Central Health Plan of California Part Time jobs - 414 jobs

This is a temporary position and the length of assignment is estimated to go through December 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Risk Adjustment Director, this position: Acts as the clinical coding subject matter expert and lead coding resource across the organization Acts as a resource and provides education to providers on clinical coding standards Coordinates and leads the Alliance Coding Workgroup ABOUT THE TEAM Risk Adjustment is a growing, specialized team that plays a critical role in ensuring accurate coding, appropriate reimbursement and data-driven insights that support the broader organizational goals of our health plan. Our team collaborates closely with internal and external partners to optimize risk adjustment performance across our future Medicare and current Medi-Cal programs. We are passionate about using data to improve our members' health outcomes, support the success of our provider partners, and ensure regulatory alignment. THE IDEAL CANDIDATE Strong background in clinical coding and documentation education with current certification as a Registered Health Information Administrator (RHIA) and Certified Coding Specialist (CCS) Demonstrated experience in supporting the development and implementation of clinical documentation improvement (CDI) programs Excellent communication skills with the ability to clearly explain complex regulatory or clinical coding concepts to diverse audiences Meticulous attention to detail with a strong foundation in auditing practices Experience leading cross functional workgroups WHAT YOU'LL NEED TO BE SUCCESSFUL Knowledge of: Medical coding languages, concepts, guidelines, methodologies, and regulations related to all sites of service, including knowledge of ICD-10, CPT, and HCPCS coding systems Principles and practices of training, including training content development for providers and staff The relationship between diagnosis documentation and risk adjustment payment models CMS Hierarchical Condition Categories (HCC) Risk Adjustment program, methodology, and impact to value-based contracts Principles and practices of internal data auditing Electronic Medical Record (EMR) coding standards Medicare and Medi-Cal coding policies The principles and practices of conducting and responding to audits The principles and practices of project management Ability to: Act as a subject matter expert and technical resource and explain policies, regulations, terms, and procedures related to area of responsibility Accurately assign clinical codes and act as the final decision maker regarding clinical code assignments Conduct research, gather and interpret information and data, identify issues of concern, make logical recommendations for action, and present findings in a clear and organized manner Organize work, manage multiple tasks, establish priorities, adjust to changing priorities, and meet deadlines Interpret and apply policies, standards, and guidelines Make presentations and facilitate and lead meetings and workgroups Develop training materials and conduct internal and external training Foster effective working relationships and communicate clearly and effectively with external and internal stakeholders and individuals at all levels of the organization Education and Experience: Current certification as a Certified Coding Specialist (CCS) issued by the American Health Information Management Association and as a Certified Risk Adjustment Coder (CRC) issued by the American Academy of Professional Coders Bachelor's degree in Health Care, Business, Nursing, or a related field A minimum of eight years of experience including a minimum of three years of clinical experience and a minimum of eight years of risk adjustment coding experience which included provider education responsibilities (an Associate's degree and an additional two years of experience may substitute for the Bachelor's degree); or an equivalent combination of education and experience may be qualifying OTHER INFORMATION We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options. The full compensation range for this position is listed by location below. The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Zone 1 (Monterey, San Benito and Santa Cruz) $67 - $72 USD Zone 2 (Mariposa and Merced) $62 - $67 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet. The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Job Description Are you a top performer but know you're not being paid like one? Maybe you're paid like one, but you're sacrificing precious time with your loved ones? Start part-time, learn the system, and transition into full-time (30-40 hours/week) when you start making more money here in your part-time than in your current full-time position. I have numerous examples of agents doing exactly that across the country, regardless of background. For 30 years we have coached hundreds of agents to multiple six figure incomes, and are looking for the next handful of new agents to mentor to do the same. As a financial services agency, Taubman Financial Management offers mortgage protection, final expense, retirement solutions, college savings strategies, term and whole life insurance options, and debt elimination programs to American families. We provide training, support, and 1-on-1 mentorship to our agents in this 100% remote role. Warm leads are available - there is NO COLD CALLING. We provide all the back office support, processes, and technology. You bring the integrity, work ethic, and coachability. This is a 1099 independent contractor position. Compensation is 100% commission-based. Responsibilities Potential clients are requesting information by either filling out a form via direct mail, calling a 1-800 number, or completing an online ad on one of many social media platforms. Agents text and/or call to set up appointments to meet with prospective clients via Zoom or phone to help them apply for the coverage. Many applications for clients are taking 10 minutes or less, with instant decision results. Match clients with appropriate insurance solutions (mortgage protection, life, final expense, retirement, etc.) Full time agents put in 5-10 hours on the phone, 10-20 hours running appointments, and 5-10 hours on administrative tasks & training calls. The Compensation The average sale on a beginning contract pays between $600 - $800. Full-time agents write an average of 3-7 sales per week* Agents can earn a 5% raise every 2-3 months. There are no quotas. Compensation is 100% commission-based and varies by performance. These ranges reflect averages for active agents Company Description Taubman Financial Management is a remote financial services agency. Founded by Scott Taubman, the agency is built on mentorship, integrity, and a proven system that helps everyday people succeed in life insurance sales - no matter their background. We specialize in mortgage protection, final expense, retirement solutions, and debt elimination strategies. Our agents receive hands-on support, warm leads, and all the tools needed to grow their business from home at their own pace. #remote #workfromhome Requirements Skills And Qualifications Active Life Insurance License, or willingness to get one We help you obtain your license Must be U.S. Citizen or Permanent Resident and willing to undergo a background check Self-motivated to work from home part-time or full-time Coachable Results driven with unwavering integrity, intense work ethic and exceptional coachability Have a growth mindset with a desire to move up within the company Passionate about personal development Eager to follow a proven system to become successful

