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The Telephonic Case Manager RN in Medical Oncology provides remote nursing support by coordinating patient care, educating members, and ensuring adherence to treatment plans. This role involves assessing patient health, identifying barriers, and connecting patients with necessary resources to improve health outcomes. Working primarily via telephone, the position requires strong clinical expertise, communication skills, and proficiency in healthcare technology systems. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The Telephonic Case Manager RN Medical/Oncology will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. This is a full-time, Monday - Friday, 8am-5pm position in your time zone. You'll enjoy the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Make outbound calls and receive inbound calls to assess members current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted RN license in state of residence Active Compact RN License or ability to obtain upon hire 3+ years of experience in a hospital, acute care or direct care setting Proven ability to type and have the ability to navigate a Windows based environment Have access to high-speed internet (DSL or Cable) Dedicated work area established that is separated from other living areas and provides information privacy Preferred Qualifications BSN Certified Case Manager (CCM) 1+ years of experience within Medical/Oncology Case management experience Experience or exposure to discharge planning Experience in a telephonic role Background in managed care *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: telephonic case management, oncology nurse, patient education, care coordination, medical management, healthcare advocacy, remote nursing, chronic disease management, UnitedHealth Group, RN license

We're seeking an experienced and skilled Senior Learning and Development Specialist to join our Human Resources team in Boston. In this role, you will be a key facilitator for our company-wide training programs that enhance the knowledge, behaviors, and skills of our new hires and existing employees. These training programs include New Hire Orientation, manager training, and employee workshops. You will assist with the design, development, and measurement of engaging training materials, including live classroom training, workshops, activities, and instructional guides. This role is essential to driving exceptional outcomes for our customers and our businesses. Key Responsibilities Facilitate engaging instructor-led training sessions tailored for adult learners with varied experience and job functions. Develop the end-to-end design and deployment of training programs, including classroom instruction, virtual delivery, e-learning, and learning support tools like case studies, simulations, knowledge checks, and assessments. Stay ahead of industry trends, regulatory updates, and learning design and delivery innovations to ensure current-state training remains relevant. Assist with initiatives to embed continuous learning into the company culture, including knowledge sharing, refresher programs, and learning communities. Collaborate with HR partners and business leaders to communicate clear expectations ahead of, during, and after cohort training programs. Qualifications Bachelor's degree or 3+ years of relevant training experience; industry certifications (e.g., CPLP, ATD, AIC, or similar) preferred but not required. Minimum 3 years of experience in learning and development Experience in customer service and/or insurance preferred, either with a state P&C license or a willingness to become licensed. Excellent adult learning facilitation skills. Application of concepts used in instructional design, adult learning theory, and facilitation of both technical and behavioral training. Proficiency in instructional tools such as Microsoft PowerPoint, Adobe Creative Cloud, SnagIT, LMS Platforms, Articulate RISE, or similar. Data analysis skills to identify trends and drive continuous improvement. Strong communication, collaboration, and stakeholder engagement skills. Demonstrated ability to lead projects, manage multiple priorities, and influence without authority across cross-functional teams. Requirements Travel up to 25% in the Northeast (MA, NH, CT, PA, NY, NJ) to deliver training programs. Salary Range: The pay range for this position is $84,000 to $110,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. Benefits & Perks: Paid time off Free onsite gym at our Boston location Tuition reimbursement Low cost and excellent health insurance coverage options that start on Day 1 (medical, dental, vision) Robust health and wellness programs Auto and home insurance discounts Matching donation opportunities Annual 401(k) employer contribution Various Paid Family leave options including Paid Parental Leave Resources to promote professional development Convenient locations and pre-tax commuter benefits

A global investment firm in Boston seeks an Associate for the Direct Lending team. Responsibilities include managing the investment process for private credit, engaging with Borrowers and Sponsors, and preparing investment committee documentation. A minimum of 5 years of investing experience, particularly in direct lending, is required. This position offers the opportunity to work with a talented team and contribute significantly to investment strategies that power economic growth. #J-18808-Ljbffr

