Centene jobs in Newark, NJ

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Member Services Trainer will partner with internal clients and technical subject matter experts to develop and deliver training programs to our new and seasoned staff. In addition, they will provide technical consulting and support to effectively maintain and deliver training. Further, the incumbent will identify learning objectives and design learning solutions. *** The Member Services Trainer is primarily remote. Candidates will be considered for the position nationally but they must be flexible to accommodate different time zones. *** **Responsibilities:** + Partner with internal clients and technical SME's to develop and deliver training programs. + Provide technical consulting and support to effectively maintain and deliver training; fulfills incidental or related duties as assigned. + Identify learning objectives and design learning solutions. + Design delivery modes and effectiveness measures that ensure knowledge and skill transfer. + Deliver or facilitate training; create a positive learning environment. + Assess trainee performance, evaluate training and development effectiveness. + Partner with technical SME's to conduct business and performance needs assessments. + Attend workshops, review professional publications, work to maintain an up-to-date knowledge of instructional technologies. + Perform 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:** BA/BS- Bachelors Degree or equivalent experience. Health Care/Training experience required. Supervisory and leadership skills. Will be expected to serve as coach and mentor to new employees within the organization. Strong ability to work independently as well as in a group. Strong writing skills, including policy and procedure develop. Ability to provide a progressive experience in training individuals and groups. Facilitate complex discussions. Ability to develop technical training materials for instructor-led, self-paced, and computer-based training, using sound instructional design methodology. Ability to effectively design and facilitate training across the organization using sound instructional design methodology. Ability to manage a classroom and create a dynamic and positive learning environment. Working knowledge of training practices and techniques. Implement principles of adult learning. Systems implementation experience, design and development processes. Ability to identify gaps in performance and make potential suggestions to leadership team on how to improve upon those gaps. Experience in HealthCare or managed Care organization. Instructional Design Experience. Applied knowledge of training practices, techniques and the principles of adult learning, preferred. Experience in multi-media training: classroom, Web-based, blended, and video learning environments, preferred. Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Candidates who live within 50 miles of Boston, MA; Portsmouth, NH; Seattle, WA; Indianapolis, IN; Columbus, OH; or Plano, TX will follow a hybrid schedule, coming into the office two days per week. Boston/New York preferred Join Enterprise Transformation & Solutions (ET&S) as a Sr. Data Management Analyst - an opportunity to be the data advocate for Corporate Procurement, Real Estate, Enterprise Security, and Business Process Solutions. You'll champion data governance and stewardship, build trusted data products, and partner with business and technical teams to improve data quality, accessibility, and analytics readiness across the enterprise. This role matters because your work will directly influence Liberty Mutual's ability to manage enterprise spend, achieve supplier savings targets, and optimize our real estate portfolio. You'll act as a domain expert, accountable for creating and operationalizing data products, operating with significant autonomy and high visibility to senior leadership. If you want to turn messy data into trusted inputs that drive major financial and operational decisions, this role is built for you. Responsibilities (Data Governance & Stewardship focus) Data governance & stewardship Establish, document, and enforce enterprise data governance policies, standards, roles (stewards/owners), and stewardship processes for Corporate Procurement, Real Estate, Enterprise Security, and related functions. Maintain business glossaries, metadata, and lineage documentation to ensure a single source of truth and common business definitions. Data quality, lineage & auditing Build and operate automated data quality frameworks (profiling, validation, reconciliation) and lineage tracking to detect, escalate, and remediate data issues. Design audit processes and controls to ensure data integrity and regulatory/compliance readiness. Data access, security & controls Implement and manage data access strategies and controls (RBAC, IAM, role-based access, masking, encryption) in collaboration with IT and security teams. Support data classification, privacy requirements, and best practices for handling sensitive data. Data products & architecture support Help design, build, and maintain sustainable data products, pipelines, and architectures (warehouse, lake, Snowflake/Redshift or equivalent) that meet business and analytical needs. Collaborate with engineers to ensure solutions are maintainable, testable, and production-ready. Analytics enablement & tools Provide hands-on support and best-practice guidance for analytical toolchains (Power BI, Databricks, Excel, Python) and ensure data is consumable for reporting and advanced analytics. Leverage data cataloging and lineage tools to increase data discoverability and trust. Operational automation & continuous improvement Automate recurring data management controls and monitoring to reduce manual effort and improve reliability. Identify process gaps and inefficiencies; propose and lead improvements aligned to business priorities. Stakeholder engagement & influence Act as the primary liaison between business leaders (Procurement, Real Estate, Finance, Security) and technical SMEs to translate business needs into governed data solutions. Present findings and recommendations to senior leadership; influence decision-making through data-driven insights and trusted relationships. Leadership & mentoring Provide technical guidance and mentorship to junior data stewards and analysts. Drive cross-team collaboration to deliver measurable outcomes and adoption of governance practices. Qualifications Required Education: Bachelor's degree in Business (Finance, Accounting), Computer Science, Information Systems, Data Science, or equivalent experience. Experience: 5+ years' experience in data management, data engineering, data governance, finance or analytics in an enterprise environment. Core technical skills: Strong SQL and relational database experience. Hands-on experience with ETL/ELT tools and modern data platforms (data warehouse and data lake architectures; Snowflake, Redshift, or equivalent). Proficient in Python for data analysis/automation. Practical experience with data catalog / metadata tools and data lineage solutions. Familiarity with Informatica (Informatica Data Cloud Management/IDMC preferred). Proficiency with analytical and reporting tools: Power BI and Excel required; Databricks experience preferred. Data governance & security: Demonstrated experience implementing data governance, stewardship, metadata management, and data quality processes. Knowledge of data security and access controls (RBAC, IAM) and best practices for handling sensitive data. Communication & influence: Excellent written and verbal communication and presentation skills; ability to interface with senior leadership and technical SMEs. Mindset: Comfortable working in ambiguous environments; able to find and create value through pragmatic solutions and relationship-building. Preferred Experience in the insurance industry or working directly with Procurement or Real Estate (lease administration and financials). Experience with cloud data platforms (AWS, Azure, GCP) and related managed services. Experience with data quality tools (Great Expectations, Informatica Data Quality) and automated testing/CI pipelines for data. Certifications such as CDMP, CBIP, or cloud/data platform certifications (AWS/GCP/Azure). 2+ years mentoring or leading small technical teams. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. Description Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. This is a one-year, structured post-graduate education and training program in our Commercial and Medicare Line of Business. The goal of the position is to provide advanced knowledge and skills regarding drug therapy and pharmaceutical services in a managed care environment.Responsibilities: Clinical program incorporation into an on-line claims processor. Pharmacy case management. Development of therapeutic class reviews and drug monographs. Formulary development. Disease state management. Development of clinical policies. Prior authorization process. Drug utilization review. Outcomes research. Unique focus on government programs. Professional skills development and business administration. Research project. Attendance to at least one national conference. Assist with Pharm.D. student oversight. Education/Experience: Requires a bachelor's of science degree in pharmacy from an accredited college or university. Requires a Pharm D from an accredited college or university. Letter of Intent Curriculum Vitae Three Letters of Recommendation Additional licensing, certifications, registrations: Active Unrestricted Pharmacist License Required Only If Making UM Decisions; NJ License Preferred. Knowledge: Requires knowledge of a spreadsheet software package. Requires knowledge of a database software package. Requires project management knowledge. Requires knowledge of internet clinical information databases. Skills and Abilities: Requires the ability to utilize a personal computer and applicable software. Requires the ability to think analytically. Requires excellent verbal and written communication skills. Requires strong organizational skills. Requires the ability to analyze medical literature, i.e. clinical trials This is a pipeline requisition for the 2026 Pharmacy Residency Program, not currently an open position. Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Salary Range: $43,900 - $58,800 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous PTO Incentive Plans Wellness Programs Paid Volunteer Time Off Tuition Reimbursement Disclaimer: This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

