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Navy Mutual jobs in Nampa, ID

- 144 jobs
  • Sales Agent

    Aflac 4.4company rating

    Idaho job

    Aflac is looking for a Strategic Benefits Consultant to help businesses strengthen their employee benefits strategy. This consultative role is perfect for professionals in sales, HR, or consulting who want to partner with a nationally recognized brand while building their own book of business. Advantages of working with us: - Monday-Friday business hours - enjoy true work-life balance - Unlimited earning potential with commissions, bonuses, renewals, and stock - Represent a Fortune 500 company trusted by businesses nationwide - Award-winning training, tools, and mentorship - First 3-month bonus incentives available* - Offer value-added services (telehealth, healthcare navigation, financial wellness tools)** Responsibilities & requirements: - Advise employers on benefits, needs and customized solutions - Conduct consultations, product demos, and enrollments virtually or in person - Build long-term relationships and provide excellent post-enrollment service - Collaborate with teams for training, development, and support - Strong consultative, communication, and relationship-building skills - Background in B2B sales, HR, or client-facing consulting preferred, but not required - Must be 18+ and authorized to work in the U.S. - Entrepreneurial mindset and self-starter mentality About Aflac: At Aflac, we work directly with employers to deliver voluntary benefits to their employees while helping to solve issues small businesses face. Our Strategic Benefits Consultant, also known as Benefits Advisors, can play a vital role in helping people when they need it most - when they're injured or ill - by providing financial protection and peace of mind so they can focus on recovery, not bills. *This is not a salaried position, Aflac Benefits Advisors earn commissions, bonuses, residual income, and stock. **Aflac's affiliation with the Value-Added Service providers is limited only to a marketing alliance, and Aflac and the Value-Added Service providers are not under any sort of mutual ownership, joint venture, or are otherwise related. Aflac makes no representations or warranties regarding the Value-Added Service providers, and does not own or administer any of the products or services provided by the Value-Added Service providers. Each Value-Added Service provider offers its products and services subject to its own terms, limitations and exclusions. Services, Terms and conditions are subject to change and may be withdrawn at any time. The value-added services may not be available in all states, and benefits/services may vary by state. Aflac Benefits Advisors are independent contractors and are not employees of Aflac. Aflac family of insurers includes American Family Life Assurance of Columbus and American Family Life Assurance Company of New York. Aflac WWHQ | 1932 Wynnton Road | Columbus, GA 31999 Z2500303 EXP 5/26
    $21k-25k yearly est. 14d ago
  • Benefits Advisor

    Aflac 4.4company rating

    Idaho job

    Aflac is actively seeking motivated, entrepreneurial-minded individuals to join our team as a Benefits Advisor. In this independent role, you'll introduce businesses to Aflac's supplemental insurance plans and help policyholders gain added financial peace of mind. Whether you're launching a new career or looking to grow in a professional sales role, this opportunity offers flexibility, unlimited income potential, and the support of a trusted Fortune 500 brand. Advantages of working with us: - Enjoy a flexible schedule - no nights, weekends, or holidays - Unlimited earning potential (commissions, renewals, performance bonuses, stock) - Access to company-provided leads and digital sales tools - World-class sales training and ongoing professional development - Bonus opportunities available in your first 3 months* - Offer policyholders added-value services: telehealth, financial wellness, and healthcare navigation** Responsibilities & requirements: - Partner with business owners to provide benefits solutions for their employees - Build a pipeline through lead generation, networking, referrals, and cold outreach - Conduct product presentations and enrollments in person or virtually - Support clients with claims and provide ongoing customer service - Participate in team training, mentorship, and development sessions - Excellent communication, relationship-building, and presentation skills - Sales or customer service experience is a plus, but not required - Must be 18+ and legally authorized to work in the U.S. (no visa sponsorship available) - Positive, professional, and self-motivated attitude About Aflac: At Aflac, we work directly with employers to deliver voluntary benefits to their employees while helping to solve issues small businesses face. Our Benefits Advisors can play a vital role in helping people when they need it most - when they're injured or ill - by providing financial protection and peace of mind so they can focus on recovery, not bills. *This is not a salaried position, Aflac Benefits Advisors earn commissions, bonuses, residual income, and stock. **Aflac's affiliation with the Value-Added Service providers is limited only to a marketing alliance, and Aflac and the Value-Added Service providers are not under any sort of mutual ownership, joint venture, or are otherwise related. Aflac makes no representations or warranties regarding the Value-Added Service providers, and does not own or administer any of the products or services provided by the Value-Added Service providers. Each Value-Added Service provider offers its products and services subject to its own terms, limitations and exclusions. Services, Terms and conditions are subject to change and may be withdrawn at any time. The value-added services may not be available in all states, and benefits/services may vary by state. Aflac Benefits Advisors are independent contractors and are not employees of Aflac. Aflac family of insurers includes American Family Life Assurance of Columbus and American Family Life Assurance Company of New York. Aflac WWHQ | 1932 Wynnton Road | Columbus, GA 31999 Z2500301 EXP 5/26
    $61k-74k yearly est. 14d ago
  • Director of Purchasing

    KB Homes 4.7company rating

    Meridian, ID job

    About KB Home KB Home is one of America's largest and most trusted homebuilders, with nearly 700,000 quality-homes built over our more than 65-year history. Operating across 21 divisions in 9 states, we don't just build houses we create places where families can make a lifetime of memories. At KB Home, our foundation is our people. We foster genuine relationships with our customers throughout their homebuying journey, while our employees bring passion and purpose to work every day. Our shared culture of customer obsession drives our mission to make homeownership attainable for all. The Opportunity Lead the daily operations of the Purchasing Department with vendor and trade partner negotiations to driving profitability, efficiency, and quality across our homebuilding projects. You'll collaborate with cross functional teams and Corporate Purchasing to ensure high-quality outcomes, while mentoring a team of purchasing professionals. This role is pivotal in shaping purchasing strategy, optimizing budgets, and building strong trade partnerships. Key Responsibilities * Strategic Purchasing & Cost Management * Develop and implement purchasing strategies aligned with divisional goals. * Lead cost reduction initiatives through value engineering and vendor negotiations. * Monitor and manage monthly direct cost budgets and rebate submissions. * Collaborate with Architecture and Operations to ensure accurate take-offs and cost optimization. * Vendor & Trade Partner Relations * Recruit, qualify, and negotiate with vendors and trade partners to meet quality, cost, and schedule standards. * Maintain and update scopes of work and ensure compliance with staffing and cycle time commitments. * Conduct market analysis to benchmark labor and material costs. * Contract Administration * Lead contract negotiations with vendors and trades to secure competitive pricing and ensure alignment with value creation and margin objectives. * Ensure contracts meet or exceed value creation and margin goals. * Partner with Corporate National Contracts to align on pricing and national agreements. * Cross-Functional Collaboration * Build strong relationships with Sales, Marketing, Studio, Construction, and Customer Service teams. * Provide product and cost data to support new community launches and proforma analyses. * Resolve elevated vendor and trade issues in partnership with field teams. * Team Leadership & Development * Lead, mentor, and develop a team of purchasing professionals. * Foster a collaborative, high-performance culture focused on continuous improvement. * Conduct interviews, performance evaluations, and implement development plans. * Reporting & Compliance * Oversee ESC data submittals and ensure compliance with HERS ratings and energy standards. * Stay informed on all ESC related updates for implementation, compliance and strategies. What You Bring * Four-Year College Degree is required * 5+ years of proven purchasing experience in residential homebuilding * 2+ years of direct management experience of a purchasing team * Demonstrated leader within residential homebuilding industry or related industry * Demonstrated/ proven strong experience in handling major trades is a must * Prior Field experience as a Construction Superintendent is preferred * Strong understanding of market trends and industry dynamics. * Proven leadership in motivating teams and driving results. * Excellent relationship-building and communication skills. * Customer-focused mindset with a solution-oriented approach. * Confident presenter and effective trainer. * Collaborative team player who values diverse perspectives. * Data-driven decision maker with strong analytical skills. * Proficient in Microsoft Word, Excel, PowerPoint, and Outlook. Requirements * The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation. * Ability to stand or sit for extended periods * Ability to move about work location * Ability to drive/travel as needed * Ability to walk up and down stairs * Ability to observe details at close range and communicate information so others will understand * Ability to transport and move up to 20 lbs and move as needed (for roles in Construction/Customer Service/IT/Land/Marketing/Sales/Studio) * Periodically works in outdoor weather conditions (for roles in Construction/Customer Service/Land/Sales) * Position located at the Division Office. #LI-onsite. Compensation Details and Benefits KB Home offers a competitive base pay. Other rewards may include bonuses or role-specific awards. KB Home provides a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, a retirement savings plan, paid holidays, sick time and vacation. Base Pay Rate The KB Home Difference Join us and become part of a team where innovation, sustainability, and an unwavering commitment to customer satisfaction drive everything we do - and where people truly matter. As a KB Home team member, you'll experience: * A culture defined by customer obsession and collaboration.• The satisfaction of helping families achieve their dream of homeownership.• Opportunities for growth and development within a nationally recognized company. Visit our career site to learn more about working at KB Home and joining our team. KB Home wants prospective employees to protect themselves from fraudulent activity. Legitimate communication will only come from email addresses ending ************** or through our applicant tracking system, iCIMS, **************** ******************** domains. KB Home and its affiliates do not accept unsolicited resumes from individual recruiters or third party recruiting agencies in response to job postings. KB Home is an Equal Opportunity Employer
    $124k-181k yearly est. Easy Apply 13d ago
  • Senior Pricing Actuary, Casualty

