps. This role emphasizes community engagement, member education, and collaboration with providers and internal teams to ensure members receive timely, appropriate care and support.
+ Conduct outreach to members in the community to identify care gaps and connect them with appropriate healthcare services and resources.
+ Perform home visits or community-based assessments to evaluate member needs and identify social determinants of health that may prevent members from accessing preventive or follow-up care, and facilitate care coordination.
+ Serve as a member advocate by helping individuals navigate complex healthcare and social service systems. Assist with scheduling appointments, understanding care plans, and accessing benefits or entitlements, ensuring members receive the support needed to close care gaps and maintain continuity of care
+ Collaborate with providers to share quality performance data (e.g., HEDIS, CAHPS) and support improvement initiatives.
+ Educate members on preventive care, chronic condition management, and available community resources.
+ Document member interactions, care gap closures, and referrals in the appropriate systems.
+ Partner with internal departments (e.g., Quality, Care Management, Provider Relations) to align efforts and improve member outcomes.
+ Monitor and report on outreach effectiveness and care gap closure metrics.
+ Maintain compliance with state and federal regulations and organizational policies.
+ Participate in seasonal campaigns and quality initiatives to improve member engagement and health outcomes.
+ Serve as a community ambassador, building relationships with local organizations and stakeholders.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:**
Bachelor's Degree Social Work, Public Health, Nursing, or related field; or equivalent experience required
2+ years In community health or healthcare quality required
Experience working with health plan members and navigating community resources required
Familiarity with Medicaid / Medicare programs and quality measures (e.g., HEDIS) required
Strong communication and interpersonal skills
**Licenses/Certifications:**
LCSW- License Clinical Social Worker preferred
**Location: Position in hybrid and will include field visits. Candidate must reside in New York. Prefer candidate to live in/around Upstate New York.**
Pay Range: $27.02 - $48.55 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
$27-48.6 hourly 60d+ ago
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Sr Certified Medical Coder RN
Centene Corporation 4.5
Centene Corporation job in New York, NY
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.
**Must be willing to travel to NYC twice a year for required meetings.**
**Position Purpose:**
The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review.
+ Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance.
+ Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues.
+ Provide regular reports on project status and progress; report project results to identify coding improvement opportunities.
+ Collaborate with other business units to identify and implement process efficiency and quality improvement practices.
+ Work with IT resources to implement system efficiencies and configuration enhancements to improve claims processing operations.
+ Apply Coding Guidelines as described in the ICD-10 Coding Manual.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:**
RN Degree. One year experience preferred in hospital inpatient coding. Nursing experience in managed care organization or acute care hospital.
One year of experience in a clinical setting or acute care hospital; RN, PA, MD, APRN, DO or MBBS license required.
**Coding Credential Required:** Valid/Current CPC Certification, through APPC preferred or CIC through AAPC or CCS through AHIMA; RHIA/RHIT Credentials-Preferred.
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
$68.7k-123.7k yearly 60d+ ago
Executive Underwriter, Surety
Amtrust Financial 4.9
New York, NY job
Requisition ID 2025-19690 Category Underwriting Type Regular Full-Time We're looking for an experienced Contract Surety Underwriter to help drive profitable growth in their region. In this role, you'll underwrite new and renewal contract surety accounts, evaluate financial strength and project performance, and ensure sound risk selection and pricing. You'll build and maintain strong agency relationships, provide exceptional service, and collaborate on strategic business plans. This position also offers opportunities to mentor others, represent the company at industry events, and contribute to the long-term success of our surety portfolio.
Responsibilities
Drive profitability by analyzing risks, setting competitive pricing, and ensuring compliance with state regulations and corporate standards.
Foster strong collaboration within the territory team, keeping peers and management updated on all relevant issues and activities.
In collaboration with Manager, develop and implement the territory business plan and share accountability with team in meeting territory goals
Train territory staff and clients on underwriting appetite and protocols in conjunction with corporate training guidelines
Within Home Office authority grant, acts as the referral point for the territory underwriting staff
Develop and maintain client relationships through territorial travel and meetings with agents and producers.
Actively plan and participate in industry events as required such as but not limited to agency or association conventions
Provide timely communication and support to resolve client and interdepartmental issues.
Provides the pertinent information and guidance to support staff required to process coverage requests in accordance with service guidelines
Collaborates with territory team on reports and update databases as required
Assists in gathering and communicating competitive information
Keeps current with market trends and demands.
Performs other functionally related duties as assigned.