As a member of the NAS E&S Casualty leadership team, you will contribute to the growth and profitability of the casualty business through expert advisory and underwriting support. In addition to being responsible for product and forms adherence to North American best practices, this role will facilitate innovative product solutions and modification to policy language to meet the needs of unique risks present in the E&S market. You will manage highly complex underwriting accounts and assist the staff in triaging opportunities, comprehensively and creatively structuring deals, and enabling staff development in underwriting best practices and product expertise. Requires an extensive level of knowledge in assigned product lines, and technical knowledge of underwriting concepts, practices, procedures and techniques. Responsibilities: Assists Underwriters and Regional Managers in underwriting of new and renewal business accounts by reviewing and analyzing insured's (or prospective insured's) loss history, financials, and other pertinent information. Holds authority and assists in managing complex accounts and handling referrals from underwriting teams as needed. Serves as a liaison between Underwriting and support functions such as Claims, Legal, Product/Underwriting Strategy, and the Office of Underwriting. Assists in the creation, review, evaluation, cascade and recommended modifications to underwriting guidelines. Leads monthly renewal huddles and new business roundtables to facilitate topline growth while fostering staff development in areas of critical thinking, technical acumen and solution orientation. Provides significant input to the development of product capabilities, services, and geographic focus. Communicates with other product line leaders to provide high level customer service. Reviews and helps to negotiate policy terms and conditions. Assists other members of the business including Underwriters, Account Analysts and Regional Managers in product line and/or technical knowledge and development. Performs related duties as requested to include market/broker/insured engagement, report preparation, presentations, and special projects to assist in ensuring the success of the various product lines. Shares all aspects related to the bottom-line performance of the various product lines. Qualifications Qualifications: Degree in Business or equivalent typically required A minimum of 10 years progressive underwriting experience expected, including a minimum of 2 years of proven underwriting management experience, preferred CPCU or professional insurance designation preferred Proven analytical ability to evaluate high impact underwriting risks within scope of responsibility Demonstrated ability to communicate complex analyses and information Demonstrated effective communication and interpersonal skills in dealing with internal and external partners required Must possess the following skills, abilities and attributes: strong leadership skills, development of people, strategic thinking, sustained effective portfolio management and profitable growth, communications skills, decision-making skills, results-oriented, industrious, innovative, problem-solving skills, coaching and mentoring skills, and negotiating skills About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