    Chubb 4.3company rating

    Grace, ID job

    Are you a qualified or nearly qualified Actuary with proven Pricing and Portfolio Management experience? If you are passionate about growing your skills and career with one of the largest Property & Casualty insurers in the world, then we would love to hear from you! CHUBB Europe P&C is one of four main divisions of CHUBB European Group (CEG). This is a highly visible actuarial pricing role responsible for a book of almost $1b gross written premium, leading the effort of partnering Casualty underwriters in Continental Europe, Middle East and North Africa (CEMENA) and providing technical expertise to the Head of CEMENA Casualty in executing key priorities and strategic projects. The role is based in Paris, with some occasional travel to other parts of Chubb's European network, particularly the largest European operations in Germany, Italy, Spain, Netherlands, Switzerland, Sweden, Denmark and Belgium, and to the UK. Key Responsibilities: * Be the Lead Actuarial Partner to CEMENA Casualty underwriters in assessing portfolio performance and formulating strategies to improve underwriting performance. Portfolio management and risk selection through the application of technical models. Responsible for the completion of CEMENA Casualty profitability studies/ performance reviews, planning, budgeting and forecasting. * Case pricing - recommending or peer reviewing recommended premiums (and aggregate deductibles and collateral requirements) for large individual insureds through modelling their loss data, communicating and justifying recommendations to the major account underwriters * Lead the effort in monitoring and communicating key portfolio trend/ statistics/ insights to underwriters and senior management, including but not limited to quarterly business performance reviews, performance dashboard updates, renewal rate change and adequacy monitoring, inflation impact etc. * Lead the parameterization of underwriting risk for CEMENA Casualty, for the purpose of Chubb Global Capital Model. * Assist in the development and calibration of exposure and experience rating tools/ engines, in support of benchmark rating/ case pricing of risks/binders/facilities. Collaborate with key stakeholders (Chubb Overseas General / underwriters) to ensure tool kits are fit for purpose. * Proactively engaged with the wider Actuarial community (e.g. Reserving, CAT teams) in knowledge sharing/ common actuarial projects. * The role will involve direct management responsibility for 2 analysts and additional interns where appropriate, and indirect coaching/ workflow guidance responsibility for a shared pool of offshore analysts. Required skills & Experience: * Highly motivated self-starter who is able to drive, prioritize, manage and execute multiple projects to completion in a fast-paced environment. * Great team leader and player who is able to deal with different professional backgrounds and interested to invest time in team growth. * Strong stakeholder management ability. * Proven technical expertise in case pricing and portfolio management activities. * Loss Modelling and Statistical Analysis skills. * Commercial insurance and catastrophe risk knowledge. * Strong communicator who can articulate complex messages to a broad range of audiences in a clear and concise manner, both verbally and written. * Proficiency in English required. Other languages a plus (e.g. French, German, Italian, Spanish). * Strong systems / software/ data management skills, and/or ability to learn new software on own initiative. * Proficiency in Microsoft Office suite and at least one of the following software: R, Dataiku, SQL, Python, ResQ, Radar, VBA, Qlik. * Professional actuarial qualification or in the process of being qualified.
    $105k-139k yearly est. Auto-Apply 60d+ ago
  • Front Desk Coordinator / Title Assistant

    Title Financial Corp 3.8company rating

    McCall, ID job

    id="is Pasted"> Flying S Title and Escrow is a subsidiary of Title Financial Corporation (TFC). We seek a Front Desk Coordinator / Title Assistant to join our team in McCall, Idaho. TFC is a family-owned company providing Title and Escrow Services since 1905. We pride ourselves on taking great people and growing and developing them with employees who have spent their entire careers with us! If you want to work for a company where Everyone Counts, is committed to doing the Right Thing, Takes the Smart Risk, believes Attitude is Everything, and Everyone has the Opportunity to Make a Difference, then keep reading. The ideal team member: Has a passion for working with people, is customer service oriented, and has the ability to create meaningful relationships. Previous experience in Title, Escrow, Banking, Real Estate, or other related business is a Plus! Ability to stay on task and work independently. Strong verbal and written communication skills. Excellent interpersonal and customer service skills. Excellent organizational skills and attention to detail. Excellent time management skills with a proven ability to meet deadlines. Strong analytical and problem-solving skills. Ability to function well in a high-paced and at times stressful environment. Proficient computer skills, including basic navigation, ability to learn new programs, and previous experience with Google Suite, Microsoft Office Suite, or related software. Ability to operate a company vehicle or personal vehicle for company errands or training. About the position: The primary responsibilities of the Front Desk Coordinator include receiving visitors to the Company and promptly answering incoming calls. The position directs visitors or transfers callers to the party they are requesting. When visitors and callers are uncertain about whom to contact, the Front Desk Coordinator gathers information to determine the best way to assist them. Since this position often serves as the initial point of contact for customers, it is essential that a courteous attitude and high-quality customer service are maintained at all times. This position requires good interpersonal and verbal communication skills. The Title Assistant performs a variety of clerical duties, primarily to assist the Title officers. The position locates, records, posts, and computes information generated by or to be used by title personnel in completing title orders. The position systematically organizes, files, retrieves, and/or updates title materials such as legal documents, reports, maps, and files. This position reports to the Vice President / County Manager. Job Duties Include: Answers telephone calls, routes to appropriate individuals or departments, and takes accurate messages in a professional and courteous manner. Uses a multiline telephone system. Greets clients and addresses their questions and concerns. Direct clients to the appropriate individual or department as needed. Proofread documents to ensure accuracy and completeness. Correct errors and omissions by tracking necessary information. Research and/or record documents and administer the recording processes. Perform various functions to expedite the flow of policies, including answering phone inquiries, picking up and delivering documents, typing, filing, duplicating, recording, and maintaining tasks and workflow. Daily Courthouse runs to search names and print documents at the Clerk and Recorder's Office Set up or cancel escrow/title files, which include the complete filing of deposits and all relevant documents. Assist the title departments by performing general support tasks to maintain departmental efficiency. Supports corporate core values, purpose, goals, and culture. React to change positively and productively, including as a result of the expansion of job responsibilities and expectations. Communicate with company employees and customers by phone, in person, or through correspondence. Adheres to all company policies and standards, including the expectation of prompt, predictable, and regular attendance. Education and Experience: Must be at least 18 years of age. Must have a valid driver's license and have the ability to pass an MVR and background check. High school diploma or equivalent. Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 50 pounds at times. We offer: Competitive benefits plan including paid medical, dental, vision, basic life insurance, and short-term disability coverage for employees. In addition, we offer a 401(k) with a competitive discretionary match, discount on closing fees, early paycheck access, wellness program, pet insurance, and voluntary plans, including accident, hospital plans, and more! New employees receive 24 hours of FTO on their first check with additional accrual for a total of three weeks of Flexible Time Off each year. In addition, employees receive 11 paid holidays, Volunteer Time Off, Parent Leave, Grandparent Leave, and more! Flying S Title, Escrow, and TFC is an equal opportunity employer. Reasonable accommodation will be made to enable individuals with disabilities to perform the essential functions of the position. Applicants offered a position must be able to pass a pre-employment background and MVR check.
    $29k-37k yearly est. Auto-Apply 60d+ ago
  • Financial Advisor - Meridian, ID