Back Regional Sales Representative - New England Region #5460 Multiple Locations Apply X Facebook LinkedIn Email Copy Position Locations Remote, Delaware, United StatesRemote, Massachusetts, United StatesRemote, Maine, United StatesRemote, Rhode Island, United States Area of Interests Sales Full-Time/Part Time Full-time Job Description Position Description: Ameritas is seeking a Regional Sales Representative to join a dynamic and collaborative team. In this role, you will build and maintain strong business relationships with brokers, agents and other insurance professionals to meet or exceed established sales goals, quotas, targets or objectives within your assigned territory. You will focus on selling Dental, Vision and Hearing employee benefit products. At Ameritas, our mission is Fulfilling Life. We do that in many ways, but especially by helping people invest in themselves by offering trusted financial products and advice. Because we believe everyone should be happy, healthy, and financially secure, we work hard to provide trusted financial products and valued guidance, including individual life and disability insurance, employee benefits, retirement planning, investments, and wealth management services. Position Location: This position is remote and does not require regular in-office presence. The ideal candidate will be located in a state within the New England region. What you do: Develop and maintain multiple business relationships to meet or exceed established sales goals, quotas, or objectives within your assigned territory. Develop a clear understanding of Ameritas business, our diverse Group products, the complex business relationships within the brokerage community and the clients we service. Support new sales initiatives to increase sales of existing products and/or develop sales of new products. Collaborates with internal stakeholders to ensure the proper processing of all sold products from time of sale to issuance. Identify and procure new customer sales opportunities in partnership with brokers in territory Manage the inforce block of business to build new/integrated sales opportunities with existing clients Build, maintain and enhance strong producer relationships through superior product and services knowledge, territory management practices, and excellent customer service. What you bring: Bachelor's degree or equivalent work experience Ability to learn the insurance/financial services industry, including products and marketing practices Ability to demonstrate a leadership presence with internal and external partners with strong ability to create relationships and be a team player Excellent interpersonal, presentation and collaboration skills. Highly energized, motivated, results oriented self-starter with problem-solving skills. Excellent time management, organization, and project management abilities Ability to work with a team to achieve optimal results. What we offer: A meaningful mission. Great benefits. A vibrant culture Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life. At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't: Ameritas Benefits For your money: 401(k) Retirement Plan with company match and quarterly contribution Tuition Reimbursement and Assistance Incentive Program Bonuses Competitive Pay For your time: Flexible Hybrid work Thrive Days - Personal time off Paid time off (PTO) For your health and well-being: Health Benefits: Medical, Dental, Vision Health Savings Account (HSA) with employer contribution Well-being programs with financial rewards Employee assistance program (EAP) For your professional growth: Professional development programs Leadership development programs Employee resource groups StrengthsFinder Program For your community: Matching donations program Paid volunteer time- 8 hours per month For your family: Generous paid maternity leave and paternity leave Fertility, surrogacy and adoption assistance Backup child, elder and pet care support An Equal Opportunity Employer Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law. About this Position's Pay This is a sales position. The posted range reflects the base pay and variable compensation. The pay range posted reflects a nationwide minimum to maximum covering all potential locations where the position may be filled. The final determination on base pay for any position will be based on multiple factors including role, career level, work location, skill set, and candidate level of experience to ensure pay equity within the organization. This position will be eligible to participate in our comprehensive benefits package (see above for details). This position will be eligible to participate in our variable compensation program with a target defined by the applicable program. Job Details Pay Range Pay RangeThe estimated pay range for this job. Disclosing pay information promotes competitive and equitable pay. The actual pay rate will depend on the person's qualifications and experience. $71,000.00 - $178,000.00 / year Pay Transparency Pay transparency is rooted in principles of fairness, equity, and accountability within the workplace. Sharing pay ranges for job postings is one way Ameritas shows our commitment to equitable compensation practices.

A leading insurance company is seeking a Director of Actuarial Pricing to shape pricing strategies across various lines of business. The ideal candidate has over 5 years of experience in actuarial pricing within P&C insurance and possesses strong analytical skills and the FCAS designation. This role offers a competitive salary range of $150,000 to $175,000 and the flexibility to work in a hybrid model from locations such as Boston, Chicago, or White Plains. #J-18808-Ljbffr