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

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

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 Brooklyn and Staten Island, NY. Fluency in Mandarin required.** + 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 may be required by some plans. Specific language skills may be required by some plans. Fluency in Mandarin required. Pay Range: $22.79 - $38.84 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

Property Adjusters investigate commercial property claims, evaluate damages, determine coverage, set accurate loss cost estimates, control the insured's exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements. Negotiate settlement of claims with varying complexity and perils. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. This role is open to both Grades 12 to 13. Responsibilities: * Conducts a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin, and extent of loss. Reviews and utilizes financial statements to adjust moderately sized business interruption losses. * Conduct on-site appraisal or direct independent adjuster to determine facts relevant causation, damages and exposure. * Engages and manages consultants and independent adjusters as required. Monitors the costs to ensure they are reasonable and necessary. * Establishes and maintains accurate loss cost estimates and reserves for each claim for reporting, financial records, and other purposes. * Keeps the Insured and others informed about the claim's status with clear, timely and accurate written/oral communications. Effectively communicates in writing on moderately complex coverage issues with minimal review and coaching. Determines depreciation of claim. * Affirms or denies coverage of the claim based on the facts and the policy terms and conditions. Develops information necessary to make advance, partial and final payments when appropriate. * Meet time requirements of the policy and fair claims handling practices. * Effectively negotiate settlement of claims of varying complexity and perils. Achieves a prompt, fair and equitable settlement of a claim, where there is policy liability. * Keeps the electronic claim file properly documented with accurate, clear and timely information and reports that reflect the adjustment activities and substantiate any payments made. * May participate in quality assurance file review sessions and serve as a technical resource for less experienced claims personnel. * Will be called upon for catastrophe duty. Qualifications * Knowledge of property insurance; commercial property claims; coverage evaluation; claims investigation, loss assessment, evaluation and reserves; financial analyses; insurance regulations. * Negotiation and settlement of moderate to high complexity claims. * Other skills required include a focus on customers; decision making; results oriented; spoken communication; and adaptability. * An ability to build relationships, listen (i.e., comprehend nuances and acknowledge others' viewpoints), mentoring and training less experienced team members, write business correspondence, produce accurate work, manage projects and vendors. * Use core applications/spreadsheets. * As normally acquired through a bachelor's degree or equivalent; successful completion of required internal training programs and AIC (Associate in Claims) modules 33 and 35. * Prefer designations such as AIC, SCLA, CPCU, etc, and at least 2-3 year of progressively responsible experience. * Ability and willingness to travel to the site of catastrophe for assignments that may last several weeks. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