Job Description Are you a driven self-starter with strong principles who is interested in making a positive difference in the lives of others? We are looking for you! New York Life is growing its team by hiring a financial service professional who can offer our wealth of financial products and services to clients who are striving to establish strong financial foundations and achieve their monetary goals for a bright future. Training, Support, and Professional Development: New York Life offers a comprehensive two-year training program, marketing support, as well as prospecting and technical assistance. Our programs give you the ability to work with highly successful, established agents and managers who assist you in developing a clientele. New York Life provides the resources and ongoing support you would expect from a Fortune 100 company. About New York Life: New York Life is among the strongest and most respected financial companies in the world. New York Life has received the highest financial strength ratings currently awarded to any U.S. life insurer by each of the four major rating companies. Financial Service Professionals offer investment advisory services through Eagle Strategies LLC, a Registered Investment Adviser. Registered Representatives offer securities through NYLIFE Securities LLC (member FINRA/SIPC), A Licensed Insurance Agency - Equal Opportunity Employer M/F/D/V 1-Full-time agents and their dependents are immediately eligible for medical, dental, vision, long-term disability, and group term life insurance. New York Life reserves the right to amend or terminate any benefit plans, in whole or in part, at any time. Compensation: $62,500 - $259,000 Responsibilities: Use a CRM to organize each client's financial status, goals, cash flow, and monetary expectations for use in their individual financial plan Leverage marketing and social media tools to identify, pursue, and secure new clients who can benefit from having a trusted financial service professional Develop and implement tailored financial plans using our array of services while considering each client's financial needs and life circumstances Assist clients with decisions related to life insurance, mutual funds, savings plans, and other financial products and services Participate in educational meetings or seminars relevant to client risk tolerant and financial objectives for research prior to offering sound financial advice Qualifications: Relationship management skills are required Candidates need to be able to communicate complicated concepts and maintain strong principles such as honesty and integrity Required to effectively network to identify potential new clients About Company New York Life is a Fortune 100 company with a long history of doing good. We have been in business for over 175 years, helping generations of Americans protect their families and attain their financial goals. As a mutual company, we are accountable only to our policyholders, not to Wall Street or outside investors. We are focused on the long-term success of clients.

Job DescriptionAbout The Strickland Group The Strickland Group is a family-driven, vision-first financial services agency backed by one of the largest insurance organizations in the country. Our mission is simple: serve people, create leaders, and leave families better than we found them. We leverage modern technology, AI-assisted systems, and real human connection to help families protect their future while giving our partners a clear pathway to income growth, leadership, and ownership. This is not a traditional job. It is an opportunity to build a business within a proven platform. Why This Role Is Different This role is 100% commission-based with uncapped earning potential. There is no cold calling. You will work with warm, qualified prospects who have requested information. Training, mentorship, and systems are provided to support your growth from day one. Many of our top leaders started part-time and transitioned into full-time roles as their income grew. Responsibilities • Consult with clients virtually via Zoom or phone • Educate families on financial protection strategies • Follow up with warm leads and client requests • Use company CRM and systems to manage workflow • Provide a professional, service-first client experience • Attend weekly virtual trainings and development calls • Meet activity and performance benchmarks • Grow into leadership roles if desired • Maintain licensing and compliance standards Qualifications • Strong communication skills • Coachable mindset • Self-motivated and disciplined • Comfortable working remotely • Sales, customer service, or leadership experience preferred (not required) • Must be willing to obtain a state insurance license (training provided) Compensation & Growth • 100% commission-based • Weekly and daily pay options available • Performance-based promotions • Leadership and agency ownership track • Flexible schedule (part-time or full-time) • Remote - work from anywhere Our Culture We believe wealth is built through education, consistency, and leadership. We are committed to helping individuals break cycles, create options, and build something meaningful for their families. Hiring nationwide. Full-time and part-time opportunities available.

Your Impact Open, remove staples, identify and prepare mail for scanning by inserting barcodes for all incoming TPA claims mail. Assists in uploading documents into Origami Claims system. Enters medical bill payments and vendor fee charges into the system. Cross Training with Claim Administrator tasks. Assigned special projects as needed. Index, Barcode and scan agency mail. Provide clerical support to the Claim Administrators. Successful Candidates Will Have Strong Written and verbal communication skills. Strong organizational skills. Ability to work successfully in a deadline driven environment. Ability to work in the office three days a week. Working knowledge of MS Office Products and Adobe. This position has no direct supervisory responsibilities however it may act as a team leader for special projects. This job operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, and photocopiers. This is largely a sedentary role; however, standing to scan documents is part of the process. No expected heavy lifting would be required. Position Type/Expected Hours of Work This is a part-time position. The organization has flexible start times. Evening and weekend work may be required as job duties demand. Travel This position may require some local travel. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Physical requirements of the position are subject to modification to reasonably accommodate individuals with disabilities. Thomas McGee is an Equal Opportunity Employer. Risk Strategies is the 9th largest privately held U.S. brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies is an Accession Risk Management Group company, with over 200 offices and more than 5,000 employees across the U.S. and Canada. Our industry recognition includes being named a Great Place to Work, Best Places to Work in Insurance, and on the Inc. 5000 list as one of America's Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues. Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: ******************************** Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.

