Network Management Consultant - Remote
Workforce management analyst job at Prime Therapeutics
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title**
Network Management Consultant - Remote
**Job Description**
The Network Management Consultant is responsible for development, performance and management of Prime's retail, mail, specialty, and quality-based networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This includes development of network contracts, participation requirements, analysis of pharmacies, and ensuring contract and regulatory compliance. This position is accountable for creation and management of specialty fee schedules to ensure competitiveness and serves as the liaison between Prime's Network Management and Specialty teams.
**Responsibilities**
+ Negotiate market competitive high-profile and/or complex pharmacy agreements across all channels including retail, mail, specialty and quality based and lines of business aligning with Supply Chain COGS strategies Lead and manage specialty fee schedule development process and ensure fee schedule revisions align with Supply Chains COGS strategies for specialty drug management
+ Lead and implement network initiatives by facilitating and performing network analyses, contracting activities and fee schedule development aligning with strategy, priorities and projects goals
+ Partner with Prime's reporting and analytics teams to develop network vendor loading rules inclusive of approved preferred and specialty pharmacies; maintain key compliance criteria and implement quarterly reporting processes for all contracted network specialty pharmacies
+ Analyze network specialty pharmacy quarterly reports to ensure compliance with reporting and participation requirements; collaborate with Specialty Clinical Program Directors to identify potential performance gaps; work with internal and external partners to develop and manage corrective action plans
+ Responsible for effectively managing the pharmacy contract from negotiation of all terms, ensuring Prime and Pharmacy compliance and document retention aligning with Prime's Record Information Management (RIM) policies
+ Work closely with Prime's legal team to update contract documents including agreements and applications for utilization in contracting/re-contracting activities based on new network participation requirements
+ Other duties as assigned
**Minimum Qualifications**
+ Bachelor's degree in business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
+ 8 years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting
Must be eligible to work in the United States without the need for work visa or residency sponsorship
**Additional Qualifications**
+ Excellent verbal and written presentation skills
+ Demonstrated understanding of network reporting and analysis for specialty pharmacy
+ Demonstrated ability to establish trust and credibility; form working relationships with all levels of an organization
+ Demonstrated ability to work independently and on highly complex contract language and agreements; strong attention to detail
+ Enhanced organizational skills with the ability to work on multiple projects simultaneously
+ Demonstrated ability to problem solve and interpret complex data; ability to analyze network information and synthesize it into meaningful information for a variety for audiences
+ Ability to work with confidential data and maintain privacy
**Preferred Qualifications**
+ Master's degree in business, healthcare or related area of study
+ Demonstrated understanding of retail and specialty network fee schedule management
+ 2 years of experience in specialty contracting
+ PBM and Healthcare experience
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $94,000.00 - $160,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to_ _race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law._ _ _
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.
We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
HR Systems Analyst
Washington, DC jobs
The HR Systems Analyst plays a key role in supporting and enhancing the organization's suite of human resources applications. This individual will partner with HR and IT stakeholders to evaluate, optimize, and implement technology solutions that align with business goals. The role involves a balance of day-to-day system management, troubleshooting, and participation in larger projects aimed at improving HR operations and data integrity.
Responsibilities
Provide ongoing technical and functional support for HR platforms, addressing issues, managing integrations, and ensuring data accuracy.
Take ownership of or assist with system-related projects, enhancements, and new technology rollouts.
Act as a liaison between internal teams, vendors, and third-party providers to resolve technical challenges.
Collaborate with software partners to handle integrations, testing, and system error corrections.
Recommend workflow and process enhancements that increase efficiency and user experience.
Support annual HR cycles such as performance reviews, merit increases, and compensation adjustments through data validation and system updates.
Manage authentication and integration elements, including single sign-on (SSO) configurations.
Test and deploy new releases, patches, and upgrades for HR software.
Create and maintain custom reports and dashboards using Power BI, SQL, or similar tools.
Conduct routine audits to confirm data accuracy for employee transactions, benefits, and payroll changes.
Monitor shared HR technology inboxes, responding to data or reporting requests in a timely manner.
Maintain proper documentation of system changes, permissions, and process updates.
Oversee HR intranet content and provide day-to-day operational support.
Develop training materials and conduct user training sessions on HR technology and data best practices.
Qualifications
Strong customer service orientation with a focus on professionalism and confidentiality.
Proven ability to manage multiple priorities and meet deadlines in a fast-paced environment.
Excellent analytical thinking and problem-solving skills.
Capable of translating technical topics into clear, user-friendly language.
Demonstrated teamwork skills and the ability to lead small-scale initiatives.
Advanced Excel expertise is required.
Experience with HRIS/HCM systems such as UKG, Workday, Ceridian, or equivalent.
Working knowledge of tools such as Power BI, Cognos, or ViGlobal is advantageous.
High attention to detail and accuracy in auditing data.
Strong written and verbal communication skills.
Education and Experience
Bachelor's degree or equivalent combination of education and experience required.
At least three years of direct experience working with HR systems or HR technology functions.
The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
Data Analyst
Saint Louis, MO jobs
Data Analysis: Conduct in-depth data analysis to identify trends, patterns, and anomalies in data sets. Provide actionable insights to stakeholders.
Data Profiling: Perform data profiling to assess data quality and integrity. Develop and implement strategies to improve data quality based on profiling results.
SQL Proficiency: Utilize advanced SQL skills to write complex queries for data extraction, manipulation, profiling and analysis.
Data Governance: Collaborate with data governance teams to establish and enforce data standards and policies.
Ensure compliance with data governance frameworks.
Documentation: Create and maintain comprehensive documentation for data processes, data lineage, and data quality metrics.
Collaboration: Work closely with cross-functional teams, data engineers, and business stakeholders, to understand data needs and deliver solutions.
Training and Mentorship: Provide training and mentorship to junior data stewards on data management best practices and tools.
Continuous Improvement: Identify opportunities for process improvements in data management and stewardship practices. Implement best practices for data quality and governance.
Education: Bachelor's degree in Data Science, Computer Science, Information Systems, Data Analytics or Engineering
Team Player: Ability to work collaboratively in a fast-paced environment and manage multiple priorities.
Job Qualifications
Minimum of 5 years of experience in data stewardship, data analysis, or a related role.
Advanced or intermediate SQL skills with experience in writing complex queries.
Familiarity with programming languages such as Python or R for data manipulation and analysis.
Familiarity with data profiling tools and techniques.
Experience with data visualization tools (e.g., Tableau, Power BI) is a plus.
Analytical Skills: Strong analytical and problem-solving skills with a keen attention to detail.