We are seeking an underwriting manager to lead a large accounts Risk Management operation in partnership with the Mid Atlantic primary casualty underwriting leader. This underwriting manager will leverage their knowledge and expertise to drive our Risk Management strategy while attaining profit, growth and multi-line diversification objectives. They will manage a team of underwriters to drive the Liberty Mutual value proposition with brokers and clients. They will drive underwriting excellence and collaborate with internal partners to bring the full value of the firm to bear while also having the ability to cultivate and drive external relationships. Key responsibilities * Lead, coach and develop a team of Underwriters responsible for large, loss‑sensitive Risk Management accounts. In partnership with the Mid Atlantic region leader, you will monitor execution against the appetite and correct situations where objectives are not being met. * Motivate and inspire employees to do their best work by creating an inclusive and innovative culture where each individual feels valued and thrives. * Monitor and measure region results and implement relevant action plans to address gaps and reinforce success. * Develop processes and procedures to support critical business imperatives, including underwriting quality and excellence, and ensure they align with broader Risk Management strategic objectives. * Develop and maintain effective relationships with brokers and clients focused on understanding their needs and priorities while fully promoting and representing the Liberty Mutual brand. * Collaborate with other functions and support initiatives in the areas of product development, operations, process, technology, distribution and claims management. * Manage relationships with key internal stakeholders in order to identify opportunities for improvement to drive customer value. Qualifications * Degree in Business or equivalent typically required * A minimum of 10 years progressive underwriting experience expected, including a minimum of 2 years of proven underwriting management experience, preferred * CPCU or professional insurance designation preferred * Proven analytical ability to evaluate high impact underwriting risks within scope of responsibility * Demonstrated ability to communicate complex analyses and information * Demonstrated effective communication and interpersonal skills in dealing with internal and external partners required * Must possess the following skills, abilities and attributes: strong leadership skills, development of people, strategic thinking, sustained effective portfolio management and profitable growth, communications skills, decision-making skills, results-oriented, industrious, innovative, problem-solving skills, coaching and mentoring skills, and negotiating skills About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Cultivate client relations and collaborate with providers to ensure delivery of the highest level of care to our members. Participate in the development of network management strategies. Creates strategic initiatives for performance improvement. + Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices + Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care + Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets + Builds strong interpersonal relationships with cross functional teams both externally (provider) and internally (health plan)-C-suite Level + Expert proficiency in tools and value-based performance (VBP) in order to educate providers resulting in improved provider performance + Resolves provider issues as needed for resolution to internal partners and creating efficiencies to prevent continued concerns + Receive and effectively respond to external provider related issues + Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Evaluates provider performance and develops strategic plan to improve performance + Present detailed HBR analysis and create reports for Joint Operating Committee meetings (JOC) + Acts as a lead for the external representatives + Coaches and trains external representatives + Ability to travel locally 4 days a week + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Bachelor's degree in related field or equivalent experience. **Master's Degree preferred in Public Health (MOH), Health Administration (MHA) or Business Administration (MBA).:** Five or more years of managed care or medical group experience, provider relations, quality improvement, utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Executive level exposure and ability to influence desired outcomes, innovation, performance, member improvements, growth and Provider retention Ability to synthesize complex issues at multiple organizational levels, externally and internally across multi-disciplinary teams. Highly proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $86,000.00 - $154,700.00 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