    Country Financial 4.4company rating

    Meridian, ID job

    We're looking for ambitious and established candidates who want to own their business and help clients prepare for life's planned and unexpected moments with the right financial services and insurance products. Our financial advisors are contracted as COUNTRY Trust Bank Financial Advisors, Registered Representatives of COUNTRY Capital Management Company, and Insurance Agents of COUNTRY Life Insurance Company and COUNTRY Mutual Insurance Company and their subsidiaries. The Career COUNTRY Trust Bank Financial Advisors take a consultative approach to grow business with existing and prospective clients. As independent contractors, they are in business for themselves but not by themselves, and they: Diversify their income through multiple product lines beyond financial services. Leverage the portfolio of property and casualty, life and health, and annuities and investment products and services. Educate clients and prospects about our products and services. Collaborate with COUNTRY Financial Insurance Agents to secure business. Establish an office and build a staff. Conduct financial solution seminars. Have the flexibility to manage their schedules to balance their careers and personal interests. We Offer Our financial advisors have uncapped earning potential and: Opportunities to earn performance-based global trips and financial rewards. Access to continued learning and marketing resources. Corporate office support. Affiliation with our 100-year-old brand heritage and family-focused culture that values authenticity, integrity, and inclusivity. There is no buy-in required. Qualifications Successful COUNTRY Trust Bank Financial Advisors are: Entrepreneurial and self-motivated. Goal-driven with track records of business growth in the insurance and or financial services industry. Strong communicators with excellent business acumen. Committed to building and maintaining solid connections between their efforts and their rewards. Focused on achieving professional success through securing clients' trust. Passionate about making positive impacts in their communities. Required Qualifications Series 6/63 licenses Passed SIE Life/Health State Insurance License* Property/Casualty State Insurance License* Preferred Experience Accredited Asset Management Specialist (AAMS) Chartered Financial Analyst (CFA) Certified Public Accountant (CPA) Certified Financial Planner (CFP) Chartered Financial Consultant (ChFC) Bachelor's Degree 2+ years of experience in the insurance and or financial services industry 5+ years of business ownership or managerial experience About Us COUNTRY Financial is the trade name for a collective of affiliated insurance and financial services companies. This means we have an extended family of support and a large backing. Since 1925, COUNTRY Financial has been dedicated to helping others plan for their future while also protecting what matters most to them. What started long ago as a simple commitment on Midwest farmlands has expanded to become a FORTUNE 1000 insurance and financial services organization proudly serving 19 states. Our insurance agents, financial advisors, and employees remain dedicated to serving nearly one million households with our diverse range of personal and business insurance products as and financial services products. And our consistent AM Best A+ rating means we have the financial strength to keep the promises we make to our clients. *These licenses are not required to apply; however, the candidate's ability to obtain these licenses is essential when a contract decision is made. COUNTRY Financial is the marketing name for the COUNTRY Financial family of affiliated companies (collectively, COUNTRY), which include COUNTRY Life Insurance Company , COUNTRY Mutual Insurance Company , and their respective subsidiaries, located in Bloomington, Illinois. Investment management, retirement, trust, and planning services provided by COUNTRY Trust Bank . The investment objectives, risks, charges, and expenses of an investment company should be carefully considered before investing.
    $67k-100k yearly est. Auto-Apply 60d+ ago
  • Field Rep - ID

    JMI Reports 3.4company rating

    State Line, ID job

    Join the JMI Reports national team of Field Reporters and start earning money this week! Now's your chance to choose your hours and workload while earning supplemental income from a national insurance services company. Plus, there are no selling or certifications required. We pay weekly for all jobs completed. In most cases, you can start earning money this week! JMI Reports has an immediate demand for field reporters nationwide to complete residential and commercial property insurance surveys as needed. Experience in insurance isn't essential to handle this role. All jobs are delivered on our easy-to-use mobile app, and you can accept or decline the order after seeing the location and fee. Our typical assessments are as easy as using your phone to take pictures of the property and answer a few basic property questions through our user-friendly BlueSkyVUE app (available for free on the App Stores). We'll combine the data you collect with many other data elements to produce the final comprehensive product for our customers.
    $65k-87k yearly est. Auto-Apply 60d+ ago
  • Utilization Management Clinician (Tuesday-Saturday)

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Collaborate closely with physicians, nurses, social workers and a wide range of medical and non-medical professionals to coordinate delivery of healthcare services. Assess the member's specific health plan benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services which promote quality, cost-effective outcomes by helping member populations achieve effective utilization of healthcare services. Facilitate outstanding member care using fiscally responsible strategies. Essential Responsibilities: Collect and assess member information pertinent to member's history, condition, and functional abilities in order to promote wellness, appropriate utilization, and cost-effective care and services. Coordinate necessary resources to achieve member outcome goals and objectives. Accurately document case notes and letters of explanation which may become part of legal records. Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued stay and level of care. Identify cases that require discharge planning, including transfer to skilled nursing facilities, rehabilitation centers, residential, and outpatient to include behavioral health, home health, and hospice services while considering member co-morbid conditions. Review referral and preauthorization requests for appropriateness of care within established evidence-based criteria sets. When applicable, identify and negotiate with appropriate vendors to provide services. When appropriate, negotiate discounts with non-contracted providers and/or refer such providers to Provider Network Department for contract development. Work with multidisciplinary teams utilizing an integrated team-based approach to best support members, which may include working together on network not available (NNA), out of network exceptions (OONE), and one-time agreements (OTA). Serve as primary resource to member and family members for questions and concerns related to the health plan and in navigating through the health systems issues. Interact with other PacificSource personnel to assure quality customer service is provided. Act as an internal resource by answering questions requiring medical or contract interpretation that are referred from other departments, as well as physicians and providers of medical services and supplies. Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients. Identify high cost utilization and refer to Large Case Reinsurance RN and Care Management team as appropriate. Assist Medical Director in developing guidelines and procedures for Health Services Department. Supporting Responsibilities: Act as backup and be a resource for other Health Services Department staff and functions as needed. Serve on designated committees, teams, and task groups, as directed. Represent the Heath Services Department, both internally and externally, as requested by Medical Director. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of three (3) years of nursing or behavioral health experience with varied medical and/or behavioral health exposure and capability required. Experience in acute care, case management, including cases that require rehabilitation, home health, behavioral health and hospice treatment strongly preferred. Insurance industry experience helpful, but not required. Education, Certificates, Licenses: Registered Nurse or a clinically licensed behavioral health practitioner with current unrestricted state license. Within six (6) months of hire licensure may need to include Oregon, Montana, Idaho and/or other states as needed. Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and understanding of medical and behavioral health processes, diagnoses, care modalities, procedure codes including ICD and CPT Codes, health insurance and state-mandated benefits. Understanding of contractual benefits and options available outside contractual benefits. Working knowledge of community services, providers, vendors and facilities available to assist members. Understanding of appropriate case management plans. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Must be able to function as part of a collaborative, cohesive community. Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $67k-91k yearly est. Auto-Apply 36d ago
  • National Broker Manager, Colonial Life