EEO and ADA Statement must be included at the bottom of each Job Posting:
Consulting Solutions and its family of companies is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
If you are a person with a disability needing assistance with the application or at any point in the hiring process, please contact us at: ********************************
Workday Financials Analyst
Atlanta, GA jobs
Job Title: Technical Financial Analyst (Workday) Compensation: $125,000-$140,000 base + 9% annual bonus Schedule: Full-time, Hybrid
About the Role We are supporting a leading organization in Atlanta seeking a Technical Financial Analyst with strong Workday Financials expertise. This role bridges finance and technology, ensuring business processes are optimized through effective Workday configuration, reporting, and integrations. You'll partner with finance and technology teams to deliver scalable solutions and drive process improvements.
Key Responsibilities
Configure Workday Financials modules supporting Q2C, OTC, P2P, and RTR processes.
Develop reports, dashboards, and calculated fields to meet business needs.
Perform and manage EIB imports while ensuring data integrity.
Collaborate across teams to gather requirements, design solutions, and support enhancements.
Document workflows and manage tasks using Jira, Confluence, SharePoint, and Visio.
Provide support, training, and troubleshooting for Workday Financials.
Stay current on Workday releases and recommend improvements.
Qualifications
5+ years of experience in a Financial or Technical Analyst role with a focus on Workday Financials.
Strong understanding of finance processes (Q2C, OTC, P2P, RTR).
Hands-on experience with Workday configuration, reporting, and EIB imports.
Proficiency with Jira, Confluence, SharePoint, Visio, and MS Office.
Excellent communication and stakeholder management skills.
Workday certifications preferred but not required.
What's in it for You
Base salary of $125,000-$140,000 plus 9% annual bonus.
Hybrid schedule (3 days onsite, 2 remote).
Collaborative environment with professional growth opportunities.
Oscar Associates Limited (US) is acting as an Employment Agency in relation to this vacancy.
Workforce Optimization Analyst, Consultant
El Dorado Hills, CA jobs
Your Role
The Workforce Management team partners with operations to ensure the contact centers are staffed appropriately to meet KPI's while looking for opportunities to gain efficiency. The Workforce Optimization Analyst will report to the Sr. Manager of WFM. In this role you will analyze contact center trends, including call volumes, offline inventory, and call patterns to forecast workload needed to support various channels. The analyst will develop KPI reports and communicate with leaders on opportunities and risks to performance.
Your Knowledge and Experience
Requires a bachelor's degree or equivalent experience
Requires at least 7 years of prior relevant experience
Requires experience in scheduling, forecasting or capacity planning to include advanced utilization of workforce management tools & data analysis tools, telecommunications tools, contact routing and workload delivery systems.
Requires Advanced Microsoft Excel skills to include pivot tables, formula usage, etc.
Experience in Contact Center and back-office processing Environments required
Preferred 4+ years' experience demonstrating application of mathematical and analytical skills, problem-solving, and forecasting methodologies applicable to workload forecasting including correlation modeling
Preferred Working knowledge of Verint Workforce Management Software
Your Work
In this role, you will:
Coach team members and acts as a functional SME
Anticipate and handle critical situations with solid business solutions
Analyze all CE operational workflows where inventory and/or call volumes dictate staffing/resources needs contact center trends (including call volumes and call patterns), claims and membership inventory to forecast workload needed to support various channels
Ensure member service needs are met through accurate forecasting in support of various business areas
Provide data and additional information to be used for capacity planning
Delivers results of analysis and recommendations to various business partners and leadership to support the Blue Shield of California mission
Create long term and short-term forecasts
Utilizes data from various workforce management tools to provide in-depth analysis of workload factors for lines of business with basic to highly complex member contact areas and/or back-office functions.
May instruct, guide and oversee the work of lower-level professionals and/or non-exempt staff.
Works closely with operations leaders to understand headcount levels, helps develop hiring plans and maintain staff plans.
Auto-ApplyCall Center Resource Analyst I
Montgomery, AL jobs
Alfa Insurance is an A-rated insurance carrier that offers an excellent array of auto, home, life, farm and business insurance products. Alfa is known for its superior customer service and boasts 94% claims satisfaction. Since its humble beginnings in 1946, Alfa and its affiliates now serve more than 1 million customers across 14 states.
Working for Alfa Insurance is more than just servicing customers and selling insurance. It's making a difference in the lives of your policyholders and the community. It's creating lifelong relationships. It's about being there when it matters most and protecting those things that are most important. It's becoming part of a well-respected company that is based on faith, family, community, and integrity. Job Summary Alfa Insurance Resource Analysts are team players that take exceptional pride in the company they represent, the products they sell and in providing excellent customer service. They assist our customers, the company, and our sales force in providing unique, personalized customer service and sales opportunities to continue Alfa's growth in the marketplace. Responsibilities · Provide quality sales, service, and support to customers and employees, employing a high degree of customer service, technical expertise, and timeliness. · Provide first-level assistance for defined problems; escalate trouble tickets as necessary to higher-level staff. · Assist customers and employees with quoting, binding, policy amendments, payments, and claims. · Process daily transactions accurately while also following instructions, staying updated, and asking questions to appropriate departments. · Actively work towards enhancing the quality and efficiency of the Customer Resource Center which includes participating in all training sessions. Qualifications
· High school diploma required; Associates Degree preferred. · Complete and pass the state required Insurance Producer licensing exam and be able to obtain Producer License. · Apply for the required non-resident license within 30 days from the date of hire.· One year work experience required.· Excellent customer service skills and interpersonal skills; telephone etiquette. · Ability to use customer service standards and follow guidelines, as well as to help others interpret policy, procedures, and systems. · Capable of involvement in multiple projects through all life-cycle phases, ensuring they are in accordance with established direction and standards .· Strong oral and written communication skills (technical and non-technical). · Broad range of experience in: Guidewire, Paymentus, Footprints, JIRA, DocuSign, AX, Alfa Link, Member Benefits Program, Alfa's Customer Account & Payment Portal, Right Now CRM, NICE InContact, The Farm, Kronos, Pulse Secure OKTA, and any other system used by Alfa Service Centers.
Benefits/Perks
Opportunity for annual performance bonus
Discounts on your auto insurance (underwriting approval required)
Benefits include: Health, dental, supplemental cancer, vision insurance and 401(k) plan
Paid Time Off Bank to include 3 days PTO available after first 80 hours worked for New Hires
Short-term and long-term disability
Flexible Healthcare and Childcare spending accounts for tax savings
Opportunities for advancement
Continuous training and support throughout your career with Alfa
College tuition discounts at various colleges in Alabama
Training will occur in the Home Office Monday Friday 8:00 a.m. 4:30 p.m. for a number of weeks before remote work is permitted. This position will allow for remote work in the following states: Alabama, Arizona, Arkansas, Georgia, Indiana, Kentucky, Mississippi, Nevada, Ohio, South Carolina, Tennessee, Texas, & Virginia. Applicant may be required to travel to Montgomery corporate headquarters at supervisor's request for meetings and/or training sessions. Compensation: $19.43 per hour
Alfa Insurance is an A-rated insurance carrier that offers an excellent array of auto, home, life, farm and business insurance products. Alfa is known for its superior customer service and boasts 94% claims satisfaction. Since its humble beginnings in 1946, Alfa and its affiliates now serve more than 1 million customers across 14 states.