We are seeking a strong contributor who is dedicated to pursuing their actuarial exams and who is looking for an engaging work environment that values collaboration and strives for excellence. The Actuarial Associate position will be part of the Pricing team and will work closely with other actuaries to review the pricing of our homeowner's products. The analyst will be the main pricing resource for select states. Their primary responsibility will be to provide sound actuarial pricing recommendations to the Product Manager who is responsible for the performance of these states. This position also offers an excellent opportunity to interact with a variety of departments in the organization (Government Affairs, Compliance, IT Leadership, Partner Management, Operations, Claims, etc.) and the broader American Family community. Primary Roles and Responsibilities: 1. State Management: The Actuarial Associate is responsible for conducting reviews of rates, rules, underwriting, and product offerings and making recommendations based on those reviews. These reviews consist of: -Using and suggesting actuarial methods to develop rate filings at a state level to ensure Homesite is priced appropriately across all products and segments; -Understanding profitability on a state basis, and what actions can be taken to improve performance; -Analyzing at a state level, whether the company is selling the right product, to the right customer, at the right price; 2. Contribute to the development of new products: The Actuarial Associate may participate in the analysis and implementation of new products; 3. Functional Expertise: Gain knowledge in insurance content matters that cut across Homeowners products; Requirements: 1. Relevant Experience: A minimum of 3 years of professional experience, ideally including work in Property & Casualty insurance; 2. Exams: Passing grades on a minimum of 5 Casualty Actuarial exams and desire to achieve Fellowship in the Casualty Actuarial Society (FCAS) 3. Educational Credentials: A bachelor's degree and quantitative analytical knowledge is required; a graduate degree is preferred, but not required; 4. Entrepreneurial Mindset: A self-starter who can identify business opportunities, develop a product plan to capitalize on those opportunities, and successfully implement the plan; 5. Structured & Logical Thinking: The ability to identify and define business problems and issues, and develop strategic, analytical, and financial frameworks to conduct analyses; 6. Analytical Rigor: Analyze state performance, identify additional areas of research, and recommend improvements; 7. Powerful Communication: The ability to communicate effectively and succinctly across a variety of media; 8. Team Player: The candidate will need to work well as part of a team; 9. Software Experience: Knowledge of SQL, SAS, R, Python, Tableau, and/or other programming/data query/reporting knowledge, in addition, intermediate to advanced skills in Microsoft Excel is required

A leading investment firm in Boston is seeking a Vice President to lead derivatives operations. The role focuses on collateral management and derivative valuation, ensuring strong controls and integration with financial systems. Candidates should possess over 8 years of experience and expertise in derivatives. This position offers the chance to drive operational excellence within a dynamic investment environment and influence strategic growth initiatives. #J-18808-Ljbffr

A leading investment firm in Boston is looking for a Principal Front-Office Engineer to drive the design and implementation of applications for market analysis. You will work closely with portfolio analysts and traders, focusing on building robust systems that enhance investment decisions. The ideal candidate has over 5 years of experience in Python development and strong skills in financial data manipulation. This position offers a hybrid work arrangement, with 2 days in the office per week. #J-18808-Ljbffr