Who we are: Our commitment is to: Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Strive to apply an equity lens to all our work. Reduce health disparities. Create an equitable work environment. About the Role Works with and supports members with various chronic conditions in achieving an optimal state of health. The Health Coach will assist, promote and support self-management goals and interventions by providing support, education, and coaching to members with chronic conditions, and collaborating with the member, providers, and internal team members. To be successful in this role, you: Have a bachelor's degree in a relevant field, or an equivalent combination of education and highly relevant experience, required. Possess a current, unrestricted license in the state of Washington as an LPN, RN, RD, or other relevant licensure preferred. Possess a relevant certification, including Health Coach, or Certified Diabetes Care and Education Specialist (CDCES), preferred. Have a minimum of two (2) years experience in disease management, diabetes education, or health coaching, preferred. Previous experience in Managed Care, Medicare, and/or Medicaid, preferred. Experience with Motivational Interviewing, preferred. Essential functions and Roles and Responsibilities: Provide disease specific care management interventions to promote self- management education and coaching to members enrolled in Diabetes Management programs. Responsible for the assessment of members, including identifying and coordinating access to the appropriate providers, level of care, and treatment. Uses the assessment information to triage and assign the appropriate risk and complexity level, and create and measurable plan of care, in coordination with the member and their health care team. Document all member goals, clinical data, outcomes, interactions, assessments, care plans, interventions, and related administrative details in the organization's clinical database system in accordance with organizational policies and procedures. Assesses barriers to care and assist members and health care team to address concerns. Collaborate with members and the multidisciplinary team to develop and implement individualized plans of care that consider physical, behavioral, cultural, psychosocial, spiritual, age-specific, and educational needs; coordinate and communicate care activities to ensure continuity, engage community resources and DME as appropriate, and advocate for members to support their goals and promote optimal functioning. Assess, identify, and implement interventions to meet HEDIS measures Serves as a liaison at various local and statewide meetings and/or workgroups and provides clinical support to providers' network to enhance integrated care coordination. Assist in updating policies, procedures, workflows, educational materials, and digital content, and contributes to department projects. Provide education for the community through health fairs, speaking at local organizations, collaboration with external stakeholders, and collaboration with internal stakeholders through websites and social media platforms, and seminars Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. Knowledge, Skills, and Abilities: Knowledge of nutrition, exercise, and disease management. Knowledge of HEDIS measures. Ability to build trust with members and assist them in developing positive behavioral lifestyles to improve their health. Skilled in motivational coaching. Effective written and verbal communication skills. Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data. Skilled in planning and goal setting. Effective active listening and empathy skills. Ability to handle multiple priorities. Proficient in Microsoft Office. Able to perform all functions of the job with accuracy, attention to detail and within established timeframes As part of our hiring process, the following criteria must be met: Complete and successfully pass a criminal background check. Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees. Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency. Vaccination requirement (CHPW offers a process for medical or religious exemptions) Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. Compensation and Benefits: The position is FLSA Non-Exempt and is eligible for overtime. Based on market data, this position grade is 45 and has a 5% annual incentive target based on company, department, and individual performance goals. Salary determined at offer will be based on labor market data and a candidate's years of relevant work experience and skills relevant to the position. CHPW offers the following benefits for Full and Part-time employees and their dependents: Medical, Prescription, Dental, and Vision Telehealth app Flexible Spending Accounts, Health Savings Accounts Basic Life AD&D, Short and Long-Term Disability Voluntary Life, Critical Care, and Long-Term Care Insurance 401(k) Retirement and generous employer match Employee Assistance Program and Mental Fitness app Financial Coaching, Identity Theft Protection Time off including PTO accrual starting at 17 days per year. 40 hours Community Service volunteer time 10 standard holidays, 2 floating holidays Compassion time off, jury duty pay. Sensory/Physical/Mental Requirements: Sensory*: Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: Extended periods of sitting, computer use, talking and possibly standing. Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion. Frequent torso/back static position; occasional stooping, bending, and twisting. Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching. Mental: Frequent decision-making. Ability to gather and assess data, determine appropriate actions, apply protocols and knowledge to unique situations, problem-solve and provide consultation. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. *Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. *The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

This is a temporary position, and the length of the assignment is estimated to be 3+ months from January 2026 to March 2026. The length of the assignment is always dependent on business need, and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. This is a hybrid role requiring weekly on-site presence at our Merced office 1-4 days per week, depending on business needs. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Member Services Supervisor, you will: Act as the frontline customer service representative within the Member Services Department, providing assistance to members and providers primarily by phone Facilitate and coordinate non-medical transportation benefits for members Perform other duties as assigned ABOUT THE TEAM Our Member Services teams work together to empower members to understand Alliance services and provide resources that meet medical, cultural, and social needs to improve member health and well-being. We are the voice of the Alliance. We view our members' healthcare from their perspective and provide direct support by sharing benefit information and helping break down barriers to care. When a member calls, we're the ones who pick up the phone. We provide information that educates and empowers our members to be advocates for themselves and their health care. And we do it with heart! WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description and list of requirements, click here. Knowledge of: Required: Bilingual Hmong/English Principles and practices of customer service Windows-based PC system and Microsoft Word, Outlook, Excel, and database systems Conflict resolution techniques Ability to: Answer telephone calls promptly and minimize delays that may lead to missed calls Understand and communicate the complex operations and processes of the Alliance, particularly those related to Member Services and Care Management Translate healthcare-related terminology and complex processes into simple language and step-by-step instructions when communicating with members and providers Utilize a variety of computer systems, including the Alliance systems and external web sites and databases Demonstrate strong organizational skills and attention to detail Education and Experience: High school diploma or equivalent Minimum of two years of customer service experience in member services, health care, public assistance or human services or in a customer service or call center environment (an Associate's degree may substitute for one year of the required experience); or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying OTHER INFORMATION We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options. The compensation range for this position is listed by location below. The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Merced County Pay Range$24-$27 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet. The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you! At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Since 1989, National Interstate has specialized in serving the insurance needs of the wheels-based transportation industry. Our steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. (****************** National Interstate Is looking for a Senior Claims Representative Bodily Injury to join their team. This individual will work fully remote from the USA. Essential Job Functions and Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages. Determines and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials. Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners. Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner. Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements. Performs other duties as assigned. Job Requirements Education: Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.Experience: Generally, a minimum of 5 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).Scope of Job/Qualifications: Works within significant limits and authority on assignments of higher technical complexity and coordination. Demonstrates strong analytical, negotiation, and problem-solving skills. Demonstrates knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. This job is non-exempt in California and Washington Company: NIIC National Interstate Insurance Company Salary Range: $75,000.00 -$81,000.00 Benefits: We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at **************************** *Excludes seasonal employees and interns.