Working for Alfa Insurance is more than just servicing customers and selling insurance. It's becoming part of a well-respected company that is based on our core 4 values of faith, family, community and integrity.
Auto-ApplyWorkforce Management Capacity Planning Analyst
Lehi, UT jobs
At Collective Health, we're transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.
As a Capacity Planner at Collective Health, you will play a pivotal role in ensuring our operational teams are optimally staffed to deliver exceptional service to our members and clients. You will be the strategic partner who translates operational needs into actionable staffing plans, driving efficiency and cost-effectiveness across our diverse operational functions. This is an exciting opportunity to make a tangible impact on our ability to scale and serve our growing customer base.
What you'll do:
Collaborate closely with leaders across various operational teams (member eligibility, claims processing, customer service, etc.) to gain a deep understanding of their workflows, volumes, and service level objectives.
Develop and maintain accurate short-term and long-term capacity forecasts using historical data, business trends, and anticipated changes.
Translate capacity forecasts into strategic staffing plans, identifying optimal staffing levels by skill and channel to meet operational demands.
Partner with Finance, Recruiting, and Training teams to coordinate hiring plans, ensuring alignment with budget and onboarding timelines.
Analyze staffing models and scenarios to identify opportunities for efficiency improvements and cost optimization.
Develop and present capacity plans and recommendations to operational leadership and stakeholders.
Monitor key performance indicators (KPIs) related to staffing and operational performance, identifying potential risks and opportunities.
Work with operational teams to ensure they have the necessary tools and insights to effectively manage team performance against capacity plans.
Contribute to the continuous improvement of our workforce management processes and methodologies.
To be successful in this role, you'll need:
Bachelor's degree in a relevant field such as Business Administration, Finance, Economics, Industrial Engineering, or Operations Research preferred.
Proven experience (typically 3+ years) in capacity planning, workforce management, or a related analytical role, preferably within a service-oriented or healthcare environment.
Strong analytical and problem-solving skills with the ability to interpret complex data and translate it into actionable insights.
Proficiency in forecasting methodologies and capacity planning techniques.
Excellent communication and presentation skills, with the ability to effectively convey complex information to various audiences.
Strong collaboration and interpersonal skills, with the ability to build effective working relationships across different teams.
Experience with workforce management software or advanced proficiency in spreadsheet software (e.g., Excel, Google Sheets) for data analysis and modeling.
A proactive and results-oriented mindset with a focus on driving efficiency and continuous improvement.
Familiarity with healthcare operations or TPA services is a plus.
Pay Transparency Statement
This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT).#LI-hybrid
The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at ********************************************
Lehi, UT Pay Range$75,200-$93,750 USDPlano, TX Pay Range$82,500-$103,000 USD Why Join Us?
Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare
Impactful projects that shape the future of our organization
Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests
Flexible work arrangements and a supportive work-life balance
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com.
Privacy Notice
For more information about why we need your data and how we use it, please see our privacy policy: *********************************************
Auto-ApplyWorkforce Management Analyst
Dallas, TX jobs
Life insurance is one of the world's most important products. It's also one of the hardest to build, distribute, and modernize. Bestow exists to change that.
Bestow is a leading vertical technology platform serving some of the largest and most innovative life insurers. Our platform unifies the fragmented, legacy value chain, enabling carriers to launch products in weeks instead of years. Carriers choose us to scale and operate at unprecedented speed, powered by AI and automation.
Bestow isn't selling policies. We're building the infrastructure that helps an entire industry move faster, reach more people, and deliver on its promise.
Backed by leading investors (Goldman Sachs, Hedosophia, NEA, Valar, 8VC) and trusted by major carriers, Bestow is powered by a team that moves with precision, purpose, and heart. If you want to help reimagine a centuries-old industry with lasting impact, join us.
Bestow offers flexible remote/hybrid work, meaningful benefits, equity, and substantial growth opportunities.
Bestow participates in the
E-Verify Program
.
ABOUT THE TEAM
Bestow's Insurance Operations team, comprised of the Customer Experience (CX), Customer Experience Operations (CXO), and New Business & Underwriting Support (CM) teams, is dedicated to providing outstanding customer experiences through our omni-channel platform. Our CX team is dedicated to providing exceptional customer service and support for life insurance policy administration. You'll play a critical role in overseeing our contact center, ensuring it's operating efficiently and exceeding customer and partner expectations.
We are seeking a detail-oriented Workforce Management Analyst to join our insurance operations team. This role is critical in optimizing staffing levels, forecasting call volumes, and ensuring exceptional service delivery across our customer support channels. The ideal candidate will have strong analytical skills and experience managing workforce planning in a high-volume insurance or financial services environment.
This role reports directly to the VP of TPA Services, and is open to hybrid in our Dallas office or Remote (US). #LIREMOTE.
WHAT YOU'LL DO
Real-Time Management and Scheduling (70% of role).
Monitor real-time adherence to schedules and service level performance across all queues.
Make immediate adjustments to staffing deployment based on unexpected volume fluctuations or absenteeism.
Coordinate with operations managers to implement intraday changes while maintaining service level agreements.
Develop and maintain optimal scheduling patterns that balance employee preferences with business needs.
Forecasting and Capacity Planning.
Develop and maintain accurate forecasts for inbound call volumes, application processing, and technical assistance requests across multiple insurance carriers.
Analyze historical data patterns including disposition volumes, policy inforce trends, and seasonal variations to predict future staffing needs.
Create both short-term and long-term capacity models that account for business growth, new product launches, and carrier-specific requirements.
Performance Analysis and Reporting.
Generate daily, weekly, and monthly reports on key performance indicators including service levels, average handle time, occupancy rates, and forecast accuracy.
Analyze variance between forecasted and actual volumes to continuously improve prediction models.
Present findings and recommendations to leadership regarding staffing differentials and capacity optimization opportunities.
Track and report on contractor versus core staff utilization and performance metrics.
Stakeholder Collaboration.
Partner with insurance carrier clients to understand their specific requirements and ensure forecast alignment with their business projections.
Work closely with operations leadership to implement staffing strategies that support both current needs and scaling initiatives.
Collaborate with staffing agencies, HR, and recruiting teams to ensure hiring pipelines align with projected growth.
Participate in contract negotiations by providing data-driven insights on capacity reservation models and commitment bands.
Process Improvement.
Identify opportunities to implement sub-linear support scaling through efficiency improvements and technology adoption.
Develop strategies for front-loaded support models that reduce long-term staffing requirements.
Evaluate and recommend workforce management tools and technologies to enhance forecasting accuracy and scheduling efficiency.