Safety Insurance is proud to be one of the leading property and casualty insurance providers in Massachusetts. We are committed to supporting independent agents and their customers through our unwavering dedication to excellence. Our success is built on a simple philosophy: deliver the highest quality insurance products at competitive rates while providing exceptional service at every step. At Safety Insurance, we don't just offer jobs - we offer careers that are challenging, fulfilling, and designed to grow with you. Our people are our greatest asset. A diverse workforce makes us stronger, more innovative, and better equipped to serve our customers. At Safety, we empower our employees to be their best by fostering an inclusive environment and offering resources that support their careers, education, and families. Safety's benefits go beyond the basics. In addition to competitive salaries, our comprehensive benefits package includes: Medical and dental insurance 100% matching 401(k) retirement plan 100% tuition reimbursement …and much more! Join Safety Insurance and discover a career that's built to support your success - both personally and professionally. Job Summary: Independently investigates and manages cases of moderate to high exposure and complexity in civil litigation from the inception of the lawsuit until conclusion through dismissal, settlement or trial. Works with adjuster and clients to resolve claims as expeditiously and efficiently as possible. Our staff counsel team is currently seeking a Trial Attorney with a minimum of 3-10 years' experience. This is a full-time position. Duties Include: Meet with clients and claims professionals to resolve the cases in the most cost-effective manner Conduct discovery, pre-trials, mediations, arbitrations and trials and any other legal activity required. Advise claims professionals on the evaluation of legal files Provide legal advice to clients and other claims professionals as needed Participate in settlements as directed Qualifications: Insurance defense trial experience preferred Admitted to the Massachusetts bar Able to work in a team environment with other attorneys, adjusters, claims professionals and support staff Computer literacy, including MS Word/Westlaw, and daily management of e-mail and calendar Advocacy: Solid knowledge and ability to assist, defend or plead for another on moderately complex cases Negotiation Skills: Consistently influences claim outcomes through demonstration of effective negotiation techniques Communication: Strong ability to deliberately and precisely exchange thoughts and opinions with one or more persons and to effectively translate legal language and ideas into layman's terms Decision Making: Strong ability to arrive at a determination in moderate to complex situations after careful consideration of facts and law Organization Skills: Strong ability to categorize and prioritize work and information to effectively and efficiently maximize productivity Investigate Skills: Proficiency in following up step by step on inquiry or observation and search and examine with care and accuracy. Consistently able to take evidence that may be used in reaching a legal conclusion. Legal Research: Proficiency in locating cases, treaties, and codified laws and statutes aimed at the discovery and interpretation of law and to draw a reasonable and accurate conclusion or render an opinion there from Courtroom Skills: Able to demonstrate appropriate courtroom behavior, attire and decorum and is knowledgeable of the rules and regulations that govern proceedings and conduct in courts of law and/or other legal forums and tribunals. Provides the highest professional service to clients and claims professionals Career Development: Takes proactive responsibility for their career development. Maintains the necessary skill levels Trial Skills: Has the ability to effectively present evidence and arguments of law to a judge or jury for determination of the facts at issue

A leading investment firm in Boston seeks an Associate for the Risk Management Team. Responsibilities include advancing the firm's risk management framework, enhancing risk models, and conducting portfolio risk analysis. Ideal candidates will hold a degree in a technical field and possess strong quantitative skills alongside programming experience in languages like Python and SQL. This role offers the opportunity to work in a collaborative environment while driving projects to successful completion. #J-18808-Ljbffr

We deliver our customers peace of mind every day by helping them protect what they value most. Our passion for placing the customer at the center of everything we do is driving a transformational shift at Liberty Mutual. Operating as a tech startup within a Fortune 100 company, we are leading a digital disruption that will redefine how people experience insurance. At Liberty,Estado you'll thrive in a hybrid setting that fosters in‑person collaboration, innovation and growth. This approach optimizes both remote and in‑person interactions, enabling you to connect and ideate with your team and ایکب deep valuable relationships across the company, while still enjoying flexibility of remote work for focused tasks and projects. This role has a hybrid work schedule (2 days onsite) and we are considering candidates based in Portsmouth, NH, Columbus, OH, Indianapolis, IN, Plano, TX or Boston, MA. This role will require Fullstack experience with Java and Springboot. Do you have the skills - and drive - to join a tech team that's working to digitally transform a trillion‑dollar industry? From test‑driving the latest technologies to creating intuitive consumer apps, Liberty Mutual is constantly innovating and creating industry‑leading solutions that provide peace of mind for our customers worldwide. As a senior software engineer at Liberty Mutual, you'll apply your talents in an agile environment that has the creative energy of a start‑up-and the full backing and comprehensive benefits of a Fortune 100 company. Responsibilities Netanyahu skilled technical engineer: You'll document and lead the implementation of technical features, improvements and innovations Forward thinker: Simply fixing the problem isn't enough; using your proactive mindset and initiative, you'll continually look for ways to improve performance Fors, quality and efficiency. About the job This role supports caso Small Commercial Claims across a variety of technologies and business processes. Work in this space spans the SC Claims ecosystem, creating constant opportunities for technical and business knowledge growth. Qualifications A minimum of five years of software engineering experience A background in business operations and strategies, with a focus on business IT A history of translating client requirements into technical designs \ statute Agile engineering capabilities and a design‑thinking mindset Collaboration, adaptability, flexibility and the ability to manage time and prioritize work with a globally distributed development team qenë Strong oral and written communication skills - and a knack for explaining your decision‑making process to non‑engineers A thorough grasp of IT concepts, business operations, design and development tools, system architecture and technical standards shared software concepts and layered solutions and designs Proficiency in software engineering languages letzten tools, including Java, Spring Boot, AWS (desired but not required), and RESTful services, spanning horizontal and vertical packages An understanding of how modifications affect different parts of a system and an ability to explain your decision‑making process to non доставители engineers A Bachelor's or Master's degree in a technical or business discipline, or equivalent experience About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth.plus in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. 별> We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well‑being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco #J-18808-Ljbffr