    UNUM 4.4company rating

    Boise, ID job

    When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide: + Award-winning culture + Inclusion and diversity as a priority + Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid time to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition reimbursement + Flexible work environments **_*All the benefits listed above are subject to the terms of their individual Plans_** **.** And that's just the beginning... With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today! **General Summary:** General Summary This National Broker Manager is responsible for leading a team of Regional Broker Managers to drive the growth of broker influenced sales in assigned regions. The individual and their team will partner closely with the regional and territory sales leadership and Colonial Life's agency distribution teams to increase overall broker influenced sales in the region through engagement with targeted broker relationships, increasing effectiveness of independent sales agents, and development of sales marketing strategies. They will also develop strategic plans and cultivate engagement with select national brokerage organizations to deepen partnerships and drive additional sales growth. This role will also aid the Colonial Life leadership team in the ongoing development of Colonial Life's broker distribution growth strategy. **Principal Duties and Responsibilities** + Increase profitable broker influenced sales growth in partnership with the Colonial Life sales organization and home office business partners in both the commercial and public sector markets. Increase the number of new broker influenced accounts in the region. + Lead Regional Broker Managers (RBMs) for the assigned region. Train and develop RBMs in to highly effective sales professionals. Accountability for frequent, consistent communication to VPS and TSM business partners regarding the effectiveness of RBM in territory activity and alignment to local market needs. + Increase the depth and breadth of broker relationships within the region including driving production from new brokers and increased sales activity with existing broker relationships + Personally engage with regional and national practice leaders of select national broker partner organizations. Ensure appropriate distribution alignment between Colonial Life's field organization and national broker partner offices. + Create and execute business plans that align with goals of the Regional Vice Presidents of Sales, Territory Sales Managers and the company. Adhere to company's expectation regarding budget and expense management + Utilize Colonial Life's overall Value proposition to educate brokers on our expertise in the public sector, commercial, brokerage, and large case markets. Act as a strategic business partner in presentations for potential and existing customers + Train and develop the Colonial Life sales hierarchy in the areas of Brokerage, Public Sector and the Colonial Life value proposition. + Cultivate strong working relationships with internal and external partners + Evaluate potential MAP, Worksite Specialist, Finance Rep, and HO visit requests within assigned region. Work with VPS, Territory Sales Manager and AVP of Broker Market Development to approve or decline requests. + Manage and participate in broker meetings, forums, and lunch & learns within assigned region. Create visibility in the market by participating in events, conferences and tradeshows focused on the insurance industry with specific emphasis on the brokerage, national broker and public sector market segments. + Engage with the Colonial Life senior leadership team to support the development of Colonial Life's broker market growth strategy. + May perform other duties as assigned **Job Specifications** + Bachelor's degree or equivalent experience + 8 + years of broker sales/marketing experience + Strong ability to effectively communicate, influence, and persuade. + Strong problem solving, planning, and strategic thinking. + Broad room presence including professionalism and strong presentation skills + Strong organizational leadership skills and a proven track record of effectively leading others. + Excellent interpersonal and collaboration skills + Ability to travel 65% to 75% of the time \#LI-PO1 ~IN1 Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide. Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status. Fully and partially leveraged roles are paid pursuant to a uniformly applied sales compensation plan. For partially leveraged roles, a starting salary or salary range will be listed in the above . If salary information is not listed in the job description above, compensation is based solely on commissions. Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans. Company: Colonial Life
    $77k-98k yearly est. 11d ago
  • Risk Management, Modeling Analytics Lead

    Travelers Insurance Company 4.4company rating

    Boise, ID job

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Data Analytics, Data Science **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $169,400.00 - $279,600.00 **Target Openings** 1 **What Is the Opportunity?** The Travelers Catastrophe Risk Management Group is seeking a Cyber Peril Lead to join our PERILS team leading our research related to man-made perils with a focus on Cyber risk. You will be joining a group of dedicated professionals charged with leading Travelers to be in position to successfully endure catastrophic loss from natural and man-made perils. The PERILS team is a multi-discipline group focusing on peril research, the development of next generation analytics, and event response activities. As a member of this Team, you will be an active participant in the development and implementation of peril research and strategies. The team engages in enterprise-wide complex multi-disciplinary CAT research projects with various depths of focus. The position requires an individual who can strive in an analytical, innovation-driven environment, in tune with business needs. **What Will You Do?** We are seeking a candidate with a solid analytical base in cyber risk management or a scientific, engineering, or related quantitative discipline. The person will have effective self-organizational and time-management skills with the ability to work independently and formulate and execute project objectives. We seek problem solving and critical thinking skills in support of the team's efforts to provide best-in-class analyses to our business partners. Some of the specific duties include: + Provide thought leadership and strategy support related to portfolio cyber risk + Validate cyber aggregation risk models and technographic scores + Assist the Cyber Underwriting team with subject matter technical expertise and guidance + Identify, select, and extract relevant data from various internal and external sources. Complete analyses and present recommendations to team members, stakeholders, and Leadership + Stay abreast of the latest scientific research and summarize findings for the peril, including recent trends in threat actors, techniques and vectors of attack + Drive innovation through new tools/technologies and capabilities (e.g., develop custom tail scenarios) + Monitor the Company's exposures, aggregations, and peril-specific book mix changes + Support our Business Units Consulting and Actuarial functions with ad-hoc research and peril strategy development + Create and maintain collaborative relationships with business partners **What Will Our Ideal Candidate Have?** + Exposure to cyber catastrophe modeling and/or cyber hygiene technographic scanning tools is a plus + Proficiency with Microsoft Suite, SQL, statistical packages, or other programs used to retrieve and analyze data + Knowledge of insurance concepts, coverage, products, and operations preferred + Ability to apply emerging statistical procedures to large highly complex work + Working knowledge of a programming language such as Python/R/Matlab preferred + Works well both independently & within a team, strong organization, and time management + Demonstrated ability to convey technical concepts across professional fields of discipline **What is a Must Have?** + Master's degree in Statistics, Mathematics, Decision Sciences, Actuarial Science or related analytical STEM field plus six years of experience or any suitable and equivalent combination of education and work experience. + Heavy concentration in mathematics, including statistics and programming, business intelligence/analytics, as well as data science tools and research using large data sets. Additional verification of specific coursework will be required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $62k-119k yearly est. 60d+ ago
  • Workday Administrator - Human Resources

    Pacificsource 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Maintain and enhance the Workday platform, ensuring efficient workflows, process improvement, and organizational compliance. Responsible for data integrity, workflows, system configuration, administrative system requests, issue resolution, security, reporting and data analysis and processing. Use strong HR experiences and knowledge to ensure Workday and ancillary systems are easy to use, apply best practices and meet the needs of employees, supervisors, and the organization. Maintain an extremely high level of confidentiality, accuracy, and integrity. Essential Responsibilities: As a member of the Workday team, manage and maintain HRs existing Workday modules and stay current on new functionality and modules to address future needs. Configure and update business processes, security roles, and integrations as needed. Prepare, test and execute annual Workday projects and tasks, including but not limited to, objective setting, mid- year and annual review processes. 9-boxing, bonus and merit processes, employee engagement, data integrity project, open enrollment, etc. Ensure timely and successful completion. Analyze, validate, and audit system data, ensuring data accuracy, and legal compliance. Develop custom reports and dashboards to provide meaningful data analysis. Maintain custom reports scheduled for automatic delivery. Import large scale data changes from spreadsheets or other applications to the HR system. Maintain working knowledge of HR areas to understand HR's software/data/reporting needs. Partner with HR Business Partners, SMEs, and business leaders to ensure the design and development of Workday functionality to meet the evolving needs of the business. Provide leadership, coaching and training support to all other staff across the organization that have Workday in their roles and responsibilities (i.e. super-users, HRBP's). Setup and maintain system configurations, automated business processes, system security; as well as integrations. Ensure compliance of design and system integration protocol/guidelines such that they meet internal standards. Provide direction and feedback to end users on issue resolution and affect change management, as well as guidance towards proper administrative and technical standards. Create training documents, videos and/or conduct training sessions with end-users, as necessary. Review and process various Workday HR Administrator tasks, including final approval on hires; job, data and location changes; manage delegation changes, cancel/rescind tasks; security changes, etc. Perform HR system testing for system implementations, upgrades, patches, and enhancements. Participate in Workday user-group meetings, trainings and conferences. Research and troubleshoot non-routine HR system issues, including creating and monitoring service requests with software vendors and consultants, as required. Proactively prepare for the bi-annual Workday release cycle. Research new functionality to be released and functionality to be deprecated. Collaborate with the Workday team and SMEs to share release details, establish a testing plan and ensure their testing is completed. Complete testing and ensure all general functionality, reports, integrations, etc. functions and make changes to business processes, fields, etc. as required. Manage multiple projects with competing priorities to ensure all requests are handled in a timely manner. Serve as liaison between HR, IT, external vendors, and other stakeholders for HRIS projects. Organize and oversee HR systems related projects. Build project plans and ensure adherence to schedule and other specifications. Oversee the completion of the annual Affirmative Action Plans as well as providing education to HR team members on the plan, requirements, results, etc. Oversee the completion of required federal and state reporting requirements such as EEO, Vets, etc. Perform other related duties as assigned. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of 7 years of experience working in Human Resources required. Prior HR-system experience including implementation, administration, configuration, testing, troubleshooting, and/or providing technical support required. Prior experience with Workday strongly preferred. Experience leading and executing projects from start to finish required. Education, Certificates, Licenses: Bachelor's degree required. Candidates with an associate's degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of Work Experience will also be considered. Preferred area of focus: Human Resources Management, Business Administration, or related field. Knowledge: Strong understanding of HR workflows and system dependencies. Ability to work well under changing priorities and deadlines, with frequent interruptions, while maintaining a high customer service standard. Ability to work independently and manage multiple projects simultaneously while remaining organized and meeting project timelines. Ability to manage multiple complex projects simultaneously. Ability to guide internal customers through the design and delivery of new functionality through a thorough understanding of data and the organization structure. Experience performing analysis of data to meet the needs of customers (HR Business Partners, Business or Functional Leaders, Legal team, external parties) and to aid in decision making. Experience working cross functionally with teams to gather information/data needed to conduct business needs analysis, drive and deliver consensus, move updates forward and provide project results to senior management. Ability to interact with and present to all levels of leadership across the company. Ability to anticipate future consequences and trends and use good judgment about which ideas and suggestions will work and can facilitate effective brainstorming. Ability to quickly zero in on the highest priorities that add the most value. Eliminate roadblocks and quickly sense what will help or hinder accomplishing a goal. Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $37k-46k yearly est. Auto-Apply 60d+ ago
  • Senior Director, Product & Regulatory Management

