Insurance Incorporated jobs - 348 jobs

Salary Range: $54,647 - $79,237 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status:Non-Exempt Department:Customer Service Reports To:Supervisor, Customer Service Employee Unit:Employees in this classification are represented by Service Employees International Union (SEIU) Local No. 521 GENERAL DESCRIPTION OF POSITION The Customer Service Representative I answers inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call Center service-level objectives. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. Act as the primary point of contact and liaison for SCFHP members and providers contacting the plan regarding general inquiries, concerns or requests for information. Develop a general understanding of all member facing materials, communications and interactions and be prepared to respond appropriately to follow up calls. Answer inbound calls and/or place outbound calls in a high call volume environment and work directly with members and providers to accurately and completely answer inquiries involving SCFHP program services and benefits. Follow established guidelines and resources to respond to member and provider inquiries and resolve concerns in an accurate, timely, professional, and culturally competent manner. Intake, handle and coordinate member grievances, appeals and billing issues, escalating to the Grievance and Appeals department, when necessary. Educate members and providers on eligibility, and medical and pharmacy benefits and how to access services in a manner that achieves excellent service standards and maintains high customer satisfaction. Use listening skills and judgment to appropriately categorize and accurately document all contacts and follow-up actions regarding member and provider communications and activities in accordance with established guidelines. Appropriately handle member and provider requests through alternative channels such as e-mail, voicemail, fax, walk-in, etc. in accordance with established procedures. Triage member and provider requests or inquiries for other departments. Conduct member surveys as assigned in accordance with established guidelines. Attend and actively participate in daily, weekly, and monthly departmental meetings, in-services, training and coaching sessions. Identify member/provider issues and trends and report relevant information to management. Perform other related duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. High School Diploma or GED. (R) Minimum one year of experience in Customer Service or Call Center role, preferably within a Health Care, Public Assistance or Human Services programs. (R) Prior experience with managed care plans, Medi-Cal and Medicare programs, and working with underserved populations. (D) Ability to meet Key Performance Indicators by participating in and achieving the standards of the Customer Service Call Center Quality Program. (R) Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. (D) Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications, such as Outlook, Word and Excel. (R) Ability to use a keyboard with moderate speed and a high level of accuracy. (R) Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP Plan members and providers over the telephone, in person or in writing. (R) Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) Ability to maintain confidentiality. (R) Ability to comply with all SCFHP policies and procedures. (R) Ability to perform the job safely with respect to others, to property, and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements:regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements:regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements:regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) Hearing/Talking Requirements:ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements:ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

Salary Range: $98,601 - $147,902 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status: Exempt Department: Case Management Reports To: Health Services Management Employee Unit: Employees in this classification are represented by Service Employees International Union (SEIU) Local No. 521 GENERAL DESCRIPTION OF POSITION The Social Work Case Manager is responsible for providing on-going case management services for Santa Clara Family Health Plan (SCFHP) members. As a SCFHP member advocate, the Social Work Case Manager II facilitates communication and coordination among all participants of the care team, to ensure member identified goals and needed services are provided to promote quality cost-effective outcomes. Through the development and implementation of member individualized care plans, the Social Work Case Manager II provides psychosocial and behavioral case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitates the use of available healthcare benefits in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. Conduct, review and document comprehensive psychosocial assessments for assets and deficits and on-going follow-up interventions to measure progress towards meeting goals as they relate to a member's physical, psychosocial, environmental, safety, developmental, cultural and linguistic needs. Maintain case files by ensuring that they are documented timely in accordance with SCFHP policies and procedures, state and federal requirements and organized in a manner that adheres to standards for audit requirements. Facilitate involvement of the member and/or family/responsible party for development and implementation of a member specific care plan which includes individualized prioritized goals. Provide appropriate social work interventions to members and/or family/responsible party with related psychosocial process teaching and information. Coordinate member's care with primary care providers, specialists, behavioral health providers, Long Term Services and Supports providers, public services, community providers, and vendors as necessary and appropriate to assist member to achieve and maintain optimal level of functional independence to reside in the most appropriate level of care. Communicate and coordinate member's psychosocial and behavioral health needs with member's interdisciplinary care team including SCFHP internal staff, as well as the member's providers, specialists, public services, community agencies and vendors to ensure appropriate care plan development and successful coordination of benefits and services aligned with the member's preferences. Assist member's interdisciplinary care team in understanding social and emotional factors related to health condition and potential barriers and coping mechanism to accessing care. Provides guidance, education and referrals to help members seek solutions to specific social, cultural, or financial problems that impact their ability to manage their health care needs. Conduct telephonic and in-person interview, baseline assessments, survey, assess self-care ability, assess knowledge and adherence, comprehensive clinical assessments as indicated, and developing member centric plan in the office, home, facilities, clinics, or community settings. Collaborate with team members on cross-departmental improvement efforts, organizational and departmental objectives, quality improvement projects, optimization of utilization management, and improvement of member satisfaction. Attend and actively participate in Health Services meetings, operational meetings, training and coaching sessions, including off-site meetings as needed. Perform other duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. Master's Degree in Social Work, or related field. (R) Certified Case Manager (CCM). (D) Active California registered Licensed Clinical Social Worker (LCSW) without restriction. (R) Minimum three years of experience in social work, behavioral health, or case management, or education or certifications, or equivalent experience. (R) Knowledge of social case management and conflict resolution. (R) Knowledge of long-term services and supports, behavioral health and/or relevant public services and community resources. (R) Ability to consistently meet accuracy and timeline requirements to maintain regulatory compliance. (R) Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. (D) Experience working with designated member population (e.g. behavioral health, seniors and persons with disabilities, children). (D) Ability to work within an interdisciplinary team structure. (R) Travel to off-site locations for work such as in office, home, facility, clinic, and other community settings. (R) Maintenance of a valid California driver's license and acceptable driving record, in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events. (R) Proficient in adapting to changing situations and efficiently alternating focus between tasks to support the operations as dictated by business needs. (R) Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word, Excel, and specific case management programs. (R) Ability to use a keyboard with moderate speed and a high level of accuracy. (R) Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, members, providers and outside entities over the telephone, in person or in writing as mandated by social work scope of practice. (R) Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) Ability to maintain confidentiality. (R) Ability to comply with all SCFHP policies and procedures. (R) Ability to perform the job safely and with respect to others, to property and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