Qualifications
Required:
3+ years of contract surety underwriting experience
Bachelor's degree or equivalent work experience in the field
Demonstrated ability to interpret and analyze data and make an informed, calculated risk decision
Ability to make sound contributions to tactical and strategic planning
Ability to train, coach and mentor individuals of various backgrounds within area of expertise
Respect for confidential information
Excellent organizational and time management skills
Ability to travel up to 25% of the time within the assigned territory and to the Home Office as required
Preferred:
AFSB designation
Continuing education
The expected salary range for this role is $120K-$200K/year.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-BL1
#AmTrust
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$120k-200k yearly 3d ago
Executive Assistant
Amtrust Financial Services, Inc. 4.9
New York, NY job
AmTrust Financial is seeking an Executive Assistant to support our EVP, Head of North American Commercial P&C, performing a wide range of administrative and executive support to ensure the efficient operation of the organization. Responsibilities Coo Executive Assistant, Executive, Reservations, Assistant, Business Services
$56k-79k yearly est. 2d ago
Strategic Account Executive, KA - New York City
Unitedhealth Group 4.6
New York, NY job
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Strategic Account Executive manages ongoing client, broker and consultant relationships for an assigned book of business and is responsible for persistency goals and upselling new business expansion for both medical growth and ancillary within their book. They are responsible for representing their clients internally as advocate and coordinating with other functional areas within the company to implement client benefits, complete projects and address service needs. Will work closely with new business sales teams on prospective clients to support finalist meetings and manage implementation when cases are sold. Strategic Account Executive is responsible for the up-selling of appropriate services and ancillary products to clients, renewal of existing contracts and retention of membership and client satisfaction.
The Strategic Account Executive is the owner of the client relationship.
Must be self-sufficient, able to take direction and review training materials as provided timely, as well as be able to work in a less structured environment with minimal supervision. May be a resource, coach and teacher to others. Must be able to assess and interpret customer needs and requirements and identify solutions and company capabilities. Can translate concepts into practice. Able to work on complex problems and issues and provide innovative and effective solutions that support both the client and the company's goals and objectives.
This is a highly incentivized role.
This position follows a hybrid schedule with Three in-office days per week.
Primary Responsibilities:
Manage an assigned book of business with limited supervision, including in-person client and broker meetings
Be responsible for achieving revenue growth targets based on book of business
Meet annual renewal persistency goals to align with Incentive Plan to be provided
Renew existing business and support upsell of new business expansion for all ancillary products
Own/Lead Sales process and client engagement through the sale and onboarding for existing client
Maintain ongoing relationships with clients and brokers
Work in conjunction with Account Management Team on combined Medical/Ancillary clients
Support new sales for finalist presentations
Knowledge of UHC Value Story and ability to present externally
Driver's License and access to a reliable transportation
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:
Life and Health Licensed
5+ years of sales and/or Account Management experience
Proven basic computer skills (Microsoft Office)
Ability to develop and manage relationships to reach business goals
Ability to travel as needed to meet/support clients/brokers - 25%
Ability to work out of the One Penn Plaza office in New York
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 $60,000 to $130,000 annually 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. #programmatic #programmatic
$60k-130k yearly 2d ago
Claim Specialist
Amtrust Financial 4.9
Jersey City, NJ job
Requisition ID JR1005075 Category Claims - Specialty Lines Type Regular Full-Time
AmTrust Financial Services, a fast-growing commercial insurance company, is seeking an experienced Claims Specialist. This position can be located in one of our claims offices, with the possibility of working remotely. The successful candidate will directly handle both litigated and non-litigated commercial general liability claims. The successful candidate will also exhibit a strong proficiency in insurance coverage analysis and risk transfer.
Responsibilities
Managing an inventory of commercial general liability claims with moderate complexity by following company guidelines to manage all aspects of the claim handling, including coverage determinations, investigations, and strategic resolution plans which may include pursuit of risk transfer, negotiations, and litigation management.
Recognizing potential exposures and ensuring reserving is appropriate and timely.
Evaluating coverage issues and risk transfer opportunities.
Ensuring appropriate investigation of the underlying facts and circumstances is carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, and proper negotiation strategy is employed.
Provide outstanding customer service and effectively communicate with our internal and external business partners.
Formulate proper resolution strategies to ensure the best total claim outcome.
Mentors less experienced Claim Professionals and may be asked to assist with special projects as needed.
Position may require periodic travel to attend meditations, trials and/or other related meetings.
Qualifications
Minimum of five years of experience in the handling of litigated and non-litigated commercial general liability claims.
Bachelor's degree or equivalent work experience.
Strong contractual analysis skills to include the analysis of insurance contracts for coverage analysis and other contracts for risk transfer obligations/opportunities.
Investigative mindset with critical thinking skills.
Strong work ethic with organizational skills and the ability to work independently in a fast-paced environment.
Knowledge of Microsoft Office and ability to learn business-related software.
Excellent verbal and written communication skills with the ability to articulate claim facts, analysis and recommendations to leadership, business partners, and customers.
Ability to partner with internal resources and oversee/manage outside counsel.
Experience in leading negotiations, as well as developing and implementing strategic resolution plans.
Adjuster licensing as required, with preference for Texas and/or Florida.
The expected salary range for this role is $106k-$127k/year
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-EF1
#LI-Hybrid
#AmTrust
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$106k-127k yearly 3d ago
Actuarial Analyst - Renters/Travel Insurance
Amtrust Financial 4.9
New York, NY job
Requisition ID 2025-19349 Category Actuarial Type Regular Full-Time
We are seeking a motivated and analytically strong Actuarial Analyst with 3-4 years of experience to join our dynamic team. This position will focus on supporting pricing and reserving efforts for two of our fastest-growing lines of business: Renters Insurance and Travel Insurance.
Why Join Us?