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Senior Director, Product and Regulatory Management is responsible for leading teams in three key domains: 1) the development, implementation, and management of the end-to-end product lifecycle for Medicare and commercial lines of business; 2) efficient and effective commercial business administration; and 3) compliant and effective regulatory communications. Working with company leadership, the Senior Director is responsible for developing and implementing products that achieve membership and profitability targets. In support of strategic business plans developed by the leaders responsible for profit and loss of the lines of business, this position ensures the product lifecycles, annual roadmaps, filings, and communications meet business needs. The Senior Director ensures the organization complies with product, filing, and communication-related processes and timelines, as well as manages major milestones, risk and mitigation planning, tracking and reporting, and communication across the organization. The Senior Director leads product strategy, development, the annual bid process, and corresponding initiatives. The product portfolio includes Medicare Advantage, Dual Special Needs Plan (DSNP), fully insured group business, and Individual offerings, on and off exchange, as well as corresponding regulated filings and materials. The communications portfolio supports regulated communications, predominantly for Medicare Advantage, DSNP, and Medicaid plans. The Senior Director manages a leadership team to deliver on this critical work. Essential Responsibilities: Lead the product portfolio development and execution strategy across segments and multiple plan years. Direct the Medicare and Commercial product strategy and portfolio management to ensure profitable growth consistent with business plans. Oversee each step of the work from development to assessment and implementation. Lead, coordinate, and communicate product and lifecycle activities with others in the organization. Oversee successful and timely annual bids, filings, related regulatory submissions, and go-to-market activities. Oversee development and deployment of regulatory communication materials and processes, including Annual Notice of Change, directories, Evidence of Coverage, handbooks, formulary materials, forms, letters, and other regulated materials. Oversee the preparation of all filings and compliant regulatory documents across the product portfolio, including health contracts, self-funded materials, and related documents. Oversee implementation of state and federal benefit mandates, including benefit changes and member communication requirements. Provide strategic advice for PacificSource teams to ensure plan information is accurate and available timely within required timeframes. Ensure proactive communication of new and revised plan designs and benefits to internal stakeholders. Develop and improve processes, driving administrative efficiencies and cost savings, including leading in a matrixed environment and emphasizing execution, market positioning, and operational tactics. Drive operational excellence, sustainability, and profitable growth. Generate local competitive market insights to drive innovation and decision making. Conduct market research, competitive analysis, and financial assessments to evaluate improvement opportunities and business strategies in concert with PacificSource's enterprise strategy. Implement strategies across segments and markets. Develop structures and processes to ensure compliance, including leading cross-functional teams. Collaborate with Marketing, Sales, Operations, Health Services, and Compliance. Develop strategic business partnerships with internal departments and leaders to ensure strong operating performance, high member satisfaction and quality performance, access, compliance and audit readiness, and sound financial performance. Work closely with Compliance and others to ensure policies, procedures, workflows, lifecycle strategies, product offerings, and success initiatives comply with state and federal regulations. Participate in compliance audits, activities, and planning. Negotiate business relationships with vendors and oversee the execution, implementation, and oversight of the contracts. Develop and monitor departmental budgets and take corrective action as necessary. Provide leadership and mentoring to the enterprise product team, the business administration team, and the regulatory communications team. Foster leadership development and advancement. Develop succession plans. Manage, coach, motivate, and guide employees. Support the organization's commitment to diversity, equity, inclusion, and belonging by fostering a culture of dignity, cultural awareness, compassion, and respect. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy HIPAA laws, and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of eight years of experience in product, portfolio, lifecycle management, and regulated communications, or substantially equivalent work in highly regulated functions. Exemplary work history with a proven record of success in positions of progressively greater responsibility managing people and achieving business goals and objectives. A solid grasp of the managed care field and insurance regulations is crucial for this role. Experience with strategic planning, communications, sales, product development, regulatory filings, and managing teams required. Leadership experience in a managed care organization requiring advanced knowledge of products, regulatory filings, and regulated communications. Experience with end-to-end product development and lifecycle management of Medicare Advantage, Individual, and group segments, on and off exchange. Experience providing oversight to ensure the successful regulatory filing of all required product materials. Demonstrated success working in a matrixed environment with the ability to set a path and inspire others to follow. Proven record of accomplishment as a driver of process improvement and identifier of efficiency opportunities and ability to lead change. Experience with federal and state regulatory compliance for health insurance plans. Proven ability to quickly assimilate information and make informed decisions; logical, analytical thinker with great influencing abilities; and ability to handle multiple priorities and deal with ambiguity. Education, Certificates, Licenses: Bachelor's degree required with a focus in health care administration, business, public policy, public health, or a related field. Master's degree or other advanced degree preferred. Knowledge: Advanced knowledge of Medicare Advantage, DSNP, fully insured group business, and Individual, on and off exchange, along with a deep understanding of the key attributes, competencies, and strategies for success. Advanced knowledge of state and federal regulations. Knowledge of self-funding arrangements is preferred but not required. Strong understanding of managed care and publicly financed or subsidized health care, including the intersection between retail Medicare Advantage, DSNP, and Medicaid. Demonstrated experience and success in working collaboratively in defining and achieving common goals. Ability to communicate, persuade, influence, and negotiate effectively. Comprehensive knowledge of business principles and administration, organization, and management activities, including knowledge of infrastructure and operational requirements needed to comply with regulatory mandates. Excellent verbal and written communication skills. Solid organizational and problem-solving skills with a keen eye for detail. Proficiency in analyzing market trends, conducting competitive research, and developing strategic product and portfolio roadmaps is essential for success. The ability to multitask, prioritize competing demands, and adapt to a changing regulatory environment is key. Competencies Authenticity Establishing strategic direction Customer focus Leading change Empowerment/delegation Building organizational talent Coaching and developing others Passion for results Cultivating networks Emotional intelligence Optimizing diversity Environment: Work remotely and inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time. Skills: Accountable leadership, Business & financial acumen, Empowerment, Influential Communications, Situational Leadership, Strategic Planning Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $128k-161k yearly est. Auto-Apply 14d ago
  • Appeals Clinical Team Lead

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $72k-99k yearly est. Auto-Apply 7d ago
  • Senior Mainframe IMS Systems Programmer