Create and maintain documentation for all workforce management processes and procedures.
WHO YOU ARE
Bachelor's degree in Business, Statistics, Mathematics, or related field
3+ years of workforce management experience in insurance, financial services, or high-volume contact center environment
Advanced proficiency in Excel (Google Sheets) including complex formulas, pivot tables, and data modeling
Experience with workforce management software platforms
Strong understanding of contact center metrics and their interdependencies
Proven ability to forecast accurately in environments with significant volume variability
Experience working with Third Party Administrator (TPA) services model preferred but not required
Knowledge of Life insurance products and terminology preferred but not required
Experience managing workforce planning for multi-client or multi-carrier environments preferred but not required
Track record of successfully scaling workforce operations during rapid growth periods preferred but not required
SQL or other database query language skills preferred but not required
TOTAL REWARDS
At Bestow, we're proud to be awarded for our team members, innovative products, and culture. Our standard benefits include:
Competitive salary and equity based on role
Policies and managers that support work/life balance, like our flexible paid time off and parental leave programs
100% paid-premium option for medical, dental, and vision insurance
Lifestyle stipend to support your physical, emotional, and financial wellbeing
Flexible work-from-home policy and open to remote
Remote and WFH options, as well as a beautiful, state-of-the-art office in Dallas' Deep Ellum, for those who prefer an office setting
Employee-led diversity, equity, and inclusion initiatives
Recent Employer Awards include:
Best Place for Working Parents 2023 + 2024 + 2025
Great Place to Work Certified, 2022 + 2023 + 2024 + 2025
Built In Best Places to Work, 2022 + 2023 + 2025
Fortune's Best Workplaces in Texas 2022 + 2023
Fortune's Best Workplaces in Financial Services and Insurance 2022 + 2023 + 2024
We value diversity at Bestow. The company will hire, recruit, and promote regardless of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, pregnancy or maternity, veteran status, or any other status protected by applicable law. We understand the importance of creating a safe and comfortable work environment and encourage individualism and authenticity in every team member.
Thanks for considering a job at Bestow!
Auto-ApplyWorkforce Management Analyst III
Minnetonka, MN jobs
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
The Workforce Management Analyst develops volume forecasts based on historical and modified/expected internal and external trends. Justifies volume forecast using appropriate assumptions and business rationale. Performs other duties as assigned.
Key Accountabilities
Develops FTE forecast within an operational budget using productivity assumptions and related improvements for a specific business area
Reconciles forecasts and assumptions in a workforce management model
Required Qualifications
Bachelor's degree or equivalent experience in related field
5 years of work experience beyond degree
Preferred Qualifications
Prior medium to large operational call-center background preferred
Ability to create, maintain, and provide accurate forecasts and optimized schedules to successfully meet service level targets and align with annual budget management goals
Advanced skills with Microsoft Excel, and data analytics
Ability to prioritize workload, meet deadlines, and perform multiple tasks with an attention to detail.
Strong organization, problem-solving, and analytical skills
Ability to communicate clearly and professionally to all levels of management
Prior experience with Five9 and Verint preferred. Experience with Avaya CMS Supervisor acceptable
Prior experience with data visualization tools such as QlikSense, Tableau, or Power BI preferred
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN or Madison, WI.
The full salary grade for this position is $68,800 - $118,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $68,800 - $103,215. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data.⯠In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Workforce Management Analyst
Duluth, GA jobs
At National Vision we believe everyone deserves to see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible. National Vision is one of the largest optical retail companies in the United States, with over 1,200 stores. We operate four retail brands: America's Best Contacts & Eyeglasses, Eyeglass World, and Vista Optical inside select Fred Meyer stores and on select military bases. We offer an innovative culture where training is a priority, hard work is praised, and career growth is a reality.
We are hiring for a
Workforce Management Analyst
to join our growing team!
Job Description
The Workforce Management Analyst supports store operations by ensuring the right staffing is in place across retail locations. This role partners field leaders and corporate partners to analyze labor performance, forecast labor needs, and optimize store schedules to improve customer experience while controlling labor costs.
What Would You Do? The Specifics.
Analyze workforce metrics such as sales-per-labor-hour, scheduling accuracy, and labor performance.
Monitor labor utilization and communication adjustments needed to support sales goals and operational standards.
Support weekly forecasting and determine opportunities to align labor demand across stores.
Monitor intraweek performance and adherence to schedules and budgets.
Identify and respond to staffing opportunities across all stores.
Provide real-time updates and recommendations to field leadership.
Generate daily, weekly, and monthly reporting at the fleet/region and district level.
Analyze workforce metrics such as sales-per-labor-hour, scheduling accuracy, and payroll performance.
Provide reporting and insights to senior leadership on workforce efficiency and productivity, identify trends, and recommend process improvements.
Maintain and optimize the Workforce Management (WFM) system.
Ensure data accuracy and integrity across all systems.
Support implementation of new WFM tools and system upgrades.
Partner with store managers and regional leaders to improve labor planning effectiveness.
Lead and conduct store-level training on workforce management systems and labor and staffing topics.
Corresponds with store and field teams on labor management and operations.
Qualifications
Work Experience
4-6 years of experience with workforce planning in retail or multi-unit operations (required).
Education
: Four-year college degree or equivalent experience. (Required)
Additional Skills
Strong knowledge of labor laws, compliance, and retail staffing practices. (Required)
Proficiency with WFM systems (e.g., Kronos/UKG) (Required)
Analytical and communication skills to translate data into actionable recommendations (Required).
Ability to work in a fast-paced, cross-functional environment (Required).
Additional Information
Taking Care of Our People!
We understand the importance of financial health and security, and because of that, we provide competitive compensation to all associates. We also offer a comprehensive benefits package including health and dental insurance, 401k retirement savings with company match, flex spending account, paid personal time off, paid company holidays, parental leave, employee eyewear discount, and much, much more. At National Vision, we strive to deliver opportunities for professional growth and long-term career fulfillment. We provide training programs and access to educational courses and pride ourselves on the ever-increasing amount of promotions from within. #LI-SH1
We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, veteran status, and other legally protected characteristics.
Workforce Management Analyst
Duluth, GA jobs
The Workforce Management Analyst supports store operations by ensuring the right staffing is in place across retail locations. This role partners field leaders and corporate partners to analyze labor performance, forecast labor needs, and optimize store schedules to improve customer experience while controlling labor costs.
What Would You Do? The Specifics.
* Analyze workforce metrics such as sales-per-labor-hour, scheduling accuracy, and labor performance.
* Monitor labor utilization and communication adjustments needed to support sales goals and operational standards.
* Support weekly forecasting and determine opportunities to align labor demand across stores.
* Monitor intraweek performance and adherence to schedules and budgets.
* Identify and respond to staffing opportunities across all stores.