This is an exciting opportunity to be part of a team leading the expansion into renters and travel insurance-a rapidly evolving space with strong support from both leadership and partners. You'll work alongside a highly engaged team in a collaborative environment with opportunities for growth and development.
Responsibilities
Provide actuarial support for pricing models and reserving analyses related to Renters and Travel Insurance
Assist in regulatory rate filings and respond to objections as needed
Collaborate closely with cross-functional teams, offering actuarial insights and guidance on new deals
Contribute to team projects and gradually take on ownership of key deliverables and client communications
Qualifications
Near ACAS with 3-4 years of relevant actuarial experience
Prior exposure to renters and/or travel insurance is strongly preferred
Proficiency in Power BI and SAS is a plus
Strong communication skills and a collaborative mindset
The expected salary range for this role is $84,300-$130,000/year.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-BL1
#AmTrust
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$84.3k-130k yearly 3d ago
Underwriting Manager
Amtrust Financial 4.9
New York, NY job
Requisition ID JR1004678 Category Underwriting Type Regular Full-Time
Unique opportunity to be a key part of building a profitable Management Liability insurance book of business within a dynamic, international company based in Barcelona, Spain. ANV Global Services (*************** underwrites as a Global MGU with centres in Europe, London and the USA. From our offices in Barcelona, London, Milan and Morristown, we provide underwriting expertise for some of the strongest and highest rated and financial partners in the market. ANV Global Services is now part of the AmTrust Group (**********************
We are currently looking for a D&O Underwriter to join the Professional Lines team in Morristown, New Jersey.
Main scope of role:
Underwrite, market and manage new and renewal Management Liability business as developed in cooperation with the Underwriting Manager and Managing Director.
Responsibilities
Produce, develop and underwrite Professional Liability business from wholesale brokers nationwide.
Prioritize and underwrite new and renewal submissions.
Maintain a high level of customer service.
Assist in the development and maintenance of new and existing wholesale broker relationships.
Promote the growth and strong reputation of ANV Global Services / AmTrust Group.
Underwrite business in accordance with ANV's policies / procedures, Professional Liability Business Plan, Underwriting Guidelines and Authority Statement once granted in maintaining high underwriting standards and discipline including adequate pricing, analysis and retention to ensure delivery of profitable results.
Other related duties as assigned
Qualifications
Minimum of 2 and up to 5 years of underwriting or insurance industry related experience preferred.
Existing agent/broker licenses in P&C and Surplus Lines a plus.
Experience in Surplus Lines / non-admitted market a plus.
Four year college degree and/or insurance industry related designation preferred.
PC Literate with emphasis on Word, Excel and PowerPoint.
Strong analytical, organizational and multitasking skills.
Excellent internal and external communication, interpersonal and listening skills.
Must be a team player who enjoys a fast paced business and entrepreneurial environment.
The expected salary range for this role is $111,000-$170,000/year.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-MM1
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$111k-170k yearly 3d ago
Underwriting Auditor II
Amtrust Financial 4.9
New York, NY job
Requisition ID JR1005287 Category Underwriting Type Regular Full-Time
Join AmTrust as an Automation Quality Assurance Auditor and play a pivotal role in advancing the quality and consistency of our automated underwriting processes across Commercial Lines products. In this high-impact position, you will conduct thorough file reviews, champion best practices, and deliver actionable insights that drive operational excellence. You will collaborate with cross-functional teams to strengthen automation quality, enhance underwriting alignment, and help shape the future of multi-line quality processes. A top candidate for this role will be a meticulous and process-driven professional, passionate about quality, innovation, and making a measurable difference.
Responsibilities
* Conduct comprehensive quality audits of automation-supported Commercial Lines products, reviewing underwriting files for accuracy, compliance, and risk assessment; validate and report findings with actionable insights.
* Analyze audit results and business data to identify trends, emerging risks, and opportunities for operational improvement; prepare clear summaries and reports using Excel, PowerPoint, SQL, and PowerBI.
* Collaborate with auditors, underwriting partners, and product teams to maintain aligned standards, deliver feedback, and support monthly audit intake and calibration sessions.
* Contribute to the development, refinement, and implementation of AQA processes, tools, templates, and small business handling procedures in partnership with leadership and product management.
* Support quality metric tracking, user testing, and automation governance to drive consistency, mitigate risk, and enhance process effectiveness.
* Maintain high standards of accuracy, professionalism, and confidentiality in all work; perform other related duties as assigned.
Qualifications
Required:
* 3+ years of experience in underwriting audit, support, or quality assurance (Commercial P&C preferred)
* Expertise in ISO and NAICS classification systems; proficient navigation of classification and rating rules materials such as PAAS and ReferenceConnect
* Bachelor's degree or equivalent combination of education and experience
* Strong analytical, critical-thinking, and attention to detail; excellent written and verbal communication skills for conveying audit findings
* Advanced proficiency in Microsoft 360 tools including Excel, PowerPoint, SharePoint, and Teams
* Proven ability to manage multiple audits, timelines, and priorities, working both independently and collaboratively across teams and regions
Preferred:
* Experience with SQL, PowerBI, or similar data visualization/reporting tools
* Experience in automation-supported underwriting environments
* Exposure to process improvement initiatives or operational best practices
The expected salary range for this role is $$66,900-$107,500/year.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-MM1
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$66.9k-107.5k yearly 3d ago
Peer Support Specialist
Unitedhealth Group 4.6
New York, NY job
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
This position works with the clinical team to implement care coordination when requested, which may include Peer Support Specialist as well as other community-based services designed to stabilize the consumer's condition. They collaborate with Care Managers, providers, and community agencies and organizations to facilitate access to and transition between services. The Peer Support Specialist is instrumental in assisting in reducing higher levels of services such as ER admissions or Inpatient psychiatric admissions.