About PHOENIX PHOENIX Retail, LLC is a retail platform operating the Express and Bonobos brands worldwide. Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern, confident and effortless style whether dressing for work, everyday or special occasions. Bonobos is a menswear brand known for being pioneers of exceptional fit and a personalized, innovative retail model. Customers can experience our brands in over 400 Express retail and Express Factory Outlet stores, 50 Bonobos Guideshops, and online at *************** and **************** About Express Express is a multichannel apparel brand dedicated to creating confidence and inspiring self-expression. Since its launch in 1980, the brand has embraced a design philosophy rooted in modern, confident and effortless style. Whether dressing for work, everyday or special occasions, Express ensures you look and feel your best, wherever life takes you. The Company operates over 400 retail and outlet stores in the United States and Puerto Rico, the express.com online store and the Express mobile app. Store Name Montebello Town Cnt Responsibilities Express is seeking a Retail Operations Expert to join our team. The Operations Expert will assist in providing a great in-store shopping experience for our retail customers by leading the merchandise flow processes confirming the product is available and sized. Key Responsibilities * Providing coaching and training for stockroom associates as needed. * Process shipping and receiving orders according to Express time and efficiency standards. * Replenish product as needed. * Process freight and sensor product. * Maintain a clean and organized stock room to ensure safe and efficient merchandise processing from stock room to floor. * Coordinate product pricing and markdowns. * Provide check-out support to customers as needed. * Process fulfillment transactions quickly and accurately to ensure customer satisfaction. * Share information on product, promotions, and loyalty programs. * Assist Sales Associates during onboarding and training. * Assist with product launches changes according to company SOP. * Assist customers as needed on the sales floor with locating product and/or online orders * Deliver on all aspects of the customer experience model. * Other essential functions may occur as directed by your supervisor Required Experience & Qualifications * Education: High School or Equivalent * Years of Experience 0 - 2 relevant job experience - minimum 6 months * Meets defined availability criteria, including nights, weekends and non-business hours * Proficient in use of technology (iPad, registers) Critical Skills & Attributes * Demonstrates strong customer service skills * Strong verbal and written communication skills specifically with customers, sales leadership team and associates * Demonstrated collaborative skills and ability to work well within a team * Ability to multitask and handle multiple customers and/or processes at once Benefits and Compensation PHOENIX offers a range of benefits to help protect full-time associate's health and long-term financial security including: * Medical, pharmacy, dental and vision coverage * 401(k) and Roth 401(k) with Company match * Merchandise discount * Paid Time Off * Parental leave for new moms and dads For part-time associates, PHOENIX is partnering with LIG Solutions to help associates obtain individual insurance coverage that best fits their needs and budget, including major medical, dental, vision, supplemental insurance, life Insurance and more. Additionally, part-time associates may be eligible to receive paid sick leave, public health emergency leave and to participate in the 401(k) and Roth 401(k) with Company match. Part-time associates are also eligible to receive an Express merchandise discount, participate in our Learn & Earn incentive program, and choose voluntary benefits through YouDecide. Actual compensation offered is dependent upon a number of factors including, but not limited to, work location, education, relevant skills and experience of the candidate. Pay Range $17.50 - $24.40 per hour Closing If you would like to know more about the California Consumer Privacy Act click here. An equal opportunity employer, PHOENIX does not discriminate in recruiting, hiring or any other terms and conditions of employment hiring on the basis of any federal, state, or locally protected characteristic. PHOENIX only hires individuals authorized for employment in the United States. PHOENIX is committed to providing reasonable accommodation to individuals with disabilities. If you need an accommodation to search and apply for a job position due to a disability, please call ************** and say 'Associate Relations' or send an e-mail to ****************************** and let us know the nature of your request and your contact information. Notification to Agencies: Please note that PHOENIX does not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, PHOENIX will not consider or approve payment to any third-parties for hires made.

This is a temporary position and the length of assignment is estimated to go through December 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Risk Adjustment Director, this position: Acts as the clinical coding subject matter expert and lead coding resource across the organization Acts as a resource and provides education to providers on clinical coding standards Coordinates and leads the Alliance Coding Workgroup ABOUT THE TEAM Risk Adjustment is a growing, specialized team that plays a critical role in ensuring accurate coding, appropriate reimbursement and data-driven insights that support the broader organizational goals of our health plan. Our team collaborates closely with internal and external partners to optimize risk adjustment performance across our future Medicare and current Medi-Cal programs. We are passionate about using data to improve our members' health outcomes, support the success of our provider partners, and ensure regulatory alignment. THE IDEAL CANDIDATE Strong background in clinical coding and documentation education with current certification as a Registered Health Information Administrator (RHIA) and Certified Coding Specialist (CCS) Demonstrated experience in supporting the development and implementation of clinical documentation improvement (CDI) programs Excellent communication skills with the ability to clearly explain complex regulatory or clinical coding concepts to diverse audiences Meticulous attention to detail with a strong foundation in auditing practices Experience leading cross functional workgroups WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description and list of requirements, click here. Knowledge of: Medical coding languages, concepts, guidelines, methodologies, and regulations related to all sites of service, including knowledge of ICD-10, CPT, and HCPCS coding systems The relationship between diagnosis documentation and risk adjustment payment models CMS Hierarchical Condition Categories (HCC) Risk Adjustment program, methodology, and impact to value-based contracts Principles and practices of internal data auditing Medicare and Medi-Cal coding policies Ability to: Act as a subject matter expert and technical resource and explain policies, regulations, terms, and procedures related to area of responsibility Accurately assign clinical codes and act as the final decision maker regarding clinical code assignments Conduct research, gather and interpret information and data, identify issues of concern, make logical recommendations for action, and present findings in a clear and organized manner Organize work, manage multiple tasks, establish priorities, adjust to changing priorities, and meet deadlines Make presentations and facilitate and lead meetings and workgroups Education and Experience: Current unrestricted license as a Registered Nurse or Licensed Vocational Nurse issued by the State of California Current certification as a Registered Health Information Administrator (RHIA) and Certified Coding Specialist (CCS) issued by the American Health Information Management Association Bachelor's degree in Nursing, Health Care, or a related field A minimum of eight years of experience including a minimum of three years of clinical experience and a minimum of five years of CDI (clinical documentation integrity) experience with emphasis on Medi-Cal and Medicare requirements in a managed care environment which included provider education responsibilities (an Associate's degree and an additional two years of experience may substitute for the Bachelor's degree); or an equivalent combination of education and experience may be qualifying OTHER INFORMATION We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options. The full compensation range for this position is listed by location below. The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Zone 1 (Monterey, San Benito and Santa Cruz) $70 - $75 USD Zone 2 (Mariposa and Merced) $67 - $72 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet. The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