* Provide real-time updates and recommendations to field leadership.
* Generate daily, weekly, and monthly reporting at the fleet/region and district level.
* Analyze workforce metrics such as sales-per-labor-hour, scheduling accuracy, and payroll performance.
* Provide reporting and insights to senior leadership on workforce efficiency and productivity, identify trends, and recommend process improvements.
* Maintain and optimize the Workforce Management (WFM) system.
* Ensure data accuracy and integrity across all systems.
* Support implementation of new WFM tools and system upgrades.
* Partner with store managers and regional leaders to improve labor planning effectiveness.
* Lead and conduct store-level training on workforce management systems and labor and staffing topics.
* Corresponds with store and field teams on labor management and operations.
Workforce Management Analyst
Lansing, MI jobs
OBJECTIVE
Workforce Management Analyst Objective
To optimize staffing levels, streamline operations, and enhance Property/Casualty Customer Service's (PCCS) effectiveness through data-driven workforce management strategies and solutions.
RESPONSIBILITIES
Workforce Management Analyst Responsibilities
Lead the design and maintenance of the PCCS Workforce Management (WFM) platform, specifically designed for forecasting and scheduling purposes. Oversee the end-to-end process, from the creation and review to reporting, tracking, and adjustment of forecasts and schedules, ensuring optimal staffing and performance levels. Effectively communicate forecasts and recommendations to PCCS leadership ensuring alignment with organizational goals and objectives.
Develop and maintain both long- and short-term models of contact volume and handle time by leveraging historical business trends and real-time business insights. Conduct continuous analysis of available shift changes, staffing requirements, and time off allocations, incorporating historical call volume data and agent productivity data to ensure accurate forecasting and optimal resource allocations are met.
Investigate, interpret, and oversee department daily reports to ensure compliance with service standards in the PCCS department. Formulate strategic recommendations derived from thorough analysis, data examination, and input from users and department management.
Maintain an understanding of initiatives affecting the PCCS teams' workload and make necessary adjustments. Apply effective workforce theories to address daily business challenges, achieving a balance between service levels, utilization, and occupancy for optimal efficiency.
QUALIFICATIONS
Workforce Management Analyst Qualifications
Required
Bachelor's degree in business, insurance, or computer science required, or equivalent experience may be considered.
One to two years of experience in the insurance industry or related field required.
Three to five years of experience in planning, analysis, design, testing, and troubleshooting of processing systems and management reporting systems required.
Three to five years of experience with workforce management activities required, preferably in a call center.
Willingness to pursue continuing job-related training and education required.
Must be passionate about contributing to an organization focused on continuously improving customer experiences.
Preferred
Technical background and experience within Farm Bureau system preferred.
Experience working in small-to-medium sized projects preferred.
Experience in process improvement preferred.
Note: Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.
PM19
Auto-ApplyStatistical Programming Analyst II - CGS Administrators (Nashville)
Nashville, TN jobs
Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts.
Description
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Position Purpose: Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts.
Logistics: CGS - one of BlueCross BlueShield's South Carolina subsidiary companies
Location:
This position is full-time (40 hours per week), Monday - Friday and will be on-site at One Century Plaza in Nashville, TN. There is the potential for remote work.
Centers for Medicare and Medicaid Services (CMS) Requirements:
Certain divisions within BlueCross BlueShield of South Carolina require CMS (Centers for Medicare and Medicaid Services) residency that requires employees to have lived in the US for at least three (3) out of the last five (5) years. This is a business requirement - government contracts, not an HR requirement.
In the spirit of transparency, if we extend an offer and discover during the background check process that you have not been in the US for at least three (3) years, you will fail background, and the offer will be rescinded.
Sponsorship:
This position is not eligible for sponsorship now or in the future.
What You'll Do:
Designs, codes, maintain and executes simple to complex database programs for the extraction and presentation of data for standard and ad hoc reporting. Utilizes statistical programming tools to identify patterns and trends in data. Assists in sampling design, sample selection, and relevant projections. Performs statistical validations of sampling and related projections. Assists with the preparation of charts, illustrations, other graphics and narrative reports to explain findings.
Assists with development of complex statistical analysis, including standard reporting, AD HOC reporting, and data mining tools. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts.
Provides assistance in development of project plans and system life cycle maintenance, development of change requests and test plans impacting existing databases, and in the research of new sources for data.
Verifies data in existing databases and assists in the collection of data and management of existing databases. Creates supporting documentation outlining procedures within scope of responsibility.
To Qualify For This Position, You'll Need The Following:
Required Education:
Bachelor's or Master's degree Statistics/Biostatistics, mathematics, computer science, or other job related field.
Required Work Experience:
2 Years statistical programming or statistical interpretation.
Required Skills and Abilities:
Good organizational, customer service, and analytical skills.
Ability to use complex mathematical calculations.
Demonstrated knowledge of mathematical or statistical concepts.
Relevant computer programming skills.
Microsoft Office.
We Prefer That You Have The Following:
Preferred Education:
Bachelor's degree-Statistics/Biostatistics, mathematics, computer science, or other job related field
Preferred Work Experience:
2 years experience with statistical practices.
2 years relational database experience. (may be concurrent)
Required Skills and Abilities:
Good organizational, customer service, and analytical skills.
Ability to use complex mathematical calculations.
Demonstrated knowledge of mathematical or statistical concepts.
Relevant computer programming skills.
Microsoft Office.
Preferred Skills and Abilities:
Good oral and written communication skills.
Computer systems support knowledge.
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.
Auto-ApplyClaims Call Center Analyst I
Grants Pass, OR jobs
Claims Call Center Analyst I at AllCare Health with the Claims department in Grants Pass, Oregon
We Are Seeking Qualified Candidates to Join Our Team!
AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options.
Summary of the Position
This position serves as a primary point of contact for provider offices, managing high volumes of incoming phone calls and email inquiries with professionalism and accuracy. The role focuses on building and maintaining positive provider relationships by delivering timely resolutions, aiming for a 95% same-day call resolution rate. In addition to frontline support, the position includes claims processing responsibilities during designated rotation periods by performing the following duties:
Essential Duties
Provider Communication & Support - Respond promptly to inbound calls and provider portal emails from provider offices or their authorized representatives, ensuring inquiries are addressed with professionalism and accuracy.
Documentation & Resolution - Accurately document all calls in the incident module of the core claims system (or other approved software). Reprocess claims when appropriate and ensure provider concerns are resolved effectively.
Inquiry Management - Understand and address provider inquiries by reviewing prior case history, gathering and researching relevant data, and delivering accurate responses. Confirm provider understanding of the information shared.
Being bilingual in another language, including American Sign Language (ASL), is an invaluable skill that enhances our ability to deliver culturally responsive care. We strongly encourage you to apply if you are bilingual.