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. **Clinical Pharmacist (Clinical Programs) - Remote EST** **Position Purpose:** Support Pharmacy Quality & Population Health Clinical programs with a focus on improving Medicaid QARR scores and collaborative Case Management programs to improve member outcomes. + Conduct Quality Measure outreach campaigns for HEDIS measures such as ADD, adherence outreaches for MAT medications, Antidepressant, Antipsychotic medications, or confirmation of lab work. + Perform comprehensive Medication Reconciliation reviews to identify and recommend targeted clinical interventions in collaboration with various Case Management team for Populations Health Measures such as High-Risk Diabetes, Hypertension or cardiovascular disease states. + Collaborate with case managers during clinical integrated rounds workups to identify and communicate clinical recommendations to providers for members within various lines of business including Children's, Foster Care, and High-Risk members to assist with management and improve quality of life. **Desired Skills (Combination of and/or):** + Managed Care - Medicaid + Case Management + Quality medicine reconciliation + Specialty Pharmacy + Excel - Data Analysis + Experience communicating clinical recommendations with health care providers, including specialists. **Working shift:** Starting would be Monday-Friday 9am -5:30pm (EST) with possibility to shift into a 4-day work week. **Education/Experience:** Bachelor's degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience. **Licenses/Certifications:** Current state's Pharmacist license with no restrictions. *** Please attach an up-to-date resume that meets Education / Experience requirements above to your application. *** Pay Range: $105,600.00 - $195,400.00 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

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

Our Environmental Casualty Underwriters are responsible for developing and growing our General Liability/Pollution, XS and Auto lines of coverage. They are expected to maintain a profitable, diversified book of business through effective underwriting decision making, mutually beneficial agent/brokers relationships, and application of underwriting tools, systems, and expert resources under some guidance and supervision. We are open to other levels of underwriter dependent on candidate experience. Responsibilities: Underwrites Liberty Mutual's Environmental Casualty products including risk evaluation, structuring of policy terms and conditions, and pricing of insurance programs in accordance with company guidelines. Develops and maintains professional relationships with target retail brokers to generate a strong flow of business opportunities and renewal retentions. Provides a high level of customer service through timely response to broker requests and deadlines and meets service standards regarding policy and endorsement issuance. Develops internal relationships with other company divisions to drive cross marketing efforts. Maintains well documented files. Qualifications Degree in Business or equivalent typically required A minimum of 2.5 years, typically 3 or more years, of progressive underwriting experience and/or other related experience CPCU or professional insurance designation preferred Proven analytical ability to evaluate and judge underwriting risks within scope of responsibility that includes competence with all phases and aspects of the underwriting process, and proficiency in the use of qualitative and quantitative tools and techniques Must demonstrate comprehension of complex technical underwriting issues and be capable of defining and implementing necessary underwriting and administrative processes/workflows to properly manage or administer those issues Proven track record of developing and underwriting profitable business About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Director of Digital and Database Marketing Strategy is an innovative and customer-centric leader who is responsible for developing and overseeing multichannel initiatives that help our brand connect with key stakeholders across different journeys and touchpoints. This leader has a player-coach mindset and can inspire, manage, and mentor a high-performing team in a dynamic and cross-functional environment. + Lead the creation of new initiatives to support the success of long-term digital strategies (including social media, web, video) and database marketing (text, email) + Oversee a team of five digital, social, and database marketing professionals + Lead digital communications and social media strategy, including audience development, content creation, and distribution across multiple platforms + Oversee the management and optimization of digital and social platforms, ensuring alignment with brand guidelines + Develop and manage a robust strategy for paid and organic content that is audience-centric, compelling, and aligns with business goals + Oversee creation and maintenance of web sites, including content, accessibility, design and performance + Collaborate with IT to improve the site's UX/UI, ensuring alignment with the company's branding and goals + Conduct regular audits to identify opportunities for optimization in content, navigation, SEO, and user flow + Develop and oversee enterprise video strategy + Develop and oversee the strategy, content, and implementation of email and text campaigns + Manage and optimize databases for personalized communication, ensuring segmentation, targeting, and automation are leveraged effectively to increase engagement and drive conversions + Identify, cultivate, and manage high-level relationships with experts in the digital space, platform representatives, and/or influencers + Evaluate and oversee preparation of competitive intelligence reports, analysis reports, and reputation dashboards + Maintain cutting-edge knowledge of trends, social platforms, and key developments in the industry + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** 10+ years of experience in Communications, Marketing, or related fields and 5+ years of leadership experience/managing teams. Digital/social media, analytics, and digital marketing expertise. **Experience with HTML/CSS/JavaScript, Technical SEO, UI/UX Design, SEM/GA360, Adobe Analytics, Salesforce CRM/Marketing Cloud.** **Travel Expectations -** Must be willing to travel in to the Long Island City office on a regular basis. Pay Range: $116,100.00 - $214,700.00 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

