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EDI Analyst jobs at Delta Dental Ins - 270 jobs

  • Application Analyst

    Delta Dental 4.9company rating

    Edi analyst job at Delta Dental Ins

    EMPLOYER: Delta Dental of California TITLE: Applications Analyst Location: 1333 Broadway, Oakland, CA 94612; Must appear in office 2 days per week. WFH permissible 3 days per week. Salary: $174,637 - $179,637/year Bachelor's degree or foreign degree equivalent in IT Management, or related field and four (4) years of experience in Business Analysis, System Analysis, Configuration, Development and Testing of Healthcare IT systems related role or job offered. Conducting cross-functional requirements workshops and translating business needs into user stories and acceptance criteria using Jira, Confluence, Microsoft SharePoint. Mapping and analyzing business workflows using Visio or Miro board to identify process inefficiencies and recommend improvements that drive operational outcomes Designing and executing manual and automated test cases using tools like HPALM and Selenium WebDriver, ensuring functional, regression, and performance test coverage. Tracking defects using Jira or similar tools, collaborating with developers for resolution, and validating fixes through retesting to maintain release quality. Extracting and analyzing business data using SQL to support requirements gathering, identifying workflow inefficiencies, and validating the impact of proposed system changes. Developing and running SQL queries across relational databases (e.g., SQL Server, Oracle) to identify trends, generate custom reports, and provide data-driven insights to stakeholders. Translating findings from SQL-based data analysis into process improvement recommendations, contributing to measurable outcomes such as reduced cycle times or improved data quality. Demonstrating knowledge of provider claims lifecycle, including claim submission, adjudication, denial management, and reimbursement processes, enabling effective collaboration with billing, clinical, and IT teams to optimize revenue cycle workflows and ensure compliance with payer requirements Understand basic clinic operations, including patient scheduling, registration, and check-in processes, to support workflow analysis and help identify opportunities for improving patient flow and administrative efficiency. Understanding healthcare front-desk tasks, such as verifying patient information and insurance eligibility, which informs collaboration with clinical and IT teams during system implementations. Understanding healthcare terminology and basic care delivery models, supporting collaboration with providers, staff, and technical teams in designing practical and compliant technology solutions. Understanding member benefits and eligibility and claims processing in claim adjudication system such as MetaVance and its integration with clearing house systems such as Experian, DentalXChange. Working with XML files for integration messaging, including creating, parsing, and validating XML data exchanged between healthcare systems to support interoperability and data consistency. Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 20. $174,637 - $179,637 To APPLY: Apply directly at-*************************************** UI/CandidateExperience/en/sites/CX_1/job/3014/?utm_medium=jobshare&utm_source=External+Job+Share Gather and document requirements, ensuring technology solutions align with business goals. Analyze workflows, identify inefficiencies, and propose process improvements. Act as liaisons between stakeholders, technical teams, and vendors to facilitate clear communication. Data analysis and reporting to provide insights for decision-making. Support change management, user training, and compliance documentation. Design test plans, execute functional and regression tests, and track defects to ensure system reliability. Facilitate User Acceptance Testing (UAT) by coordinating with end users and gathering feedback. Automation and performance testing to help improve system efficiency. Document test cases, results, and defect logs for future reference. Compliance and security testing to ensure adherence to regulations and industry standards. Oversee the implementation, maintenance, and security of IT infrastructure. Monitor system performance, troubleshoot issues, and apply necessary updates. Security and compliance measures are enforced to protect data and prevent cyber threats. Manage vendor relationships, procurement, and contract negotiations. Disaster recovery planning ensures business continuity and data protection. Assess and optimize IT systems to meet business and technical requirements. Evaluate workflows, identify system gaps, and propose improvements. Work with developers and IT teams to design system integrations and ensure seamless data flow. Troubleshooting and root cause analysis help maintain system stability. Documentation and reporting support compliance and future enhancements. Lead the implementation of the Epic Cadence module, collaborating with stakeholders to understand scheduling and appointment management requirements. Configure and customize Epic Cadence workflows to enhance operational efficiency. Oversee the Prelude application, focusing on patient registration, check-in, and eligibility verification. Analyze and optimize Prelude workflows to ensure accurate and streamlined patient information management. Manage the integration and functionality of the Welcome Patient Kiosk module within the Epic ecosystem. Work closely with end-users and patients to enhance the self-service capabilities of the Welcome Patient Kiosk. Provide day-to-day support for Epic Cadence, Resolute, and Welcome Patient Kiosk applications, addressing end-user issues and ensuring system stability. Collaborate with technical teams to troubleshoot and resolve any issues affecting the functionality of these modules. Must appear in office 2 days per week. WFH permissible 3 days per week.
    $174.6k-179.6k yearly Auto-Apply 10d ago
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  • Business Analyst II

    Tokio Marine North America Services 4.5company rating

    Pennsylvania jobs

    We are looking for an individual who is passionate about developing solutions to help improve business processes, products, and systems. This person will join our high-functioning team that delivers and supports services across the U.S. and Mexico to the North American businesses of the Tokio Marine Group. This role will be responsible for business analysis functions in support of Philadelphia Insurance Companies (PHLY), TMNAS IT teams, and the TMNAS BA Practice. The ideal candidate for this position should apply their knowledge of the property and casualty (P&C) industry through developing, participating and monitoring technology solutions that enhance business processes. This individual must show a commitment to ongoing professional development as a Business Analyst within the insurance industry. This role requires close collaboration with business stakeholders, IT leadership, and vendor partners to gather and define business and functional requirements. Additional responsibilities include supporting testing and training initiatives, as well as contributing to operational support processes. A candidate for this position must be motivated to work within a varied range of high performing business and technical teams. Essential Job Functions: Ability to understand and express business needs from multiple perspectives by considering impacts to the organization from the beginning to the end of the effected process(es). Conduct research to address request by utilizing company created assets, industry publications and internet based references. Lead, support, and participate in business requirements gathering for projects and enhancements, utilizing business analysis tools and techniques such as process modeling, data analysis, and requirements management software. Facilitate effective communication between IT teams, business units, and external vendors through written and verbal methods. Identify and recommend changes to technology that improve efficiency, accuracy, and compliance of business processes. Perform operational support activities, including triaging production issues, advocating for business users, and managing defect resolution through deployment. Identify, evaluate, and recommend potential solution options. Support the resolution via projects and enhancements through production deployment. Participate in the full software development life cycle (SDLC), including both waterfall and agile methodologies. Conduct operational support turnover activities including creation of Quick Reference Guides, Standard Operating Procedures, Release Notes, and other job aids as applicable. Perform special duties and other projects as assigned. Comply with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at the Company. Build and maintain strong working relationships with IT team members, stakeholders, business units, and senior management. Degree / Licenses and Professional Certification Bachelor's degree preferred. Insurance Certification(s) preferred. Preferred Qualifications: 3+ years' experience as a Business Analyst. 1+ years' experience supporting underwriting functions in the property and casualty (P&C) insurance sector, or relevant experience in selling, servicing, or underwriting commercial lines insurance policies. Experience with custom developed policy administration systems is preferred. Experience with software packages such as Policy Decisions or Advantage will be considered. Familiarity with technology platform that enable the independent agency channel is desired.Some examples are web-based portals such as Unqork for sales and servicing of insurance policies; and digital distribution channels such as IVANS Familiarity with service management and requirements tools (e.g., ServiceNow, Jira, Azure DevOps, Modern Requirements) Capable of working independently. Excellent problem solving and analytical skills Experience writing business requirements and functional specs. Ability to decompose complex business and data requirements into specifications for developers and other stakeholders. Excellent written and oral communication skills to effectively convey complex information. Strong customer service orientation (responsive, consultative, collaborative and accurate). Self-starter with proven ability to take initiative to accomplish goals, with minimal oversight and direction. Knowledge of SDLC for both waterfall and agile methodologies. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
    $78k-109k yearly est. 1d ago
  • EDI Analyst III