    Travelers Insurance Company 4.4company rating

    Boise, ID job

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Technology **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $94,400.00 - $155,800.00 **Target Openings** 1 **What Is the Opportunity?** Travelers is seeking a Senior IMS Systems Programmer to join our organization as we grow and transform our Technology landscape. In this technical individual contributor role on the Realtime Support team, the individual will be responsible for all aspects of the evaluation, configuration, security, implementation, and support of IMS and related software for multiple business groups. The ideal candidate will have experience with installing, migrating, supporting, and troubleshooting IMS, CSL tasks, ODBM, Data Sharing, DB-CTL and ISV software (BMC Delta & ETA). Knowledge of IMS's functioning with DB2 and MQ is also helpful. Similar system programming experience with CICS, z/OS Connect, TPX, CA GEN, and EOS are ideal. Under limited supervision, demonstrates a comprehensive understanding of the activities performed related to engineering support, installation and/or operations of infrastructure technologies. Plans at a tactical level and manages the effective use of technology resources for assigned projects and functions. May direct assigned project staff to design, develop and/or implement large, complex technology solutions supporting one or more business and/or technology area. Develops and implements appropriate solutions that may involve multiple platforms, databases, software/hardware technologies and tools. Facilitates and/or participates in the design and development of database systems. Strong ability to multi-task in an environment of constantly changing priorities. This job may provide technology leadership to others on teams. Applicants must be authorized to work for ANY employer in the US. The company does not sponsor/support H-1B petitions, TN, or Forms I-983/STEM OPT, this this role. **What Will You Do?** + Adheres to Travelers change management processes regarding change windows, lead times, ServiceNow requests, and temporary access escalation. + Understands Travelers business groups and products as applicable to support the business needs and availability of individual IMS regions and related started tasks. + Consults with business groups and other Technology teams on application development, new feature exploitation, proof of concepts, security enhancements, etc. + Attends and sometimes runs monthly meetings with IBM and ISV to discuss product roadmaps, incidents, etc. + Connects IMS to other technologies such as IMS Connect, CICS, MQ, DB2, and z/OS Connect. + Develops and tests solutions for high availability and disaster recovery. + Occasional weekend work and after hours on call support. + Develops tactics and operational plans in alignment with strategic objectives for assigned technologies and projects. + Drives the execution of departmental and corporate programs. + Leverages infrastructure technology to develop and/or redesign technology solutions. + Builds, leverages, and maintains effective alliances across technical and business community. + Interacts with customers to achieve efficient, effective results. + Multi-tasks, prioritizes according to business priorities and production availability requirements. + Seen as a technical expert within service delivery organization (SDO) and consults across SDOs. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Three (3) plus years of infrastructure engineering/systems administration experience preferred. + Working knowledge of SMP/E software installation process, analyzing PTFs and HOLDDATA, triaging HIPER, FIXCAT, and PE'd PTFs. Maintaining software currency and semi-annual maintenance migration to development, QA, and production regions. + Working knowledge of IMS, SYSGENs, parameters and internals to optimize functionality and performance as well as to resolve incidents. Work with IBM and ISV providers to provide timely resolution to more complex issues. + Supporting CICS, z/OS Connect, TPX, CA GEN, EOS, and other CICS/IMS ISV software is a plus. + Advanced knowledge of infrastructure technologies such as Network, Database, Server, Storage etc. preferred. + Expert knowledge of one or more of the following technical skills: + Foundational IT Infrastructure, Operating Systems and Software. + Knowledge of process discipline and IDLC methodology. + Proven problem-solving skills including infrastructure debugging abilities, allowing you to determine source of issues in unfamiliar systems or environments, ability to recognize and solve repetitive infrastructure problems proactively and permanently, recognize mistakes using them as learning opportunities, and break down large infrastructure problems into smaller, more manageable ones. **What is a Must Have?** + Bachelor's degree in computer science, related STEM field, or its equivalent in work experience plus 2 years of infrastructure engineering experience. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $94.4k-155.8k yearly 10d ago
  • Manager, Case Management of Low and Emerging Risk

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Manager of Case Management for Rising and Emerging Risk leads a specialized team focused on early identification, proactive engagement, and targeted interventions for members showing early signs of increasing health risk. This leader is responsible for ensuring members receive the right level of support at the right time to prevent avoidable escalation into moderate or high-risk categories. The role includes strategic oversight, operational leadership, and staff development to deliver high-quality, coordinated care management services that stabilize member health, reduce future utilization, and advance Pacific Source's population health goals. Essential Responsibilities: Responsible for oversight, management, development, implementation, and communication of department programs. Responsible for hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback, including regular one-on-ones and performance evaluations, for direct reports. Develop annual department budgets. Monitor spending versus the planned budget throughout the year and take corrective action where needed. Oversee the use of risk-stratification tools, predictive analytics, and member segmentation to identify rising-risk members early and prevent escalation into moderate or high-risk tiers. Partner with Analytics to refine forecasting models and ensure actionable data drives daily workflows and intervention strategies. Align closely with Transitions of Care teams to reduce re-admissions and maintain continuity of care. Ensure case management activities, documentation, and care plans meet regulatory and accreditation standards (e.g., CMS, OHA, NCQA). Monitor and improve member satisfaction, engagement, and activation in the care management program. Promote person-centered care by ensuring individualized care plans reflect member goals, preferences, and cultural considerations. Track outcomes for program improvement and support continuous optimization of member interventions. Develop short- and long-term strategic plans for the rising/emerging risk program, ensuring alignment with enterprise goals including Member Bridge and cost-of-care initiatives. Lead readiness efforts for major organizational initiatives (e.g., Epic, new analytic tools, vendor partnerships). Coordinate business activities by maintaining collaborative partnerships with key departments. Responsible for process improvement and working with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement. Utilize visual boards and daily huddles to monitor key performance indicators and identify improvement opportunities. Actively participate as a key team member in Manager/Supervisor meetings. Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy. Lead and manage case management programs for rising and emerging risk populations, ensuring compliance with regulatory standards and organizational objectives. Collaborate with Health Services leadership and cross-functional teams to design, implement, and optimize care management processes, including physical and behavioral health integration. Develop and maintain workflows and data systems to track caseloads, program effectiveness, and patient outcomes, ensuring timely reporting and actionable insights. Provide leadership in hiring, training, coaching, and performance management of case management staff, fostering a culture of collaboration, accountability, and professional growth. Ensure timely communication of high-cost or complex cases to finance, underwriting, and leadership teams for risk mitigation and resource planning. Serve as a liaison with internal departments, provider networks, and community partners to coordinate care management programs that enhance member outcomes. Oversee and participate in clinical interdisciplinary rounds with our medical directors, utilization management, disease management, appeals and grievance and behavioral health to ensure members' needs are met. Monitor adherence to privacy standards and regulatory requirements, maintaining the integrity of personal health information. Establish and track goals for care management programs related to caseloads, timeliness, quality, and member outcomes, and report progress to senior leadership. Establish and track goals pertaining to enterprise metrics related to reduction in length of stay, reduction in readmission and reduction in hospital admissions. Stay current with best practices in case management and care coordination through continuing education and apply innovative models of care. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum 5 years in case management or care coordination required. 3 years direct health plan experience in case management, disease management, care coordination, or equivalent preferred. Prior supervisory or management experience required. Education, Certificates, Licenses: Registered Nurse or Licensed Clinical Social Worker or other licensed healthcare or behavioral health care clinician, Oregon licensure required. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire. Knowledge: Thorough knowledge and understanding of medical and behavioral health procedures, diagnoses, and treatment modalities, procedure codes, including ICD-9 & 10, DSM-IV & V, CPT codes, health insurance and State of Oregon mandated benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Strong knowledge of health insurance; including managed care products as well as state mandated benefits. Ability to develop, review and evaluate utilization and care management reports. Experience in adult education preferred. Proficient in the use and implementation of the following tools and concepts across all teams within scope and accountability: Training, Coaching, Strategy Deployment, Daily Operations, Visual Management, Operational Improvement & Team Building/Development. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Partnerships Customer Focus Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time. Skills: Accountable leadership, Collaboration, Data-driven & Analytical, Delegation, Effective communication, Listening (active), Situational Leadership, Strategic Thinking Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $89k-116k yearly est. Auto-Apply 7d ago
  • UM Training Coordinator - Non-Clinical

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Develop, coordinate, and provide employee orientation/education programs that encompass onboarding new employees as well as continuing education for all Utilization Management (UM) non-clinical staff. Develop and maintain policies and procedures, desktop references, and resource materials. “Train the trainer” by facilitating training and being a mentor for UM subject matter expert roles within Health Services (HS). Demonstrate effective leadership by developing teamwork, managing change, and encouraging innovation and staff involvement in utilization management. Support and develop initiatives that reflect the department vision and are committed to achieving the goals and objectives of Health Services. Essential Responsibilities: Develop, maintain, and present training programs in coordination with Health Services leadership and other training coordinators which ensure the UM team is trained to provide exceptional customer service, meet ongoing operational and regulatory needs, and achieve quality outcomes. Develop, organize, and maintain a centralized electronic system of standardized reference tools and training materials that reflect current practice and compliance standards both internally as well as within the broader health insurance industry. Ensure regulatory compliance with all state and federal guidelines as well as other accrediting entities. Assist with audit processes at least quarterly. Ensure UM materials are in a state of audit readiness. Participate in onsite audits as requested. Ensure that each new hire is provided with the tools to successfully begin their new position. Meet with the new employee regularly within their first 90 days of employment and at supervisor discretion thereafter to determine additional educational needs. Responsible for training and providing updates of new and revised team resource and training material to Health Services staff. Utilize LEAN methodologies and quality improvement principles to practice and promote continuous improvement; utilize visual boards and daily huddles to monitor and communicate key performance indicators (KPI) and identify opportunities for improvement and evaluation of actions taken. Participate in Health Service department and team meetings and other meetings as assigned. Assist employers, agents, and provider partners as indicated with questions regarding healthcare resources and procedures for employees, members and clients as indicated. Serve as a liaison to PacificSource departments to coordinate optimal provision of utilization management services and information. Assist with answering external and internal inquiries, providing exceptional service. Supporting Responsibilities: Act as backup for other Health Services department staff as needed and within scope of licensure. Serve on designated committees, teams, and task groups, as directed. Represent the Heath Services department, both internally and externally, as requested by Medical Director and Health Services leadership. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. Work Experience: A minimum of four years of health insurance industry or medical background required. A minimum of two years working in the PacificSource Health Services Department preferred. Demonstrate an overall understanding of utilization management and claims costs. Education, Certificates, Licenses: High school degree or equivalent required. Knowledge: Microsoft Office software including Word and Excel. CPT/ICD-9 coding, call tracking software, mainframe and medical management software. Thorough knowledge of utilization management, including referral and preauthorization, to support continuity of care. Knowledge of health plan eligibility, benefits, medical interventions and management. Strong knowledge of medical terminology. Ability to work under time pressure. Ability to prioritize responsibilities and to diplomatically handle demanding situations. Ability to work independently with minimal supervision. Must be able to function as part of a collaborative, cohesive community. Competencies: Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 25% of the time. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $38k-50k yearly est. Auto-Apply 7d ago
  • Insurance Advisor Sales Trainee