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines. + Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service + Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service + May apply working knowledge of assigned health plan(s) activities and resources + Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols + Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship + Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed + Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Requires a High School diploma or GED Requires 1 - 2 years of related experience Pay Range: $17.50 - $27.50 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

* Under general direction, act as a technical expert who consults on highly complex projects. * Devise or modify procedures to solve technical problems. * Responsible for system analysis, design, coding, testing, debugging, and documentation. * Lead and direct the work of team members. * Mentor junior team members * Develop component design. * Develop system/application architecture. * Develop maintainable/scalable, effective, defect free source code that meets business requirements and team standards. * Conduct unit test case development. * Develop highly complex test scripts. * Identify and implements appropriate continuous improvement opportunities. * Contribute technical alternatives. * Domestic travel required up to 10%. * Telecommuting permitted up to 100%. Qualifications Employer will accept a Bachelor's degree (or foreign equivalent) in Computer Science, Engineering Management or related field and eight (8) years of experience in the job offered or in a Principal Software Engineer-related occupation. Position requires demonstrable experience in the following: * Demonstrated in-depth knowledge of IT concepts, strategies and methodologies. * Demonstrated in-depth knowledge of diverse and emerging technologies and new architectural concepts and principles. * Knowledgeable in software engineering languages and tools and demonstrated proficiency in new and emerging technologies. * Demonstrated in-depth understanding of layered solutions and designs. * Demonstrated in-depth understanding of shared software concepts and product features, as well as security minded. * Demonstrated in-depth knowledge of business operations, objectives and strategies. * Demonstrated in-depth understanding of global business and technology trends and the financial services industry. * Negotiation, consensus building and influencing skills. Demonstrated facilitation and adaptability to respond to change quickly. * Effectively collaborate with all levels of the organization. * Domestic travel required up to 10%. * Telecommuting permitted up to 100% REFER TO: To apply, please visit ************************************* select "Search Jobs," enter job requisition #2025-73553 in the "Job ID or Keywords" field, and submit resume. Alternatively, you may apply by submitting a resume via e-mail to ***************************. Reference requisition number in subject of e-mail. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

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 have an active New York State clinical license; and a NYS Driver's License or Identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization. Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care services. Answers Utilization Management directed telephone calls; managing them in a professional and competent manner. Processes all prior authorizations to completion utilizing appropriate review criteria. Identifies and refers all potential quality issues to the Clinical Quality Management Department, and suspected fraud and abuse cases to Program Integrity. Acts as liaison between the TRICARE beneficiary and the Network Provider. + Provides first level RN review for all outpatient and ancillary prior authorization requests for medical appropriateness and medical necessity using appropriate criteria, referring those requests that fail review to the medical director for second level review and determination. + Completes data entry and correspondence as necessary for each review. + Conducts rate negotiation with non-network providers, utilizing appropriate CMAC, DRG, HCPC reimbursement methodologies. + Documents rate negotiation accurately for proper claims adjudication. + Acts as liaison between the TRICARE beneficiary and the provider, facility and the MTF to utilize appropriate and cost effective medical resources within the direct care and purchased care system. + Identifies and refers potential cases to Disease Management, Case Management, Demand Management and Transitional Care. + Refers all potential quality issues and grievances to Clinical Quality Management and suspected fraud and abuse to Program Integrity. + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Graduate of Nursing program; BSN desired or Graduate in Clinical Psychology or Clinical Social Work. Three years clinical experience in a health care environment; managed care experience desired. **For Fidelis Care only:** NYS RN, OT or PT license required Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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. *****Part Time*** Field position in the Bronx with Fidelis Care conducting UAS Assessments with members in their home setting. Applicants must reside in or near the Bronx.** **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 UAS experience preferred **Part-time position** **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $35.49 - $63.79 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