    Skygen 4.0company rating

    Remote

    What are important things that YOU need to know about this role? offers permanent remote work. Required Expertise: Strong Medicare and Medicaid encounter experience, plus proficiency in SQL. What will YOU be doing for us? Act as a main point of contact and subject matter expert for EDI file exchanges and setting up new EDI processes on behalf of clients, (including support for various assigned tasks and initiatives as directed by department leadership) OR act as main point of contact and subject matter expert for EDI encounter files exchanges, analysis and error corrections. Provide appropriate proactive communication to internal and external team members to reduce escalations overall and ensure efficient and compliant operations. Process, troubleshoot, and deliver EDI files. What will YOU be working on every day? Process, troubleshoot, and deliver daily EDI files and reports to clients within required timeframes. Process inbound and outbound client files including analyzing data for accuracy and preparing a summary of data for clients. Work collaboratively with external vendors to gather necessary information for new set up. Set up new EDI processes on behalf of new vendors by assessing current system capabilities, providing proper solutions, testing outcomes, and providing general communication and support as needed. Work collaboratively with complex and/or larger clients throughout implementations by gathering requirements, validating files, inputting edits, testing files, and ensure compliance and accuracy. Track inbound and outbound file stats and provide an accounting of data received/sent. Troubleshoot escalated file processing errors. Act as primary resource for department projects. Participate in client and state audits. Regularly attend and participate in client and internal meetings as a representative of the EDI Department. Deliver ad hoc data to internal and external customers as appropriate surrounding problems affecting client eligibility and claim processing. Work collaboratively with internal departments to secure and maintain effective relationships. Act as a subject matter expert for high priority items sent to the EDI team; answering questions to internal and external contacts and resolving matters that may fall outside of the established workflows. Respond timely and accurately to client inquiries regarding reported data, incoming client eligibility and outgoing client claims, encounter, provider and other information. Prepare ad hoc data extracts, reports, and analysis. Perform routine and ad hoc data maintenance. Properly communicate technical information to internal and external clients to ensure shared understanding. Provide training to new and current department staff to ensure understanding. Work collaboratively with internal teams to keep them informed of potential issues and/or concerns. What qualifications do YOU need to have to be GOOD candidate? Required Level of Education, Licenses, and/or Certificates Bachelor's degree in Information Technology, Computer Science, or related field or equivalent years of internal experience. Required Level of Experience Minimum of 5 years of related experience or equivalent advanced education Experience in demonstrating informal leadership skills Required Knowledge, Skills, and Abilities Strong knowledge of database application and data query protocol (MS SQL Server, Transact-SQL). Strong problem diagnosis and resolution skills. Strong verbal and written communication skills Ability to resolve complex problems. Ability to work autonomously Good problem solving and decision making abilities Conflict management skills. Ability to successfully have conversations with others regarding challenging/sensitive topics. Ability to adapt to changing priorities quickly Ability to demonstrate professional behavior Ability to work overtime as needed. What qualifications do YOU need to have to be a GREAT candidate? Preferred Level of Education, License, and/or Certificates Master's degree in Information Technology or equivalent field of study. Preferred Level of Experience Previous EDI experience. Preferred Knowledge, Skills, and Abilities Knowledge of HIPAA requirements The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range. Salary Range: $90,334 - $135,501 Salary Midpoint: $112,917
    $90.3k-135.5k yearly Auto-Apply 24d ago
  • IT Systems Analyst - Remote

    Prime Therapeutics 4.8company rating

    Remote

    At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting TitleIT Systems Analyst - RemoteJob Description The IT Systems Analyst is responsible for utilizing various delivery methodologies employed by Prime and assist in the communications interface between IT and the business community in the investigation, identification, and documentation of business application requirements and technical solutions based on applicable technologies within Prime for either the enhancement of existing applications or to foster the development of new applications. Responsibilities Manage application servers including: Installation & Configuration: Determine necessary software and configuration settings to meet requirements and ensure compatibility. Monitoring & Performance Management: Detect and resolve issues such as slow response times, high resource usage, and downtime using performance metrics. Troubleshoot and resolve application-related issues to maintain optimal performance and reliability. Understand integrations between applications and coordinate with vendors, business users, and IT teams for support and management. Implement security measures in collaboration with vendors and internal teams, including certificate management, encryption, vulnerability remediation, and patching. Coordinate with vendors and security teams to enforce access management and authentication policies. Evaluate and recommend infrastructure platform upgrades to support evolving business needs. Analyze interconnections between application components and develop tools for seamless integration. Adhere to organizational policies for Incident, Problem, Change, Security, and Disaster Recovery Management. Other duties as assigned. Minimum Qualifications Bachelor's degree in Computer Science or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required 2 years of experience supporting key business applications Must be eligible to work in the United States without need for work visa or residency sponsorship Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Strong problem-solving and analytical skills. Ability to work independently and collaboratively in a highly matrixed environment. Strong documentation and communication skills. Ability to coordinate across multiple vendors and internal teams. Preferred Qualifications Experience with Windows Server administration. Experience with Java application servers (e.g., Wildfly) and performance tuning. SQL Server experience, including writing queries and troubleshooting performance issues. Familiarity with IT Service Management practices (Incident, Problem, Change Management). Experience working in environments with regulatory compliance requirements (HIPAA, PCI, etc.). Previous experience in pharmacy operations or PBM/healthcare industry. Understanding of security implications and best practices for application domains. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.
    $74k-118k yearly Auto-Apply 1d ago
  • Lead EDI Analyst

