Team Leader jobs at HUB International

Are you eager to take command of your career and conquer exciting new challenges? ServiceLink, the unrivaled leader in the mortgage industry, is in search of a proven leader with demonstrated success and a sound knowledge base to fill the position of Team Lead, Doc Audit. The ideal candidate must possess a strong dedication to creating value for customers and rigorously promote our distinguished Serve First culture. If you thrive as an inspirational and motivating force behind high team performance, we encourage you to apply today. There may never be a better time to join ServiceLink, where the demand for exceptional commitment is rewarded with unlimited potential for self-directed growth. **This is an in-office role, located at ServiceLink's corporate headquarters in Moon Twp., PA. Candidates must be within reasonable commuting distance of the Moon Twp., PA office and be willing and able to work in-office on a daily basis. Applicants must be currently authorized to work in the United States on a full-time basis and must not require sponsorship for employment visa status now or in the future. A DAY IN THE LIFE In this role, you will… · Process and review all closing related documentation to meet company, client, vendors and borrower requirements · Be responsible for maintaining optimal levels of a Doc Audit Department including auditing incoming and outgoing client documentation packages and meeting the daily operational goals of a team within the department · Serve as the primary contact within the team for any requests or issues · Monitor and review employee time and attendance and conduct employee counseling sessions WHO YOU ARE You possess … · Exceptional customer service skills · A penchant for excellence. You will use your strong attention to detail to maintain our quality standards · The ability to multitask in a fast paced environment, especially the ability to meet tight deadlines for our clients · Excellent verbal and written communication skills Responsibilities · Review work-in-progress reports to ensure completion of assigned work for all team members · Proficient in ServiceLink operating systems and internal search engines · Communication with outside agencies, clients and borrowers · Research and resolve discrepancies · Print reports from established databases · Maintain accurate records and logs · Review all documentation for 100% accuracy · Knowledge of client, vendor and borrower requirements · Perform duties and responsibilities in a timely manner · Maintain open communication with other team members and team leader · Address inquiries from clients, borrowers, agents, and internal staff in a professional and timely manner · Confirm team's adherence to client time requirements · Take responsibility for the teams' accuracy, efficiency, timeliness, and completion of duties · Monitor and review employee time and attendance and conduct employee counseling sessions as needed · Make suggestions to assist with building and maintaining morale · Identify and provide required training, i.e. one-on-one training, classes, and coaching for all team members · Adhere to company policies and procedures · Meet production goals and quality standards as set by management · Perform all other duties as assigned Qualifications · High School diploma or equivalent preferred · Typing/Data Entry skills, 45 wpm with a 95% accuracy rate · Possess good communication and customer service skills · Knowledge of Windows software applications · Prior experience as a team member or experience in the real estate, banking, or vendor management industry · Knowledge of real estate terminology · Knowledge of real estate closing document recording process · Must possess good organizational skills, ability to handle multiple tasks simultaneously

Job Description Scope of Work: Responsible for coordinating activities related to a team's credentialing of insurance certificates and other vendor data. Supports Clients by processing vendor documents including data entry, review of requirements, file naming and uploading, reporting, billing, writing deficiency emails and making phone calls to vendors and third parties (e.g., insurance agents) to obtain compliant documentation for BCS clients. Managerial Responsibility: Responsible for managing and developing the analyst teams. Job Duties: Document Credentialing Performs all document credentialing functions as a Compliance Analyst. Data entry of all data from vendor documents into the BCS database. Preparation and sending of deficiency notices to vendors and insurance agents. Naming of files and uploading of them to the BCS database. Compare vendor data and documents to client rule sets as necessary. Perform second reviews for new Analysts. Ability to extract insurance requirements from contracts, leases and loans. Handle one-off requests for waivers on an account basis. Reporting Review and approve internal reports for management, i.e. timesheets. Review and respond to quality report findings (involve analysts as needed for corrections and/or training). Prepare personnel performance reviews for analysts. Perform verbal and written warnings if applicable. Hold weekly meetings with analyst team Prepare a current assessment of deficient Companies. Get feedback on analyst workload. Relay BCS company information (technology, business development, etc.) Share ideas and best practices. Discuss scheduling and calendar issues. Ongoing client-specific training - database, COI review, client rules, phone calls, organization. Attend in-house BCS