This is a temporary position and the length of assignment is estimated to go from December 2025 through July 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Medicare Care Management Manager (RN), this position: Develops and manages an individualized intervention plan for Medicare Dual Eligible Special Needs Plan (D-SNP) members referred into the Care Coordination program with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate manner Works in conjunction with the interdisciplinary Care Coordination team to facilitate quality outcomes across the continuum by educating members, caregivers, providers, external agencies, and internal teams and providing assistance in navigating the managed care system Participates in program evaluation and quality improvement efforts to ensure D-SNP program effectiveness and compliance with regulatory requirements WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description, and list of requirements click here. Knowledge of: The principles and practices of case management and coordination, including assessment, care/treatment planning, discharge planning. and documentation The availability and means of utilizing community resources for special services Reporting methods for cases of abuse or neglect Community resources and behavioral health systems The needs of older adults, individuals with disabilities, and/or those with complex medical or psychosocial needs Ability to: Effectively interview members to determine their strengths, problems prognosis, functional status, goals, and need for specific services and resources, and to establish short-term and long-term goals Assess psychosocial needs and conduct culturally competent interviews Use proactive customer services skills in responding to complex and demanding situations Advocate on behalf of the individual member to assure quality of care and attainment of appropriate goals Education and Experience: Possession and continued maintenance, in good standing, of a Licensed Clinical Social Worker (LCSW) license issued by the State of California Master's Degree in Social Work or related field and two years of social service experience in an acute care, community-based, or managed care environment which included developing and managing member-centered care plans; or an equivalent combination of education and work experience may be qualifying OTHER INFORMATION We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. This is a temporary position and does not provide the benefits that are listed below (it is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options. The full compensation range for this position is listed by location below. The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Zone 1 (Monterey, San Benito and Santa Cruz) $43.78 - $56.91 USD Zone 2 (Mariposa and Merced) $39.84 - $51.79 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet. The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

This is a temporary position and the length of assignment is estimated to go from Jan 1, 2026 to December 31, 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Information Security Manager, this position: Performs analysis of Alliance information security practices to ensure alignment with industry standards and guidelines Identifies, investigates, and resolves security breaches detected by Alliance security solutions Participates in the creation and maintenance of policies, standards, guidelines, and procedures related to information security Leads and performs staff training on information security and security breach prevention THE IDEAL CANDIDATE Brings a broad foundation across multiple areas of information security, including network security, endpoint protection, identity and access management, and cloud security, in a healthcare environment Demonstrates strong knowledge of security frameworks (e.g., NIST, ISO 27001, CIS Controls) and regulatory requirements (e.g., HIPAA, PCI-DSS, GDPR) Skilled in monitoring, analyzing, and responding to security incidents using SIEM tools and other detection technologies Able to perform vulnerability assessments, interpret findings, and recommend practical remediation steps Comfortable with both proactive (risk assessments, audits, security awareness training) and reactive (incident response, forensic analysis) security functions Effective communicator who can explain technical risks and solutions to both technical teams and non-technical stakeholders Strong problem-solving mindset and attention to detail; able to anticipate threats and implement preventive measures Demonstrated ability to collaborate across IT, compliance, and business units to align security with organizational goals Keeps current with emerging cyber threats, trends, and best practices CISSP or CISM a plus WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description and list of requirements, click here. Knowledge of: HIPAA and FISCAM security guidelines Computer network penetration testing Security frameworks, such as NIST, ISO 27001, and COBIT Firewalls, proxies, SIEM, antivirus, and IDPS concepts Security systems, operating systems, and virtualization Ability to: Identify, mitigate and educate staff regarding the avoidance of network vulnerabilities Write clearly, concisely and precisely and convey information to the intended audience in a manner that is easily understood Interpret and synthesize a wide range of information from a variety of sources and translate complex information and concepts into clear, succinct documentation Develop training materials and conduct staff training Demonstrate strong analytical and problem-solving skills, define issues, conduct research, and analyze and interpret data Education and Experience: Bachelor's degree in Information Technology, Cybersecurity, Computer Science, or a related field A minimum of eight years of professional-level information technology experience, which included a minimum of three years of experience performing information security functions in a health care environment (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying. OTHER INFORMATION We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options. The full compensation range for this position is listed by location below. The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Zone 1 (Monterey, San Benito and Santa Cruz) $71 - $78 USD Zone 2 (Mariposa and Merced) $65 - $72 USD Zone 3 (National) $60 - $66 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet. The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Are you energized by building relationships and creating meaningful connections? Do you love helping people feel seen, supported, and part of something bigger? Are you the kind of person who can juggle conversations, logistics, and community-building without breaking a sweat? If you're looking for a role where your people skills can drive real impact for local physicians and the communities they serve, we'd love to meet you. The Alameda-Contra Costa Medical Association (ACCMA) is a professional association of physicians who are committed to addressing health issues of concern to patients and doctors in the East Bay. Throughout its history the ACCMA has sought to improve public health, the quality of the practice of medicine and patients' access to care. ACCMA continues its tradition of leadership today by focusing on its core mission: empowering and organizing physicians to lead and improve the practice of medicine in order to better patients' lives and the community's health. JOB OPPORTUNITY: We are currently looking for a part-time Membership Engagement Coordinator (non-exempt, 20 hours per week) to join our growing team in the new year. This is a great opportunity for someone looking to create major impact with a flexible schedule and a community-first mindset. The Membership Engagement Coordinator supports the recruitment, retention, and engagement of members while enhancing the overall member experience. This role ensures that members feel welcomed, supported, and connected to the organization. The position is well-suited to a proactive, detail-oriented, and people-focused professional who thrives in a flexible, part-time environment. WORK LOCATION: This is a hybrid position working both remotely and in