Schedule: Monday through Friday between the hours of 8:00 am to 5:00 pm Easter Standard time. A 40-hour work week, the schedule is to be determined by hiring manager upon hire. This position is a field-based position with both a main office location and home-based office. You will have the flexibility to work from home when not in the field.
Location: Queens, NY and surrounding boroughs
Local travel up to 75% and mileage is reimbursed at current government rate.
Primary Responsibilities.
Use his/her own Recovery LIVED experience and training to assist families and consumers with defining their Recovery goals, and developing the skills and knowledge needed for the consumer's recovery
Experience working with consumers that have co-occurring Disorder, i.e., Mental Health and Substance Use Disorder
Support the creation and assist with the implementation of a comprehensive Training and Education program with peers, families, Providers and staff
Establish and maintain strong collaborative relationships with existing Consumer and Family organizations, so members of those organizations become actively involved with Optum/Health Plan activities
Communicate Plan information to consumers and Consumer-operated organizations and with families and family organizations. In addition to communicating, a wide array of other topics including Clinical policies, analysis of data and Program evaluation
Identify and outreach to community and leaders of ethnic minority groups to identify and develop programs that are both culturally competent and use recovery and resiliency
As directed, serve as a designated member of Internal subcommittees
Participate in Optum and Health Plan Quality Review processes
Enable us to communicate effectively with consumers and their families about all aspects of the Mental Healthcare Delivery system as well as their rights and responsibilities
As requested, provide support to consumers or family members in making needed appointments
Work with the Clinical Program Managers and the Clinical team to implement intensive, enhanced care coordination when requested, which may include peer support as well as other community-based services designed to stabilize the consumer's condition, including working with the consumer in the development of a WRAP plan and a Crisis plan
Be available to provide direct support to consumers being discharged from 24-hour care or to refer them to a support group
Assist and support consumers and family members with Grievance processes
Collaborate with Care Managers, Providers, and Community agencies and organizations to facilitate access to and transition between services
Collaborate with Care Managers, providers, and community agencies and organizations to identify consumers who may benefit from peer support
Respond to concerns and questions from consumers and families
Participate in Treatment planning with consumers and families who request that support
Work with community agencies along with and/or on behalf of consumers and families
Provide feedback about Treatment planning development based on their interactions with other consumers and families
Advocate on behalf of the consumers and families
Provide peer support to consumers and family members at critical points in their treatment process
Experience working with diverse populations in behavioral health settings
Enter documentation of all interactions into the documentation platform
Serve as liaison between Optum, the Health Plan and those who use services
Recruit and support consumers, parents and family members to participate in all phases of the operation of Optum and the Health Plan, from the Governing Body and Mental Health Advisory Board to Quality Assurance/Performance Improvement (QA/PI) Committees and all other critical initiatives
Extensive work experience within own function
Work is frequently completed without established procedures
Works independently
May act as a resource for others
Performs other duties as assigned
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period 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.)
More information can be downloaded at: uhgbenefits
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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/GED (or higher)
Possess active/current Certified Peer Recovery Specialist or Certified Peer Support Specialist certification in the state of New York or be able to obtain their certification within 12 months of employment
1+ years of working knowledge of community resources
1+ years of experience with the Medicaid population
1+ years of experience with demonstrated understanding of the principles of recovery and resiliency and own lived experience
1+ years of computer proficiency experience with Microsoft Office (Word, Excel, and Outlook) and the ability to access multiple web applications
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Reside within a commutable distance to Queens, NY and surrounding boroughs within the city of New York
Ability to travel 75% of the time within 60 miles of territory assigned
Access to reliable transportation with a current and non-restricted state of New York's driver's license and State-required insurance
Preferred Qualifications:
Associate's Degree (or higher)
Ability to facilitate training events
Soft Skills:
Ability to work independently and maintain good judgment and accountability
Demonstrated ability to work well with health care team
Strong organizational and time management skills
Ability to multi-task and prioritize tasks to meet all deadlines
Ability to work well under pressure in a fast-paced environment
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
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 $20.00 to $35.72 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.
#RPO #RED
$20-35.7 hourly 2d ago
Nurse Case Manager - Essex County NJ
Unitedhealth Group 4.6
Newark, NJ job
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Case Manager RN, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come.