    Blue Cross and Blue Shield Association 4.3company rating

    Philadelphia, PA jobs

    We are seeking a highly skilled and motivated Lead EDI Analyst to join our EDI Business Operations team. This role is responsible for managing, processing, and optimizing Electronic Data Interchange (EDI) workflows that support payer-side healthcare transactions. Key responsibilities include oversight of transactions such as Eligibility Benefit Inquiry/Response (270/271), Claim Status Request/Response (276/277), Claims Acknowledgement (277CA), Authorization Request/Response (278), Claims (837I/837P/837D), Electronic Remittance Advice (835), and Implementation Acknowledgement (999), spanning multiple lines of business. The Lead EDI Analyst drives key initiatives to enhance claims processing, eligibility verification, and payment accuracy, while ensuring full compliance with HIPAA regulations and industry standards. This role is central to optimizing healthcare data exchange and supporting operational excellence across the organization. We're looking for a detail-oriented, analytical professional who thrives in a collaborative environment and is passionate about continuous improvement and innovation. The ideal candidate will lead efforts to deliver scalable, efficient EDI solutions that strengthen our internal systems and external partner communications. As a member of our EDI team, the Lead Analyst will contribute to maintaining the integrity and efficiency of our operations. We value teamwork, proactive problem-solving, and empowering our employees to lead with purpose and impact. Responsibilities include, but are not limited to: * Proactively monitor and analyze production EDI activity to ensure data quality, accuracy, and compliance with mapping specifications, regulatory requirements, industry standards, performance benchmarks, and internal policies. * Continuously monitor system health throughout the day to support real-time EDI transactions and minimize disruptions * Work closely with internal stakeholders to support accurate and timely EDI file processing * Engage in cross-functional collaboration with internal business and IT teams, along with external partners and vendors, to resolve issues and guarantee smooth EDI operations * Coordinate with Trading Partners, Account Teams, Providers, and Claims Teams to identify, troubleshoot, and resolve EDI-related issues efficiently * Lead EDI initiatives, including new implementations and system upgrades, ensuring timely execution and alignment with business goals * Facilitate stakeholder engagement throughout the project lifecycle, maintaining clear communication, accountability, and collaboration across internal teams and external partners * Define and document business requirements and mapping specifications for electronic data exchange, ensuring seamless integration between client and internal systems * Participate in requirement review sessions with stakeholders, subject matter experts, and trading partners to validate business needs * Maintain clear documentation and workflows for EDI changes and mapping updates using Microsoft Word, Excel, PowerPoint, and Visio * Collaborate with the Testing Team to design and execute comprehensive test plans and scenarios for defect resolutions, system enhancements, and project initiatives * Support end-to-end testing and validate results through detailed review and approval * Coordinate testing activities with external vendors to ensure alignment, quality, and timely execution of deliverables * Provide support for production checkout and monitor post-implementation defect tracking to ensure stability and performance * Identify and recommend process improvements to enhance operational efficiency and testing effectiveness * Perform additional responsibilities and tasks assigned to support team and organizational goals Qualifications * Bachelor's degree from an accredited institution preferred or equivalent work experience * 7+ years of experience in EDI transaction processing, preferably in a healthcare, managed care or insurance environment * Strong knowledge of HIPAA EDI standards (especially 270/271, 276/277, 277CA, 278, 837, 835, 999/TA1) * Experience with EDI tools, translators, and transaction monitoring systems * Excellent analytical, problem-solving, and communication skills * Demonstrated ability in planning, organizing, and executing tasks effectively * Ability to manage multiple priorities in a fast-paced environment * Strong working knowledge of Microsoft Office suite, including: * Excel: proficient in creating formulas, using VLOOKUPs, building pivot tables, and performing data analysis * Word, PowerPoint, and Visio: skilled in developing documentation, creating presentations, and mapping business processes Additional Preferred Experience: * Working knowledge of SQL to support defect analysis and resolution * Knowledge of BCBSA Blue Exchange transaction processing IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
    $71k-100k yearly est. Auto-Apply 34d ago
  • Lead Workday Configuration Analyst - Hybrid or On-site Opportunity

    Guide One Insurance 4.7company rating

    West Des Moines, IA jobs

    The Lead Workday Configuration Analyst is responsible for owning the configuration, administration, and ongoing optimization of Workday Financials and related modules. This role ensures the platform aligns with organizational financial programs and strategic initiatives. Acting as a subject matter expert (SME) in Finance business processes, Workday functionality, security, and integrations, the Lead Analyst drives system enhancements, configuration work, and provides expert guidance to optimize workflows and improve system performance. Responsibilities: * Serve as a senior, non-management technical lead, providing guidance and expertise on Workday configurations. * Own configuration across Workday Financials (and related Workday modules), including maintenance, updates, validation, and deployment. * Lead and participate in scheduled system upgrades, including building test plans, executing regression/patch testing, validating integrations, and prototyping new functionality. * Support change management activities, including creating user documentation, training materials, and configuration notes. * Partner with Finance, Payroll, SCM, and other teams to gather and validate business requirements; recommend Workday solutions that improve efficiency and accuracy. * Analyze existing workflows and business processes to identify opportunities for simplification and automation. * Lead configuration efforts for system enhancements, ensuring delivery is timely, well-documented, and meets security and QA standards. * Collaborate cross-functionally with business stakeholders, project managers, security teams, and integration engineers to design effective end-to-end solutions. * Participate in roadmap planning for Workday features, releases, and new capability adoption. * Create detailed configuration and functional specifications that reflect business processes, integrations, security roles, and reporting requirements. * Proactively monitor system performance, audit configuration impacts, and ensure high reliability and scalability of the platform. * Provide configuration mentoring, support, and training in small group settings. * Resolve complex issues or defects with minimal oversight, ensuring root-cause fixes and long-term stability. * Perform other related duties as assigned. Qualifications: * Strong understanding of Workday Financials and related functional areas (e.g., Procure-to-Pay, Accounting, Projects, Expenses). * Hands-on experience in Workday configuration (e.g., Business Processes, Security, EIBs, Reports, Condition Rules, Calculated Fields). * Experience in Workday application management, implementation, or tenant ownership. * Knowledge of Finance and Accounting processes; integration experience a plus. * Familiarity with operational excellence principles, SLAs, and service management best practices. * Experience with agile methodologies preferred. * Minimum five (5+) years' experience supporting or configuring enterprise applications or HRIS/Finance systems. * Ability to communicate complex system concepts clearly to both technical and non-technical audiences. * Strong analytical and problem-solving skills with the ability to independently troubleshoot issues. Compensation: $105,000 - $130,000 commensurate with experience, plus bonus eligibility Benefits: We are proud to offer a robust benefits suite that includes: * Competitive base salary plus incentive plans for eligible team members * 401(K) retirement plan that includes a company match of up to 6% of your eligible salary * Free basic life and AD&D, long-term disability and short-term disability insurance * Medical, dental and vision plans to meet your unique healthcare needs * Wellness incentives * Generous time off program that includes personal, holiday and volunteer paid time off * Flexible work schedules and hybrid/remote options for eligible positions * Educational assistance #TMG
    $105k-130k yearly 13d ago
  • Analyst

    Bbg 4.4company rating

    Charlotte, NC jobs

    This entry-level Analyst opportunity offers on-the-job learning and, an education on core professional skills for the practice of commercial real estate valuation. A Analyst works in close collaboration under a licensed senior appraiser to access proprietary databases and publicly available resources. This work output is used to produce appraisal reports or other valuation services for a wide variety of commercial real estate subject properties and entrusted by our clients. Analysts are responsible for managing their own caseload, seeing assignments through to completion which includes but is not limited to research and compiling key data, performing market surveys, and confirming property transaction details. All job training and necessary equipment and technology will be provided. The Analyst position is defined by an independent, yet supportive environment in which the analyst will acquire skills in real estate finance, market analysis, and commercial investment analysis. The position involves a mixture of desk and field work, with new challenges and opportunities presented as the analyst builds a body of knowledge. Therefore, this position is best suited to an ambitious individual who enjoys problem solving and can focus on the details while never losing sight of the big picture. Further, the ideal candidate has strong research and analytical skills, and is an effective communicator. If you are a self-starter with a passion for real estate and a knack for analytics, please submit your qualifications to join our growing team. Requirements Strong quantitative skills with experience building real estate valuation models Excellent written, verbal, and interpersonal communication skills Ability to be a collaborative team player Ability to contribute to a positive culture Good judgment Self-starter, highly organized, and detail-oriented Strong analytical aptitude Must be proficient in MS Word and Excel Reliable high-speed internet as projects may require work from home occasionally to meet assignment due dates Argus Enterprise experience a plus Web-based mapping tools. Bachelor's degree in Finance, Real Estate or Economics or related discipline with 1 - 3 years of commercial real estate experience preferred Position includes medical benefits, flexible scheduling, education assistance, and options for offsite fieldwork inspecting properties. BBG is the leading, independent valuation and environmental and property condition assessment services firm in the United States. BBG has more than 45+offices across the US and provides commercial valuation and assessment services with a deep understanding of real-estate finance, from acquisition to disposition. BBG provides equal employment opportunities. Discrimination of any type will not be tolerated. BBG is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, protected veteran status, or any other characteristic protected by state, federal, or local law.
    $58k-80k yearly est. 60d+ ago
  • CAT Modeling Analyst