All relevant experience can be listed in your resume to perform essential duties of the position including the following: lived, volunteer, professional, or a combination of experience and education.
Education
High school diploma or general education degree (GED).
Experience
Six months to one-year experience and/or training in claims, call center or Healthcare related position.
Certificates, Licenses, and/or Registrations
An AAPC Certified Professional Coder certificate is required or to be obtained within 12 months of hire date.
Cost of certification is company paid and is subject to pay increase upon completion.
Technical Skills
Proficiency in Ez Cap , medical terminology, ICD-10-CM , ICD-10-PCS , CPT , HCPCS , and familiarity with CMS-1500 , UB-04 , and other standard claim forms.
Demonstrates advanced customer service skills, including service recovery and multi-line call center operations.
Skilled in healthcare industry practices, HIPAA compliance, and trauma-informed care.
Strong computer literacy, including Microsoft Office, with excellent writing, editing, and organizational abilities.
Experienced in interpreting data, identifying process improvements, and synthesizing information from multiple sources.
Knowledgeable in training best practices, adult learning principles, and the impact of identity, bias, and equity in organizational systems.
Interpersonal Skills
Demonstrates accountability, empathy, and professionalism while working effectively in a fast-paced, multicultural environment.
Communicates clearly, resolves conflicts independently, and collaborates across diverse teams.
Adapts to change, manages stress, and prioritizes tasks to meet competing deadlines.
Applies sound judgment, cultural awareness, and inclusive practices to deliver respectful, high-quality service to all individuals.
Physical Demands & Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate.
The employee must be able to work onsite as needed.
The employee must be able to work from a home office as needed.
Company Overview
AllCare Health Website: ******************************
AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at ***************************************
AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more.
The AllCare Health family of businesses is guided by our corporate principles:
Purpose | Working together with our communities to improve the health and well-being of everyone.
Values | Trust, Innovation, Relationships, and Voice.
Vision | Thriving, Inclusive, and Equitable communities.
Brand Promise | Changing Healthcare to Work for You.
AllCare Health is dedicated to building a diverse and authentic workplace centered in belonging and serving our growing community. If you are excited about this open position but your experience does not align perfectly with every qualification in this post, we encourage you to apply anyway or reach out to our human resources department. You may just be the right candidate for this role or others.
If you need accommodations, help in the application process, or wish to receive this job announcement in an alternative format, please call ************ and ask for Human Resources.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Auto-ApplyClaims Call Center Analyst I
Grants Pass, OR jobs
Claims Call Center Analyst I at AllCare Health with the Claims department in Grants Pass, Oregon
We Are Seeking Qualified Candidates to Join Our Team!
AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options.
Summary of the Position
This position serves as a primary point of contact for provider offices, managing high volumes of incoming phone calls and email inquiries with professionalism and accuracy. The role focuses on building and maintaining positive provider relationships by delivering timely resolutions, aiming for a 95% same-day call resolution rate. In addition to frontline support, the position includes claims processing responsibilities during designated rotation periods by performing the following duties:
Essential Duties
Provider Communication & Support - Respond promptly to inbound calls and provider portal emails from provider offices or their authorized representatives, ensuring inquiries are addressed with professionalism and accuracy.
Documentation & Resolution - Accurately document all calls in the incident module of the core claims system (or other approved software). Reprocess claims when appropriate and ensure provider concerns are resolved effectively.
Inquiry Management - Understand and address provider inquiries by reviewing prior case history, gathering and researching relevant data, and delivering accurate responses. Confirm provider understanding of the information shared.
Being bilingual in another language, including American Sign Language (ASL), is an invaluable skill that enhances our ability to deliver culturally responsive care. We strongly encourage you to apply if you are bilingual.
All relevant experience can be listed in your resume to perform essential duties of the position including the following: lived, volunteer, professional, or a combination of experience and education
.
Education
High school diploma or general education degree (GED).
Experience
Six months to one-year experience and/or training in claims, call center or Healthcare related position.
Certificates, Licenses, and/or Registrations
An AAPC Certified Professional Coder certificate is required or to be obtained within 12 months of hire date.
Cost of certification is company paid and is subject to pay increase upon completion.
Technical Skills
Proficiency in Ez Cap, medical terminology, ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and familiarity with CMS-1500, UB-04, and other standard claim forms.
Demonstrates advanced customer service skills, including service recovery and multi-line call center operations.
Skilled in healthcare industry practices, HIPAA compliance, and trauma-informed care.
Strong computer literacy, including Microsoft Office, with excellent writing, editing, and organizational abilities.
Experienced in interpreting data, identifying process improvements, and synthesizing information from multiple sources.
Knowledgeable in training best practices, adult learning principles, and the impact of identity, bias, and equity in organizational systems.
Interpersonal Skills
Demonstrates accountability, empathy, and professionalism while working effectively in a fast-paced, multicultural environment.
Communicates clearly, resolves conflicts independently, and collaborates across diverse teams.
Adapts to change, manages stress, and prioritizes tasks to meet competing deadlines.
Applies sound judgment, cultural awareness, and inclusive practices to deliver respectful, high-quality service to all individuals.
Physical Demands & Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate.
The employee must be able to work onsite as needed.
The employee must be able to work from a home office as needed.
Company Overview
AllCare Health Website: ******************************
AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at ***************************************
AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more.
The AllCare Health family of businesses is guided by our corporate principles:
Purpose | Working together with our communities to improve the health and well-being of everyone.
Values | Trust, Innovation, Relationships, and Voice.
Vision | Thriving, Inclusive, and Equitable communities.
Brand Promise | Changing Healthcare to Work for You.
AllCare Health is dedicated to building a diverse and authentic workplace centered in belonging and serving our growing community. If you are excited about this open position but your experience does not align perfectly with every qualification in this post, we encourage you to apply anyway or reach out to our human resources department. You may just be the right candidate for this role or others.
If you need accommodations, help in the application process, or wish to receive this job announcement in an alternative format, please call ************ and ask for Human Resources.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Monday - Friday; 8am - 5pm with a 1 hour unpaid lunch and two 15 minute paid breaks
40 hours per week
Auto-ApplyEnterprise Risk Management Analyst
Bloomington, IL jobs
Experience more with a career at COUNTRY Financial!
We're excited you're interested in a career at COUNTRY as we strive toward our vision - to enrich lives in the communities we serve. Our footprint spans coast to coast. But more important than where we operate, is the people who do the work. Apply today to help our organization grow and make a difference for our clients.