A leading insurance company is seeking a motivated individual to lead the Operational Monitoring team focusing on Home profitability in Boston, MA. This role requires a Master's degree and at least 10 years of relevant experience. Responsibilities include managing a team of analysts, collating operational insights, and generating reports for leadership. The ideal candidate has strong analytical and quantitative skills and a deep understanding of statistical techniques. #J-18808-Ljbffr

Monitor the performance and address issues with any business partners or vendors that supports the Members Servicing Department. Build relationships with both internal and external customers to include members and employer groups to address issues and concerns and improve the customer experience. Recruit and retain effective teams through selection, development, compensation and motivation of personnel; develop talents necessary to achieve short- and long-term objectives through effective training, mentoring and coaching. Provides feedback and guidance, including timely completion of interim and annual performance reviews. Monitors overall workflow and prioritizes staff's work. Review financial information and adjust operational budgets to promote and demonstrate desired corporate financial stewardship and outcomes. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

A leading insurance and investments firm is seeking a Solutions Architect specialized in Generative AI to design and manage innovative strategies within their organization. The role involves creating scalable solutions, coding proofs-of-concept, and collaborating with various stakeholders. Ideal candidates will have advanced Python skills, AWS experience, and the ability to mentor a team. This position offers a hybrid work environment in Boston, MA, with strong emphasis on innovation and collaboration. #J-18808-Ljbffr

Winged Keel Group is the premier national platform for the structuring, implementation, and administration of high‑end life insurance solutions. With ten offices nationwide, the firm specializes in Traditional Life Insurance, Business Continuation Insurance, Private Placement Life Insurance and Annuities, and Corporate-Owned Life Insurance portfolios. Position Summary The Director of Institutional Life Insurance Underwriting and Case Management leads the underwriting and case management functions supporting institutional and ultra‑high‑net‑worth life insurance clients. This role ensures underwriting excellence, operational efficiency, and exceptional client experience while maintaining compliance and risk standards. The director partners closely with sales, product, and operations teams to streamline case flow from prospect introduction to application and policy issue. The person in this role is also responsible for leading and managing a high‑performing, successful team. Position Responsibilities Underwriting and Case Management Leadership Oversee all aspects of life insurance underwriting for institutional channel, including traditional and private placement life insurance products. Establish, document, and maintain underwriting processes, SLAs, risk tolerance standards, and escalation procedures. Implement workflows to ensure timely processing, accuracy, and communication with clients and advisors. Track and report service‑level metrics, identifying trends and areas for process improvement and implement process improvements across the team. Review complex, high‑value cases and provide underwriting recommendations. Anticipate and resolve case challenges proactively. Work with carriers to negotiate best offers and remove additional requirements. Ensure compliance with regulatory and company standards, including privacy and anti‑money laundering (AML) protocols. Act as primary point of escalation for Underwriting and Case Management team members. Strategic and Cross‑Functional Collaboration Partner with producers and Operations to support growth objectives and deliver a seamless client experience. Develop strong relationships with producers, establish expectations, and address issues as they arise. Develop strong relationships with insurance company new business and sales leadership to ensure smooth case processing. Leverage technology and automation tools to increase case throughput and visibility. Provide insights and recommendations to leadership on underwriting trends. People Leadership Lead and develop a team of case managers / underwriting specialists handling a large volume of cases. Manage staffing and workload balance in response to rapid growth and changing business demands. Lead, coach, and mentor a high‑performing team with a focus on professional development. Foster a culture of accountability, collaboration, and continuous improvement. Develop and refine onboarding and training for new underwriters / case managers. Set annual goals, define roles and responsibilities, and conduct performance reviews of team members. Qualifications Bachelor's degree required. 10+ years of progressive experience in life insurance underwriting, with at least 3-5 years in a leadership role. Strong understanding of life insurance products, including private placement preferred. Experience working with Financial Advisors in the High‑Net‑Worth space. Strong understanding of ticketing systems, regulations and compliance in the wire house and bank channels. Proven ability to manage complex high‑net‑worth cases. Experience leading case management or new business operations preferred.Deep knowledge of underwriting guidelines, medical and financial risk assessment, and reinsurance practices. Proficiency with digital underwriting systems and workflow tools. Strong analytical and decision‑making skills. Exceptional communication and relationship management abilities. Working Conditions / Demands / Complexity Required to work on a computer for a substantial part of the day. A strong fundamental skillset in the above areas from the outset. Candidate will have a unique opportunity to apply and grow these skills in a highly productive, successful, and challenging environment. Compensation / Benefits Attractive annual compensation package is commensurate with experience. Eligible for annual profit sharing bonus. Comprehensive benefit package includes medical, dental, life, disability, 401(k), Flexible Spending Account, and other voluntary benefits. #J-18808-Ljbffr