Alameda Contra Costa Medical Association's (ACCMA) office in Lafayette, CA. While in-office presence is required to foster collaboration with staff members, this position is primarily field-based. The individual in this role should expect to spend most of their time engaging with members, partners, and stakeholders in the community, with office time focused on team collaboration, planning, and administration. COMPENSATION: Hiring range for this position is: $24.26 to $38.36 hourly, depending on experience. ACCMA offers competitive compensation commensurate with experience and a comprehensive benefits package. ACCMA is an EEO employer, we enjoy diversity in our staff, insured and business partners. BENEFITS: Benefits 401(K) + Pension Plan Health Insurance Vision and Dental Insurance Generous Paid Time Off Plans ESSENTIAL FUNCTIONS: Membership Recruitment & Retention Supports the recruitment of new members and the retention of current members. Assists in onboarding new members to ensure they are connected to benefits and services. Works with ACCMA staff to ensure accurate member records and contact information are maintained in the CV database. Is actively engaged in membership renewal process, leading personalized outreach efforts. Member Engagement Assists with membership-related questions, responding to inquiries by phone, email, and in person with professionalism and care. Develops and maintains positive relationships with members, sponsors, and community partners. Tracks member participation in programs, events, and committees. Events & Programs Assists in the planning and execution of member events, educational programs, and networking opportunities. Assists with marketing and communications, including email newsletters and member updates, related to member events and programs in collaboration with Communications Manager. Manages event logistics, including invitations, registrations, name tags, and onsite support. Supports events at which the organization is represented such as Medical Staff Presentations and community events. Administrative Support Supports the Director-level staff with membership reports and related projects. Prepares and maintains reports on membership trends and engagement. Collaborates with colleagues to coordinate cross-departmental initiatives. Requirements Education: Associate's Degree required; Bachelor's Degree preferred. Licenses/Certification: Must have a valid California driver's license or adequate form of transportation that enables the ability to carry and distribute event and marketing materials. Experience: At least 3 years of professional experience in membership, communications, customer service, or a related field preferred Knowledge/Skills/Abilities Strong interpersonal and communication skills with a customer service orientation. Proficiency with Microsoft 365 Suite and database/CRM systems. Excellent written communication skills, with the ability to create clear, compelling, and professional materials. Excellent organizational skills, attention to detail, and the ability to manage multiple priorities. Strong public speaking skills, including the ability to confidently give presentations to small and large groups. Ability to utilize and analyze data to inform decision-making and improve membership strategies. Creative thinker with the ability to think outside the box and try new approaches to enhance member engagement. Comfortable with occasional evening or weekend events. Self-motivated, proactive, and able to work independently while collaborating as part of a team. Ability to travel to conferences and offsite events as needed. About ACCMA: The Alameda-Contra Costa Medical Association (ACCMA) is a professional association of physicians who are committed to addressing health issues of concern to patients and doctors in the East Bay. Throughout its history the ACCMA has sought to improve public health, the quality of the practice of medicine and patients' access to care. ACCMA continues its tradition of leadership today by focusing on its core mission: empowering and organizing physicians to lead and improve the practice of medicine in order to better patients' lives and the community's health . The ACCMA maintains an “Employee Leasing Agreement” with MIEC, a professional liability insurance company with whom the ACCMA has a long relationship. Leased employees perform services solely for the ACCMA, and all leased employees report to the ACCMA Executive Director. Under this arrangement, ACCMA employees are legally employed by MIEC, and the application process is handled under the auspices of MIEC. About MIEC: MIEC was founded in 1975 in the depths of the malpractice crisis by physicians and their medical societies when insurance was largely unavailable to the healthcare community. As the West's first truly physician-owned medical professional liability insurer, MIEC has always been guided by the desire to protect physicians and other healthcare professionals from malpractice risks and committed to a long-term philosophy of business conduct that ensures such a crisis never happens again. We exist to foster enduring partnerships within the healthcare community by serving members through a philosophy of vigorous protection and high value, delivered by people who care. As a member-owned exchange Headquartered in Oakland, CA, MIEC now insures more than 7,400 physicians and other healthcare professionals in 4 states, with regional claims offices in Idaho, Alaska, and Hawaii. MIEC has consistently adapted to meet the changing needs of healthcare delivery and continually seeks to reinvent medical professional liability through effective partnership, innovative insights, and dynamic risk solutions. Salary Description $24.26 to $38.36 hourly, depending on experience

We have an opportunity to join the Alliance as a Senior Payer Analytics Consultant in the Payment Strategy Department. There are two positions that can be filled as a Senior Payer Analytics Consultant or Payer Analytics Consultant level. can be filled remotely for those living in California. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Payment Strategy Director, this position: Performs complex managed care payer financial modeling and analysis to evaluate the feasibility of payer reimbursement methodologies Conducts complex financial analysis to support successful payer reimbursement outcomes Coordinates and collaborates with internal and external stakeholders to achieve payer reimbursement objectives Provides subject matter expertise and assists with providing orientation, mentoring, and training to subordinate Payer Analytics Consultants ABOUT THE TEAM The Payment Strategy department ensures the Alliance's payments to our network are adequate to our revenue. We also work to advance our payment methodology in order to achieve the best quality healthcare while reducing costs. THE IDEAL CANDIDATE Technically strong, with proven experience in payer financial modeling, provider payment methodologies, payment structure design, and reimbursement strategy development. Analytical and detail-oriented, skilled in data interpretation, trend analysis, and scenario modeling to inform decision-making and optimize payment accuracy. Collaborative and solutions-focused, working effectively across departments - including finance, provider network management, operations, and clinical teams - to align analytics with business goals. A clear and professional communicator, able to explain complex financial and analytical concepts to both technical and non-technical audiences. Relationship-driven, fostering productive partnerships with internal stakeholders and external partners to support shared priorities and ensure alignment. Curious and improvement-minded, continuously seeking opportunities to enhance data quality, streamline processes, and support innovative payment strategies. WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description, and list of requirements click here. Knowledge of: Methods and techniques of financial modeling and analysis Windows based PC systems and Microsoft Word, Outlook, PowerPoint, Access, Visual Basic, and Excel (including pivot tables), and database systems Principles and practices of provider reimbursement methodologies, pricing, and fee schedules for all provider types, including hospital, physician, and ancillary providers Various types of health insurance payers, including Medicare, Medicaid, and commercial plans Healthcare industry specific terms and healthcare related data types and structures, including member, claims, clinical, and provider type Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), and ICD 9/10 Ability to: Collect, interpret, and evaluate data, detect patterns, brainstorm solutions, consider multiple factors when making decisions, and project consequences of recommendations Demonstrate strong analytical, critical thinking, and research skills, identify and troubleshoot issues, identify alternative solutions, and make recommendations for action Translate data into understandable information and deliver solutions that improve business processes Act as a technical resource, provide guidance related to area of assignment, and explain related regulations, processes, and programs Assist with the orientation, training, and mentoring of other staff, as assigned Education and Experience: Bachelor's degree in Business Administration, Accounting, Finance, Healthcare, or a related field A minimum of five years of experience performing financial healthcare reimbursement analysis (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying OTHER INFORMATION We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. The full compensation range for this position is listed by location below. The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area Typical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area Zone 1 (Monterey, San Benito and Santa Cruz) $110,160 - $176,259 USD Zone 2 (Mariposa and Merced) $100,246 - $160,410 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet. The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

This is a temporary position and the length of assignment is estimated to the end of the year with an opportunity for extension. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Clinical Safety Supervisor, this position: Develops, manages, and measures a comprehensive healthcare strategy in alignment with Department of Health Care Services (DHCS) standards of care and in collaboration with internal stakeholders and network providers to promote best evidence-based practices and improve member health outcomes Evaluates patient safety and quality issues and communicates findings to internal stakeholders, network providers and community partners DESIRABLE QUALIFICATIONS Experience in process improvement, practice coaching, or health care quality improvement Experience performing PQI activities Working knowledge of managed care, the Medi-Cal program, and related policy Working knowledge of the methods of conducting and interpreting quantitative and qualitative analysis Some knowledge of NCQA HEDIS abstracting guidelines Some knowledge of CPT and ICD coding principles WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description, and list of requirements click here. Knowledge of: The principles and practices of clinical nursing Medical practice operations and healthcare delivery systems Ability to: Participate in and support internal and external audits Identify issues, conduct research, gather and analyze information and data, reach logical and sound conclusions, and make recommendations for action Analyze information and data and prepare oral and written reports Education and Experience: Current, unrestricted license as a Registered Nurse issued by the State of California Bachelor's degree in Nursing and a minimum of three years of experience as a Registered Nurse in acute care or primary care with an emphasis on preventative care (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying OTHER INFORMATION We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. This is a temporary position and does not provide the benefits that are listed below (it is standard language from our regular job posts and cannot be altered or removed). The full compensation range for this position is listed by location below. The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location). Zone 1 (Monterey, San Benito and Santa Cruz) $50 - $57 USD Zone 2 (Mariposa and Merced) $45 - $52 USD OUR BENEFITS Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance. Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet. The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you! At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Since 1989, National Interstate has specialized in serving the insurance needs of the wheels-based transportation industry. Our steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. (****************** National Interstate is looking for a Claims Specialist to join their team. This individual will work fully remote from the USA. Essential Job Functions and Responsibilities Manages a large inventory of complex claims to evaluate compensability/liability. Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages. Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials. Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners. Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner. Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements. May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports. Performs other duties as assigned. Job Requirements Education: Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.Experience: Generally, a minimum of 9 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).Scope of Job/Qualifications: Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge. Demonstrates excellent analytical, negotiation, and problem-solving skills. Maintains strong knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. Viewed as a senior resource within the Claims department and/or organization. Company: NIIC National Interstate Insurance Company Salary Range: $90,000.00 -$100,000.00 Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 35 specialty property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. For over 50 years, Republic Indemnity has been a trusted partner for businesses across the western U.S., helping them effectively manage their workers' compensation costs. Our headquarters in Calabasas, California, along with additional offices in San Francisco and San Diego, serve as hubs for our operations. We specialize in workers' compensation primarily in California, with business presence in Alaska, Arizona, Nevada, and other western states. Our Vision: Clear Paths to Success At Republic, we believe in creating clear pathways for everyone - whether it's a broker, policyholder, injured worker, or colleague. We're committed to helping people reach their goals and achieve success. If you share this vision, we invite you to explore exciting opportunities with us: the role of Senior Loss Control Consultant. Essential Job Functions and Responsibilities Servicing the San Diego/Orange County area. A company car and equipment are included in the package. Conducts loss control surveys/physical inspections of commercial accounts: Provides underwriters with an accurate description of the physical and operational details of an insured. Identifies hazards and potential loss exposures and makes recommendations to eliminate or reduce the potential loss. Consults with underwriters and other staff regarding account/line-of-business acceptability, exposures, and controls pertinent to the various lines of business. Assists underwriters and other staff relative to account operations, exposures, construction, and protection. Conducts accident investigation and loss analysis to identify causes. Employs effective sales and communication skills to achieve compliance with recommendations and provides safety and/or supervisory training to insureds. Conducts joint marketing presentations, in conjunction with Underwriting, Claims, and Marketing, to accounts and agents. Maintains expert knowledge of company/department manuals and procedures, and relevant Federal, State, and other pertinent codes and regulations applicable to Property, Liability, and Casualty lines of coverage. Provides technical guidance, assistance, and training to lower level positions. May lead the work of others (mentors, prioritizes, delegates, and reviews assignments). May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports. Performs other duties as assigned. Job Requirements Education: Bachelor's Degree or equivalent experience. Field of Study: Safety, Engineering, Insurance, Business or a related discipline. Experience: Generally, 10 or more years of related experience. Certification in area of chosen expertise is a plus; appropriate certifications could include Certified Safety Professional (CSP), Certified Fire Protection Specialist (CFPS), Associate Risk Management (ARM), Certified Safety and Health Management (CSHMS), Associate Loss Control Management (ALCM) or Occupational Health and Safety Technician (OHST). Company: RICA Republic Indemnity Company of America Salary Range: $129,000.00 -$170,000.00 Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.