About the role Develops, manages and ensures compliance with enterprise risk management (ERM) and model risk management (MRM) policies, procedures and reporting requirements for COUNTRY Financial and alliance partners. Provides consultative services to internal staff regarding risk management strategies. Manages reviews of best practices, new technologies, or pending regulatory changes and possible implications on company's risk environment. Maintain model inventory, risk assessment and model control standards. Effectively manages, challenges, and mitigates model risks.How does this role make an impact?- Collaborates with risk owners to develop and administer policies and procedures to ensure proper identification, assessment, mitigation and reporting of all significant risks across the enterprise. - Establishes performance objectives, expectations and measures. Coordinates implementation of ERM action plans. - Maintains risk assessment models. Prepares reports to leadership, board of directors and outside agencies related to our ERM system. - Manages the ongoing development, maintenance, and training of ERM and model risk policies, standards, procedures and documentation. - Works closely with business units, model owners, and MRM staff to ensure compliance with policies, procedures and initiatives. - Supports end-to-end issue management tracking, reporting and resolution process.Do you have what we're looking for?
· Bachelor's degree and at least 2 years of risk management, insurance or related experience. OR · Master's degree and no experience. OR · At least 4 years of risk management, insurance or related experience.
Base Pay Range:
$62,000-$85,250
The base pay range represents the typical range of potential salary offers for candidates hired. Factors used to determine your actual salary include your specific skills, qualifications and experience.
Incentive Pay:
In addition to base salary, this position is eligible for a Short-Term Incentive plan.
Why work with us?
Our employees and representatives serve nearly one million households with our diverse range of personal and business insurance products as well as retirement and investment services. We build relationships and work together to create a stronger, more secure future for our clients and our communities. We're a big company, yet small enough you can make an impact and won't get lost in the shuffle. You'll have the opportunity to learn and grow throughout your career, either within this role or by exploring other areas of our business.
You'll be able to take advantage of our benefits package, which includes insurance benefits (medical, dental, vision, disability, and life), 401(k) with company match.
COUNTRY Financial is committed to providing equal opportunity in all areas of employment, and in providing employees with a work environment free of discrimination and harassment. Employment decisions are made without regard to race, color, religion, age, gender, sexual orientation, veteran status, national origin, disability, or any other status protected by applicable laws or regulations.
Come join our team at COUNTRY today!
Auto-ApplyReinsurance Analyst - College Program 2026
Edina, MN jobs
Company:Guy CarpenterDescription:
We are seeking a talented individual to join our Client Support Services (CSS) team at Guy Carpenter. This role will be based in New York, Philadelphia, Edina, or Hartford. This is a hybrid role that has a requirement of working at least three days a week in the office.
The CSS team consists of global service professionals dedicated to managing claims and accounting matters for specific client accounts, ensuring seamless handling of business placed on behalf of each client. The Reinsurance Analyst plays a key role in the technical processing of premiums and claims for assigned client accounts, maintaining strict adherence to Guy Carpenter's operational standards and guidelines.
We will count on you to:
Actively participate in training sessions and contribute insights to enhance team and department processes related to reinsurance service processing, driving continuous improvement, troubleshooting, and resource development
Support client teams in managing their assigned portfolios by ensuring timely and accurate follow-up, securing reinsurance premiums, and meticulously entering all client activity into systems to maintain data integrity
Collaborate across departments to support collection efforts and cash application initiatives, ensuring efficient and accurate financial transactions
Assist client and fiduciary teams in the prompt settlement of funds, ensuring all payment warranties and conditions are met to uphold compliance and client satisfaction
Foster strong relationships with team members, brokers, clients, and markets by understanding their needs and working practices, enabling effective resolution of issues and queries
Support managers in team meetings and activities by sharing insights, ideas, and solutions, contributing to a collaborative environment focused on achieving shared goals
Demonstrate a proactive approach to professional development by seeking opportunities to deepen industry knowledge and enhance service delivery
What you need to have:
Pursuing a bachelors degree with an expected graduation date of December 2025 or May 2026
Legal work authorization to work in the US on a permanent and ongoing basis without the need for sponsorship now or in the future
Proficiency in Microsoft Office Applications (Word, Excel, and PowerPoint)
Demonstrated ability to work as part of a high-performance team
Attention to detail in completing assigned tasks
Positive attitude, willingness to offer and execute ideas and solutions to enhance processes within a changing environment
Successful management of workload; able to manage expectations of all clients and stakeholders
Strong communication skills, both written and verbal, delivering clear and concise messages and at all times promoting and enhancing the Guy Carpenter brand
Ability to make sound judgements independently while knowing when to bring situations to the attention of management
Able to engage and influence clients, markets and colleagues in a professional manner
What makes you stand out:
Bachelor's Degree in Risk Management, Organizational Management, Accounting, Business or Finance
Strong verbal and writing skills for complex communications (presentations, etc.) with clients, markets and colleagues at all levels
Previous knowledge of reinsurance and/or insurance concepts is a plus
Why join our team:
We help you be your best through professional development opportunities, interesting work and supportive leaders.
We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.
The applicable salary for this role is $65,000.
What's next:
Application Instructions:
When creating your application, please use your permanent home address and use your personal email address rather than your school email address.
First Round Interviews:
Applications are reviewed on a rolling basis.
If selected, first-round interviews consist of an on-demand digital video.
Further timing and instructions will be provided at that time.
At Guy Carpenter, you can be your best. We work on challenges that matter with colleagues who help bring out our best. Our uniquely collaborative environment will empower you to focus on your personal and professional success, learning from top specialists in the (re)insurance industry and leading you towards a rewarding and impactful career.Guy Carpenter, a business of Marsh McLennan (NYSE: MMC), is a leading global risk advisory and reinsurance specialist and broker. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit guycarp.com, or follow on LinkedIn and X.Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com.Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.
Auto-ApplyCommercial Insurance Program Analyst
White House Station, NJ jobs
The Commercial Insurance Program Analyst will collaborate with our Managing General Agent, which specializes in the middle market construction sector. This MGU is authorized to produce and underwrite Workers' Compensation, General Liability, Automobile and Excess lines of business for Commercial Insurance.
This position will report to the CI Operational Specialist.
Key Responsibilities:
Complete the end-to-end process of the monthly General Liability (GL) bordereau, ensuring accuracy and timeliness in all deliverables.
Engage in daily interactions with the MGU Operations and Underwriting staff to facilitate seamless communication and collaboration.
Coordinate the processing of Excess newlines and renewals by collaborating closely with the processing center and the MGU team, including accurate data entry into the Excess system.
Update and maintain rate metrics to ensure accurate and current data for analysis and reporting.
Store policy documentation in the appropriate electronic file, ensuring the integrity and organization of all electronic records.
Coordinate the distribution and resolution of workers' compensation criticisms.
Prepare and provide necessary information to the processing center to ensure accurate and timely booking of monthly reinsurance transactions.
Support the User Acceptance Testing (UAT) process for the workers compensation system to ensure functionality and performance meet business requirements.
Work closely with the collections specialist to resolve premium discrepancies efficiently.
Manage the tracking of large deductible policies and associated claims activity.
Assist with UW Audit activities including retrieving policy documentation.
Support the submission process for newline activities.