If you are located within Essex County, New Jersey, territory and willing to travel up to 80% of your time to assigned territory, you will have the flexibility to work remotely as you take on some tough challenges
Primary Responsibilities:
Comprehensive Assessment & Care Planning
Conduct thorough health assessments, including medical history, chronic conditions, behavioral health, and social determinants of health
Develop individualized care plans that address medical, rehabilitation, behavioral health, and social needs
Create personalized interventions that integrate medical treatment, support services, and community resources
Member Engagement, Education & Self-Management
Build and maintain relationships with an established caseload of high-risk members
Provide education to members and caregivers on disease processes, treatment adherence, and lifestyle changes
Encourage self-management strategies that support long-term wellness and reduce complications
Maintain consistent outreach to support adherence to care plans and monitor evolving needs
Intensive Care Coordination
Coordinate services across providers, including PCPs, specialists, hospitals, LTSS, behavioral health, and pharmacy.
Facilitate referrals for home health, hospice, palliative care, and DME
Collaborate with Medical Directors during interdisciplinary rounds to review and align care for complex cases
Discharge Planning & Transitional Care
Support members through transitions of care such as hospitalization, skilled nursing, and rehabilitation
Conduct "welcome home" and follow-up calls to ensure post-discharge services, medications, and follow-up appointments are in place
Deliver intensive outreach during the 30-day post-discharge period to reduce avoidable readmissions and ED utilization
Advocate for safe, coordinated, and timely transitions of care that align with the member's individualized care plan
Field-Based Care Management (20% of Time)
Conduct home and hospital visits in North Jersey as required by program guidelines
Perform in-person assessments and provide care coordination to address high-risk needs and ensure continuity of care
Collaborate directly with providers, facilities, and families during field visits to close care gaps and reinforce the care plan
Monitoring & Clinical Oversight
Monitor members' clinical conditions, care plan progress, and treatment adherence
Reassess care plans regularly and adjust interventions based on changing needs or barriers
Identify red-flag conditions and escalate urgent or complex cases for higher-level review and intervention
Documentation, Compliance & Quality Outcomes
Document all assessments, care plans, interventions, and communications per NCQA, CMS, and state regulatory requirements
Ensure care management services align with DSNP/NCQA standards and contract requirements
Track outcomes tied to quality metrics (HEDIS, STARs), utilization management, and member satisfaction
Maintain audit readiness through timely, accurate, and comprehensive documentation
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:
Current, unrestricted RN license in New Jersey
2+ years of Case Management Experience serving complex, elderly and disabled
Experience with government health programs (Medicaid/Medicare)
Proficient in Microsoft Office Suite; tech-savvy with ability to navigate multiple systems simultaneously
Demonstrated ability to talk and type proficiently at the same time
Access to reliable transportation and the ability to travel up to 80% within assigned territory.
Available for occasional in-person meetings as needed
Preferred Qualifications:
Certified Case Manager (CCM)
Experience working with populations with special needs (DSNP)
Experience with Managed Care Population
Bilingual - English/Spanish
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 $40.00 to $54.00 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.
Requisition ID JR1005060 Category Underwriting Type Regular Full-Time
Our Management Liability underwriting division is seeking a Regional Executive Underwriter to join our growing team in the NYC Metropolitan Area. With this opportunity, you will underwrite and manage a portfolio of Management Liability Insurance in accordance with division guidelines, strategy and profitability standards. The person in this position is responsible for new business development, renewals, risk analysis and assessment, coverage evaluation, pricing and contract negotiation in order to maintain and develop a profitable portfolio. Product lines include Directors & Officers, Employment Practices Liability, Fiduciary, and Crime.
Responsibilities
Build and maintain a solid flow of new business opportunities, identifying opportunities for growth within new and existing production sources. Position has direct responsibility for broker development and management within a book of business.
Underwrite renewals and identify cross-sell opportunities. Implementing 120 day strategy to ensure compliance and profitability of risks.
Develop risk pricing by analyzing exposures, claims experience, utilizing pricing tools and worksheets, comparison to similar risks, as well as experience in underwriting exposures pertaining to individual risks, for new and renewal accounts within assigned portfolio and authority level.
Consistently achieve budgeted financial results (premium, loss ratio, retention, commissions, pricing, new business, premium collection, and expense management) as established for individual portfolios.
Identify and take corrective action and/or collaborate with the appropriate area within the organization based on individual risk characteristics identified through broker reviews, large loss analysis, risk control, etc.
Insure compliance with underwriting strategies and regulatory requirements.
Remain current on legal and regulatory changes and claim development in order to contribute to unit product development and portfolio decisions.
Provide responsive service to brokers by delivering timely and accurate quotes and endorsements.
Assist in the development and implementation of underwriting strategy for all product lines.
Qualifications
Approximately 10+ years underwriting and rating experience with a focus in management and professional liability insurance products
Strong knowledge of the D&O external market and demonstrated marketing and business development experience within the retail and wholesale distribution channel.
Able to understand and execute to strategic priorities including; pricing strategy, agent strategy, rate strategy, underwriting appetite, limit management and mix of business.
Advanced analytical skills to interpret business information drawn from multiple sources to take critical account decisions regarding quality of risk.
Strong interpersonal skills and ability to work collaboratively with colleagues in other functional areas and across the Group, share knowledge by participating in line of business monitoring and product development activities.