    Travelers Insurance Company 4.4company rating

    Boise, ID job

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Customer Service, Sales **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $41,200.00 - $67,900.00 **Target Openings** 10 **What Is the Opportunity?** Are You a New Grad? Launch Your Career in Insurance Sales! What You'll Do: Transform how people protect what matters most! As an Insurance Advisor Trainee, you'll become a trusted sales consultant helping customers nationwide find insurance coverage that best fits their needs. You'll master the art of relationship-building using innovative technology to deliver personalized insurance coverage. Your Growth Journey: -Comprehensive Paid Training: we invest in making you an expert -Real Impact from Day One: manage your client relationships and close deals -Master Consultative Selling: no pushy tactics, just genuine problem-solving What Success Looks Like: -Converting warm leads to customers, no cold calling required. -Build lasting client relationships through strategic outbound communication. -Analyze customer needs and recommend tailored insurance coverage -Drive revenue through authentic, consultative conversations -Thrive in a fast-paced, results-driven environment The Package: -Salary starts between $45K-$48K range plus $10K-$32K in annual incentives; that's a total package potential of $55K-$77K. -Benefits: Mental and Physical Health Programs, 401K Match, Pension Plan, 20 days of PTO your first year, and more! The Schedule: -Start Date: January 12th, 2026 -Hybrid Work Arrangement: three days in office and two days remote -Training: 9:00am-5:30pm EST Monday- Friday for the first 4-6 weeks -Post Training: 9:30am-6:00pm local time Monday-Friday plus 1 Saturday shift per month from 9:00am-5:30pm EST Ready to build something meaningful? Join a team where your success directly impacts families across America while building your own financial future. *As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. **What Will You Do?** + Successfully complete a comprehensive 4 month paid training program in a classroom setting with ongoing support and resources, gaining knowledge of multiple personal lines insurance products across a diverse range of carriers. + Provide one-on-one insurance coverage guidance, connect current customers to additional products and services, and handle inbound and outbound calls in a call center environment. + Positively represent InsuraMatch, establish customer rapport, and ensure exceptional customer experiences, while efficiently multitasking across multiple systems to gather all necessary information for quoting, underwriting, and closing sales. + Communicate effectively & professionally with customers verbally and via email + Acquire comprehensive product, underwriting, and sales expertise to counsel and sell available insurance products, while consistently meeting quality, efficiency, underwriting and sales metrics. + Receive and implement constructive feedback in the form of professional coaching. + Handles objections professionally while clearly articulating relevant product features, benefits, and value to the consumer. + This role is not responsible for cold calls or lead generation. + Successfully obtain and maintain Property & Casualty or Personal Lines license in resident state as well as all required non-resident licenses in each state that business is conducted within six months of date of hire. + Maintain continuing education requirements for the Property and Casualty or Personal Lines license obtained. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + A Bachelor's degree from an accredited four-year college or university is a plus. + Prior call center and sales experience + Personal Insurance product knowledge + Strong verbal and written communication skills + Able to multi-task within a high volume sales center environment and make appropriate business decisions quickly. + Able to demonstrate a positive and professional demeanor. + Adaptable to change. **What is a Must Have?** + High school diploma or GED. + Licensing Requirements: + InsuraMatch is committed to a positive customer experience that exceeds expectations and to meeting all compliance requirements. As a result, InsuraMatch requires that all InsuraMatch Insurance Advisor Trainees obtain and maintain an insurance license (either Property and Casualty or Personal Lines) in your resident state. + Each state will evaluate any/all criminal and financial background incidents to determine license eligibility. + Applicants with a felony conviction or pending/unresolved court cases may not qualify for licenses in all required states. It is incumbents' responsibility to provide any/all required court documents needed to obtain your license(s). Travelers does not pay for and/or reimburse the cost or time needed to obtain any documents necessary to complete licensing applications. + Failure to pass the licensing exam within two attempts as well as the inability to obtain any required licenses within six (6) months from date of hire may result in termination of employment. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $55k-77k yearly 53d ago
  • Management Consultant-Commercial Construction Industry (Commission Based)

    Travelers Insurance Company 4.4company rating

    Boise, ID job

    **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Corporate Services/Other, Finance and Accounting, Operations **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $70,000.00 - $70,000.00 **Target Openings** 1 **What Is the Opportunity?** The Performance Construction Advisors (PCA) is a wholly-owned subsidiary of Travelers. PCA facilitates executive peer groups which are exclusive gatherings of seven to ten CEOs where, with the assistance of a professional facilitator, non-competing leaders openly review their companies and share information in a focused effort to build breakthrough success for themselves, their families, their employees, and their customers. In addition, PCA offers consulting services that help family-owned and other closely held business owners and leaders make more money in less time with fewer headaches with a higher quality of life. Acting as a Peer Group Facilitator and Senior Consultant, the Business Consultant facilitates meetings of closely held business CEOs and executives and delivers one-on-one consulting services as assigned. The successful candidate will possess considerable business experience broadly applicable to executing PCA's peer group facilitation and one-on-one consulting programs while also having latitude to creatively address client needs. This is a fully-Commissioned role. Employees in this role will be paid a draw of $70,000 and have the opportunity to earn the majority of their pay through commission payments. **What Will You Do?** + Develop relationships and facilitate peer group meetings of commercial construction CEOs and executives. + Collect and analyze financials of peer group members. + Work closely with peer group host companies in preparation for peer group meetings. + Coordinate with other PCA staff for meeting preparation, logistics, and follow-through. + Conduct peer group meetings on time, on task, and with exceptional quality. + Hold peer group members accountable for follow-through on group recommendations. + Deliver limited one-on-one consulting to peer group members to assist in goal attainment. + Actively seek one-on-one consulting opportunities within the assigned peer groups. + Deliver additional one-on-one consulting as assigned. + Follow PCA's established processes and best practices for peer group facilitation and one-on-one consulting - and contribute to the continuous improvement of these processes and practices. + Maintain accurate member/client records. + Coordinate closely with other functions to maximize member experience and lifetime value. + Provide input into developing and maintaining the peer group program operations manual. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + 5 years experience consulting with closely held business owners. + Experience owning or operating a commercial construction business. + Proactive, entrepreneurial approach to recognizing needs, solving problems, anticipating issues and developing solutions. + Demonstrable delivery of high quality work/service within agreed upon timeframes. + Able to communicate as a peer to highly successful, strong-willed CEO members. + Equally exceptional team and individual performer. + Helpful and highly responsive. + Strong problem solving ability. + Strong organizational skills. + Strong, articulate communication skills. + Entrepreneurial. + Proficient in Microsoft Office (Word, Excel, PowerPoint, and Outlook). + Capable and comfortable with web-based applications integrated into PCA's established processes and best practices. **What is a Must Have?** + Bachelor's degree required. + 10 years of business experience required. + Ability to travel up to 75% of the time required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .
    $70k-70k yearly 60d+ ago
  • Manager, Payment Integrity

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Manager of Payment Integrity (PI) leads the strategic design, implementation, and execution of programs aimed at improving payment accuracy and enhancing member affordability. This role serves as a key liaison for reimbursement policy and PI initiatives, ensuring alignment between cost-of-care objectives and departmental priorities through structured governance, ideation, and business case development. The Manager oversees program-level performance tracking to ensure measurable impact and continuous improvement. In close collaboration with Health Care and Finance divisions, this role supports enterprise-wide cost-of-care strategies by identifying operational efficiencies, uncovering savings opportunities, and fostering innovative partnerships that expand the reach and effectiveness of PI initiatives. Essential Responsibilities: Leads the development and execution of enterprise-wide Payment Integrity strategies aligned with financial and operational goals. Oversees a comprehensive suite of pre- and post-payment programs-including claims editing, audits, subrogation, readmission reviews, and coordination of benefits-while continuously refining approaches to address evolving trends such as value-based care, regulatory shifts, and emerging fraud schemes. Manages external vendors supporting audits, analytics, and fraud detection. Ensures accountability through robust service-level agreements (SLAs), key performance indicators (KPIs), and contract negotiations. Monitors and reports on recovery rates, audit turnaround times, and dispute resolution outcomes. Directs Fraud Waste and Abuse (FWA) detection efforts in collaboration with Special Investigations Unit (SIU) and compliance teams. Leverages predictive analytics and rules engines to identify suspicious billing patterns, ensuring timely investigation, documentation, and resolution. Ensures compliance with ICD-10, CPT/HCPCS, DRG, and CMS guidelines to support accurate coding and reimbursement. Serves as a subject matter expert on complex coding issues and documentation standards, providing training and oversight to internal teams and vendors. Integrates Payment Integrity efforts with care quality initiatives, targeting avoidable readmissions and preventable complications. Maintains compliance with CMS, Medicaid, ACA, and state-specific regulations. Leads audit responses and represents the organization in national forums such as AHIP, AAPC, HPRI, NHCAA, New York State DFS, DOH, and HPA. Champions the adoption of Artificial Intelligence (AI), machine learning, and automation in audit workflows and fraud detection. Pilots emerging technologies and integrates them into core operations. Collaborates with IT and analytics teams to enhance data infrastructure and reporting capabilities. Partners across Claims Operations, Finance, Provider Relations, Compliance, IT, and Care Management to embed Payment Integrity throughout the organization. Translates complex technical concepts into actionable insights for diverse stakeholders. Responsible for oversight, management, development, implementation, and communication of department programs. Responsible for hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback, including regular one-on-ones and performance evaluations, for direct reports. Develop annual department budgets. Monitor spending versus the planned budgeted throughout the year and take corrective action where needed. Coordinate business activities by maintaining collaborative partnerships with key departments. Responsible for process improvement and working with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement. Utilize visual boards and daily huddles to monitor key performance indicators and identify improvement opportunities. Actively participate as a key team member in Manager/Supervisor meetings. Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: A minimum of 5 years of progressive experience in healthcare operations. Expertise in claims processing, clinical coding, reimbursement strategies, and/or fraud prevention required. Demonstrated success in strategic planning, vendor oversight, and cross-functional collaboration to drive operational excellence and cost containment required. Education, Certificates, Licenses: Bachelor's degree required. Candidates with an associate's degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of Work Experience will also be considered Preferred area of focus: Healthcare Operations, Statistics, or a related field. Knowledge: Proven track record of leading operational initiatives from concept through execution, with a focus on provider reimbursement and claims payment integrity. Deep expertise in managed care claims coding, including CPT, ICD, HCPCS, Revenue Codes, and comprehensive understanding of federal and state Medicaid payment regulations. Proficient in Excel and SQL, leveraging data analysis to drive informed business decisions without reliance on technical support. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Partnerships Customer Focus Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time. Skills: Accountable leadership, Collaboration, Data-driven & Analytical, Delegation, Effective communication, Listening (active), Situational Leadership, Strategic Thinking Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $108k-136k yearly est. Auto-Apply 36d ago
  • Senior Software Engineer (Ruby on Rails & React)

    UNUM 4.4company rating

    Boise, ID job

    Our Fortune 500 company is driving a digital transformation and looking for forward-thinking innovators to disrupt how our industry thinks about and uses technology. As one of the world's leading employee benefits providers, we help millions of people gain affordable access to benefits that help them protect their families, their finances and their futures. Are you an asker of questions, a solver of problems, and a challenger of the status quo? Our mission is to provide a differentiated customer experience and exceed the expectations people have of technology at any company - not just insurers. We are seeking individuals to join our team of talented IT professionals who share never-ending passion and an unwavering focus on our customer experience. Team members comfortable working in an agile, fast-paced, and delivery-focused environment thrive in our environment where we value an entrepreneurial spirit and those who challenge the status-quo. Unum is changing, and we're excited about what's next. Join us. **General Summary:** Unum is hiring a Senior Full Stack Software Engineer! As a key member of our Agile team, you'll drive the design, development, and delivery of innovative, cloud-based solutions that align with enterprise architecture standards. You'll collaborate with Technical Product Owners, Principal Engineers, and business architects to create scalable, high-quality applications. In this role, you'll work on our Leave Logic product using Ruby on Rails, React, JavaScript, and AWS services, with expertise in PostgreSQL, RDS, EC2, and ElasticSearch. Beyond building exceptional solutions, you'll mentor engineers and help shape the future of our technology and talent. **Job Specifications** **Bachelors of Computer Science is preferred, or equivalent relevant business experience** **Passionate about delivering solutions that excite and delight our customers; holds self to high standards of delivery** **6+ years' experience in software development and delivery track record in a range or roles in a scrum environment** + **Experience with Ruby On Rails, React, (Java Script, AWS, PostgreSQL, RDS, EC2, Elastic Search) is required.** **Clearly demonstrates analytical ability and critical thinking skills** **Takes a logical, analytical approach to problem solving and pays close attention to detail** **Skilled in Agile development/methodologies** **Self motivated and results oriented; able to motivate others** **Takes an innovative approach to problem solving** **Demonstrates excellent oral and written communication skills; experience leading groups of people through discussions, technical or otherwise** **Strong team player; able to work effectively within a team and more broadly with people from a variety of backgrounds and areas across the organization.** **Strong experience of test driven development (TDD) and unit testing, leveraging automation toolsets** **Strong experience in continuous integration** **Principal Duties and Responsibilities** + Leads the design, development, implementation, and maintenance of new and existing features for applications within a business area. + Provides technical leadership and direction for EPIC feature delivery. + Ensures application solutions meet agreed quality attributes (e.g., performance, fault tolerance, security, scalability). + Designs, codes, configures, tests, maintains, and documents software deliverables using established standards and tools. + Collaborates with Principal Software Engineers and architects on coding standards, processes, tooling, and frameworks. + Completes design of application components aligned with reference architecture. + Actively seeks cloud-based, buy-over-build solutions. + Ensures product backlog includes appropriate technical stories and participates in prioritization. + Mentors Software Engineers and Associate Software Engineers. + Owns application solution quality from design through deployment and operations; contributes to software standards. + Communicates and collaborates with key stakeholders to ensure successful feature delivery. + Maintains technical understanding of third-party/cloud solutions and their implementation. + Evaluates technical impacts and coordinates implementation of new product releases. + Participates in sizing, estimation, code reviews, and sprint retrospectives; promotes continuous improvement. + Focuses on delivering business value and priorities. + Ensures quality of features through manual and automated testing and continuous integration. + Designs solutions aligned with company architecture and standards; participates in proof-of-concept and prototyping. + Collaborates with Business Analysts to clarify requirements and ensure technical feasibility. + Works with UX designers to translate designs into efficient solutions. + Partners with Test Engineers to meet definition of done and ensure smooth transition through production stages. + Contributes to team innovation by suggesting improvements and evaluating new processes/technologies. + Supports transition of features to production, ensuring performance, stability, and compliance with release standards. + May serve as Scrum Master for an agile team. + Automates testing to industry standards for high-quality delivery and efficient regression. + Keeps ALM tools updated; participates in daily standups to report progress and impediments. + Maintains customer-centric mindset, ensuring solutions enhance user experience. \#LI-TO1 ~IN1 \#LI-MULTI Our company is built on helping individuals and families, and this starts with our employees. We want employees to maintain a positive balance, which is why we provide access to the benefits and resources they need to invest in themselves. From our onsite fitness facilities and generous paid time off to employee professional development programs, we are committed to helping employees live and work their best - both inside and outside the office. Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status. The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience. $89,400.00-$183,500.00 Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans. Company: Unum
    $89.4k-183.5k yearly 30d ago

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