Put your Insurance Experience to work - FROM HOME! At WAHVE, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the opportunity to continue their career working from home. As we say - retire from the office but not from work . Our unique platform provides you with real work/life balance and allows you to customize your own work schedule while continuing to utilize your insurance expertise in a remote, long-term position which includes company benefits! WHAT YOU'LL LOVE ABOUT WAHVE We created a welcoming place to work with friendly and professional leadership. We are known for the great care we take with our staff and our clients. We are passionate and determined about delivering the best customer service, preserving insurance industry knowledge, and making a difference by the work that we do. WHAT WE ARE SEEKING We have assignments available to help our insurance carrier, MGA, or wholesale broker clients in Underwriter - Cyber / E&O positions. Responsibilities include: Underwrite both new and/or renewal Cyber, Technology Errors and Omissions, Privacy/Security Liability, and miscellaneous E&O insurance business. Make critical underwriting decisions on risk acceptability, coverage alternatives, and pricing. Stay up to date on industry trends by continuously monitoring and researching developments in the cyber and technology field to ensure the policies are current and competitive. Develop and maintain superior relationships with producers, brokers, and reinsurers. Maintain accurate file documentation in accordance with company guidelines. Achieve acceptable underwriting profit levels within assigned book of business. Will consider Surplus Lines Cyber underwriting experience. TO BECOME A WORK-AT-HOME VINTAGE EXPERT, WE REQUIRE 25 years of full-time work experience 10 most recent years of Commercial Lines Property & Casualty insurance experience Recent exposure to Cyber and/or E&O underwriting BENEFITS OF BECOMING A WAHVE VINTAGE EXPERT Health insurance based on eligibility. 401(k) with a 4% match. Retire from the office but not from work . Eliminate the office stress and the commute. Choose the work you would like to do now. Customize your schedule - full or part time. Utilize your years of insurance industry knowledge. Be part of our dynamic yet virtual team environment and connect with other experienced insurance professionals like yourself! HOW TO GET STARTED Click APPLY NOW to complete our simple preliminary profile. Be sure to include your preferred contact information as one of our Qualification Specialists will connect with you promptly. WE LOOK FORWARD TO MEETING YOU!

Job Description Are you a top performer but know you're not being paid like one? Maybe you're paid like one, but you're sacrificing precious time with your loved ones? Start part-time, learn the system, and transition into full-time (30-40 hours/week) when you start making more money here in your part-time than in your current full-time position. I have numerous examples of agents doing exactly that across the country, regardless of background. For 30 years we have coached hundreds of agents to multiple six figure incomes, and are looking for the next handful of new agents to mentor to do the same. As a financial services agency, Taubman Financial Management offers mortgage protection, final expense, retirement solutions, college savings strategies, term and whole life insurance options, and debt elimination programs to American families. We provide training, support, and 1-on-1 mentorship to our agents in this 100% remote role. Warm leads are available - there is NO COLD CALLING. We provide all the back office support, processes, and technology. You bring the integrity, work ethic, and coachability. This is a 1099 independent contractor position. Compensation is 100% commission-based. Responsibilities Potential clients are requesting information by either filling out a form via direct mail, calling a 1-800 number, or completing an online ad on one of many social media platforms. Agents text and/or call to set up appointments to meet with prospective clients via Zoom or phone to help them apply for the coverage. Many applications for clients are taking 10 minutes or less, with instant decision results. Match clients with appropriate insurance solutions (mortgage protection, life, final expense, retirement, etc.) Full time agents put in 5-10 hours on the phone, 10-20 hours running appointments, and 5-10 hours on administrative tasks & training calls. The Compensation The average sale on a beginning contract pays between $600 - $800. Full-time agents write an average of 3-7 sales per week* Agents can earn a 5% raise every 2-3 months. There are no quotas. Compensation is 100% commission-based and varies by performance. These ranges reflect averages for active agents Company Description Taubman Financial Management is a remote financial services agency. Founded by Scott Taubman, the agency is built on mentorship, integrity, and a proven system that helps everyday people succeed in life insurance sales - no matter their background. We specialize in mortgage protection, final expense, retirement solutions, and debt elimination strategies. Our agents receive hands-on support, warm leads, and all the tools needed to grow their business from home at their own pace. #remote #workfromhome Requirements Skills And Qualifications Active Life Insurance License, or willingness to get one We help you obtain your license Must be U.S. Citizen or Permanent Resident and willing to undergo a background check Self-motivated to work from home part-time or full-time Coachable Results driven with unwavering integrity, intense work ethic and exceptional coachability Have a growth mindset with a desire to move up within the company Passionate about personal development Eager to follow a proven system to become successful