Strong Organizational and Time Management Skills
Ability to travel up to 25% of the time within the assigned territory
Strong knowledge of the Microsoft Suite with specific emphasis on Excel
This is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.
The expected salary range for this role is $120,500-$225,000/year.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-BL1
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
Requisition ID 2026-19715 Category Specialty Risk Type Regular Full-Time
The Product Specialist - Specialty Insurance plays a critical role in the ongoing development, management, and regulatory compliance of our renters and travel insurance products. This position is designed for an insurance professional with deep expertise in specialty lines, particularly renters and travel insurance, who also possesses a strong understanding of the regulatory landscape and compliance requirements governing these products.
We're seeking an innovative, detail-oriented, and collaborative candidate who is passionate about delivering market-leading insurance solutions that address the evolving needs of today's consumers. This role is a unique opportunity to make a significant impact in a dynamic, rapidly growing segment of the insurance industry.
This role will require a hybrid work schedule in any of our US AmTrust Offices.
Responsibilities
Product Development & Management:
Lead the end-to-end development and lifecycle management of renters and travel insurance products, ensuring they align with market trends, company objectives, and customer needs.
Conduct market research and competitor analysis to identify gaps, opportunities for innovation, and emerging risks in the specialty insurance sector.
Gather and prioritize product and customer requirements, defining product vision, roadmap, and strategy in collaboration with key stakeholders.
Oversee the implementation of product enhancements and new features, working closely with underwriting, claims, operations, sales, and IT teams.
Monitor product performance metrics (profitability, retention rates, customer satisfaction, etc.) and recommend improvements based on data-driven insights.
Ensure all renters and travel insurance offerings are in full compliance with applicable state, federal, and international regulations, including filing processes, disclosures, policy wording, and claims handling.
Serve as the subject matter expert on all compliance-related matters for specialty insurance products, responding to regulatory changes and industry best practices.
Continuously monitor and evaluate industry trends, regulatory changes, and emerging technologies impacting renters and travel insurance lines.
Propose and implement process improvements to enhance product quality, compliance, and operational efficiency.
Develop and execute strategies for ongoing product innovation and differentiation within the specialty insurance market.
Qualifications
Bachelor's degree in Insurance, Business Administration, Risk Management, or a related field; advanced degrees or professional insurance designations are a plus.
Minimum 3-5 years of experience in specialty insurance products, with demonstrated expertise in both renters and travel insurance.
Comprehensive understanding of insurance product development, filings, and compliance processes.
Strong knowledge of regulatory environments relevant to renters and travel insurance.
Proven track record in managing product lifecycle, from ideation to launch and ongoing optimization.
Exceptional analytical, organizational, and project management skills, with experience using data and market insights to drive product strategy.
Excellent communication, presentation, and interpersonal skills, comfortable working with both technical and non-technical stakeholders.
High attention to detail and commitment to quality and compliance.
Ability to work independently, manage multiple priorities, and adapt to a fast-paced, changing environment.
Experience working for an insurance carrier, MGA, or broker specializing in specialty lines.
Practical knowledge of InsurTech solutions, digital distribution platforms, and customer engagement technologies.
Familiarity with international insurance regulations and cross-border product offerings.
The expected salary range for this role is $90,000-$100,000/year.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-MM1
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$90k-100k yearly 3d ago
Head of Cyber Claims
Amtrust Financial 4.9
New York, NY job
Requisition ID JR1004765 Category Claims - Specialty Lines Type Regular Full-Time
We are a growing and flourishing Cyber/Tech Team with offices around the country. In this role, you will be the Head of AmTrust Cyber Claims responsible for: overseeing a group of first- and third-party cyber claims adjusters; managing relationships with outside counsel and vendors; and providing timely and meaningful claim trend information to underwriters and actuaries. Our portfolio of business includes a diverse range of industries and insureds that are SMEs through Fortune 500 companies. This position helps maintain profitable growth and account retention along with long-term company and client relationships.
Responsibilities
Managing a claims team including implementing best practices around the investigation, analysis and evaluation of coverage liability and damages
Formulating claims and litigation strategies
Assigning, directing, and managing outside counsel and third-party vendors - including the assignment of matters and the management of costs
Identifying liability and coverage trends and issues with both individual and portfolio impact and formulating the processes and strategies for handling such claims as well as ensuring accurate and consistent claims management across impacted underwriting segments and lines of business
Facilitating the collection and analysis of claims-related data for analytic purposes
Reviewing and updating third party vendor panel on an ongoing basis
Disseminating information on claim trends to senior management and underwriting teams
Supporting underwriting inquiries and information requests
Coaching and mentoring members of the claims team
Communicating with senior executives, brokers, reinsurers, actuaries, insureds, and auditors (both external and internal)
Qualifications
5+ years of claims management experience handling primary and excess cyber claims and/or JD with insurance coverage litigation experience (ideally related to cyber/data privacy)
Demonstrated ability and experience handling both first- and third-party (cyber) claims involving a wide variety of loss scenarios as well as reporting and presenting about same to senior management
In-depth knowledge of claims, litigation, arbitration, and trial processes as well as excellent analytical, investigative, and negotiating skills
Demonstrated leadership, organizational, and management skills
Analytical thinker that can drive results using all facets of the legal and claims processes
Understanding of and ability to balance both the immediate claim issues as well as the broader portfolio impact and customer service impact of coverage disputes and issues
Excellent oral and written communication skills with the ability to deal effectively with people with conflicting expectations, differing opinions, and multiple viewpoints
The expected salary range for this role is $137,800-$212,000 annually
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$33k-36k yearly est. 3d ago
Clinical Extern
Centene Corporation 4.5
Centene Corporation job in New York, NY
You could be the one who changes everything for our 28 million members as an Intern at Centene. During this 12-week program, you'll learn more about Centene and how we're transforming the health of the community, one person at a time. Observe preceptors and participate in various projects to learn and develop skills related to the Managed Care industry.