Monitor and analyze regulatory/accreditation/business requirements to invoke recommendations for program and/or policy changes as appropriate for various lines of business. Lead/coordinate activities, which include internal audits, quality assurance control, quality improvement, provider satisfaction and department policies and procedures, to meet and/or maintain regulatory/accreditation/line of business requirements. Serve as a resource to internal and external staff regarding issues relating to administrative policies and procedures, medical policies, and researching and resolving problems. Edit all documentation generated by unit e.g., QIAs, reports, executive summaries, presentation materials, workplans, evaluations, annual plans, policies and procedures, minutes, agendas, provide feedback, and develop/generate monitoring reports/tools. Coordinate/schedule training opportunities and develop/present related reports and various documentation. Coordinate, support and document various department activities to ensure deliverables are completed by due date. Perform other duties (e.g., attend meetings) as assigned. #LI-Hybrid

Director of Business Intelligence & Analytics Enablement page is loaded## Director of Business Intelligence & Analytics Enablementlocations: Bostontime type: Full timeposted on: Posted Yesterdayjob requisition id: R08109## **About the Role:**We are seeking a highly influential and business-savvy leader to serve as a Director of Business Intelligence & Analytics Enablement. This individual will act as the primary strategic & executive partner of analytics leaders in the organization for their data & technology needs. Your mission is to embed deeply within the business, translating its strategic goals and pressing challenges into a clear, high-impact roadmap of portfolio initiatives.This role is eligible for our Flex Persona for candidates local to our Boston, MA.**Your Day to Day:*** Own and execute the strategic roadmap for the enterprise Business Intelligence platform, ensuring it is a scalable, reliable, and user-friendly tool for the entire organization.* Develop and execute an analytics strategy and roadmap that is co-created with your business partners and directly aligned with their objectives.* Drive the identification, prioritization, and governance of a portfolio of strategic data and analytics initiatives, from conception through to value realization.* Foster a culture of data literacy and data-driven decision-making across the organization by demonstrating the art of the possible and articulating the value of data assets.* Establish and manage a robust framework for measuring the business impact and ROI of all data and analytics investments.**We're Looking For:****Platform & Technology Ownership*** Act as the ultimate owner and product manager for the enterprise BI platform(s) (e.g., Tableau, Cognos, SAS).* Manage the platform's lifecycle, including strategic planning, vendor relationships, license management, upgrades, and budget.* Oversee the platform's technical administration, ensuring high availability, optimal performance, robust security, and effective governance.* Develop a library of certified data sources, in partnership with data engineering teams, to provide users with a trusted and easy-to-use starting point for analysis.* Owns product management, engineering, program management, quality assurance, technical & solutions architecture, technical operations, budget and resource management functions for key business application and/or large-scale technology platforms**Business Partnership & Stakeholder Engagement*** Build and maintain strong, collaborative relationships with leaders across all business functions (e.g., Actuarial, PMI, Finance, Digital, HMM, Sales).* Serve as a trusted advisor to the business, translating complex business challenges into actionable data and analytics use cases.* Lead cross-functional teams to design and implement innovative data, BI & analytic solutions that address critical business questions.* Lead the discovery and requirements-gathering process for all new analytics initiatives, ensuring every project begins with a clear business problem and defined success metrics.**Execution & Delivery*** Own and manage the analytics portfolio for your business domain, leading a transparent, value-based prioritization process in partnership with business stakeholders.* Serve as the single point of accountability for the delivery of all data & analytics products and insights that is tightly aligned with the strategic priorities of your business partners.* Provide program oversight for the execution of strategic initiatives, ensuring effective project management, risk mitigation, and timely delivery.* Work closely with data engineering, architecture, and analytics delivery teams to ensure the solutions they build are fit-for-purpose and meet business requirements.**What You Bring:*** 12+ years of experience in a combination of strategy, delivery, program management, or business-facing data and analytics roles.* Bachelor's degree in Computer Science, Information Systems, Business, Management, or a related field.* Deep, hands-on administrative and architectural experience with major enterprise BI platforms (like Tableau, IBM Cognos).* Experience building data & integration solutions such as EDW, Operational Data Stores, NOSQL Databases, ETL & ELT and caching* Exceptional executive presence, communication, and storytelling skills* Strong business acumen and the ability to quickly understand and analyze different business functions and their data needs.* Demonstrated experience in portfolio and program management, with a history of successfully leading large-scale, cross-functional initiatives.* Excellent facilitation and stakeholder management skills, with a talent for building consensus among diverse groups.## Minimum Education Requirements:High school degree or equivalent required unless otherwise noted above## LocationBoston## Time TypeFull time Salary Range: $215,460.00 - $263,340.00 The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.This job is also eligible for variable pay.We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.We understand that the and can prevent amazing candidates coming our way, so please don't hesitate to apply. We'd love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It's in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our page. If this sounds like something you'd like to be a part of, we'd love to hear from you. You can also join our to stay “in the know” on all things Blue.At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "" Page.Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power, Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.## **Our Commitment to You**We are committed to #J-18808-Ljbffr