Salary Range: $111,168 - $172,310 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status: Exempt Department: Information Systems Reports to: Manager, IT Configuration Employee Unit: Employees in this classification are represented by Service Employees International Union (SEIU) Local No. 521 GENERAL DESCRIPTION OF POSITION The Configuration Data Analyst is responsible for system configuration, implementations and conversions of SCFHP's core systems. This position is responsible for the accurate interpretation and associated configuration of regulatory federal and state guidelines. along with business contractual agreements impacting benefits, contracts, millions of dollars in claims payment, case management, and/or grievance and appeals within core systems. The Configuration Data Analyst must have the ability to meet with internal and external business units and peers to gather requirements, independently analyze and mine data, draw sound conclusions, configure, test and implement the data structures that support SCFHP's managed care information system (s) required to meet business needs, regulatory compliance, and vendor contractual obligations. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. Comprehensive understanding of capitation models in order to setup within our core system to support multiple delegate contracts averaging approximately 50 million dollars in monthly capitation payments, based on accurate setup and configuration. Comprehensive understanding and ability to interpret simple and complex provider contracts and amendments in order to setup within our core system reimbursement for, but not limited to, hospitals, provider groups, ancillary providers averaging approximately 1 million dollars in weekly claim payments, based on accurate setup and configuration. Comprehensive understanding and ability to interpret federal and state government (DHCS and CMS) guidelines, and eligibility and enrollment process in order to setup core systems for claims, case management, and grievance and appeals Combine in-depth analysis of business unit requirements and comprehensive understand of core system capabilities, knowledge of claim processing, provider and vendor setup, authorizations and business processes in order to determine optimal core system setup to process claims, case management, and grievance and appeals with a high degree of accuracy and auto-adjudication. Serve as a subject matter expert for multiple core systems including but not limited to QNXT, Essette, Beacon, Zipari, NetworX, Optum CES (Claims Editing System), etc. Troubleshoot small to large scale, basic to highly complex business and system production issues by thoroughly reviewing the issue, researching within internal and external documentation such as regulatory publications, and system user guides, performing analysis and critical thinking and testing in order to identify a root cause, document findings, and recommend solutions Perform basic to highly complex system configuration and maintenance of system rules including but not limited to benefits, authorizations, contracts, fee schedules, DFRs, capitation, letter templates, etc. in order to fix production support issues, or support business needs and regulatory requirements in multiple system applications (such as QNXT, Essette, CES, etc.) for multiple lines of business. Coordinate the loading, validation, and testing of third party software updates, rate changes, and code changes (CPT, Diagnosis, etc.) with business units and outside vendors, as needed. Combine in-depth analysis of application configuration and data, information gathered through independent research, knowledge of system capabilities and interdependencies, and business processes to determine the best configuration in order to ensure overall accuracy and efficiency of system processing Project and task management for small to large scale configuration projects including but not limited to: Attend meetings with business units to gather requirements, track actionable items, send regular communications, escalate identified risks, recommend, implement, and test configuration changes. Develop documentation of changes, system issues, defects, and bugs including formal requirements, functional specifications, step-by-step configuration setup, root cause, test results reflecting impact to affected business units, manager, and/or external third party vendors. Perform unit testing and post audit to ensure quality, accuracy, and completeness of work. Conduct post implementation internal review and analysis in order to refine system rules to further optimize configuration for greater efficiency and accuracy. Assist in all aspects of new system and new line of business implementations and conversions, as well as core system updates. Create and maintain basic to moderate SQL based to support business and system processes and initiatives. Provide training and cross-training to business units on system features and/or new releases. Mentor and provide training to other configuration analysts or business system analysts on configuration, system features, and/or new releases Perform other related duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. Bachelor's Degree in Healthcare, Information Systems, or related field, or equivalent experience, training or coursework. (D) Experience in healthcare (D) Minimum three years of experience performing the above responsibilities or a minimum of 5 years Claims processing or application vendor experience in a managed care environment. Other additional qualifications may be used to substitute for a required experience. (D) Ability to work in a group environment and clearly communicate discussion points as needed. (R) Ability to understand technical requirements and configuration logic to ensure systems are properly configured to meet business needs. (R) Ability to meet deadlines, multi-task, troubleshoot, and problem-solve. (R) Must be able to utilize analytical skills to conceptualize and envision impact of changes, and recommend resolutions for business or system issues and gaps. (R) Ability to audit implemented changes to detect and resolve discrepancies to ensure work is accurate and precise. (R) General understanding of health care data sets such ICD9/10, CPT/HCPCs, provider contracts and benefits, authorizations, etc. (R) Knowledge of relational databases such as SQL and Microsoft Access. (D) Knowledge of CMS and DHCS pricing and benefit structure (D) Claims processing and Claims Management System configuration experience. (D) Ability to read and interpret technical procedures, government regulations and guidelines, and various contract provisions, and apply the knowledge. (R) Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word and Excel. (R) Ability to use a keyboard with moderate speed and a high level of accuracy. (R) Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, providers and outside entities over the telephone, in person or in writing. (R) Ability to perform the job safely with respect to others, to property, and to individual safety. (R) Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) Ability to maintain confidentiality. (R) Ability to comply with SCFHP's policies and procedures. (R) Knowledge of project management principles. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

GEICO . For more information, please .Staff Data Scientist, Product page is loaded## Staff Data Scientist, Productremote type: Hybridlocations: Wilmington, DE: San Francisco, CA: Richmond, VA: Fredericksburg, VA: Seattle, WAtime type: Full timeposted on: Posted Todayjob requisition id: R0060083**At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.****Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.****When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.**### At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.### ### GEICO is looking for a **Senior Product Data Scientist** that provide quantitative support, market understanding and a strategic perspective to our partners throughout the organization. As a data-loving member of the team, you serve as an analytics expert for your partners, using numbers to help them make better decisions. You will weave stories with meaningful insight from data. You'll make critical recommendations for Engineering and Product Management.### ### **Job Responsibilities*** ### Utilize technical expertise (e.g., SQL, R, Python) with quantitative analysis, experimentation, data mining, and the presentation of data to develop strategies. Take ownership of open-ended ambiguous business problems to reach an optimal solution* ### Define, understand, and test opportunities and levers to improve the product, and drive roadmaps through your insights and recommendations* ### Build new processes, procedures, methods, tests, and components with foresight to anticipate and address future issues* ### Identify, measure and report success of product efforts through Key Performance Indicators (KPIs) to support business reviews with the cross-functional/organizational leadership team. Translate analysis results to business insights, forecasting, and monitoring to understand trends and product improvement opportunities* ### Build and prototype analysis and business cases iteratively to provide insights at scale. Develop comprehensive knowledge of GEICO data structures and metrics, advocating for changes where needed for product development* ### Partner with Product, Engineering, and cross-functional teams to inform, influence, support, and execute product strategy and investment decisions### ### **Basic Qualifications*** ### 8+ years experience with writing complex SQL queries and scripting language (e.g., Python, Java, or R)* ### 5+ Years Experience with one or more industry analytics visualization tools (e.g. Excel, Tableau, QuickSight, MicroStrategy, PowerBI) and statistical methods (e.g. t-test, Chi-squared)* ### Experience designing, analysis, and refining experiments* ### Experience working effectively with multiple stakeholders and cross-functional teams, including Engineering, Product management, Program Management, and Analytics* ### Intellectual curiosity and drive, decisiveness, ambiguity and complexity* ### Bachelor's degree required### ### **Preferred Qualifications*** ### Insurance industry experience* ### Master's degree, or Advanced technical degree* ### Experience with predictive modeling, machine learning, and experimentation/causal inference methods* ### Experience of data modeling and data pipeline design**Annual Salary**$115,000.00 - $230,000.00The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.GEICO will consider sponsoring a new qualified applicant for employment authorization for this position.**The GEICO Pledge:****Great Company:** At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.**Great Careers:** We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.**Great Culture:** We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.**Great Rewards:** We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in #J-18808-Ljbffr