+ Develop clinical knowledge and skills by learning about various processes and functions within the Managed Care industry
+ Observe processes and shadow preceptors to gain hands on experience and become familiar with various clinical services
+ Follow instructions and procedures provided by preceptor or manager in accordance with company guidelines
**Education/Experience:** Current enrollment in an accredited clinical program. Candidates must be receiving course credit for participating in the Externship program.
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) 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
$35k-47k yearly est. 16d ago
Bilingual Retention Field Representative (Nassau County)
Centene Management Company 4.5
Centene Management Company job in Hempstead, NY
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Position Purpose:
The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Fidelis Care products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.
Field position working within Nassau County Long Island, NY. Bilingual in Spanish, Mandarin, Cantonese, Hindi or Urdu strongly preferred.
Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility
Answer application and/or service questions regarding the programs and services in order to maintain/attract membership
Conduct outreach and follow up calls to educate members about Fidelis Products and serves as a liaison between the member and the different Fidelis departments
Ability to meet and exceed quality assurance standards
Ability to undergo rigorous internal training and have complete command of the sales process, all Fidelis Care products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency
Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region
Develop and maintain relationships with existing members by providing guidance and assistance throughout the year
Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Fidelis Care
Modify delivery skills accordingly to overcome objections and retain members
Identify solutions to issues and concerns
Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads
Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed
Input, update and create member information on databases in order to maintain customer accounts
Utilize computer systems to perform administrative functions such as Sales Force
Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes
Performs other duties as assigned
Complies with all policies and standards
Education/Experience:
High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver's License required. Specific language skills may be required by some plans. Sales experience highly preferred. Bilingual in Spanish, Mandarin, Cantonese, Hindi or Urdu strongly preferred.
Pay Range: $23.23 - $39.61 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
$23.2-39.6 hourly Auto-Apply 18d ago
AVP, Underwriting Program Manager
Amtrust Financial 4.9
New York, NY job
Requisition ID 2025-19689 Category Underwriting Type Regular Full-Time
AmTrust Specialty Programs, a division of AmTrust North America, is a market-leading insurance carrier with more than 20 years of experience developing and growing profitable delegated authority programs in partnership with select Managing General Agents. As a result of persistent, profitable growth within this division, AmTrust is looking to add an Assistant Vice President, Underwriting Specialty Programs to their team.
Underwrite an assigned book of Program business across multiple insurance lines in accordance with corporate guidelines
Assist in the production of new Program opportunities with a focus on business development.
Demonstrate strong relationship management with Program Managers to ensure lasting, profitable books of business.
Coordinate the product development for assigned programs
Assist in the preparation of specific program filings, as needed.
Provide coverage analysis of both competitor and AmTrust products, as needed.
Perform audits to ensure compliance with underwriting guidelines
Responsibilities
Day-to-day underwriting of program business, to include new program opportunities, existing and renewal programs, as assigned.
Demonstrate leadership by coordinating internal disciplines/resources to bind and manage the program.
Handling of special acceptances, referrals, communication between AmTrust and Program Managers
Monthly monitoring of Program performance
Travel, as necessary to perform due diligence, underwriting audits, or other such travel as is necessary to properly service the Programs assigned.
Attend industry conferences, as assigned.
Qualifications
A college degree required, in addition to property/casualty insurance experience, preferably 10+ years in an underwriting or product development role across various insurance lines at an insurance company.
Ability to work independently and within a team. Self motivated with a high degree of initiative. Strong interpersonal skills, time management and organizational skills.
Excellent written communication skills, including correct use of grammar, spelling and punctuation.
The position requires strong PC skills, Microsoft Word and Microsoft Excel.
The expected salary range for this role is $137K-$200K/year.
Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations.
#LI-BL1
#AmTrust
What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
Connect With Us!
Not ready to apply? Connect with us for general consideration.
$137k-200k yearly 3d ago
RN Clinical Coordinator - Field Based in Passaic and Surrounding Counties - NJ
Unitedhealth Group 4.6
Paterson, NJ job
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.
The RN Clinical Care Coordinator will be the primary care manager for a panel of members with complex medical/behavioral needs. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.