Provide strategic management and direction for the configuration of health plan products, provider networks, and reimbursement methodologies to ensure alignment with business requirements, state and federal regulations, and accreditation standards. Develop and implement policies, standards, and governance frameworks for configuration accuracy, quality control, and compliance. Collaborate with external partners, IT, Claims Operations, Provider Services, Compliance, and Product teams to ensure system configurations support new products, regulatory changes, and organizational initiatives. Lead testing, validation, and sign-off processes for new configurations, system upgrades, and change requests Drive process improvements and automation opportunities to enhance configuration efficiency and reduce errors. Serve as a subject matter expert (SME) for configuration management, providing training, guidance, and mentorship to internal and external team members and business stakeholders. Performs all other miscellaneous responsibilities and duties as assigned or directed.

The Auto Claims Adjuster I is responsible for the end-to-end management of personal auto claims with a focus on analytical evaluation, strategic negotiation, and resolution. Operating with a high degree of autonomy and discretion, this role supports the company's claims operations by applying specialized knowledge and judgment to complex claim scenarios. Duties: * Claims Evaluation and Resolution (60%) * Independently investigates, evaluates, and resolves personal auto claims, including those involving disputed liability and multi-vehicle accidents. * Exercises discretion in determining claim strategy, settlement authority, and negotiation approach. * Analyzes coverage, liability, and damages to develop resolution plans aligned with company policies and legal standards. * Negotiates subrogation recoveries with other carriers and third parties. * Establishes and adjusts reserves and authorizes payments within designated authority. * Coordinates with internal and external stakeholders to ensure timely and accurate claim resolution. * Strategic Communication and Documentation (25%) * Communicates complex claim decisions and strategies to policyholders, agents, and other involved parties in a clear and professional manner. * Maintains detailed and accurate documentation of claim activities, including investigative findings, evaluations, recommendations, and resolutions. * Prepares reports and summaries for management review and contributes to process improvement initiatives. * Customer Experience and Relationship Management (15%) * Provides high-level customer service by managing expectations, resolving escalations, and ensuring a positive claims experience. * Serves as a resource for agents and policyholders, offering guidance on claims processes and coverage interpretation. * Promotes a service-oriented culture and supports departmental goals through collaboration and knowledge sharing. Qualifications: * Bachelor's degree or equivalent experience in insurance, business, or a related field required. * Prior experience in auto claims adjusting preferred. * An equivalent combination of education and job-related experience will be considered