management meetings Attend the bi-weekly operations management meeting. Report on client status. Discuss staffing. Share ideas and input from analyst teams. Discuss Business Development pipeline. Bring up any issues that need to be discussed. Client Meetings Attend scheduled client meetings to provide organizational insights. Address client questions regarding credentialing processes, vendor compliance, and documentation requirements. Gather client feedback and communicate relevant information back to analyst teams. Special projects Assist with special projects as required by clients and management Principal Measures: Key measures will reflect accuracy of work, the prompt and timely completion of work, maintaining high compliance levels throughout the Company base (85%+), database accuracy (95%), analyst productivity and the ability to support individuals in analyst team, sales, accounting and clients with client specific needs. Desired Skills: Strong analytical and organizational skills Excellent communication skills - people skills are a must Ability to complete assigned tasks and meet deadlines Strong computer and database skills - MS Office a must Experience: Experience in client services, managing teams in a service role for organizations or equivalent BCS experience Bachelor's Degree preferred Previous insurance related experience preferred

GAT is seeking dynamic individuals to join its team of aviation professionals. Classification: Variable Hour, Non-Exempt Job Summary: Customer Service Supervisor is responsible for supervising all functions of the airline customer service operations, which include, but are not limited to: auditing flight paperwork to ensure compliance, complete personnel evaluations on leads and trainers. Coordinates proper handling of OJI's including the acquisition of medical attention and corporate reporting. Ensuring compliance with all safety policies and procedures and working conditions for the entire operation. Attend safety meetings, team meetings, etc., and other airport forums. Handle all location personnel functions, ensuring proper personnel coverage on a daily basis. Serve as the liaison with airline customers as well as local airport authorities. Job Responsibilities: Monitoring and responsibility for the safe and efficient operation of all airline ground support equipment Reporting discrepancies that may exist both functional and mechanical on the ground support equipment; Coordinating between each assigned carrier to ensure that service for cargo and baggage meets the needs of the carrier to ensure on-time schedules are met Responsible for equipment and ensuring its safe and efficient operating status; Confer with other supervisors and managers to coordinate activities with other departments; Determining manpower requirements; ensuring disciplinary procedures are conducted in a fair, timely, and consistent manner; Ability to comply with attendance/tardiness standards. Able to perform under pressure and within fixed time constraints Read and interpret aircraft weight and balance loading instructions, hazardous materials identification labels, aircraft loading manifest, and baggage routing tags Follows and complies with all federal, state, municipal, airport authority, and carrier rules and regulations Ensure crews are being briefed before flights on positions to take and how flight will work Other duties as assigned Requirements: Strong understanding of Airline Customer Service Experience in the Airport Ground Handling business. Must possess computer experience (6+ months) and knowledge of Microsoft Word and Excel Ability to navigate electronic devices (phones, computers, fax machines, printers, timeclock, etc). A proven track record in supervising a business unit. Experience in operational planning and resource allocation. Working knowledge of GSE maintenance issues. Experience and understanding of commercial issues in aviation. Must have a High School diploma, GED Must be at least 18 years of age Capable of processing information in a timely manner Must have and maintain a Valid Driver's License Able to proficiently speak, read, and write in English Basic computer literacy Previous ramp or airline experience Must successfully complete all training requirements and maintain certifications throughout employment Must clear an FBI fingerprint background check Must successfully complete all required training Physical Requirements: Must be physically fit to perform the duties of the job including but not limited to standing, lifting, bending, pushing, and pulling for extended periods of time Capable of repetitively lifting up to 70 pounds in confined spaces and repetitively Must be physically fit to perform the duties of the job Willing to work outside in all types of weather conditions with exposure to loud noises Specific Working Hours Must be able and flexible to work variable shifts, weekends, and holidays Specific shifts to be determined Must be able to work extended hours on short notice during non-routine operations GAT Airline Ground Support, as an equal opportunity employer, makes hiring decisions based on business needs and the best-qualified candidates available and does not discriminate in its employment decisions on the basis of any protected category. GAT Airline Ground Support is a drug-free workplace and conducts random drug tests. Employment with GAT Airline Ground Support is contingent upon a clean driving record, 10-year Criminal History records check, and drug screen as required. You must also have proof of high school or GED completion.

Higginbotham, a privately held, independent insurance and financial services firm that ranks within the top 20 nationwide, has an opening for an Employee Benefits Account Management Team Lead for our Houston, TX office. This team lead will be responsible for assisting in workflow strategy development, deployment and training, collaborating with producers to oversee assigned team including workflows, workload, adherence to agency policies and procedures; also responsible for conflict resolution, performance reviews, expense management and salary administration for assigned team. Essential Tasks: Overall management and support of team and Office Advocates, if applicable Interview and evaluate prospective team members Coordinate training and guidance regarding department procedures Assist in needs assessment and training where needed Assist with back up, when necessary Participate in disciplinary and termination issues Assist with implementation of new procedures and/or changes Ensure compliance with policies and procedures of team and Office Advocates, if applicable Assists with cultivating efficient operations of the EB department within respective Region Assist in resolving workflow issues as they arise Remains abreast of employee benefits insurance markets Participates in staff recognition Audit development, implementation and oversight For Team Leaders with assigned book of business, the following also apply: Acts as primary contact between client, prospect, agency, and producer; represents the agency in handling complaints, arbitrating disputes, or resolving grievances. Handles or refers all service requests by our clients Initiates and handles marketing of account beginning 120 days prior to renewal date. Gathers the necessary information regarding new/existing accounts and submits this information to the various and appropriate carriers to obtain proposals; investigate carrier products, analyzes and reviews clients' data to appropriate carriers to recommend appropriate plans and proposals to offer the client. Reviews the proposals received for accuracy, works hand in hand with Producer to generate proposal presentation through spreadsheets and proposal exhibits Calculates premium and payroll deductions, audit billing statements for accuracy on behalf of clients Generates open enrollment material i.e. enrollment guides, election forms, personalized confirmation sheets, enrollment/change forms, power point presentations for client presentations Conducts open enrollment presentations in front of an audience Processes necessary paperwork for submission to carrier Directs a smooth transition from one carrier to another Updates all accounts, timely, to maintain files on the agency management systems Sets priorities and manages workflow to ensure efficient, timely and accurate processing of transactions and other responsibilities. Maintains knowledge of new developments or changes with the various carriers and new Federal/State laws that may affect how our clients must administer their benefit programs, and communicate this information to clients and team members Develops and maintains a positive relationship and rapport with each insurance carrier to satisfy our clients' needs and facilitate the processing of business Non-essential Tasks: Attends and completes any training sessions or assignments as required Performs other related tasks as needed Specific Knowledge, Skills and Abilities: Highly motivated self-starter with ability to work independently to accomplish established agency goals Ability to work as a team player with a committed positive approach to working through adversity Strong organizational and time management skills, with an extreme attention to detail Critical thinking skills with ability to use logic and reasoning to identify deficiencies or other concerns Ability to adhere to and meet deadlines Above average mathematical skills Accountable and delivers on commitments Exceptional communication skills, both in the verbal and written word, necessary to communicate with clients, carriers and prospects concerning employee benefit lines of coverage Intermediate knowledge of Microsoft Office Products Outlook, Word and Excel preferred; basic working knowledge of Power Point preferred Experience and Education: High school diploma or equivalent Life and Health Agent's license Minimum four years' experience in account management preferred ACSR designation preferred Commitment to continuous learning Location: Houston, TX Physical Requirements: Ability to lift 25 pounds Repeated use of sight to read documents and computer screens Repeated use of hearing and speech to communicate on telephone and in person Repetitive hand movements, such as keyboarding, writing, 10-key Walking, bending, sitting, reaching and stretching in all directions

We are seeking a Licensed Insurance Agent to assist individuals in navigating Medicare programs. In this role, you will educate clients on Medicare options (Parts C & D as well as Med Supp/MediGap and ancillary products), recommend suitable plans based on their needs, and help with enrollment and transitions between plans. Job Responsibilities Educate clients about Medicare benefits and coverage options. Assist with plan enrollment and transitions. Conduct plan comparisons and provide recommendations. Ensure compliance with Medicare regulations and deadlines. Effectively manage inbound and outbound calls in a high-volume sales environment, while maintaining professionalism and accuracy. Maintain accurate records and documentation. Provide excellent customer service to resolve issues and answer questions. Minimum Qualifications Holds valid health insurance license. Can provide proof of release or intent to release if previously or currently appointed elsewhere. Current plan year AHIP certification. Understanding of sales and ability to generate revenue. Capability to contract and become RTS (ready-to-sell) with multiple insurance carriers (3 main MAPD carriers or 2 main MAPD carriers and one approved secondary carrier.) Main MAPD carriers: United Healthcare, Humana, Aetna Secondary carriers: Cigna, Anthem, Wellcare, Zing, Devoted Comfortable operating in a metrics-driven environment with expectations around sales performance, and call compliance. Ability to work in compliance with CMS Federal regulations. Strong organizational, interpersonal, communication, and presentation skills. Must be authorized to legally work in the United States without sponsorship. If you are a licensed, highly motivated individual who shares our core values, has a passion for helping Medicare-eligible seniors, and a drive for sales success, we encourage you to apply and become part of the Exact Medicare team!

WHAT WE'RE LOOKING FOR? The Team Lead links the leadership team and the sales associates by assisting in the operational functions of the store, and motivating the team to exceed goals. Reporting directly to the Store Manager, the Team Lead provides support and coverage to the Store and Assistant Managers in their absence. They model desired selling and customer service behaviours at all times to promote an environment focused on consistent, exceptional and positive in-store experience to customers and employees. To be successful, you'll need to possess: 1 + years related experience in a retail apparel environment, luxury retail experience is a plus; Proven ability to successfully lead a sales team; viewed as a leader among peers; Proven experience with POS management, daily banking procedures, and submitting timely reports; Strong organization, and problem solving skills; Passion for upholding an exceptional customer experience; Collaborate with others, yet be self-motivated; Available for varied weekly shifts, including weekends, closing and holidays. THE IMPACT YOU'LL HAVE This is an opportunity to shape our company's future by: Demonstrate a customer obsessed selling culture and build brand loyalty through excellent product knowledge; Partner with store management to execute action plans that optimize results and ensure effective execution of all store operational activities; Contributes ideas and solutions to the leadership team that results in increased productivity and improved operations of the store; Assist store management in conducting new associate onboarding and trainings; Coaches associates on customer service fundamentals and provides positive feedback; Assists in resolving customer service matters; Oversees and delegates tasks to team to best maximize efficiency of store operations; Communicates individual and/or team performance feedback to store management; Ensure team receives scheduled breaks and/or meal periods; Creates an open outward communication on the sales floor; Ensure adherence to all company policies, procedures and guidelines; Perform opening and closing procedures, and any inventory duties as directed. WHY JOIN ROOTS? Roots is not only a brand, it's a culture and lifestyle. We look for dynamic individuals who are not only interested in retail and fashion, but who enjoy challenges and share our vision for a safer, cleaner, healthier planet. In addition to our customers, an intrinsic part of our success has always been the people who work here. Roots is a company in which you can grow and benefit from the great opportunities often available. All members of our team are encouraged to 'spread their roots'. SOUND LIKE YOU? APPLY NOW! We'd like to thank everyone who applies, but we can only contact applicants who are most qualified.

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Department: CASE MANAGEMENT Job Type: Regular Employment Type: Full-Time Salary Range: $123,588.00 - $123,588.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, MetroPlusHealth has been committed to building strong relationships with its members and providers. Position Overview Under the direction of the Director of Medicaid, the Medicaid Care Manager Team Lead ensures that staff adhere to the Medicaid contractual requirements, policies and procedures, and workflows established to manage the vulnerable Medicaid population. The Medicaid Care Manager Team Lead manages the daily activities of the Medicaid team (Care Managers and Care Management Associates) to ensure quality outcomes in the delivery of member-centered case management including reduction in emergency room visits and hospital admissions, improved member satisfaction, improved member health, and cost effectiveness. Work Shifts 9:00 A.M - 5:00 P.M Duties & Responsibilities * Provide clinical guidance and supervision to assigned Care Managers and clinical support staff to promote efficient and effective delivery of care management services * Supervise day to day activities to make certain that case management services are provided in accordance with clinical guidelines, established processed and MetroPlusHealth organizational standards. * Supervise the entire care management workflow including case referrals, assignments, interventions and goal setting, follow-up/follow-through activities, documentations, and escalations. * Ensure care management activities are conducted in a safe, efficient, and effective manner to promote continuity and quality of care. * Review, develop and modify day to day workflows to ensure timely follow up. * Perform ongoing quality review of cases to ensure accuracy and compliance. * Evaluate and document staff performance; coach staff to improve both quality and quantity of skills attaining optimal performances. * Utilize data to track, trend and report productivity and outcome measures, work with the management team to implement necessary improvement strategies. * Coordinate Interdisciplinary Care Team rounds with providers, care managers and care management associates, this include scheduling meetings, identifying members for presentation, and ensuring completion and documentation of follow up activities. * Collaborate Behavioral Health to develop strategies and best practices that lead to desired goals and objectives for members who are co-managed. * Use expert verbal and non-verbal communication skills to motivate and gain co-operation of members and their caregivers. * Resolve issues and mitigate conflict encountered during daily operations, appropriately escalate issues to the Director of Medicaid * Identify and report potential risk, operational opportunities, and barriers encountered. * Conduct monthly audits for the purpose of departmental/organizational reporting and providing formal feedback to case management staff. * Create and submit operational weekly/monthly/quarterly reports. * Work with the leadership team to develop and implement ongoing training and development efforts. * Actively participate in staff training and meetings. * Encourage regular communication and inform staff of relevant departmental and organizational updates. * Develop and maintain collaborative relationships with clinical providers, facility staff and community resources. * Ensure staff comply with orientation requirements, annual and other mandatory trainings, organizational and departmental policies, and procedures. * Perform other duties as assigned by Director. Minimum Qualifications * Bachelor's Degree required, Master's in nursing preferred. * A minimum of 5 years of Care Management experience in a health care and/or Managed Care setting required. * Minimum of 2 years managerial/leadership experience in a Managed Care and/or healthcare setting required. * Proficiency with computers navigating in multiple systems and web-based applications. * Must know how to use Microsoft Office applications including Word, Excel, and PowerPoint and Outlook. * Ability to proficiently read and interpret medical records, claims data, pharmacy and lab reports, and prescriptions required * Valid New York State license and current registration to practice as a Registered Professional Nurse (RN) Issued by the New York State Education Department (NYSED). * Integrity and Trust * Customer Focus * Functional/Technical Skills * Confident, autonomous, solution driven, detail oriented, nonjudgmental, diplomatic, resourceful, intuitive, dedicated, resilient and proactive. * Strong verbal and written communication skills including motivational coaching, influencing, and negotiation abilities. * Holds themselves to high standards of excellence * Time management and organizational skills. * Strong problem-solving skills. * Ability to prioritize and manage changing priorities under pressure. * Ability to work closely with member and caregiver. * Ability to form effective working relationships with a wide range of individuals. #MPH50 #LI-Hybrid Benefits NYC Health and Hospitals offers a competitive benefits package that includes: * Comprehensive Health Benefits for employees hired to work 20+ hrs. per week * Retirement Savings and Pension Plans * Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts * Loan Forgiveness Programs for eligible employees * College tuition discounts and professional development opportunities * College Savings Program * Union Benefits for eligible titles * Multiple employee discounts programs * Commuter Benefits Programs

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Supervise and provide guidance to the Government Enrollment and Billing team regarding company and department policies, procedures and workflow. Set goals and implement strategies to ensure internal processes are current and metrics are met. Coach team members to improve individual performance and develop teamwork. Essential Responsibilities: Maintain broad knowledge of all job positions assigned to team lead and provide supervision, training, evaluation and leadership to assigned staff. Evaluate performance of team members. Analyze results of performance reports to determine staffing and training needs related to department goals. Provide feedback, including regular one-on-one meetings with direct reports. Conduct and submit performance evaluations on a timely basis. Have a thorough understanding and use of the eligibility and member billing operation systems (EAM and EMS). Maintain workload in these specialty areas. Provide and/ or oversee training and orientation of new hires. Develop programs to assure ongoing training and coaching to new and current membership staff. Understand all applicable CMS and HPMS regulations and have the ability to educate internal and external customers. Investigate and settle issues within contract guidelines as needed. Relay information for dispute resolution to appropriate departments and personnel. Understand all applicable OHA and OAR regulations and have the ability to educate internal and external customers. Ensure all direct reports understand processes from end-to-end and assist with gaps as needed. Assist with answering inquiries from members as well as conduct auditing of member accounts, verifying the validity of any past-due accounts and the delinquent letter process to Medicare members. Ensure that all member-billing issues are submitted to business partners/vendors. Coordinate business activities by maintaining collaborative partnerships with key departments. Serve on various interoffice committees. Document and report any pertinent communication back to the manger, team or other. Assist with hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback, including regular one-on-ones and performance evaluations, for direct reports. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement opportunities. Use visual boards and daily huddles to monitor key performance indicators and identify improvement opportunities. Assist the manager with daily operations including the development, analysis and implementation of policies and procedures, training, reporting and recognition programs. Actively participate as a key team member while creating and supporting a high-quality work environment to encourage a high performance. Provide backup for any of the department tasks that may become backlogged, have compliance risks or have other reasons for being unworkable by staff. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Support and participate in continuous improvement initiatives. Maintain professional, service oriented relationships. Ability to judge severity of problems and the need to escalate to management or employ external services. Perform other duties as assigned. Work Experience: Minimum of four years administrative experience in the health care industry, including two years in enrollment and billing in insurance. Supervisory experience preferred. Education, Certificates, Licenses: Associates degree or equivalent combination of experience and education. Knowledge: Effective written and oral communication. Ability to read and communicate policy and contract language. Demonstrated time management, critical thinking and problem solving skills. Ability to understand and interpret Federal and State regulations. Advanced proficiency in Microsoft Office Applications. Excel skills should include formulas, sorts, filters, VLOOKUP, IF statements, etc. Requires the ability to clearly articulate problem statements, collect data and establish facts. Competencies: Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

In this role, you will be at the heart of our Contact Center's day-to-day operations, leading an award-winning team to deliver remarkable service. You will drive colleagues to achieve world-class customer service while adhering to our Guardian Values. You are Experienced in leading and inspiring teams Skilled in managing operational processes Passionate about customer service excellence Skilled at encouraging a collaborative and inclusive environment You will Lead and manage daily business operations Mentor and develop frontline colleagues Analyze and resolve root-cause service issues Communicate performance updates to senior leadership You have BA/BS degree preferred or equivalent experience Three plus years of insurance, or other financial service industry experience, preferred Proven leadership and analytical skills Strong ability to prioritize and manage tasks Proficiency in Microsoft products Location & Travel Bethlehem, PA or Pittsfield, MA Hybrid work arrangement Salary Range: $67,450.00 - $110,815.00 The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation. Our Promise At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. Inspire Well-Being As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at ************************************************ Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits. Equal Employment Opportunity Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law. Accommodations Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact applicant_accommodation@glic.com. Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Supervise and provide guidance to the Government Enrollment and Billing team regarding company and department policies, procedures and workflow. Set goals and implement strategies to ensure internal processes are current and metrics are met. Coach team members to improve individual performance and develop teamwork. Essential Responsibilities: Maintain broad knowledge of all job positions assigned to team lead and provide supervision, training, evaluation and leadership to assigned staff. Evaluate performance of team members. Analyze results of performance reports to determine staffing and training needs related to department goals. Provide feedback, including regular one-on-one meetings with direct reports. Conduct and submit performance evaluations on a timely basis. Have a thorough understanding and use of the eligibility and member billing operation systems (EAM and EMS). Maintain workload in these specialty areas. Provide and/ or oversee training and orientation of new hires. Develop programs to assure ongoing training and coaching to new and current membership staff. Understand all applicable CMS and HPMS regulations and have the ability to educate internal and external customers. Investigate and settle issues within contract guidelines as needed. Relay information for dispute resolution to appropriate departments and personnel. Understand all applicable OHA and OAR regulations and have the ability to educate internal and external customers. Ensure all direct reports understand processes from end-to-end and assist with gaps as needed. Assist with answering inquiries from members as well as conduct auditing of member accounts, verifying the validity of any past-due accounts and the delinquent letter process to Medicare members. Ensure that all member-billing issues are submitted to business partners/vendors. Coordinate business activities by maintaining collaborative partnerships with key departments. Serve on various interoffice committees. Document and report any pertinent communication back to the manger, team or other. Assist with hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback, including regular one-on-ones and performance evaluations, for direct reports. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement opportunities. Use visual boards and daily huddles to monitor key performance indicators and identify improvement opportunities. Assist the manager with daily operations including the development, analysis and implementation of policies and procedures, training, reporting and recognition programs. Actively participate as a key team member while creating and supporting a high-quality work environment to encourage a high performance. Provide backup for any of the department tasks that may become backlogged, have compliance risks or have other reasons for being unworkable by staff. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Support and participate in continuous improvement initiatives. Maintain professional, service oriented relationships. Ability to judge severity of problems and the need to escalate to management or employ external services. Perform other duties as assigned. Work Experience: Minimum of four years administrative experience in the health care industry, including two years in enrollment and billing in insurance. Supervisory experience preferred. Education, Certificates, Licenses: Associates degree or equivalent combination of experience and education. Knowledge: Effective written and oral communication. Ability to read and communicate policy and contract language. Demonstrated time management, critical thinking and problem solving skills. Ability to understand and interpret Federal and State regulations. Advanced proficiency in Microsoft Office Applications. Excel skills should include formulas, sorts, filters, VLOOKUP, IF statements, etc. Requires the ability to clearly articulate problem statements, collect data and establish facts. Competencies: Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Supervise and provide guidance to the Government Enrollment and Billing team regarding company and department policies, procedures and workflow. Set goals and implement strategies to ensure internal processes are current and metrics are met. Coach team members to improve individual performance and develop teamwork. Essential Responsibilities: Maintain broad knowledge of all job positions assigned to team lead and provide supervision, training, evaluation and leadership to assigned staff. Evaluate performance of team members. Analyze results of performance reports to determine staffing and training needs related to department goals. Provide feedback, including regular one-on-one meetings with direct reports. Conduct and submit performance evaluations on a timely basis. Have a thorough understanding and use of the eligibility and member billing operation systems (EAM and EMS). Maintain workload in these specialty areas. Provide and/ or oversee training and orientation of new hires. Develop programs to assure ongoing training and coaching to new and current membership staff. Understand all applicable CMS and HPMS regulations and have the ability to educate internal and external customers. Investigate and settle issues within contract guidelines as needed. Relay information for dispute resolution to appropriate departments and personnel. Understand all applicable OHA and OAR regulations and have the ability to educate internal and external customers. Ensure all direct reports understand processes from end-to-end and assist with gaps as needed. Assist with answering inquiries from members as well as conduct auditing of member accounts, verifying the validity of any past-due accounts and the delinquent letter process to Medicare members. Ensure that all member-billing issues are submitted to business partners/vendors. Coordinate business activities by maintaining collaborative partnerships with key departments. Serve on various interoffice committees. Document and report any pertinent communication back to the manger, team or other. Assist with hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback, including regular one-on-ones and performance evaluations, for direct reports. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement opportunities. Use visual boards and daily huddles to monitor key performance indicators and identify improvement opportunities. Assist the manager with daily operations including the development, analysis and implementation of policies and procedures, training, reporting and recognition programs. Actively participate as a key team member while creating and supporting a high-quality work environment to encourage a high performance. Provide backup for any of the department tasks that may become backlogged, have compliance risks or have other reasons for being unworkable by staff. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Support and participate in continuous improvement initiatives. Maintain professional, service oriented relationships. Ability to judge severity of problems and the need to escalate to management or employ external services. Perform other duties as assigned. Work Experience: Minimum of four years administrative experience in the health care industry, including two years in enrollment and billing in insurance. Supervisory experience preferred. Education, Certificates, Licenses: Associates degree or equivalent combination of experience and education. Knowledge: Effective written and oral communication. Ability to read and communicate policy and contract language. Demonstrated time management, critical thinking and problem solving skills. Ability to understand and interpret Federal and State regulations. Advanced proficiency in Microsoft Office Applications. Excel skills should include formulas, sorts, filters, VLOOKUP, IF statements, etc. Requires the ability to clearly articulate problem statements, collect data and establish facts. Competencies: Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Full-time Description We're seeking an experienced and driven insurance professional to join our team as a Team Lead. This role is ideal for a self-starter with 10+ years of experience as a Senior Account Manager or Account Executive in Commercial Lines, and proficiency in EPIC. You'll manage a mid-to-large book of business as the primary client contact while providing leadership and guidance to a team of Account Managers and CSRs. Requirements Account Management Make major decisions collaboratively in assisting producer(s) by handling the marketing of new business and renewal submissions for new and existing clients and document accordingly. Acquire understanding of clients' insurance objectives and analyzes and compare insurance plans to determine suitability. Liaise with clients to ensure their requirements are met, attending review meetings where appropriate. Ensure procedures are followed to maintain a high quality of client service. Review and service client accounts through working with Producer, Account Manager and CSRs in obtaining the necessary information for renewals; preparing applications, surveys and other documents for submission, selection of markets, negotiations with underwriters, preparation of proposals, processing of policies as well as reviewing issued policies for accuracy and endorsements. Occasionally join meetings in person or remote to assist producers in closing new business opportunities. May also be asked to present proposal independent of producer. Appropriately document conversations with clients and carrier representatives and update all Associated management systems when necessary. Act as a liaison between clients and insurance carriers to resolve any client service issues. Develop new business from existing accounts and contribute to departmental production goals. Identify and follow-up on cross selling opportunities when appropriate. Team Lead Supervision of team members to ensure Service Level Agreements are complied with. Ensure team has knowledge of Service Standards and Policy Coverage. Provide coaching and mentoring to account managers and client service representatives on your team. Identify training needs and facilitate development of team in accordance with Associated Learning & Development Prospectus. Timely completion of employee review process. Actively participate in Associated improvement committees. Portfolio Management Liaise with clients to ensure their requirements are met, attending review meetings where appropriate. Ensure procedures are followed to maintain a high quality of client service. Respond promptly to complaints when required. Complete regular quality assurance checks of your team's work to ensure minimum standards are being met. Collaborate with Director of Client Experience on process standards and capacity reviews. Handle your own book of business and oversee books of business handled by direct reports. Requirements and Qualifications: Resident P&C Producer License Middle Market Experience At least 10+ years of experience and demonstrated proficiency in a Senior Account Management / Account Executive role in required lines Contract and Lease Review Experience Working knowledge of Microsoft Office - Outlook, Excel and PowerPoint Good written and verbal communication skills and the ability to communicate with both clients and agency personnel; ability to listen, clarify and respond well to questions. Demonstrated proficiency with Applied Systems Epic Demonstrated knowledge of insurance carrier appetite and underwriting guidelines #Li-hybrid Salary Description $100,000-$150,000

United Commercial Services is a trusted leader in facility cleaning, proudly serving clients across Michigan for over 20 years. We're committed to providing high-quality service while supporting our team members with steady, reliable employment and room to grow. Job Skills / Requirements Details Schedule: Monday - Friday 5pm-1am with occasional weekends Pay: $17 hourly; weekly pay Before You Start: Qualified candidates will have previous commercial cleaning experience and a strong background in team leadership or supervision. Must be reliable, able to work independently, and confident leading others. A background check is required. Location: Downtown Grand Rapids (Multiple Locations) Primary Duties (Including but Not Limited To) Cleaning Floors: Vacuuming, sweeping, and mopping designated areas to maintain cleanliness. Operating Equipment: Using floor scrubbers and other tools effectively for thorough cleaning. Detail Cleaning: Ensuring all surfaces are properly cleaned using appropriate equipment and chemicals. Trash Disposal: Collecting and disposing of trash to keep work areas tidy. Workspace Maintenance: Keeping designated areas clean and well-maintained. Communication: Reporting low cleaning supplies and equipment issues to supervisors. Equipment Oversight: Notifying supervisors of any major equipment repairs needed. Timely Task Completion: Completing assigned tasks promptly and efficiently. Restroom Cleaning: Cleaning and restocking restrooms to uphold hygiene standards. Team Leadership: Leading by example and providing guidance to team members, ensuring tasks are completed according to company standards and fostering a positive work environment. Requirements Age Requirement: Minimum of 18 years old. Legal Authorization: Must be legally permitted to work in the US. Background Check: Ability to pass a criminal background check per location requirements Transportation: Must have reliable transportation to and from work. Time Management: Ability to manage time effectively to meet job responsibilities. Physical Ability: Capable of lifting at least 25 pounds. Maintenance Skills: Proficiency in handling basic maintenance, repairs, or other cleaning duties as required. Teamwork: Able to work independently or collaboratively as part of a team. Communication: Effective verbal and written communication skills. Flexibility: Willingness to perform additional duties as assigned by supervisors This job reports to the Manager This is a Full-Time position 2nd Shift, Weekends.

Job DescriptionDescription: Candidates must be located in the Southeast region and have an active P&C License (North Carolina, South Carolina, Georgia,Tennessee, Mississippi) At King Risk Partners, LLC, we're dedicated to providing top-tier insurance solutions to our clients while fostering a positive and collaborative work environment. As a growing leader in the insurance industry, we're excited to welcome new team members who share our commitment to excellence. As we continue to expand our presence and reputation within the insurance sector, we recognize that the cornerstone of our success is the expertise and dedication of our team members. We're eager to welcome individuals who are not only passionate about insurance but also excited to contribute their unique skills and perspectives to our dynamic and driven team. If you're enthusiastic about making a meaningful impact in the insurance industry, and if you're ready to be part of a team that values dedication, innovation, and client satisfaction, we invite you to explore the exciting opportunities that await you at King Risk Partners, LLC. Together, we can continue to redefine excellence in insurance services and create a legacy of success. Requirements: Provides guidance and support to Commercial Account Managers. Assign daily tasks and set expectations for team members. Train, coach, and guide team members on performance and room for improvement. Works closely with the Managing Director to ensure support is provided to the Commercial Account Executive. Provides support to AM, AE or Producer in the new business and renewal business workflows, including but not limited to: Client research and gathering complete underwriting information. Conducting Loss Run Analysis. Preparing complete and accurate submissions including Acord applications and/or supplemental forms; sending out to market and/or performing Online Rating as required. Binding coverage and complying with any subjectivity(ies) as required by carrier, Surplus Lines Association and/or King Insurance Partners. Review all policies, identifying and notifying AM, AE or Producer of any discrepancies and ensuring that all necessary. changes are submitted to and issued by the carrier. Growing client loyalty by building positive relationships and providing high levels of advocacy, world-class service, and professional communication. Ability and willingness to continually grow your insurance expertise, management/leadership skills, and followership skills. All other duties as assigned. Knowledge, Skills and Abilities (KSA): Exceptional customer service skills. Excellent multi-tasking, organizational, delegation and decision-making skills. Outstanding verbal/written communication skills. Ability to perform large work volumes with high degrees of accuracy. PC proficiency, including MS Office. Exceptional personal character, including a strong work ethic, positive attitude, and willingness to always assist others. Required: 2+ years of supervisory experience. 5+ years of commercial lines insurance agency/brokerage experience. 2+ years recent experience using AMS360. An active P&C license. What We Offer: Medical Insurance Dental Insurance Vision Insurance 401(k) with employer match Short-Term Disability (employer paid) Long-Term Disability (employer paid) Life Insurance Employee Assistance Program Generous PTO Policy Tuition Reimbursement Employee Referral Program Growth and advancement opportunities Equal Opportunity Employer King Risk Partners, LLC is proud to be an equal opportunity employer. We encourage applications from candidates of all backgrounds and experiences. Join us in making a difference in the insurance industry.