A leading insurance firm is seeking a Principal Product Manager - Data to enhance their data products and analytics capabilities. The role requires 8-12+ years of experience in product management, with a focus on data-oriented platforms and cloud ecosystems. Responsibilities include leading requirement gathering, ensuring data infrastructure health, and engaging with senior executives. Competitive compensation and flexible work options are offered. #J-18808-Ljbffr

Salary Range: $66,273 - $99,409 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status: Non-Exempt Department: Health Services Reports To: Director, Behavioral Health GENERAL DESCRIPTION OF POSITION The Behavioral Health Services Personal Care Coordinator is responsible for supporting and coordinating internal and external resources for members referred to case management programs for all lines of business in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. Work with case managers to assist members navigating the healthcare delivery system and home and community-based service to facilitate access related to medical, psychosocial and behavioral health benefits and services. Monitor and respond to inbound case management inquiries and referrals and escalate to clinical staff, as appropriate. Provide outreach to members to facilitate timely completion of Health Risk Assessments (HRA's) by telephone, mail or in person, as needed. Support the coordination of member care with PCP, Specialists, Behavioral Health and Long Term Services and Supports providers and other stakeholders to assist member to achieve or maintain a level of functional independence which allows them to remain at home or in the community. Assist with coordinating the involvement of the interdisciplinary care team (ICT) members including the member and/or their family/responsible party to implement the individualized care plan (ICP). Oversee correspondence related to care plans. Document ICT meetings following SCFHP policies and procedures. Support successful transition of care for members who move between care settings by coordinating services for medical appointments, pharmacy assistance and by facilitating utilization review. Assist to ensure follow up for psychiatric hospitalizations for members to obtain psychiatric/behavioral health care. Follow UM policies and procedures for new authorization requests. May conduct data entry into the authorization software application system and determination notification to member and/or provider in accordance with regulatory timeframes. Produce and distribute internal reports that may include QI reports, member admission and discharge reports and external stakeholder reports, as appropriate. Follow established Health Services policies and procedures and use available resources to respond to member and/or provider inquiries and resolve any concerns in an accurate, timely, respectful, professional and culturally competent manner. Maintain knowledge of current resources in communities served by our members to support case management goals. Develop effective and professional working relationships with internal and external stakeholders and partners. Communicate effectively with members and providers orally and in writing. May support and conduct non-clinical training in accordance with training guidelines and protocols; provide input and develop training and reference materials. May develop Behavioral Health department orientation binder and assist with onboarding of new employees. Identify issues and trends (data, systems, member, provider, other) as well as general departmental questions/concerns; report relevant information to management; and make recommendations to improve operations. Collaborate with team members on improvement efforts across-departments regarding quality improvement projects, optimization of utilization management, and member satisfaction. Attend and actively participate in daily, weekly, and monthly departmental meetings, in-services, training, coaching sessions and external stakeholder meetings. Understanding of Behavioral Health and 1115 Waiver programs, including Alcohol and Drug Services and assess members for appropriate referrals into these programs. May be required to facilitate Behavioral Health Treatment (BHT) services, including identification of providers, timely access to assessment and treatment. Perform other duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. Bachelor's Degree in a health related field or equivalent experience, training or coursework. (R) Minimum three years of relevant experience in a healthcare or community setting providing care coordination of health and/or social services. (R) Maintenance of a valid California driver's license and acceptable driving record, in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events. (R) Knowledge of Medicare and/or Medi-Cal benefits, community resources and principals of case management. (D) Knowledge of medical terminology. (D) Knowledge of Santa Clara County Health and Social Services. (D) Proficient in adapting to changing situations and efficiently alternating focus between telephone and non-telephone tasks to support department operations as dictated by business needs. (R) Ability to consistently meet accuracy and timeline requirements to maintain regulatory compliance. (R) Ability to work within an interdisciplinary team structure. (R) Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word, Excel, and specific case management programs. (R ) Ability to use a keyboard with moderate speed and a high level of accuracy. (R) Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, members, providers and outside entities over the telephone, in person or in writing. (R) Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) Ability to maintain confidentiality. (R) Ability to comply with all SCFHP policies and procedures. (R) Ability to perform the job safely and with respect to others, to property and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels EOE (function () { 'use strict'; social Share.init(); })();

A leading insurance company is seeking an experienced Distinguished Engineer to drive their enterprise transformation. This role focuses on site reliability, risk management, and technical governance. The ideal candidate should have a strong background in SRE, cloud technologies, and incident management, with more than 12 years of experience in software development. Offers competitive benefits and flexibility in location. #J-18808-Ljbffr

Salary Range: $60,111 - $87,161 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status:Non-Exempt Department:Claims Reports To:Supervisor or Manager of Claims Employee Unit:Employees in this classification are represented by Service Employees International Union (SEIU) Local No. 521. GENERAL DESCRIPTION OF POSITION The Claims Analyst II analyzes, processes and adjusts routine and complex facility and professional claims for payment or denial to support the Claims Department operations in a manner that maintains compliance within the Medicare and Medi-Cal regulatory requirements and achieves Claims service-level objectives. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. 1. Follow established Health Plan policies and procedures and use available resources such as provider contracts, Medicare and/or Medi-Cal guidelines and Member Evidence of Coverage (EOC) to analyze, process and adjust routine and complex assigned claims in an accurate and timely manner. 2. Research, identify, resolve and respond to inquiries from internal Health Plan departments regarding outstanding claims-related issues. 3. Assist Claims Supervisor and Manager with pre-check run reports. 4. Maintain and organize all processes related to Third Party Liability (TPL) claims, including communication of relevant information to appropriate parties. 5. Participate in system testing and communicate newly-identified and potential issues to the Claims Supervisor and Manager and provide recommendations for improvement. 6. Process claims refund checks on a weekly basis to ensure accuracy/completeness of information and submit to the Finance Department in a timely manner. 7. Attend and actively participate in daily, weekly, and monthly departmental meetings, training and coaching sessions. 8. Perform other related duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. 1. High School Diploma or GED. (R) 2. Minimum two years of claims processing experience in a Health Plan Claims Department. (R) 3. Prior experience with managed care plans, Medi-Cal and/or Medicare programs, and working with underserved populations. (R) 4. Ability to analyze, process and adjust routine and complex assigned claims in an accurate and timely manner. (R) 5. Understanding of professional and hospital reimbursement methodologies, including medical terminology, and working knowledge of CPT, HCPCS, ICD-10, and ICD 9 codes. (R) 6. Understanding of the relationship between the health plans, IPAs, and DOFR. (R) 7. Ability to consistently meet Quality and Productivity Key Performance Indicators by participating in and achieving the Claims Quality standards. (R) 8. Ability to consistently meet Attendance Key Performance Indicator by being punctual and meeting the Claims standards in accordance with the team schedule. (R) 9. Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word and Excel. (R) 10. Ability to use a keyboard with moderate speed and a high level of accuracy. (R) 11. Working knowledge of QNXT claims processing software. (D) 12. Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, providers and outside entities over the telephone, in person or in writing. (R) 13. Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) 14. Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) 15. Ability to maintain confidentiality. (R) 16. Ability to comply with SCFHP's policies and procedures. (R) 17. Ability to perform the job safely with respect to others, to property, and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: 1. Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) 2. Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) 3. Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) 4. Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) 5. Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) 6. Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