Maintain the tracking and accuracy of Construction Wrap Up policies.
Perform monthly Texas Accident Prevention process.
Complete applicable Motor Carrier Filings.
Retrieve and distribute Excess loss run reports.
Demonstrated proficiency in data entry and computer skills, particularly in Microsoft Excel (including pivot tables), Word, and Outlook.
Demonstrated ability to effectively interact with all levels of internal and external business partners.
Must be detail orientated.
Must be able to multi-task and balance multiple priorities.
Strong interpersonal and written communication skills.
Ability to learn quickly, prioritize work, and perform within time constraints.
Ability to work independently and cohesively in a team environment.
Education and Experience:
Associate degree or equivalent; Bachelor's degree preferred.
Minimum of 1 year of relevant insurance experience will be considered.
The pay range for the role is $50,000 to $70,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.
Auto-ApplyReinsurance Analyst - College Program 2026
Philadelphia, PA jobs
Company:Guy CarpenterDescription:
We are seeking a talented individual to join our Client Support Services (CSS) team at Guy Carpenter. This role will be based in New York, Philadelphia, Edina, or Hartford. This is a hybrid role that has a requirement of working at least three days a week in the office.
The CSS team consists of global service professionals dedicated to managing claims and accounting matters for specific client accounts, ensuring seamless handling of business placed on behalf of each client. The Reinsurance Analyst plays a key role in the technical processing of premiums and claims for assigned client accounts, maintaining strict adherence to Guy Carpenter's operational standards and guidelines.
We will count on you to:
Actively participate in training sessions and contribute insights to enhance team and department processes related to reinsurance service processing, driving continuous improvement, troubleshooting, and resource development
Support client teams in managing their assigned portfolios by ensuring timely and accurate follow-up, securing reinsurance premiums, and meticulously entering all client activity into systems to maintain data integrity
Collaborate across departments to support collection efforts and cash application initiatives, ensuring efficient and accurate financial transactions
Assist client and fiduciary teams in the prompt settlement of funds, ensuring all payment warranties and conditions are met to uphold compliance and client satisfaction
Foster strong relationships with team members, brokers, clients, and markets by understanding their needs and working practices, enabling effective resolution of issues and queries
Support managers in team meetings and activities by sharing insights, ideas, and solutions, contributing to a collaborative environment focused on achieving shared goals
Demonstrate a proactive approach to professional development by seeking opportunities to deepen industry knowledge and enhance service delivery
What you need to have:
Pursuing a bachelors degree with an expected graduation date of December 2025 or May 2026
Legal work authorization to work in the US on a permanent and ongoing basis without the need for sponsorship now or in the future
Proficiency in Microsoft Office Applications (Word, Excel, and PowerPoint)
Demonstrated ability to work as part of a high-performance team
Attention to detail in completing assigned tasks
Positive attitude, willingness to offer and execute ideas and solutions to enhance processes within a changing environment
Successful management of workload; able to manage expectations of all clients and stakeholders
Strong communication skills, both written and verbal, delivering clear and concise messages and at all times promoting and enhancing the Guy Carpenter brand
Ability to make sound judgements independently while knowing when to bring situations to the attention of management
Able to engage and influence clients, markets and colleagues in a professional manner
What makes you stand out:
Bachelor's Degree in Risk Management, Organizational Management, Accounting, Business or Finance
Strong verbal and writing skills for complex communications (presentations, etc.) with clients, markets and colleagues at all levels
Previous knowledge of reinsurance and/or insurance concepts is a plus
Why join our team:
We help you be your best through professional development opportunities, interesting work and supportive leaders.
We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.
The applicable salary for this role is $65,000.
What's next:
Application Instructions:
When creating your application, please use your permanent home address and use your personal email address rather than your school email address.
First Round Interviews:
Applications are reviewed on a rolling basis.
If selected, first-round interviews consist of an on-demand digital video.
Further timing and instructions will be provided at that time.
At Guy Carpenter, you can be your best. We work on challenges that matter with colleagues who help bring out our best. Our uniquely collaborative environment will empower you to focus on your personal and professional success, learning from top specialists in the (re)insurance industry and leading you towards a rewarding and impactful career.Guy Carpenter, a business of Marsh McLennan (NYSE: MMC), is a leading global risk advisory and reinsurance specialist and broker. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit guycarp.com, or follow on LinkedIn and X.Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com.Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.
Auto-ApplyNetwork Management Consultant - Remote
Workforce management analyst job at Prime Therapeutics
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting TitleNetwork Management Consultant - RemoteJob Description
The Network Management Consultant is responsible for development, performance and management of Prime's retail, mail, specialty, and quality-based networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This includes development of network contracts, participation requirements, analysis of pharmacies, and ensuring contract and regulatory compliance. This position is accountable for creation and management of specialty fee schedules to ensure competitiveness and serves as the liaison between Prime's Network Management and Specialty teams.
Responsibilities
Negotiate market competitive high-profile and/or complex pharmacy agreements across all channels including retail, mail, specialty and quality based and lines of business aligning with Supply Chain COGS strategies Lead and manage specialty fee schedule development process and ensure fee schedule revisions align with Supply Chains COGS strategies for specialty drug management
Lead and implement network initiatives by facilitating and performing network analyses, contracting activities and fee schedule development aligning with strategy, priorities and projects goals
Partner with Prime's reporting and analytics teams to develop network vendor loading rules inclusive of approved preferred and specialty pharmacies; maintain key compliance criteria and implement quarterly reporting processes for all contracted network specialty pharmacies
Analyze network specialty pharmacy quarterly reports to ensure compliance with reporting and participation requirements; collaborate with Specialty Clinical Program Directors to identify potential performance gaps; work with internal and external partners to develop and manage corrective action plans
Responsible for effectively managing the pharmacy contract from negotiation of all terms, ensuring Prime and Pharmacy compliance and document retention aligning with Prime's Record Information Management (RIM) policies
Work closely with Prime's legal team to update contract documents including agreements and applications for utilization in contracting/re-contracting activities based on new network participation requirements
Other duties as assigned
Minimum Qualifications
Bachelor's degree in business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
8 years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
Excellent verbal and written presentation skills
Demonstrated understanding of network reporting and analysis for specialty pharmacy
Demonstrated ability to establish trust and credibility; form working relationships with all levels of an organization
Demonstrated ability to work independently and on highly complex contract language and agreements; strong attention to detail
Enhanced organizational skills with the ability to work on multiple projects simultaneously
Demonstrated ability to problem solve and interpret complex data; ability to analyze network information and synthesize it into meaningful information for a variety for audiences
Ability to work with confidential data and maintain privacy
Preferred Qualifications
Master's degree in business, healthcare or related area of study
Demonstrated understanding of retail and specialty network fee schedule management
2 years of experience in specialty contracting
PBM and Healthcare experience
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $94,000.00 - $160,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
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