Expect to spend about 80% of your time in the field visiting our members in their homes or in long-term care facilities. You'll need to be flexible, adaptable and, above all, patient in all types of situations. Do you live or are you willing to travel to any of the following counties? Passaic County NJ
Primary Responsibilities:
Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
Develop and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team
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:
Current, unrestricted independent licensure as a Registered Nurse
2+ years of Clinical experience
1+ years of experience with MS Office, including Word, Excel, and Outlook
Driver's license and access to reliable transportation and the ability to travel within assigned territory to meet with members and providers
Preferred Qualifications:
BSN, Master's Degree or Higher in Clinical Field
CCM certification
1+ years of community case management experience coordinating care for individuals with complex needs
Experience working in team-based care
Background in Managed Care
Physical Requirements:
Ability to transition from office to field locations multiple times per day
Ability to navigate multiple locations/terrains to visit employees, members and/or providers
Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)
Ability to remain stationary for long periods of time to complete computer or tablet work duties
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 $40.00 to $54.00 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.
$40-54 hourly 2d ago
Senior Analyst, Portfolio Strategy & Management - Liberty Mutual Investments
Liberty Mutual 4.5
New York, NY job
The Company
Come build on our integrated platform with industry-leading talent, world-class partners, and freedom to innovate.
Liberty Mutual Investments (LMI) is the investment firm for Liberty Mutual Group (Liberty). With deep expertise in fixed income, equity, and alternative strategies, LMI invests more than $100B of long-term capital globally, and has a team of nearly 300 investment, finance, and operations professionals located in Boston, MA, and New York, NY. LMI has a clear purpose: drive economic growth, build enduring businesses side-by-side with our partners, and generate superior risk-adjusted returns that secure Liberty's promises.
LMI offers the best of both worlds - the look and feel of a boutique investment firm with the reputation and financial strength of a global leader. As the investment firm of a mutual with long-term capital, LMI has a single client mandate. This gives us the freedom to focus on what we do best.
Our portfolio spans a broad spectrum of public and private investments, and we are committed to expanding our capabilities and our toolkit in support of our mission. We invest across diverse asset classes, financial structures, and industries, including real estate, digital infrastructure, healthcare, renewable energy, and technology-with the aim of creating value and powering innovation. We pride ourselves on our extensive network of mutually beneficial partnerships, and we use our substantial influence, capital, and energy to drive towards a better future #LMI
The Position
We are currently seeking a candidate for a senior analyst position on the Portfolio Strategy and Management (“PS&M”) team within Global Alternative & Credit Markets Investments division. This individual will be exposed to the full private investment platform, including each of our asset class sleeves (currently inclusive of private equity, real estate, private credit and energy and infrastructure). The PS&M team partners across asset class sleeves to add value by leading overall portfolio strategy, portfolio construction and analysis as well as analytics-driven decision-making focused on capital creation for private investments. This role has been created to both develop and enhance actionable insights leveraging data, technological capabilities, and quantitative techniques to drive value throughout the private investment process.
Responsibilities:
Play an active and continuous role in the development of a best-in-class private markets portfolio management platform, fully integrating key systems and empowering the development of insights that drive alpha.
Deliver real-time analysis and actionable insights to guide portfolio and investment decisions by synthesizing private market datasets and tools with academic research and external market perspectives.
Partner with Product, Data and Technology teams to develop solutions and ensure practices and techniques are fully documented and institutionalized where applicable.
Leverage latest technology, programming, and data visualization tools to improve analytical processes, optimize workflows, and enhance decision-making capabilities, often developing prototypes and MVP tools.
Manage multiple projects simultaneously, ensuring timely completion and high-quality deliverables while maintaining attention to detail and accuracy.
Drive continuous improvement by proactively challenging existing processes, identifying inefficiencies, and implementing automation solutions.
Foster effective and consistent communication across the organization to promote innovation, encourage critical thinking, and support the execution of the private investment's mandate.
Qualifications
Strong proficiency in Python and SQL, with hands-on experience using core scientific computing libraries (pandas, NumPy, SciPy) for data transformation, analysis, and modeling.
Experience working with financial and time-series data, including building, maintaining, and optimizing analytic workflows and data pipelines.
In-depth experience in private market systems / data / tools / visualization / platforms (WSO, eFront, Aladdin a plus).
Ability to work across teams to innovate collaboratively and to achieve desired results
Excellent communication skills (written / verbal / presentation).
Ability to manage multiple responsibilities and time-sensitive deliverables with a high degree of quality and accuracy.
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
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$99k-124k yearly est. Auto-Apply 8d ago
Senior LTSS Assessor (RN)
Centene Corporation 4.5
Centene Corporation job in New York, NY
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 is field based conducting UAS Assessments. Applicants
need to reside in Steuben county to cover Steuben and surrounding counties Chemung, Schuyler and Yates counties.
**Position Purpose:**
Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.
+ Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome
+ Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs
+ Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
+ Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs
+ Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable
+ Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations
+ Reviews referrals information and intake assessments to develop appropriate care plans / service plans
+ Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed
+ Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines
+ Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
+ Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
+ Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
+ May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required
+ Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
+ May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness
+ May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice
+ May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success
+ Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience
Bachelor's degree in Nursing preferred
**License/Certification:**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
+ NP - Nurse Practitioner - Current State's Nurse Licensure required
Pay Range: $36.21 - $65.09 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