Liberty Mutual Investments manages Liberty Mutual Insurance Group's global financial assets across public and private domains, to create capital and generate income. With over $100 billion in AUM and staffed with 300+ investment, finance and operations professionals located in Boston, MA., Liberty Mutual Investments offers the best of both worlds; the look and feel of a boutique investment firm, and the reputation and financial strength of a Fortune 100 company. Liberty Mutual Investments Technology (LMI Tech) is actively searching for a Solutions Architect to work across our organization to design and shape our overall Generative AI strategy. Join a green-field initiative to embed Generative AI across our Investments organization. You'll be the technical quarterback tracking the fast-moving Gen AI ecosystem, translating capabilities into high-value investment use cases, and leading an engineering pod from whiteboard to production. Note: This role has a required hybrid work arrangement (2x per week in Boston or NYC). About the role: Key responsibilities * 40% Solution & architecture design: Map LLM/Gen AI capabilities to business needs; craft secure, scalable solution designs and guide the team through reviews and delivery * 40% Hands-on engineering: Rapidly prototype and code Gen AI proofs-of-concept; contribute production-quality Python (and occasional React) services running on AWS * 20% Stakeholder & product collaboration: Partner with the Product Owner and Investments stakeholders to refine requirements, set technical direction, and evangelize Gen AI opportunities. Liaise with Compliance, Privacy, and central GenAI teams. Additional duties * Continuously scan the Gen AI landscape: model releases, orchestration frameworks, prompt-engineering trends?and assess fit for our roadmap * Establish engineering standards for code quality, observability, cost-efficient LLM usage, and secure development * Mentor MLOps engineers and full-stack developers; foster a dynamic, collaborative culture that earns trust across technical and business teams Highly qualified applicants will have: * Design of end-to-end solutions as an architect or senior engineer; proven Tech Lead for small, agile teams and the ability to work through others * Advanced Python skills; experience building services that integrate with LLM APIs (OpenAI preferred). * Solid understanding of AWS primitives (Lambda/ECS/Fargate, S3, IAM, networking) and secure-by-design principles. * Comfort with MLOps concepts (model lifecycle, evaluation, monitoring) and CI/CD automation. * Ability to communicate complex AI concepts to non-technical stakeholders and influence decision-makers with a calm, measured style. * Nice-to-haves: knowledge of MCP server patterns, React, LangChain or similar orchestration tools, Investments domain exposure Why join us * Mission impact: Shape the Gen AI strategy for a highly regulated, high-stakes Investments environment where innovation drives real portfolio value. * Green-field canvas: Build new capabilities from scratch with executive sponsorship and strong R&D investment. * Growth & visibility: Own both the architecture vision and the code, interfacing with senior leadership while mentoring a hand-picked team. * People-centric culture: Collaborative, inclusive, and outcome-focused backed by competitive benefits and work-life balance If you're passionate about turning cutting-edge Gen AI into tangible investment insights, and enjoy both coding and architectural leadership, let's talk. Submit your resume that highlights your experience with Gen AI solutions you've designed or built. Qualifications * Advanced knowledge of agile development methodologies as typically acquired through a Bachelor`s or Master`s degree in technical or business discipline or equivalent experience * At least 10 years of related experience * Design of end-to-end solutions as an architect or senior engineer; proven Tech Lead for small, agile teams and the ability to work through others * Advanced Python skills; experience building services that integrate with LLM APIs (OpenAI preferred). * Solid understanding of AWS primitives (Lambda/ECS/Fargate, S3, IAM, networking) and secure-by-design principles. * Comfort with MLOps concepts (model lifecycle, evaluation, monitoring) and CI/CD automation. * Ability to communicate complex AI concepts to non-technical stakeholders and influence decision-makers with a calm, measured style. * Nice-to-haves: knowledge of MCP server patterns, React, LangChain or similar orchestration tools, Investments domain exposure; prompt engineering About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco