RYZE Claim Solutions jobs - 5,074 jobs

A leading healthcare company is seeking a Director - Automations & Efficiencies to lead innovative projects aimed at enhancing operational effectiveness. This role involves overseeing automation initiatives in a healthcare environment, managing strategic partnerships, and improving processes through advanced technologies. The ideal candidate has significant experience in healthcare payer operations, RPA technologies, and cross-functional leadership. This position offers flexibility to work remotely from anywhere within the U.S. #J-18808-Ljbffr

The final salary or hourly wage, as applicable, paid to each candidate/applicant for this position is ultimately dependent on a variety of factors, including, but not limited to, the candidate's/applicant's qualifications, skills, and level of experience as well as the geographical location of the position. Applicants must be legally authorized to work in the United States. Sponsorship not available. Our client is seeking a Senior Cloud Security Engineer in for a remote opportunity Role Description The Senior Process Executive - Accounts Receivable is responsible for managing and optimizing the full lifecycle of hospital and professional claims across third-party payers, including commercial insurance, Medicare, and Medicaid. This role requires advanced knowledge of US healthcare billing, claims adjudication, and payer-specific requirements, ensuring timely and accurate reimbursement for healthcare services. • Manage accounts receivable processes for hospital and professional claims, ensuring compliance with US payer regulations. • Analyze and resolve outstanding claims, including denials and underpayments, using payer-specific portals and resources. • Investigate root causes of denials, apply appropriate ICD-10 and CPT codes, and implement corrective actions to maximize reimbursement. • Prepare and submit appeals to insurance companies and Medicare, including redetermination requests and supporting documentation. • Perform online submission of claims and monitor claim status through portals. • Review aged receivables, recommend write-offs for uncollectible accounts, and report findings to the Account Manager. • Maintain up-to-date knowledge of payer policies, federal and state regulations (HIPAA, CMS guidelines), and industry best practices. • Collaborate with internal teams and external payers to resolve complex claim issues and expedite payment. Skills & Requirements • Bachelor's degree or equivalent experience required; preferred in Business, Healthcare Administration, or related field. • Minimum 1-2 years of hands-on experience in US healthcare revenue cycle management, with a focus on hospital and professional claims. • In-depth understanding of UB-04 and CMS-1500 claim forms, ICD-10, CPT/HCPCS coding, and payer guidelines. • Exceptional communication and interpersonal skills; able to interact professionally with payers, providers, and team members. • Strong problem-solving and critical thinking abilities, with attention to detail and accuracy. • Demonstrated ability to prioritize tasks, manage multiple deadlines, and adapt to changing regulatory requirements. • High level of integrity, work ethic, and commitment to organizational goals. • Proficiency in healthcare billing software, payer portals, and Microsoft Office Suite. • Experience with US hospital billing systems (Epic, Cerner, Meditech, etc.). • Familiarity with payer regulations, including appeals and redetermination processes. • Ability to work independently and as part of a collaborative team. Benefits/Other Compensation This position is a contract/temporary role where Hays offers you the opportunity to enroll in full medical benefits, dental benefits, vision benefits, 401K and Life Insurance ($20,000 benefit). Why Hays? You will be working with a professional recruiter who has intimate knowledge of the industry and market trends. Your Hays recruiter will lead you through a thorough screening process in order to understand your skills, experience, needs, and drivers. You will also get support on resume writing, interview tips, and career planning, so when there's a position you really want, you're fully prepared to get it. Nervous about an upcoming interview? Unsure how to write a new resume? Visit the Hays Career Advice section to learn top tips to help you stand out from the crowd when job hunting. Hays is committed to building a thriving culture of diversity that embraces people with different backgrounds, perspectives, and experiences. We believe that the more inclusive we are, the better we serve our candidates, clients, and employees. We are an equal employment opportunity employer, and we comply with all applicable laws prohibiting discrimination based on race, color, creed, sex (including pregnancy, sexual orientation, or gender identity), age, national origin or ancestry, physical or mental disability, veteran status, marital status, genetic information, HIV-positive status, as well as any other characteristic protected by federal, state, or local law. One of Hays' guiding principles is ‘do the right thing'. We also believe that actions speak louder than words. In that regard, we train our staff on ensuring inclusivity throughout the entire recruitment process and counsel our clients on these principles. If you have any questions about Hays or any of our processes, please contact us. In accordance with applicable federal, state, and local law protecting qualified individuals with known disabilities, Hays will attempt to reasonably accommodate those individuals unless doing so would create an undue hardship on the company. Any qualified applicant or consultant with a disability who requires an accommodation in order to perform the essential functions of the job should call or text ************. Drug testing may be required; please contact a recruiter for more information.

Our client has been experiencing tremendous growth within their Excess Casualty Underwriting Division and is seeking to add a Senior/Executive Excess Casualty Underwriting Specialist. This person would be responsible for marketing/production of new and renewal business while providing a customer-first mindset, putting our client's customers at the center of everything you do. This includes being a technical expert in a designated coverage, product or product line, mentoring and training less experienced staff. Responsible for developing and managing a book of Non-Admitted Excess business. Select, review, model, analyze and underwrite the most complex submissions within the context of applying the division's underwriting guidelines and standards. Develop and maintain strong relationships with wholesale brokers in order to successfully produce, manage and grow the client's business. Work with local, regional, and home office management to renew accounts annually. Respond to brokers when particular risks do not meet underwriting guidelines and offer alternative options and cross sell other products. May serve as the department liaison with the Regulatory Compliance and Actuarial departments. Requirements 5 - 10+ plus years of Excess Underwriting experience, preferably handling Non-Admitted business 5+ years of experience working with wholesale brokers in the region Proven track record of building strong Broker Relations Understanding of current market conditions, trends in competition and new product development Strong communication, analytical skills, and business acumen Excellent problem solving & decision-making skills Bachelor's Degree is strongly desired. Salary & Benefits $150,000 to $200,000+ annual base salary plus 10 - 30% Target Bonus Flex schedule and ability to work remotely Extremely competitive Medical, Dental, Vision and Life plans Employer matching 401(k) plan Generous PTO plan Employee Stock Purchase Plan with employer matching #J-18808-Ljbffr

Back Sr DI Claims Examiner #5667 Remote USA Position-Ameritas HQ is Lincoln, Nebraska, United States Apply X Facebook LinkedIn Email Copy Position Locations Remote USA Position-Ameritas HQ is Lincoln, Nebraska, United States Area of Interests Insurance Full-Time/Part Time Full-time Job Description This position is remote (within the U.S.A.) and does not require regular in-office presence. What you do: Evaluates and authorizes disposition of complex claims. Obtains and analyzes medical records and financial documents. Initiates and monitors medical reviews, independent medical examinations, surveillance, and financial reviews. Corresponds with policyholders, attorneys, medical facilities, reinsurers, outside vendors, and insured's employer. Interacts with and requests formal written opinions from Legal and Medical/Underwriting departments. Makes decisions on evaluation of claims using judgment, experience, and collaboration with senior associates. Assists with recoveries from reinsurance carriers. Performs all claims processing support functions. What you bring: Bachelor's degree or equivalent experience is required. 1-3 years of related experience is required. What we offer: A meaningful mission. Great benefits. A vibrant culture Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life. At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't: Ameritas Benefits For your money: * 401(k) Retirement Plan with company match and quarterly contribution. * Tuition Reimbursement and Assistance. * Incentive Program Bonuses. * Competitive Pay. For your time: * Flexible Hybrid work. * Thrive Days - Personal time off. * Paid time off (PTO). For your health and well-being: * Health Benefits: Medical, Dental, Vision. * Health Savings Account (HSA) with employer contribution. * Well-being programs with financial rewards. * Employee assistance program (EAP). For your professional growth: * Professional development programs. * Leadership development programs. * Employee resource groups. * StrengthsFinder Program. For your community: * Matching donations program. * Paid volunteer time- 8 hours per month. For your family: * Generous paid maternity leave and paternity leave. * Fertility, surrogacy, and adoption assistance. * Backup child, elder and pet care support. An Equal Opportunity Employer Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law. Application Deadline This position will be open for a minimum of 3 business days or until filled. This position is not open to individuals who are temporarily authorized to work in the U.S. About this Position's Pay The pay range posted reflects a nationwide minimum to maximum covering all potential locations where the position may be filled. The final determination on pay for any position will be based on multiple factors including role, career level, work location, skill set, and candidate level of experience to ensure pay equity within the organization. This position will be eligible to participate in our comprehensive benefits package (see above for details). This position will be eligible to participate in our Short-Term Incentive Plan with the annual target defined by the plan. Job Details Pay Range Pay RangeThe estimated pay range for this job. Disclosing pay information promotes competitive and equitable pay. The actual pay rate will depend on the person's qualifications and experience. $24.23 - $38.76 / hour Pay Transparency Pay transparency is rooted in principles of fairness, equity, and accountability within the workplace. Sharing pay ranges for job postings is one way Ameritas shows our commitment to equitable compensation practices.

What are important things that YOU need to know about this role? Remote: This position is eligible for fully permanent remote work, allowing you to work from anywhere. Schedule: Monday to Friday, with typical day shift hours from 8:00 AM to 5:00 PM CST. Possible Weekend or Extended Hours: There may be occasional weekend or extended hours to meet contract deadlines or urgent requirements. Holiday Coverage: Some flexibility will be needed for holiday coverage depending on business needs Experience: Candidates should have prior experience in a dental or medical setting, along with a strong understanding of healthcare terminology. What will YOU be doing for us? Review, analyze, and process complaints and appeals regarding dental and vision services. This position communicates with both internal and external entities to resolve complex payment disputes, quality of care issues, and requests for appeal regarding the denial of healthcare and/or dental services. What will YOU be working on every day? Analyze, triage, investigate, research, and process standard and escalated appeals, complaints or state complaints from members, providers, health plans and state agencies. Communicate effectively with internal staff, members, and providers in the investigation and resolution of various appeals, complaints, and grievances. Accurate data entry and documentation of all appeal, complaint, and grievance activity for reporting and trending analysis. Accurately create formal correspondence to confirm receipt and provide resolution for member and provider complaints and appeal requests. Analyze and process all inbound mail scans and enterprise follow up communication to the Appeals department. Maintain strict compliance by utilizing Open Inventory Report, DASH and regulatory standards for appeal and grievance turnaround times and documentation requirements, including immediately notifying a member of department leadership or quality auditor of potential compliance risk. Participate in client audits and SKYGEN reaccreditation audits and interviews. Utilize all job aids, work instructions and step actions available to maintain current knowledge and understanding of existing process based on delegated responsibilities. Participate in job aid creation or updates in collaboration with ACG III and IV. Utilize assigned team specific chats while communicating effectively and in a professional manner as it relates to work assignments. What qualifications do YOU need to have to be GOOD candidate? Required Level of Education, Licenses, and/or Certificates High school diploma or equivalent required Required Level of Experience 1 plus years of job related experience (such as billing, problem solving, researching, etc.) 1 plus years of job related experience interacting with customers and clients Required Knowledge, Skills, and Abilities Knowledge of general computer software; to include competencies in Outlook, Excel, and MS Word. Ability to work overtime as needed. Ability to communicate effectively and engage in a remote environment Ability to work through challenging issues with others in a professional manner. Accurate inventory management including data entry, time management and typing skills. Strong verbal and written communication skills. Ability to draft letters with strong attention to accuracy and grammar. What qualifications do YOU need to have to be a GREAT candidate? Preferred Level of Experience Previous experience processing appeals or complaints in a healthcare setting. 2 years of prior job related experience (Dental Assistant, Dental Office Manager, Dental front office, or health/dental insurance, including managed care operations, accounts receivable and or billing) Preferred Knowledge, Skills, and Abilities Ability to resolve complex problems. Ability to work autonomously. Experience working in a dental environment. Ability to successfully have crucial conversations to resolve assigned appeals or complaints.

What are important things that YOU need to know about this role? Remote - Enjoy the flexibility of working from home. Experience - Minimum 3-5 years managing teams, and 6+ years of project management experience are required Impactful Projects - Oversee both government and commercial programs, where Medicare and Medicaid experience is required. Healthcare Expertise Required - Bring your experience in healthcare, preferably in dental or vision industries. TPA Business Oversight - Lead critical projects supporting Third-Party Administration operations. Smartsheet Experience Preferred - Utilize modern tools for efficient project tracking and collaboration. What will YOU be doing for us? The Project Management Manager will be responsible for managing the project management team in the delivery of value propositions associated with programs, products and projects including UAT testing and release management. What will YOU be working on every day? Collaborates with department leaders to define, prioritize and develop projects. Provides feedback and participates, as required, in internal discussions surrounding projects. Advises all departments on resource assignment priorities to manage projects to strategy and plan. Supports both SDLC and PDLC methodology deployments to accelerate the speed of delivery and quality of products, programs and projects implemented. Implements and provides guidance related to PPD processes and policies. Assures oversight and quality of project deliverables. Guides the development of tools needed to ensure successful project management and communication with departments and clients. Serves as an internal escalation point for project management issues and escalates to project sponsors and/or project executives, as necessary. Drives appropriate training methods to ensure staff is provided with appropriate tools to meet client requirements and objectives. Oversees staff to ensure effective identification and implementation of process improvements. Recognizes and suggests potential system and process enhancements that could be made to increase effectiveness or efficiency. Manages subordinate staff in the day-to-day performance of their jobs with full authority for personnel actions. Works in conjunction with Human Resources to evaluate viable candidates under consideration for hire by identifying necessary skills and core competencies for various roles, developing relevant interview questions to assess candidate knowledge, skill, and position fit with future growth and business objectives, and utilizing appropriate selection techniques. Develops and motivates staff. Initiate and communicate a variety of personnel actions including employment, termination, performance reviews, salary reviews, disciplinary actions, and development plans. Provide regular and behaviorally specific feedback to increase performance levels. Fosters an environment that focuses on ensuring integrity, respect, accountability, and superior service. Works effectively and collaboratively with peers and other internal resources in diagnosing and resolving issues. What qualifications do YOU need to have to be GOOD candidate? Bachelor's degree in business administration, project management, information technology, or other related field or equivalent years of internal experience. 3-5 years of prior experience in managing and/or leading others 6+ years of experience in project management. Knowledge of commonly used project management tools. Ability to plan for contingencies and anticipate problems. Ability to effectively listen and respond to customers' needs. Ability to effectively convey and receive ideas, information, and directions. Ability to build and maintain work relationships and contacts needed to effectively address issues and obstacles. Ability to display strong written and verbal communication skills. Ability to remain organized despite multiple interruptions What qualifications do YOU need to have to be GREAT candidate? PMI Certification Experience in healthcare or software industry The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range. Compensation Range: $110,089 - $165,133 Compensation Midpoint: $137,611

Back Lead Account and Client Consultant - Retirement Plans #5677 Remote USA Position-Ameritas HQ is Lincoln, Nebraska, United States Apply X Facebook LinkedIn Email Copy Position Locations Remote USA Position-Ameritas HQ is Lincoln, Nebraska, United States Area of Interests Retirement Plans Full-Time/Part Time Full-time Job Description The Lead Account and Client Consultant position serves as a liaison between the company and internal and external partners. This position is responsible for projects with significant impact on department results by conducting complete and accurate analysis to identify opportunities to drive growth and efficiency. This position utilizes extensive knowledge to engage with others at a peer level to explain and exchange information. This position is remote (within the U.S.A.) and does not require regular in-office presence. What you do: Build and maintain relationships with clients and internal partners Serve as main point of contact and primary liaison between internal departments and clients Provide support for administrative changes, updates, and terminations Assist manager in developing policies and procedures to build customer loyalty and build efficiencies Monitor, audit, and evaluate performance for compliance, and take corrective action where needed Provide leadership to ensure that functions are handled timely and accurately Manage both virtual and in person financial professional meetings and relationships Identify at-risk clients while mitigating and managing risk What you bring: Bachelor's Degree or equivalent experience Business, Communication, or related field required required 3-5 years retirement plan client relationship management experience, including a general knowledge of nondiscrimination testing, and 5500 preparation required required What we offer: A meaningful mission. Great benefits. A vibrant culture Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life. At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't: Ameritas Benefits For your money: * 401(k) Retirement Plan with company match and quarterly contribution. * Tuition Reimbursement and Assistance. * Incentive Program Bonuses. * Competitive Pay. For your time: * Flexible Hybrid work. * Thrive Days - Personal time off. * Paid time off (PTO). For your health and well-being: * Health Benefits: Medical, Dental, Vision. * Health Savings Account (HSA) with employer contribution. * Well-being programs with financial rewards. * Employee assistance program (EAP). For your professional growth: * Professional development programs. * Leadership development programs. * Employee resource groups. * StrengthsFinder Program. For your community: * Matching donations program. * Paid volunteer time- 8 hours per month. For your family: * Generous paid maternity leave and paternity leave. * Fertility, surrogacy, and adoption assistance. * Backup child, elder and pet care support. An Equal Opportunity Employer Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law. Application Deadline This position will be open for a minimum of 3 business days or until filled. This position is not open to individuals who are temporarily authorized to work in the U.S. About this Position's Pay The pay range posted reflects a nationwide minimum to maximum covering all potential locations where the position may be filled. The final determination on pay for any position will be based on multiple factors including role, career level, work location, skill set, and candidate level of experience to ensure pay equity within the organization. This position will be eligible to participate in our comprehensive benefits package (see above for details). This position will be eligible to participate in our Short-Term Incentive Plan with the annual target defined by the plan. Job Details Pay Range Pay RangeThe estimated pay range for this job. Disclosing pay information promotes competitive and equitable pay. The actual pay rate will depend on the person's qualifications and experience. $75,189.00 - $124,062.00 / year Pay Transparency Pay transparency is rooted in principles of fairness, equity, and accountability within the workplace. Sharing pay ranges for job postings is one way Ameritas shows our commitment to equitable compensation practices.

Back Provider Relations Specialist II #5675 Remote, Nebraska, United States Apply X Facebook LinkedIn Email Copy Position Locations Remote, Nebraska, United States Area of Interests Insurance Full-Time/Part Time Full-time Job Description The Provider Relations Specialist II serves as a liaison between the company and internal and external partners. This position develops and strengthens customer relationships by providing timely and accurate response to inquiries and conducting analysis to solve problems under limited supervision. This position may provide guidance, coaching, and training to associates. This position will be in-office for the first week for training and will then be remote (within Nebraska) and does not require regular in-office presence. What you do: Act as the main point of contact for dental providers regarding participation status, credentialing, and contract-related questions. Process new provider applications, credentialing requests, and changes to records Respond to provider and member inquiries via phone, email, and voice mail with professionalism and accuracy. Manage queue-based tasks including provider adds, terminations, fee schedule updates, and contract maintenance. Review and submit audits, ensuring documentation meets compliance and credentialing standards. Support assigned groups, handling all communications and requests. Collaborate with internal departments and network leasing partners to ensure data consistency and proper contract loading. Investigate and help resolve complaints from providers and members, coordinating with Compliance when necessary. Mentor peers and assist with training new hires on systems and procedures. Attend team meetings and stay current on internal processes, policies, and industry regulations. What you bring: S. Diploma or GED is required. Associate's degree or equivalent is preferred. 2-4 years of related experience is required. Previous experience in provider relations or similar role highly preferred. Insurance industry experience preferred. What we offer: A meaningful mission. Great benefits. A vibrant culture Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life. At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't: Ameritas Benefits For your money: * 401(k) Retirement Plan with company match and quarterly contribution. * Tuition Reimbursement and Assistance. * Incentive Program Bonuses. * Competitive Pay. For your time: * Flexible Hybrid work. * Thrive Days - Personal time off. * Paid time off (PTO). For your health and well-being: * Health Benefits: Medical, Dental, Vision. * Health Savings Account (HSA) with employer contribution. * Well-being programs with financial rewards. * Employee assistance program (EAP). For your professional growth: * Professional development programs. * Leadership development programs. * Employee resource groups. * StrengthsFinder Program. For your community: * Matching donations program. * Paid volunteer time- 8 hours per month. For your family: * Generous paid maternity leave and paternity leave. * Fertility, surrogacy, and adoption assistance. * Backup child, elder and pet care support. An Equal Opportunity Employer Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law. Application Deadline This position will be open for a minimum of 3 business days or until filled. This position is not open to individuals who are temporarily authorized to work in the U.S. About this Position's Pay The pay range posted reflects a nationwide minimum to maximum covering all potential locations where the position may be filled. The final determination on pay for any position will be based on multiple factors including role, career level, work location, skill set, and candidate level of experience to ensure pay equity within the organization. This position will be eligible to participate in our comprehensive benefits package (see above for details). This position will be eligible to participate in our Short-Term Incentive Plan with the annual target defined by the plan. Job Details Pay Range Pay RangeThe estimated pay range for this job. Disclosing pay information promotes competitive and equitable pay. The actual pay rate will depend on the person's qualifications and experience. $18.32 - $29.31 / hour Pay Transparency Pay transparency is rooted in principles of fairness, equity, and accountability within the workplace. Sharing pay ranges for job postings is one way Ameritas shows our commitment to equitable compensation practices.

Back Dental Insurance Provider Network Representative (AZ or NV) #5577 Multiple Locations Apply X Facebook LinkedIn Email Copy Position Locations Remote, Arizona, United StatesRemote, Nevada, United States Area of Interests Sales Full-Time/Part Time Full-time Job Description Position Description: Ameritas is seeking a Dental Insurance Provider Network Representative to drive network growth and persistency results through personal efforts at a state level. This position champions all network development recruitment projects in a specified region as assigned by the Director-Provider Networks and management team in various territories. The role is responsible for working within team performance metrics and assigned budgets. The position also partners with the Ameritas sales force at a regional level, to develop a mutual understanding of how group sales relates to provider network development. This is a remote position to be located in either Nevada or Arizona and does not require regular in-office presence. The candidate must be located in one of the listed states and will cover a territory of Western and Southwestern states. This role will require up to 80% travel. What you do The PNR (Provider Network Rep) is responsible for recruitment projects assigned by Director-Provider Networks and manager in various areas of the nation utilizing such methods as researching competitor data, developing recruitment call strategies, maintaining and posting reports, ensuring consistency through contact management leads, preparing fee increase requests, and obtaining policyholder names and approvals. The PNR works with the management team to improve his/her skills in recruitment methods and successes through utilizing PSS techniques, monthly coaching tips provided by the manager, recruitment ride-alongs, and through customized coaching plans and proficiency checklists identified and developed by the manager to specifically deliver increased recruitment project and overall job performance successes. This position assists the Sr. PNR or manager in the implementation of provider recruitment events and dental conventions in assigned recruitment project areas as necessary. The incumbent will be responsible for on-site reviews in their territories within the specified service standards timeframe, including scheduling and conducting office visits and educating the dental staff on Ameritas quality assurance standards. The position ensures that re-onsite follow up compliance is completed in assigned areas via phone calls, or in-office visits if necessary, and provides compliance status reports to the management team. This position maintains provider networks to overall persistency levels set by the company by conducting periodic "PR" calls and contacts with key providers as well as attempting to retain potentially- terminating providers in assigned areas. This position maintains