    Applied Underwriters 4.6company rating

    Remote

    Embark on a rewarding career journey at Applied Underwriters, where employees have been at the heart of our success story for more than 30 years. Headquartered in Omaha, NE, our company thrives on innovation and empowers our employees to shape the future of global risk services. Join a team where your ideas are valued and your talents are nurtured with formal, paid training and mentorship. Experience a workplace culture that celebrates initiative, recognizes results, and provides outstanding benefits that allow you to focus on achieving your full potential. The CAT Modeling Analyst's primary role is to manage and analyze catastrophe exposure data across various lines of business. Responsibilities include understanding, cleansing, validating, and preparing CAT exposure data, applying insurance and reinsurance policy conditions, and conducting in-depth analysis of client exposure data against different perils. The CAT Modeling Analyst will utilize catastrophe modeling software to model and quantify natural catastrophe risk. Additionally, the analyst will collaborate with team members to incorporate reinsurance structures into modeling and exposure management, ensuring comprehensive risk assessment and management. The ideal candidate will be a hard worker who can work both independently and collaboratively, eager to learn, and utilize their technical skills to improve processes.Requirements: Bachelor's degree in Math, Statistics, or a related field. Two or more years' previous experience modeling catastrophe losses in the insurance industry. Insurance and reinsurance experience as well as an understanding of underwriting concepts. Working knowledge of SQL Server, Microsoft Excel, and CAT modeling software, preferably Verisk. Proficient at writing macros using VB scripts. Our Benefits Include: 100% employer-paid medical, dental, and vision insurance for employees 401(k) plan with 100% immediate vesting and a 4% company match Paid time off (PTO) and paid holidays On-site pharmacy, Promesa, provides convenient prescription delivery directly to you Life, disability, critical illness and accident insurance Employee Assistance Program (EAP) Pre-tax Flexible Spending Accounts for health, dependent care, and commuter-related expenses Tuition reimbursement Fitness reimbursement and various additional quality-of-life benefits Applied Underwriters is a global risk services firm helping business and people manage uncertainty through its business services, insurance, and reinsurance solutions. As a company, we truly operate differently within our business sector. Applied Underwriters has one of the highest customer retention rates in the industry - a success directly attributed to our employees and their high level of commitment, hard work, and ambition.
    $59k-89k yearly est. Auto-Apply 7d ago
  • Software Assurance Analyst- HYBRID

    Aegis Security Insurance 4.2company rating

    San Diego, CA jobs

    Software Assurance Analyst Full-time Regular San Diego, CA, San Diego, CA, US Hourly Pay: $26.45 USD Founded in 1965, Vikco Insurance Services LLC (“Vikco”), a subsidiary of K2 Insurance Services, LLC, is a dynamic and growing Managing General Underwriter offering specialty commercial insurance programs nationally. As a leading program administrator Vikco continues to bring new programs to market focused on the needs of our distribution and capital partners. Vikco is seeking a full time Software Assurance Analyst to join its team at one of the company offices in San Diego, CA/Hybrid. Vikco is a rapidly growing company that offers competitive compensation and benefits package including medical, dental, vision, 401(k), flexible spending account, education assistance and paid time off. Required education and experience: Degree in computer science or related technical field Experience with Java, HTML/CSS and Javascript Preferred: XML, JSON, REST APIs and SOAP Database skills (MySQL), querying and design Development tools (Eclipse, VSCode, Apache tomcat) Responsibilities: Perform manual testing for web-based apps User-facing technical support; Communicate directly with users to diagnose problems while maintaining standard for response times and communication Follow up on actions from other team members as needed to communicate back to the user about resolution Reviewing requirements, specs and technical design documents to provide feedback Improving, creating, maintain test cases, test runs Write and maintain testing documentation on subjects including API functionality and software issue creation/resolution; notify leadership of patterns in inquiries so training can be improved or development can be planned Collaborate with development team and assist with the software development life cycle
    $26.5 hourly Auto-Apply 54d ago
  • Senior EDI Integration Analyst

    Transamerica 4.1company rating

    Cedar Rapids, IA jobs

    Job Family Customer & Business Documentation About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms. What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Summary Serve as a technical expert responsible for leading complex Electronic Data Interchange (EDI) integrations and ensuring accurate data exchange between benefit administration platforms, vendors, and internal systems. Provide strategic guidance, troubleshoot issues, and develop solutions to optimize file transmission and system performance. Responsibilities Analyze complex business needs for EDI file setup, bill type, plan design, and benefit administration platforms; translate requirements into technical solutions. Maintain advanced knowledge of employee benefits products and enrollment technology requirements. Lead integration and testing processes, identifying and resolving technical issues to ensure successful file setup and transition to production. Communicate regularly with EDI partners, vendors, and internal stakeholders to support case builds and drive business outcomes. Participate in and lead external technical meetings to provide expertise and develop solutions. Document test scenarios, results, and troubleshooting steps for file transmission errors. Validate raw EDI files for compatibility with current infrastructure. Create and document test cases to replicate and resolve issues. Develop standard workarounds for known system limitations or defects. May assist with additional technical tasks related to EDI onboarding and maintenance. Qualifications Bachelor's degree in data analytics, system integrations, computer science, or related field, or equivalent experience Five years of experience in EDI testing, automation, or system integrations Experience with EDI formats including 834, LDEX, .csv, .txt, and custom file types Familiarity with Human Resource Information Systems (HRIS), Human Resources Systems (HRS), and benefit administration platforms Ability to document and execute test plans and communicate defect reports Experience resolving integration or data transmission errors and conducting root-cause analysis Strong organizational skills and ability to develop creative solutions Ability to work cross-functionally and communicate with diverse audiences Proficient in Microsoft Word and Excel Experience in employee benefits or group insurance industry Experience in data analysis and process documentation Compensation The salary for this position generally ranges between $$85,000-$99,000 annually. Please note that the salary range is a good faith estimate for this position and actual starting pay is determined by several factors including qualifications, experience, geography, work location designation (in-office, hybrid, remote) and operational needs. Salary may vary above and below the stated amounts, as permitted by applicable law. Additionally, this position is typically eligible for an Annual Bonus of 10% based on the Company Bonus Plan/Individual Performance and is at the Company's discretion. Working Conditions This is a hybrid position requiring three days (Tuesday-Thursday) in office per week in one of our hub locations (Cedar Rapids, Baltimore, Philadelphia, or Denver). Relocation assistance will not be provided for this position Disclaimer: Beware of fake job offers! We've been alerted to scammers impersonating Transamerica recruiters, particularly for remote positions. Please note: We will never request personal information such as ID or payment for equipment upfront. Official offers are sent via DocuSign following a verbal offer-not through text or email. #LI-HR1 This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request. What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees. Compensation Benefits Competitive Pay Bonus for Eligible Employees Benefits Package Pension Plan 401k Match Employee Stock Purchase Plan Tuition Reimbursement Disability Insurance Medical Insurance Dental Insurance Vision Insurance Employee Discounts Career Training & Development Opportunities Health and Work/Life Balance Benefits Paid Time Off starting at 160 hours annually for employees in their first year of service. Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. Adoption Assistance Employee Assistance Program Back-Up Care Program PTO for Volunteer Hours Employee Matching Gifts Program Employee Resource Groups Inclusion and Diversity Programs Employee Recognition Program Referral Bonus Programs Inclusion & Diversity We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women. To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all. Giving Back We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work. Transamerica's Parent Company Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity. * As of December 31, 2023
    $85k-99k yearly Auto-Apply 8d ago
  • Integration Analyst I

    Northern Tier Bakery 3.9company rating

    Irving, TX jobs

    Key Duties and Responsibilities: Provide daily functional support for supply inventory management applications Work on future system enhancements, new development, reporting, system upgrades, and other activities including new user training Create functional specifications and assist with in-depth testing of future enhancements and module development Provide user support and track system bugs and enhancement requests Work on data validation and BOL reconciliation process Assist with a new terminal and new supplier onboarding process. Perform set up functions in various systems Serve as liaison between fuels supply, transportation, and accounting team for updating terminal to consignee numbers, including product and cost verification Assist in Speedway store conversions and integration projects and perform data validation tasks Responsible for data subscription service invoices and approvals Support supply team and management with ad hoc projects as needed Qualifications: Preferred Qualifications: Bachelors/4 Yr Degree 2+ years of relevant work experience Previous fuels, product scheduling or fuels accounting experience preferred Experience using PDI and/or RightAngle accounting software Other skills that will make you successful in this role: Process improvement capabilities and problem-solving skills Strong organizational, analytical, project management and leadership skills Strong ability to prioritize responsibilities and work with cross functional groups Excellent communication skills (oral and written) This job description is intended to describe the general nature and level of the work being performed by the individuals assigned to this job. This is not an exhaustive list of all duties and responsibilities. Management reserves the right to amend and change the duties and responsibilities of this job to meet business and organizational needs, as necessary. If an hourly or salary range is included in this ad it represents the range 7-Eleven in good faith believes is the range of compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in this state. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, long-term incentive compensation, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. For a general description of all benefits 7-Eleven is offering in the US for the position, please visit this link .
    $74k-115k yearly est. Auto-Apply 60d+ ago
  • IT System Analyst, Genesys

    American Equity 4.8company rating

    West Des Moines, IA jobs

    At American Equity we offer leading annuity products that help empower our clients to fulfill their needs and wants in retirement. Our success comes from hiring high-energy individuals who embody the beliefs that drive our unique culture. We currently fund over half a million retirements nationwide, and have been headquartered in West Des Moines, Iowa, for over twenty-five years with satellite offices in Charlotte, NC and New York, NY. GENERAL PURPOSE OF THE JOB: The Genesys Analyst position has the responsibility and oversight for all aspects of Genesys Cloud CX's implementation within American Equity and the integrations between Genesys Cloud and other contact center tools. This role is a key member of the technology team that enables Genesys to maximize individual, team, and organizational productivity by addressing contact center business requirements and providing direction and advice on how to further utilize its capabilities. Position sits in West Des Moines and will work an onsite schedule ESSENTIAL DUTIES AND RESPONSIBILITIES: * Lead development and deployment of omnichannel (IVR, Chat, Chatbot, email) flows within Genesys Cloud Architect. Lead deployment of other Genesys modules such as Voice-of-Customer surveys and Knowledge Center, including coordinating and driving execution with other IT teams and vendors. * Analyze business requirements, provide time estimates, document design, perform system configuration and/or development, and support production deployment. * Collaborate with the API and Data Engineering teams to ensure rich data integration functionality, using approved REST APIs for data access. * Troubleshoot, maintain, upgrade, and identify problem areas and solve issues in a proactive manner. Coordinate with Genesys, internal technical teams, and other staff as necessary to resolve project issues or production incidents with Genesys solution and related applications. Apply SRE (site reliability) best practices for the entire tool platform and ensure HA (high availability) status. * Perform other duties as assigned by leadership EDUCATION AND/OR EXPERIENCE: * Bachelor's degree (in CS, MIS, information technology, or related field of study; plus five (5) years of progressively responsible related technical experience; or equivalent combination of education and/or experience. * Hands-on experience leveraging Genesys Cloud CX Architect for IVR development and AI technologies. * Software development experience with familiarity with source code control/GitHub and Genesys Terraform/CX as Code. * Design, development, and support experience with other Genesys Cloud CX capabilities, such as call recording, transcripts, Knowledge Center, Voice-of-Customer Surveys, and reporting * Experience in consuming RESTful APIs for data integration and understanding of authentication methodologies (Oauth, SAML). * Prior experience in an Agile environment preferred. CERTIFICATES, LICENSES, PROFESSIONAL DESIGNATIONS: Required: Genesys Cloud CX: Developer Certification [GCX-GCD] Preferred: * Genesys Cloud CX: Professional Certification [GC-GCP] * Genesys Cloud CX: Architect Certification [GCX-ARC] * Genesys Cloud CX: AI - GPE & GPR Certification [GCX-AI-GPE] * Genesys Cloud CX: AI - Digital Bots & Knowledge Certification [GC-AI-DB] KNOWLEDGE, SKILLS AND ABILITIES: * Excellent hand-on knowledge of Genesys Cloud CX capabilities, architecture, design tools, testing practices, and monitoring tools. * Ability to troubleshoot telephony integration deployments, including media, CTI, Call Event-related issues. * Broad knowledge of information technology functions and disciplines, including but not limited to, architecture, data management, operations, security and business analysis. * Strong customer service orientation. * Strong stakeholder management skills. * Effective verbal and written communication skills. * Ability to work cooperatively and successfully with employees, customers, and other outside third parties. * Strong problem solving, risk assessment, and risk management skills. * Ability to effectively present information and respond to questions. * Ability to define problems, collect data, establish facts, and draw valid conclusions. * Ability to successfully handle pressure and meet deadlines in a fast-paced work environment. #LI-PL1 At American Equity, our core values-Empowered, Passion, Integrity, and Caring-are more than words. They guide how we support one another and how we serve our clients every day. To learn more about American Equity, our culture, and our values, visit the Careers site. Iowa Best Companies to Work for 2025 | Top Workplaces For information on how your data is processed, select the Privacy tab at the bottom of the page and review the Applicant Privacy Policy. For more information about how your information is processed, please click on the Privacy tab at the bottom of the page and then click on the Applicant Privacy Policy.
    $71k-93k yearly est. Auto-Apply 41d ago
  • Senior EDI Integration Analyst

    Aegon 4.4company rating

    Cedar Rapids, IA jobs

    Job Family Customer & Business Documentation About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms. What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Summary Serve as a technical expert responsible for leading complex Electronic Data Interchange (EDI) integrations and ensuring accurate data exchange between benefit administration platforms, vendors, and internal systems. Provide strategic guidance, troubleshoot issues, and develop solutions to optimize file transmission and system performance. Responsibilities * Analyze complex business needs for EDI file setup, bill type, plan design, and benefit administration platforms; translate requirements into technical solutions. * Maintain advanced knowledge of employee benefits products and enrollment technology requirements. * Lead integration and testing processes, identifying and resolving technical issues to ensure successful file setup and transition to production. * Communicate regularly with EDI partners, vendors, and internal stakeholders to support case builds and drive business outcomes. * Participate in and lead external technical meetings to provide expertise and develop solutions. * Document test scenarios, results, and troubleshooting steps for file transmission errors. * Validate raw EDI files for compatibility with current infrastructure. * Create and document test cases to replicate and resolve issues. * Develop standard workarounds for known system limitations or defects. * May assist with additional technical tasks related to EDI onboarding and maintenance. Qualifications * Bachelor's degree in data analytics, system integrations, computer science, or related field, or equivalent experience * Five years of experience in EDI testing, automation, or system integrations * Experience with EDI formats including 834, LDEX, .csv, .txt, and custom file types * Familiarity with Human Resource Information Systems (HRIS), Human Resources Systems (HRS), and benefit administration platforms * Ability to document and execute test plans and communicate defect reports * Experience resolving integration or data transmission errors and conducting root-cause analysis * Strong organizational skills and ability to develop creative solutions * Ability to work cross-functionally and communicate with diverse audiences * Proficient in Microsoft Word and Excel * Experience in employee benefits or group insurance industry * Experience in data analysis and process documentation Compensation The salary for this position generally ranges between $$85,000-$99,000 annually. Please note that the salary range is a good faith estimate for this position and actual starting pay is determined by several factors including qualifications, experience, geography, work location designation (in-office, hybrid, remote) and operational needs. Salary may vary above and below the stated amounts, as permitted by applicable law. Additionally, this position is typically eligible for an Annual Bonus of 10% based on the Company Bonus Plan/Individual Performance and is at the Company's discretion. Working Conditions * This is a hybrid position requiring three days (Tuesday-Thursday) in office per week in one of our hub locations (Cedar Rapids, Baltimore, Philadelphia, or Denver). * Relocation assistance will not be provided for this position Disclaimer: Beware of fake job offers! We've been alerted to scammers impersonating Transamerica recruiters, particularly for remote positions. Please note: * We will never request personal information such as ID or payment for equipment upfront. * Official offers are sent via DocuSign following a verbal offer-not through text or email. #LI-HR1 This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request. What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees. Compensation Benefits * Competitive Pay * Bonus for Eligible Employees Benefits Package * Pension Plan * 401k Match * Employee Stock Purchase Plan * Tuition Reimbursement * Disability Insurance * Medical Insurance * Dental Insurance * Vision Insurance * Employee Discounts * Career Training & Development Opportunities Health and Work/Life Balance Benefits * Paid Time Off starting at 160 hours annually for employees in their first year of service. * Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). * Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars * Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. * Adoption Assistance * Employee Assistance Program * Back-Up Care Program * PTO for Volunteer Hours * Employee Matching Gifts Program * Employee Resource Groups * Inclusion and Diversity Programs * Employee Recognition Program * Referral Bonus Programs Inclusion & Diversity We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women. To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all. Giving Back We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work. Transamerica's Parent Company Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity. * As of December 31, 2023
    $85k-99k yearly Auto-Apply 7d ago
  • Payment Integrity Analyst

    Collectivehealth, Inc. 4.0company rating

    Plano, TX jobs

    At Collective Health, we're transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design. The Payment Integrity Analyst is a critical role within our operations, focused on ensuring every claim is paid accurately and compliantly, which directly impacts our clients' financial health and our members' trust. You will support the Payment Integrity team, developing professional expertise in medical coding, reimbursement rules, and data analysis to proactively detect, prevent, and resolve payment inaccuracies across our health plan claims. This role requires moving beyond simple auditing-it requires supporting the translation of complex policy into technical system requirements, working in close collaboration with our Product and Engineering teams, and the Claims Integrity Manager who you will report to. What you'll do: Vendor Management & Tool Implementation Serve as an operational liaison with external Payment Integrity vendors. Support the Coordination of implementation, testing, and ongoing maintenance of vendor-developed edits and reviews within the overall payment integrity stack. Policy & Rule Ideation Assist in the research and support the interpretation of federal/state regulations (e.g. CMS), commercial payer policies, and develop expertise in industry-standard coding rules (CPT, ICD-10, HCPCS, NCCI, MUE). Business Requirement Translation Document clear, actionable business requirements and system logic (edits, rules) based on translations provided by senior analysts and managers. Data-Driven Investigation Utilize analytical tools to identify and document aberrant billing patterns and potential payment error opportunities, and support senior analysts in performing root cause analysis on identified issues. Audit & Recovery Support the execution of detailed pre- and post-payment audits, accurately calculate overpayment and underpayment amounts, and prepare comprehensive documentation to support claim recovery efforts and issue resolution. Cross-Functional Partnership Collaborate with key internal stakeholders, including Product, Engineering, Claims Operations, and others, to ensure new edits are accurately implemented, tested, and communicated. Issue Resolution Act as a point of escalation for complex payment disputes and claim inquiries, providing definitive analysis and support for the Payment Integrity team. Process Excellence Support continuous improvement efforts within the Payment Integrity workflow, focusing on streamlining processes, increasing automation, and enhancing overall claim accuracy. To be successful in this role, you'll need: 2+ years of relevant experience in healthcare claims auditing, payment integrity, or complex claims processing/adjudication, ideally within a payer or TPA setting. Medical coding certification is Preferred (e.g., CPC, COC, or CIC from AAPC, or CCS from AHIMA), or the candidate is Required to obtain it within the first year of employment if they possess comparable experience. Experience working directly with external Payment Integrity or FWA vendors to develop, deploy, and manage claim editing capabilities or similar experience. Demonstrated proficiency in leveraging data to solve business problems, with hands-on experience in SQL or other database skills (e.g., Looker) for retrieving and analyzing data against large claims datasets. Strong, practical knowledge of healthcare reimbursement methodologies (e.g., RBRVS, DRG, fee schedules) and the end-to-end claims lifecycle. Experience handling cross-functional projects at a small to mid-sized organization Ability to handle multiple tasks/projects under tight deadlines Strong internal & external communication Working in a highly matrixed environment Nice to have: Experience in a process improvement methodology (e.g., Lean Six Sigma, Six Sigma). Familiarity with data visualization tools (e.g., Looker, Tableau, Power BI) and/or leveraging AI for process optimization/automation. Bachelor's degree in Healthcare Administration, Finance, Business, or a related quantitative field. Project Management Experience working with medical healthcare insurance carriers Pay Transparency Statement This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT).#LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for 10,000 stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at ******************************************** Lehi, UT Pay Range$27.20-$34 USDPlano, TX Pay Range$29.85-$37.40 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: *********************************************
    $27.2-34 hourly Auto-Apply 5d ago
  • Senior EDI Integration Analyst

    Aegon 4.4company rating

    Philadelphia, PA jobs

    Job Family Customer & Business Documentation About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms. What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Summary Serve as a technical expert responsible for leading complex Electronic Data Interchange (EDI) integrations and ensuring accurate data exchange between benefit administration platforms, vendors, and internal systems. Provide strategic guidance, troubleshoot issues, and develop solutions to optimize file transmission and system performance. Responsibilities * Analyze complex business needs for EDI file setup, bill type, plan design, and benefit administration platforms; translate requirements into technical solutions. * Maintain advanced knowledge of employee benefits products and enrollment technology requirements. * Lead integration and testing processes, identifying and resolving technical issues to ensure successful file setup and transition to production. * Communicate regularly with EDI partners, vendors, and internal stakeholders to support case builds and drive business outcomes. * Participate in and lead external technical meetings to provide expertise and develop solutions. * Document test scenarios, results, and troubleshooting steps for file transmission errors. * Validate raw EDI files for compatibility with current infrastructure. * Create and document test cases to replicate and resolve issues. * Develop standard workarounds for known system limitations or defects. * May assist with additional technical tasks related to EDI onboarding and maintenance. Qualifications * Bachelor's degree in data analytics, system integrations, computer science, or related field, or equivalent experience * Five years of experience in EDI testing, automation, or system integrations * Experience with EDI formats including 834, LDEX, .csv, .txt, and custom file types * Familiarity with Human Resource Information Systems (HRIS), Human Resources Systems (HRS), and benefit administration platforms * Ability to document and execute test plans and communicate defect reports * Experience resolving integration or data transmission errors and conducting root-cause analysis * Strong organizational skills and ability to develop creative solutions * Ability to work cross-functionally and communicate with diverse audiences * Proficient in Microsoft Word and Excel * Experience in employee benefits or group insurance industry * Experience in data analysis and process documentation Compensation The salary for this position generally ranges between $$85,000-$99,000 annually. Please note that the salary range is a good faith estimate for this position and actual starting pay is determined by several factors including qualifications, experience, geography, work location designation (in-office, hybrid, remote) and operational needs. Salary may vary above and below the stated amounts, as permitted by applicable law. Additionally, this position is typically eligible for an Annual Bonus of 10% based on the Company Bonus Plan/Individual Performance and is at the Company's discretion. Working Conditions * This is a hybrid position requiring three days (Tuesday-Thursday) in office per week in one of our hub locations (Cedar Rapids, Baltimore, Philadelphia, or Denver). * Relocation assistance will not be provided for this position Disclaimer: Beware of fake job offers! We've been alerted to scammers impersonating Transamerica recruiters, particularly for remote positions. Please note: * We will never request personal information such as ID or payment for equipment upfront. * Official offers are sent via DocuSign following a verbal offer-not through text or email. #LI-HR1 This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request. What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees. Compensation Benefits * Competitive Pay * Bonus for Eligible Employees Benefits Package * Pension Plan * 401k Match * Employee Stock Purchase Plan * Tuition Reimbursement * Disability Insurance * Medical Insurance * Dental Insurance * Vision Insurance * Employee Discounts * Career Training & Development Opportunities Health and Work/Life Balance Benefits * Paid Time Off starting at 160 hours annually for employees in their first year of service. * Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). * Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars * Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. * Adoption Assistance * Employee Assistance Program * Back-Up Care Program * PTO for Volunteer Hours * Employee Matching Gifts Program * Employee Resource Groups * Inclusion and Diversity Programs * Employee Recognition Program * Referral Bonus Programs Inclusion & Diversity We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women. To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all. Giving Back We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work. Transamerica's Parent Company Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity. * As of December 31, 2023
    $85k-99k yearly Auto-Apply 7d ago
  • CAVOK - Technical Analyst - College Rotation Generalist - Atlanta or Westlake

    Marsh McLennan Agency-Michigan 4.9company rating

    Atlanta, GA jobs

    Company:Oliver WymanDescription: Oliver Wyman CAVOK, an aviation, rail, and energy technical consulting company with offices in Atlanta, Georgia; Westlake, Texas; and London, England is hiring recent Aviation College graduates to become a generalist aviation specialist. This dynamic role involves working with multiple teams and projects, as well as developing, managing, evolving, and evaluating programs for multiple operator clients and fleet types. Visit our website for more details about Oliver Wyman CAVOK: ***************************** Job specification Job title: Technical Analyst - College Rotation Generalist Department: Rotation Program Office/region: Atlanta, Georgia or Westlake, Texas Reports to: Vice President Job Overview: Oliver Wyman CAVOK provides technical consulting and services to the aviation, rail, and energy sectors. An Oliver Wyman CAVOK Generalist will often relate to one of the sectors but multi-sector experience is a plus. The Generalist will be part of Oliver Wyman CAVOK's comprehensive technical advisory support and services that relate to safe, reliable, and cost-effective operations in the sector. They will work primarily with the aviation sector and will have the opportunity to contribute in all focus areas that Oliver Wyman CAVOK brings to the aviation industry. Focus areas include: Certification, Compliance, Quality, and Safety IT Enterprise Solutions MRO Market Intelligence Operational Improvement and PMO Maintenance Programs and Planning Engineering and Reliability Technical Data and Records Fleet Management and Aircraft Transactions Helicopters and UAS Training Knowledge of industry or cross industry best practices, process evaluation/improvement methodologies, and project management are important competencies as well. Key Responsibilities: Develop technical solutions to complex problems for client management to optimize customer operations Resolve emergent needs and regulatory compliance issues Research, analyze, and develop new maintenance and operations solutions based on design review and analysis of recurring product support data utilizing field experience and internal consultations Present solutions to clients and colleagues to ensure positive customer interface Initiate customer feedback on effectiveness of services and products Assist with implementation of recommended action plans ensuring effective and efficient change management and intended improvements Provide project management for client initiatives to ensure timely delivery and accountability for both client and firm requirements and deliverables Maintain thorough and consistent client communication and support to ensure satisfactory delivery of agreed product suite Travel nationally and internationally, as required, to support clients Education and Experience: Bachelor's degree from an accredited university in an aviation program Skills and Attributes: Familiarity with pertinent regulatory and operational requirements, control processes, and associated documents Ability to understand and exercise applicable provisions of client's policies and procedures Strong analytical and organizational skills Effective written and verbal communication, time management, and organization skills Customer Service oriented with ability to adapt to a fast paced and changing work environment Ability to be productive in a team environment and interface professionally, credibly, and objectively with colleagues and clients Self-directed, resourceful, willing to take initiative, work independently, and solve problems with minimal supervision Pays attention to detail and is a champion for accuracy and quality Oliver Wyman is an equal opportunity employer. Our commitment to diversity is genuine, deep and growing. We're not perfect yet, but we're working hard right now to make our teams balanced, representative and diverse. Unrestricted U.S. work authorization is required for U.S. office locations. Oliver Wyman does not offer sponsorship for this position. Please note that CPT and OPT are restricted forms of work authorization.
    $72k-98k yearly est. Auto-Apply 60d+ ago
  • Lead Business Systems Analyst

    Aegon 4.4company rating

    Cedar Rapids, IA jobs

    Job Family IT - Business Analysis About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms. What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Summary Leads the business analysis process and those who are identifying business requirements for system solutions or improved processes that will increase efficiency and overall productivity. Recommends potential solutions that provide the most effective results for the enterprise. Recommends changes in procedures. Ensure the use of consistent team operating procedures. Responsibilities * Leads the effort in which the BSA group conducts business process analyses and needs assessments in an effort to align information technology solutions with business initiatives. * Use Business Process Modeling techniques and tools to create business process models. * Lead effort to develop new or revised processes or procedures in lieu of system development. * Facilitates the elicitation of business and systems requirements, utilizing comprehensive understanding of applicable business systems and industry requirements. * Provides leadership to analyze business unit requests and understand business requirements. Work with various technical staff members to determine possible solutions and communicate business and system impacts to IT and Operations staff. * Prepare complex documentation for business and system requirements in various formats. * Leads project teams that are developing or modifying highly complex information systems. Includes leading the analysis and documentation of business and system requirements. * Conducts research and analysis to quantify business opportunities and develops formal recommendations to management. * Participates in the Enterprise Architecture program. This may involve providing input as to how data is created, stored and used (re used) as it relates to our business processes. * May use project management and program management methodologies to support a systems development methodology to meet project deliverables. * May be responsible for instructing, directing, mentoring, and checking the work of other business systems analysts. Plans, conducts and may supervise assignments. Qualifications * Bachelor's degree, preferably in IT or a business area discipline (i.e. accounting, investments, or marketing) or equivalent education/experience. * Minimum of 8 or more years of experience in business systems analysis. * 2-4 years of industry experience also preferred. * Two years of experience managing technical projects in a complex environment. Preferred Qualifications * Knowledge of and experience in life insurance operations. Strong organizational and analytical skills with attention to detail. Excellent written, verbal and presentation skills. Working knowledge of systems methodology, project management, quality assurance and testing methodologies. Conceptual knowledge of graphical user interfaces, relational database management systems and data storage. * Experience with Salesforce administration, including user management, integrations, automations, security settings, and configuration of standard objects. * Familiarity with Salesforce declarative tools (e.g., workflows, validation rules, reports, dashboards). * Understanding of Salesforce Clouds such as Sales Cloud, Service Cloud, and/or Financial Services Cloud, including their core features and use cases. * Salesforce Administrator certification (ADM-201) preferred. Working Conditions * Hybrid Office Environment The Salary for this position generally ranges between $97,000-$125,000 annually. Please note that the salary range is a good faith estimate for this position and actual starting pay is determined by several factors including qualifications, experience, geography, work location designation (in-office, hybrid, remote) and operational needs. Salary may vary above and below the stated amounts, as permitted by applicable law. Additionally, this position is typically eligible for an Annual Bonus of 12.5% based on the Company Bonus Plan/Individual Performance and is at the Company's discretion. * We will never request personal information such as ID or payment for equipment upfront. * Official offers are sent via DocuSign following a verbal offer-not through text or email * This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request. What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees. Compensation Benefits * Competitive Pay * Bonus for Eligible Employees Benefits Package * Pension Plan * 401k Match * Employee Stock Purchase Plan * Tuition Reimbursement * Disability Insurance * Medical Insurance * Dental Insurance * Vision Insurance * Employee Discounts * Career Training & Development Opportunities Health and Work/Life Balance Benefits * Paid Time Off starting at 160 hours annually for employees in their first year of service. * Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). * Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars * Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. * Adoption Assistance * Employee Assistance Program * Back-Up Care Program * PTO for Volunteer Hours * Employee Matching Gifts Program * Employee Resource Groups * Inclusion and Diversity Programs * Employee Recognition Program * Referral Bonus Programs Inclusion & Diversity We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women. To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all. Giving Back We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work. Transamerica's Parent Company Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity. * As of December 31, 2023
    $97k-125k yearly Auto-Apply 3d ago
  • Product Configuration Analyst I

    Delta Dental Ins 4.9company rating

    Edi analyst job at Delta Dental Ins

    Come Smile with Us! Join our mission-driven organization that makes a difference! Delta Dental of Iowa is seeking a detail-oriented Product Configuration Analyst I to ensure the accurate setup and maintenance of plan designs and benefit configurations within our administrative systems. In this critical role, you will help guarantee that products and benefits are implemented correctly to support seamless enrollment, billing, and claims adjudication. You will collaborate closely with internal stakeholders to ensure product accuracy through the new business and renewal cycles. If you thrive on precision, collaboration, and contributing to a purpose-driven team, this is your opportunity to make an impact. This hybrid position is located in Johnston, Iowa. Position may be filled at a higher level, depending on experience. Learn why Cherie enjoys working for Delta Dental of Iowa. Why Delta Dental of Iowa? For your smile. For your health. For your community. At Delta Dental of Iowa, we're more than just a dental and vision insurance company. Improving health and wellness is at the center of everything we do. As a not-for-profit, we aim to build stronger communities by investing in actions that promote and improve health. Delta Dental of Iowa invests 40% of our dollars directly back into the communities we serve. Come see why we are passionate about "Bringing Smiles" to our customers. Our team enjoys competitive pay and benefits, an awesome "One Team" approach, and a company culture that fosters "Exceptional Quality Service" and "Leadership at All Levels." Together, we can make a difference - not only in Iowa but across the country. Essential Functions and Principal Accountabilities Configure product and benefit rules in dental benefits administration system based on approved plan designs and benefit documentation. Build foundational knowledge of internal systems and business processes. Interpret Summary of Benefits, Benefit Booklets, and product standards to build accurate configuration logic. Maintain dental CDT code logic, procedure groupings, and benefit rules to ensure correct claim outcomes and alignment with product intent. Collaborate with internal teams to review and validate plan alternatives, ensuring benefit configurations align with standard system capabilities. Provide consultative input on quote options, recommending adjustments or standard configurations to improve alignment and implementation accuracy. Support basic project tasks and contribute to team initiatives. Validate set up accuracy through testing, auditing, and end-to-end review from enrollment through claims. Collaborate effectively with cross-functional teams to achieve operational goals, maintain professionalism, and constructive communication. Assist in identifying and resolving configuration related issues. Document and follow established procedures. Maintain strict confidentiality. Adherence to all HIPAA laws is always required. Perform other duties as assigned. Requirements Required Minimum of 1 year of experience in configuration, data management, business analysis, or claims administration. Strong attention to detail and problem-solving skills. Ability to learn new technologies and systems quickly. Proficiency in Microsoft Suite applications, including Excel. Proven flexibility in responding to changing circumstances and requirements. Strong organizational and time-management skills to handle multiple priorities in a rapidly changing environment. Strong interpersonal and communication skills with the ability to build effective relationships across teams, including in challenging situations. Preferred Bachelor's degree in related field. Dental claims and/or other ancillary benefits processing. Experience working with brokers. Basic SQL experience. Delta Dental of Iowa is an Equal Opportunity Employer that does not discriminate on the basis of race, sex, national origin, religion, age, disability and any other characteristic protected by applicable law. It is also the policy of Delta Dental of Iowa to take affirmative action to employ and to advance in employment, all persons regardless of their status as individuals with disabilities or protected veterans, and to base all employment decisions only on valid job requirements.
    $63k-88k yearly est. 6d ago
  • Benefits Systems Analyst

    First Financial Group of America 3.7company rating

    Houston, TX jobs

    Job Title: Enrollment Analyst Reports to: Enrollment Solutions Manager Responsible for the client software implementation, software setup, data reconciliation and imports, as well as creation of benefit plans and plan eligibility, rules and employer/enrollment site testing. Will work with Selerix and Benefits Solver as well as our in house enrollment systems to aide our clients in the K-12 markets with enrolling in core and voluntary benefits. Qualifications * 3-4 years of experience with core and voluntary benefits and HIPAA compliance. * 1 year experience working with Selerix. * 1 year experience working with HRIS back office configuration. * Strong customer service skills and a proven track record of handling sensitive client information. * Must have proven oral and written communication skills through work. * Must have strong knowledge and work experience using Excel, Word & Outlook. * High school diploma required or equivalency required (GED). Preferred Qualifications * Bachelors Degree from an accredited university preferred. * Knowledge of general benefit plan terminology highly preferred * Knowledge of the K-12 market benefits highly preferred * Bilingual English/Spanish preferred Knowledge, Skills and Abilities * Time management and organization skills * Computer proficiency * Communication skills and general business acumen * Strong sense of urgency * Detail oriented * Strong interpersonal skills; diplomatic and tactful Must be able to obtain and maintain security clearances. Equal Opportunity Employer
    $67k-89k yearly est. 13d ago
  • Import Analyst

    EHIM 3.8company rating

    Gainesville, GA jobs

    MUST BE A GEORGIA RESIDENT POSITION IS FULL-TIME ONSITE ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following: Run client files in production. Troubleshoot and resolve file exchange issues. Test, troubleshoot and coordinate file imports. Liaison between the client and programmers on new layouts/enhancements. Document and maintain import instructions. Ensure import files are processed in a timely manner so as to meet all SLA requirements. Provide support and be cross trained on departmental staff duties. QUALIFICATIONS AND REQUIREMENTS Excellent telephone etiquette and verbal communication skills. Customer service driven. Strong attention to detail and accuracy. Must possess the ability to coordinate functions with other departments in order to meet objectives in a timely manner. High technical aptitude including Excel, Word and other computer processes/programs preferred. Good mathematical and written communication proficiency preferred. EDUCATION Bachelor's Degree preferred or equivalent work experience PHYSICAL DEMANDS The Import Analyst position requires sitting, standing and occasional light lifting.
    $60k-84k yearly est. 15d ago

Learn more about Delta Dental Ins jobs