Salary Range: $111,168 - $172,310 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status:Exempt Department:Quality Improvement Reports To: Manager, Process Improvement GENERAL DESCRIPTION OF POSITION The Accreditation Program Manager is responsible for developing work plans, gap analyses, conducting internal audits, reviewing documentation for compliance, and facilitating stakeholder collaboration for all program planning and work stream facilitation in support of National Committee for Quality Assurance (NCQA) accreditation survey readiness. The Accreditation Program Manager is responsible for working collaboratively and cross-functionally with internal and external stakeholders, including consultants, auditors and surveyors to create efficiencies and improvements to meet accreditation standards at Santa Clara Family Health Plan (SCFHP). In addition, the Accreditation Program Manager is responsible for projects assigned, including providing ongoing support to organizational initiatives by leading the analysis and implementation of accreditation related medium to large scale projects and efforts. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. Lead and organize all accreditation activities to achieve and maintain plan accreditation in Medicare and Medi-Cal lines of business including creating, monitoring and executing project work plans and deliverables with business units. Serve as accreditation liaison, working collaboratively and cross-functionally with internal and external stakeholders to ensure NCQA compliance, including delegates. Serve as the primary point of contact with NCQA for policy clarification questions, administrative maintenance, payment of invoices, survey preparation and any other communication. Lead and facilitate medium to large scale quality and process improvement projects by providing direction for project framing, organization, business case analysis, implementation, and outcome/success measurement related to accreditation requirements. Conduct routine internal audits to assess business unit readiness for document review and onsite file review. Work alongside project managers to facilitate workgroups and track standards deliverables progress. Drive adoption of continuous improvement across the organization by supporting and coordinating business change initiatives and activities associated with process improvements and system changes to ensure smooth transitions for stakeholders related to accreditation requirements. Partner with Compliance department to streamline internal and external audit and oversight requirements of accreditation. Define organization standards for consistent approach to accreditation work and coach business partners on application of the standards Develop and maintain all appropriate accreditation project documentation, including timelines, project scope, decision logs, work plans and internal website presence. This includes development of process documents including, policies/procedures, process maps, workflows, desktop procedures, and deliverable templates. Maintain accreditation program documentation for annual committee review schedules and workgroup membership. Where revisions are needed, work directly with business units to adjust. Identify, research, and resolve accreditation project issues and escalate critical issues, problems, and delays to management and executive leadership, as needed. Conduct an annual review of revisions to accreditation standards and ongoing evaluation and interpretation of quality standards and accreditation standards to ensure compliance, including impact to existing delegation agreements. Develop and maintain training materials for new and existing staff to help interpret and understand requirements and the impact of changes. Develop and distribute timely accreditation project communications and status updates. Maintain a thorough knowledge of NCQA requirements to ensure compliance and understand the impact on various areas of operations. Work collaboratively with peers, executives and front line staff to drive improvements in existing operations, and develop/implement initiatives to improve efficiency and effectiveness. Perform other related duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. Bachelor's Degree in Management, Business, Healthcare, or a related field, or equivalent experience. (R) Minimum three years of experience in health and/or managed care with responsibility for accreditation including one year of serving as subject matter expert or main point of contact. (R) Minimum two years of project management experience. (R) Ability to effectively facilitate meetings and deliver information/presentations. (R) Ability to organize, plan, direct and manage medium to large scale, complex, cross-functional, multi-departmental projects. (R) Strong organizational skills; able to adapt to changing environment, work independently, and manage multi-task responsibilities. (R) Ability to work with a high level of independence with strong collaboration and relationship management skills. (R) Strong analytical and problem solving abilities (R) Knowledge of operational areas, quality improvement, IT, and health services in a health plan or integrated delivery system. (D) Project management certification. (D) Working knowledge of process improvement methodologies (R) Lean or Six Sigma certification (D) Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as such as MS Word, Excel, Power Point, Visio, Project and Outlook. (R) Ability to use a keyboard with moderate speed and a high level of accuracy. (R) Excellent communication skills including the ability to express oneself clearly and concisely when interacting with internal and external stakeholders over the telephone, in person or in writing. (R) Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) Ability to assume responsibility and exercise good judgment when making decisions within scope of the position. (R) Ability to maintain confidentiality. (R) Ability to comply with all SCFHP policies and procedures. (R) Ability to perform the job safely and with respect to others, to property and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to frequent contact with and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

A leading insurance company is seeking a Staff Machine Learning Engineer to architect scalable AIML solutions and lead technical initiatives. The ideal candidate will have over 6 years of hands-on experience in machine learning and software engineering, deep programming proficiency, and a strong understanding of system architecture. This role offers a comprehensive rewards program, workplace flexibility, and opportunities for career advancement. #J-18808-Ljbffr

Salary Range: $111,168 - $172,310 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status: Exempt Department: Health Services Reports To: Manager, Utilization Management GENERAL DESCRIPTION OF POSITION The Supervisor of Utilization Management (UM) is responsible for the direct oversight of daily operations of utilization management activities, providing assistance with the development and implement of new programs and related workflows, policies, procedures for all lines of business, and serving as a resource for internal departments, members, providers, delegates, and community partners. In addition, the Supervisor of UM is responsible for supervising nurses and coordinators to ensure that all administrative UM processes are performed in accordance with all applicable state and federal regulatory requirements, SCFHP policies and procedures and business requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. 1.Collaborate with the Manager of Utilization Management to implement and supervise all UM processes for continuous and sustained compliance with all applicable state, federal and NCQA regulatory requirements, SCFHP policies and procedures and general business requirements including key performance indicators of MCAS, HEDIS, and CMS Stars for all lines of business. 2.Monitor and provide continuous analysis and quality monitoring of all policies and procedures to evaluate UM staff and delegate performance and ensure regulatory compliance, including the development and implementation of effective, measurable corrective action plans to meet targeted strategic outcomes. 3.Ensure the integration of UM operations such as prior authorization, concurrent review, Transitional Care Services (TCS), and discharge planning into other internal and external teams/departments including Quality & Process Improvement, Case Management, Community Based Programs, Pharmacy, and Behavioral Health. 4.Perform oversight and assignment of caseload across various utilization management functions including routine and ad hoc audits and monitoring of corrective action plans. 5.Establish and maintain effective interpersonal relationships with all SCFHP staff, members and/or their authorized representatives, providers and other program or agency representatives. 6.Resolve or facilitate resolution of problematic and/or complex issues by escalating to appropriate management/leadership person. 7.Ensure Utilization Management Committee preparedness. 8.Attend off-site meetings, events, or facility census review as necessary. 9.Perform other related duties as required or assigned. SUPERVISORY/MANAGEMENT RESPONSBILITIES Carries out supervisory/management responsibilities in accordance with the organization's policies, procedures, applicable regulations and laws. Responsibilities include: 1.Recruiting, interviewing, and hiring. 2.Developing a high performing department culture and staff. This includes setting the standard for staff/peers and motivating employees to maximize organizational goals and objectives. 3.Effectively assimilating, training and mentoring staff and (when appropriate), cross training existing staff and initiating retraining. This includes coaching to help increase skills, knowledge and (if applicable) improve performance. 4.Setting goals and planning, assigning, and directing work consistent with said goals. This includes responding to employees' needs, ensuring they have the necessary resources to do their work. 5.Appraising performance, rewarding and disciplining employees, addressing complaints and resolving issues. This includes providing regular and effective feedback to employees and completing timely and objective performance reviews. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. Unrestricted professional RN licensure in the state of California. (R) Minimum two years of progressively responsible experience in a supervisory or lead capacity in case management, utilization management, discharge planning and/or quality improvement in a managed care related setting. (R) Understanding and/or experience with Utilization Management. (R) Must be knowledgeable of DHCS, CMS, DMHC regulations and NCQA Population Health Management standards. (R) Ability to consistently meet accuracy and timeline requirements to maintain regulatory requirements. Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word, Excel, and specific case management programs. (R) Ability to use a keyboard with moderate speed and high level of accuracy. (R) Excellent written, verbal, and interpersonal communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, members, providers and outside entities over the telephone, in person or in writing. (R) Ability to comply with all SCFHP policies and procedures. (R) Ability to think and work under pressure and effectively prioritize and complete tasks within established timeframes. (R) Ability to assume responsibility and exercise sound judgment when making decisions within the scope of this position including performing job safely and within respect to others, to property and to individual safety (R) Maintenance of a valid California Driver's License and acceptable driving record in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events. (R) PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

GEICO . For more information, please .Staff Engineer - Finance Data Specialist (Hybrid) page is loaded## Staff Engineer - Finance Data Specialist (Hybrid)remote type: Remotelocations: MD Chevy Chase (Office) - JPS: Denver, CO: Raleigh, NC: Atlanta, GA: San Francisco, CAtime type: Full timeposted on: Posted Todayjob requisition id: R0060215**At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.****Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.****When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.****Annual Salary**$115,000.00 - $260,000.00The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.At this time, GEICO will not sponsor a new applicant for employment authorization for this position.**The GEICO Pledge:****Great Company:** At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.**Great Careers:** We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.**Great Culture:** We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.**Great Rewards:** We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.For more than 75 years, GEICO has stood out from the rest of the insurance industry! We are one of the nation's largest and fastest-growing auto insurers thanks to our low rates, outstanding service and clever marketing. We're an industry leader employing thousands of dedicated and hard-working associates. As a wholly owned subsidiary of Berkshire Hathaway, we offer associates training and career advancement in a financially stable and rewarding workplace. #J-18808-Ljbffr

Salary Range: $60,111 - $87,161 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status:Non-Exempt Department:Marketing & Communications Reports To:Supervisor, Community Resource Center (South County/Gilroy) GENERAL DESCRIPTION OF POSITION The Community Health Worker (CHW) is committed to supporting Santa Clara Family Health Plan Community Resource Center(s) (CRC) and has a unique role in making the health of communities more equitable, especially for populations experiencing disproportionally poor health outcomes. As a trusted community member, the CHW has a deep understanding of community needs and plays an integral & multifunctional role serving as a liaison between the community and the CRC. The CHW provides outreach in community settings, screenings for Medi-Cal eligibility, and schedules one-on-one appointments for enrollment application assistance in compliance with state and federal regulatory requirements, SCFHP policies and procedures, and business requirements. The CHW supports navigation and linkages to additional resources for SCFHP health plan members and residents by referring them to the community's most appropriate programs and resources (e.g., for food, cash assistance). ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. 1. Build and maintain positive working relationships with staff, residents, community partners and governmental agencies; form and foster partnerships with safety-net and community organizations, and with government agencies. 2. Act as liaison with community residents and keep SCFHP staff informed of current community issues and interests. 3. Provide assistance for residents and families in completing new/renewal applications for Medi-Cal and for Covered California, by phone or in-person; educate residents on eligibility criteria, obtain personal information and correctly complete forms and submit all required supporting materials. 4. Represent SCFHP and the CRC at outreach events, including health fairs, enrollment events, school presentations, and community-based organization functions. 5. Contribute toward developing a community outreach planning effort to reach residents where they live, work, pray and play. 6. Assist residents and families to feel comfortable engaging with health and safety-net services while addressing their fears from personal, community, and system barriers. 7. Through outreach activities, engage designated populations about the CRC and related services, using best practices for engaging marginalized and high-risk individuals and communities. 8. Continuously expand knowledge and understanding of community resources, services, and programs to identify service gaps; work to reduce cultural and socioeconomic barriers between residents and institutions; make recommendations for programs and initiatives to address identified issues and gaps. 9. Support residents' and families' navigation and linkage to resources; conduct intake interviews to identify barriers to health and health equity; solicit residents'/families' suggestions for improving their health; using "warm hand-off," link them to appropriate resources (internal, external partners); follow up on referrals. 10. Hold workshops and gatherings with health plan members and residents to improve health awareness and healthcare access. 11. Contribute to the development and maintenance of resource information and materials. 12. Act as interpreter when supporting non-English speaking residents. 13. Organize, coordinate, and maintain records of all activities, including completing all supporting data entry. 14. Prepare daily, weekly, and monthly reports on the progress and status of service delivery. 15. Work collaboratively and effectively within a team. 16. Identify issues, trends, and opportunities to improve efficiency and/or quality, or to better assist CRC patrons, report relevant information to management. 17. Attend appropriate staff and in-service meetings. 18. Perform other duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. 1. High School Diploma or GED. (R) 2. Completion of 60-semester college units, training, or coursework. (D) 3. Minimum two years of experience working with community-based organizations supporting marginalized and high-risk, underserved populations. (R) 4. Experience integrating Motivational Interviewing and trauma-informed navigation assistance practices; ability to successfully complete Motivational Interviewing training. (R) 5. Ability to successfully complete applicable Enrollment Application Assistant training within the first month of hire and complete the renewal on an annual basis. (R) 6. Knowledge of local health and social services. (R) 7. Fluent in Spanish, Vietnamese, and/or Chinese (Mandarin and/or Cantonese). (R) 8. Have deep roots or lived experience in East San Jose or similar community, with secured and preserved trust from the community; ability to work with people of diverse socio-economic and cultural backgrounds. (D) 9. Ability to quickly build trust and rapport in interpersonal relationships, maintain appropriate boundaries when supporting residents and members, and manage challenging individuals or situations. (R) 10. Experience using Salesforce. (D) 11. Proficient in adapting to changing situations and efficiently alternating focus between multiple tasks to support Department operations as dictated by business needs. (R) 12. Experience operating general office equipment such as multi-line phones, copiers, printers, scanner, fax, and 10-key. (R) 13. Working knowledge of and the ability to efficiently learn and operate all applicable computer software, including computer applications such as Microsoft Word, Excel, Outlook, and Salesforce. (R) 14. Excellent communication skills, including the ability to express oneself clearly and concisely when providing service to SCFHP members, community residents, providers, and staff over the telephone, in person, or in writing. (R) 15. CPR/First Aid Certification or ability to acquire certification within three months. (R) 16. Maintenance of a valid California driver's license and acceptable driving record in order to drive to and from offsite meetings and events. (R) 17. Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) 18. Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) 19. Ability to maintain confidentiality. (R) 20. Ability to comply with all SCFHP policies and procedures. (R) 21. Ability to perform the job safely with respect to others, to property, and to individual safety. (R) 22. Ability to work weekends and evenings, as needed. Dependable in maintaining schedule and adaptable to schedule changes. (R) WORKING CONDITIONS The duties to perform the position include a mixture of work in the office and outside the office. Incumbents are subject to frequent standing, sitting, contact with, and interruptions by co-workers, supervisors, and plan members or providers in person, by telephone, and by work-related electronic communications. The position also requires working outside of the office to engage the community at events, schools, and public meetings. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: 1. Mobility Requirements: regular bending at the waist, stooping, reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) 2. Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 30 pounds; (R) 3. Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) 4. Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard, mailroom equipment); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) 5. Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) 6. Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions and community/neighborhood conditions. May be exposed to moderate or significant noise levels. May be exposed to four-season weather conditions and general external environment conditions. May be exposed to crowds of people. EOE (function () { 'use strict'; social Share.init(); })();

GEICO . For more information, please .**Overview**: GEICO is on a multi-year journey to transform the insurance industry with Artificial Intelligence. **The Team****:** The AI Modeling and Research team is part of the AI Org, which is Geico's strategic investment with the mission to transform Geico into an AI-first company. AI org is led by Vice President, Head of AI. AI Org is in the Technology, Product and AI (TPA) org at Geico. TPA is led by the Chief Technology, Product and AI Officer, who reports to the CEO of Geico. **The Role Purpose**: We are looking for a highly experienced Distinguished Engineer who has deep insights into ML modeling for computer vision and can lead major technical decisions on how the company can build cutting-edge products powered by industry leading computer vision technologies. The candidate should build close partnerships with product, engineering and operation leadership across the company. This role will report directly to the Senior Director of AI Modeling and Research. **Responsibilities:** To be successful in this role, you will need: Continuously improving system performance, scalability, and user experience.**Qualifications****:** 15+ years of hands-on experience in AI/ML in a production environment.Successful leadership experience in leading the technical decisons for teams of size >= 15.Strong communication and collaboration skills across technical and non-technical teams.* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.At GEICO,we offer a rewarding career where your ambitions are met with endless possibilities.Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide.Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. #J-18808-Ljbffr

GEICO . For more information, please .GEICO Product, Sales is seeking a Principal Product Manager - Data to join us on a transformational journey to leverage data as a strategic asset-driving customer-centric innovation, operational excellence, and measurable business outcomes. We're seeking a dynamic leader to elevate our data products, platforms, and analytics capabilities to the next level to drive a transformative initiative focused on improving data reliability, accessibility, and AI readiness across the organization. This role will be pivotal in capturing requirements, validating data streams, establishing robust governance, and ensuring the ongoing health of the data infrastructure to enable self-service, automation, and personalization.As the Principal Product Manager - Data, you will own the vision, strategy, roadmap and execution for high-impact data products and platforms that empower business partners, analysts, engineers and customers. You will work at the intersection of business, data science/engineering, and technology to deliver scalable, actionable data solutions that enable insights, decision-making, personalization, risk management, and growth.**Key Responsibilities** Requirements Gathering: Lead a comprehensive effort to collect and document requirements from business, product, engineering, and cross-functional partners.Build and Define Data Infrastructure Requirements: Develop, document, and implement requirements to ensure the health, scalability, and reliability of the sales organization's data infrastructure. Proactively monitor and address infrastructure issues to maintain optimal performance and data integrity.**Basic Qualifications**8-12+ years of product management experience (or equivalent) including significant experience leading data-oriented products/platforms* Proven track record of owning and shipping data products or platforms at scale (e.g., CDP, Customer 360, Data Warehouse, Analytics Platform, Identity/Matching, Data Activation)* Proven track record of mapping data lineage and architecture to identify gaps and help address solutions.* Understanding of modern data architectures, query engines, and compute frameworks (Spark, Trino, Databricks, Presto, etc.)* Basic understanding of instrumentation, telemetry, and observability practices* Experience in cloud data ecosystems (AWS, GCP, Azure) Experience with APIs, SDKs, or client integration layers for platforms Experience with working with vendor platforms, tools, and services as a product manager, incorporating them into the roadmap and product strategy **Preferred Qualifications** * Experience with semantic models and layers* Knowledge of data governance frameworks and compliance requirements Experience in the insurance, financial services or other highly regulated domain Previous experience as a software or data engineer is a plus Experience with data analytics tools (Jupyter Notebooks, Apache Superset, Tableau, Power BI, etc.) Experience with customer-centric data use cases: personalization, segmentation, next-best-action, lifecycle analytics, fraud detection * Prior success in building data self-service tools, data productization, or operationalizing analytics.* Experience engaging and influencing senior executives* Experience with distributed systems at scale* Master's degree in Computer Science, AI or related field* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.For more than 75 years, GEICO has stood out from the rest of the insurance industry! We are one of the nation's largest and fastest-growing auto insurers thanks to our low rates, outstanding service and clever marketing. We're an industry leader employing thousands of dedicated and hard-working associates. As a wholly owned subsidiary of Berkshire Hathaway, we offer associates training and career advancement in a financially stable and rewarding workplace. #J-18808-Ljbffr

Salary Range: $74,557 - $111,835 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status:Non-exempt Department:Community Based Programs Reports To:Manager, SDOH or Manager, Community Based Case Management Employee Unit: Employees in this classification are represented by Service Employees International Union (SEIU) Local No. 521 GENERAL DESCRIPTION OF POSITION The Community Based Services Specialist serves as the lead, primary contact, and liaison for developing, supporting and monitoring the network of public and community based providers and vendors delivering Enhanced Care Management (ECM), Community Supports (CS), and/or other activities, programs or special projects addressing social determinants of health. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below. Develop and maintain updated knowledge of community based services, and capacity across Santa Clara County and support identification and assessment of ECM and/or CS provider network gaps. Recommend for initial and ongoing needs to support ECM and/or CS delivery system and operational infrastructure including data exchange, workforce training and capacity building. Support ECM and/or CS authorization and delivery process in accordance with DHCS-developed service definitions, eligibility criteria and reporting requirements. Oversee the development and management of the ECM, SDOH and/or CS provider network including: Serve as a knowledge and resource expert for ECM, CS and/or SDOH provider network operations. Establish and manage positive and productive working relationships with all public and community-based providers and vendors delivering services to members under ECM, CS or SDOH projects. Receive, research and respond to inquiries and issues that are raised by or impacting providers in a timely fashion and in collaboration with appropriate business units. Proactively communicate and collaborate with providers to identify problem patterns, track and trend issues, prepare recommendations for potential service improvement opportunities and develop tools and processes to improve communication and other processes Oversee collaboration with internal business units, particularly Provider Network Operations, Health Services Department, Finance and Claims, regarding provider communication, training and support and to ensure payments are made in accordance with vendor agreement terms. Schedule, conduct and report on regular site visits with each provider as required and coordinate and host at least one annual meeting with providers. Conduct orientation and ongoing training and education to community service providers and office staff including technical assistance, development of presentations and other written guidance or materials, in-person sessions, webinars and/or calls as needed. Assist in the preparation of promotional materials for the public, website or newsletters. Oversee provider compliance with required ECM and/or CS trainings and technical assistance including in-person sessions, webinars, and/or calls as necessary. Establish and oversee a program for communicating and tracking ECM and/or CS provider compliance with vendor agreement scope of work, key operational and financial objectives, and quality and performance metrics. Maintain accurate and timely documentation of provider contacts in compliance with NCQA standards, DHCS, DMHC and CMS regulatory requirements. Contribute to the development of ECM and/or CS pricing including recommending changes in pricing subsystems. Support the Department Manager in generating reports and performing special projects. Troubleshoot with providers to address issues related to submission of claims and encounter data for ECM and/or CS services. Understand and track applicable regulatory and reporting requirements. Ensure accuracy and regulatory compliance for all materials or documents. Attend off-site meeting or events as necessary. Perform other related duties as required or assigned. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. Bachelor's Degree in public health, social welfare or related field; or equivalent experience, training, or coursework. (R) Minimum two years of progressively responsible and direct work experience working with the essential duties and responsibilities described above. (R) Demonstrated experience leading/managing projects, initiatives, and/or leading or directing the work of others. (R) Knowledgeable in the field of home and community-based services and community resource networks and a particular interest in working to address health disparities and addressing the needs of low-income communities. A deep understanding of SDOH that impact Santa Clara County and community members. (R) Ability to think creatively and work strategically, to help develop and implement innovative solutions yielding measurable results to the organization. (R) Ability to think creatively and strategically, gather and analyze data, organize and write reports, organize work efficiently. (R) Ability to understand, interpret, and apply applicable rules and regulations, and establish and evaluate priorities. (R) Advanced working knowledge and proficient with Microsoft Suite applications, and the ability to operate all applicable software. (R) Excellent oral and written communication skills, including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments and outside entities over the telephone, in person or in writing.(R) Ability to effectively facilitate meetings and deliver information/presentations to management, regulators, or staff (R). Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) Ability to take initiative and exercise good judgment when making decisions within the scope of the position. (R) Ability to comply with all SCFHP policies and procedures. (R) Ability to perform the job safely with respect to others, to property, and to individual safety. (R) Maintenance of a valid California driver's license and acceptable driving record, in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events. (R) Knowledge of the community-based delivery system and managed care. (D) Project Management Professional (PMP) certification (D) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to regular contact with co-workers, managers, external partners, and vendors, in person, by telephone, and via work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements:ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person, by telephone, and electronically, throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

GEICO . For more information, please GEICO is seeking an experienced software engineer with a passion for building high-performance, low maintenance, zero-downtime platforms, and applications. You will help drive our insurance business transformation as we transition from a traditional IT model to a tech organization with engineering excellence as its mission, while co-creating the culture of psychological safety and continuous improvement.**Position Description** Our Staff Software Engineer works with the team and the broader org to innovate and build new systems, improve, and enhance existing systems and identify new opportunities to apply your knowledge to solve critical problems. You will lead and own the strategy and execution of a technical roadmap that will increase the velocity of delivering products and unlock new engineering capabilities. The ideal candidate has a deep understanding of technology, risk management, site reliability engineering principles, and strategic planning to design and implement resilient systems that safeguard our business from potential threats.**Position Responsibilities** As a Staff Software Engineer, you will: Be a role model and mentor, helping to coach and strengthen the technical expertise and know-how of our engineering and product community. Influence and educate executives Determine and support resource requirements, evaluate operational processes, measure outcomes to ensure desired results, and demonstrate adaptability and sponsoring continuous learning**Qualifications** Deep knowledge of SRE practices, methodologies, and principles, along with a solid understanding of on prem and public cloud-based network, compute, and storage technologies In-depth knowledge of hybrid cloud architecture, IaaS and PaaS technologies, container orchestration platforms (e.g., Kubernetes), cloud efficiency and observability, etc.Ability to create incident response playbooks, runbooks, incident triaging strategies, and post-incident analysis to drive continuous improvement in system reliability and availability Experience with open-source management and monitoring tools Experience with infrastructure automation, tooling, and configuration management frameworks (e.g., Puppet, Chef, Ansible, Pulumi, Terraform, etc.) Familiarity with cloud security best practices and compliance standards Excellent leadership skills with a passion for mentoring and fostering professional growth Strong problem-solving and analytical abilities, with a keen eye for detail and a passion for driving operational excellence Visionary thinker with the ability to anticipate future challenges and opportunities Exceptional leadership and communication skills **Experience** 8+ years of professional experience in software development6+ years of experience with architecture and design and working on open-source frameworks4+ years of experience with AWS, GCP, Azure, or another cloud service **Education** Bachelor's degree in computer science or related field, or equivalent experience* Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.* Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.* Access to additional benefits like mental healthcare as well as fertility and adoption assistance.* Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.For more than 75 years, GEICO has stood out from the rest of the insurance industry! We are one of the nation's largest and fastest-growing auto insurers thanks to our low rates, outstanding service and clever marketing. We're an industry leader employing thousands of dedicated and hard-working associates. As a wholly owned subsidiary of Berkshire Hathaway, we offer associates training and career advancement in a financially stable and rewarding workplace. #J-18808-Ljbffr

Salary Range: $153,481 - $237,896 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status: Exempt Department: Information Technology Reports To: Director, Application and Product Development GENERAL DESCRIPTION OF POSITION The Manager of Application Development is responsible for the supervision of the application development staff in the design, development, implementation and support of in-house and vendor applications and interfaces, including the accurate data exchange between trading partners in accordance with state and federal regulatory and contractual requirements and SCFHP policies and procedures as set forth for all lines of business. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. Supervise and mentor personnel performing design, development, implementation, maintenance, and reporting from application databases, data warehouse and data cube environments. Oversee the design, development, implementation, and maintenance of electronic data exchange in multiple formats, including EDI X 12 transaction sets specific to healthcare transactions. Oversee the development and maintenance of enterprise data warehouse. Exercise staff oversight to ensure new operations plans, policies, procedures and transition/migration plans are consistent with the overall company goals and objectives. Define and modify IT development standards, policies and procedures to ensure they remain current with business and regulatory needs. Participate in the project approval and prioritization process with other IT management and business leaders. Contribute and participate in the strategic planning process and share in the development of SCFHP vision, goals and initiatives. Develop positive relationships with managers, directors and leaders by understanding business priorities and information technology enablers. Perform other related duties as required or assigned. SUPERVISORY/MANAGEMENT RESPONSBILITIES Carries out supervisory/management responsibilities in accordance with SCFHP's policies, procedures, applicable regulations and laws. Responsibilities include: Recruiting, interviewing, and hiring. Developing a high performing department culture and staff. This includes setting the standard for staff/peers and motivating employees to maximize organizational goals and objectives. Effectively assimilating, training and mentoring staff and (when appropriate), cross training existing staff and initiating retraining. This includes coaching to help increase skills, knowledge and (if applicable) improve performance. Setting goals and planning, assigning, and directing work consistent with said goals. This includes responding to employees' needs, ensuring they have the necessary resources to do their work. Appraising performance, rewarding and disciplining employees, addressing complaints and resolving issues. This includes providing regular and effective feedback to employees and completing timely and objective performance reviews. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. Bachelor's Degree in Business Administration, Computer Science, Public Health, or related field, or equivalent training/experience. (R) Minimum five years of experience in a lead or supervisory capacity. (R) Minimum ten years of experience in application development. (R) Minimum ten years of experience, with SQL programming, MS SQL database development, and T-SQL query generation. (R) Minimum five years of experience with MS SQL Business Intelligence tools (SSRS, SSIS, SSAS) or other enterprise business intelligence software. (R) Minimum five years of programming background in any of the following applicable languages/platforms; .NET, PERL, Java, SAS, VB, C++, C#, or other modern programming language or related software. (R) Demonstrated knowledge of software development life cycle (SDLC), coding standardization, peer review and user acceptance testing. (R) The ability to effectively manage multiple projects across multiple team members, including direct reports and other IT staff members. (R) Excellent data analysis skills. (R) Knowledge of and experience with healthcare management information systems. (R) Good working knowledge of BizTalk, Sharepoint, ActiveBatch and other core integration tools and services. (D) Working knowledge of and the ability to efficiently operate all applicable computer software including a working knowledge of computer applications such as Outlook, Word and Excel. (R) Ability to use a keyboard with moderate speed and a high level of accuracy. (R) Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, providers and outside entities over the telephone, in person or in writing. (R) Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) Ability to maintain confidentiality. (R) Ability to comply with SCFHP's policies and procedures. (R) Ability to perform the job safely with respect to others, to property, and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to regular contact with co-workers, managers, external partners, and vendors in person, by telephone and via work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels. EOE (function () { 'use strict'; social Share.init(); })();

Job DescriptionExciting long-term opportunity with strong growth potential for an experienced Commercial Insurance Sales Agent/Producer. For this key role, we are seeking a dynamic and trusted business professional with an entreprenurial spirit and solid client relationship skills that enjoys working in a learning environment to master new concepts. We are looking to expand. The ideal candidate will be readily adaptable to change and direction, able to juggle multiple priorities and meet tight deadlines with an unwavering commitment to delivering excellence. This position offers a high level of responsibility and requires insurance industry experience with the ability to successfully and efficiently manage a high volume of workload. Exceptional problem solving and communication skills are essential. Individual will need strong computer skills and highly organized due to the high level of calls and marketing our agency This is an hourly plus New and Renewal Commission position. Your income is Performance based, which allows you to increase your income based upon your sales skills, work ethic, knowledge of commercial insurance products and your drive to succeed. POSITION SUMMARY Insurance Incorporated offers a dynamic collaborative work environment where individuals operate independently to provide prompt, accurate and courteous results. The Insurance Sales Agent is responsible for; Marketing, Prospecting/Qualifying and Placement of Commercial lines coverage for New Business Prospect Compile Proposals and Rating Selling and Placing of Accounts Developing and Maintaining a pipeline of new business opportunities Cross Selling Existing Accounts Renewal and Claims Reviews Respond to Incoming Sales Calls and Leads Day to day servicing of assigned accounts providing outstanding service to the client, partners, and insurance companies. Must support and promote the company's purpose, vision, and mission; always acting in the best interest of the client and firm. Must uphold and embody the corporate values of integrity, leadership, teamwork, respect, professionalism, and stability.Insurance Incorporated provides a highly competitive compensation structure including medical, dental, vision, 401k, and staff development program designed to provide growth opportunities for employees. MINIMUM QUALIFICATIONS California Fire & Casualty Broker-Agent license Knowledge of AMS360 or familiar with management systems, Acord forms, Insurance carrier rating systems Completion of IIA General Insurance Program, ARM, CPCU and/or other insurance courses highly desirable Ability to participate in continuing education for the maintenance of insurance license and personal development Excellent customer service skills including the ability to communicate effectively by phone or email Ability to work with minimal direction or assistance Proficient in use of personal computers including a strong understanding of Internet usage and the ability to quickly learn various software programs. Experience working in a paperless environment preferred Excellent oral and written English communication and figure aptitude skills as normally acquired through completion of high school level studies; college preferred Must be results-oriented with a strong sense of urgency and accuracy and demonstrate a “can-do” attitude by taking initiative, being enthusiastic, flexible, and dependable. Must be very reliable and punctual. Excellent ability to interact effectively and positively with carrier representatives and individuals at all levels of the organization. Strong organizational skills as demonstrated by the ability to work on several tasks at once with frequent interruptions while meeting sensitive time-frames. Bilingual a plus Insurance Incorporated has been serving consumers and business owners since 1958 with 7 locations throughout California and expanding. We are a Full Service Insurance agency offering Personal Lines coverages such as Home, Auto, Dwelling Fire, RV's, etc. Our Commercial division provides a full line of Commercial insurance products such as General Liability, Workers Compensation Insurance, Property, EPLI, Cyber, Commercial Auto, etc. and have direct appointments with the Nations leading insurance carriers. Our Health and Benefits Department provides Group Health, Individual Health, Dental and Life insurance. As one of the fastest growing agencies in the state, we are looking for top performers with strong goals of growth and possible management of new office in future as the company expands. We believe in STRONG CUSTOMER SERVICE and assisting our agents in growing their income year in and year out. E04JI80079a240038tj