Salesforce.com for each assigned recruitment project within specified deadlines. The PNR partners with the group sales reps and new STEP reps in their assigned project areas as well as local territories to offer "ride alongs" on recruiting calls and onsite visits. The PNR partners with the management team on a semi-annual basis to best determine key account service needs. The PNR will be available for enrollment and broker meeting participation, on an as needed basis The PNR partners with Provider Relations in the provider contracting process; in researching provider inquiries; in identifying and creating Best Practices; and providing an overall seamless level of customer service to the provider network. This position attends PNR team and national team meetings as required. What you bring A four-year Bachelor's degree or equivalent combination of education and work experience is required. Proven results in individual production as demonstrated by consistently meeting or exceeding goals. Ability to manage multiple priorities through effective time management, organizational and decision making skills. Professional presentation and conduct at individual, managerial and corporate levels required. Comprehensive understanding of provider contracts Detailed dental product and plan design knowledge is essential Strong technical and computer skills are a must with advanced proficiencies in Word, Excel, PowerPoint, proficiency in Microsoft Teams, Internet applications, Salesforce and competitor analysis tools such as Network360. Completion of and certification in of Professional Selling Skills, PTS, Selling in A Competitive World is necessary Demonstrated ability in interpersonal and human relations skills, including verbal, written, communication and presentation skills A strong commitment to excellent customer service, as demonstrated by consistently meeting deadlines and effective relationship-building with customers, team members, management and internal staff. Travel is necessary and may require up to 80% travel in order to provide field recruitment, on-site provider visits, industry events, and sales presentations This role is continually challenged to develop provider networks in a competitive managed care marketplace. Network development needs change and increase on a continuous level, requiring the PNR to be adaptive and responsive to quick shifts in business plans. Because of the multiple customers with whom this position builds relationships, the incumbent must be able to work in high-stress periods, with an innate ability to work independently. Adherence to deadlines and procedures is vital to the efficacy and accuracy required of this position. Assigned projects and goals are used as motivation and disciplinary action is employed for not meeting such standards. What we offer: A meaningful mission. Great benefits. A vibrant culture Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life. At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't: Ameritas Benefits For your money: 401(k) Retirement Plan with company match and quarterly contribution Tuition Reimbursement and Assistance Incentive Program Bonuses Competitive Pay For your time: Flexible Hybrid work Thrive Days - Personal time off Paid time off (PTO) For your health and well-being: Health Benefits: Medical, Dental, Vision Health Savings Account (HSA) with employer contribution Well-being programs with financial rewards Employee assistance program (EAP) For your professional growth: Professional development programs Leadership development programs Employee resource groups StrengthsFinder Program For your community: Matching donations program Paid volunteer time- 8 hours per month For your family: Generous paid maternity leave and paternity leave Fertility, surrogacy and adoption assistance Backup child, elder and pet care support An Equal Opportunity Employer Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law. About this Position's Pay This is a sales position. The posted range reflects the base pay and variable compensation. The pay range posted reflects a nationwide minimum to maximum covering all potential locations where the position may be filled. The final determination on base pay for any position will be based on multiple factors including role, career level, work location, skill set, and candidate level of experience to ensure pay equity within the organization. This position will be eligible to participate in our comprehensive benefits package (see above for details). This position will be eligible to participate in our variable compensation program with a target defined by the applicable program. Job Details Pay Range Pay RangeThe estimated pay range for this job. Disclosing pay information promotes competitive and equitable pay. The actual pay rate will depend on the person's qualifications and experience. $46,000.00 - $115,000.00 / year Pay Transparency Pay transparency is rooted in principles of fairness, equity, and accountability within the workplace. Sharing pay ranges for job postings is one way Ameritas shows our commitment to equitable compensation practices.

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

A reputable insurance staffing company is looking for a Senior/Executive Excess Casualty Underwriting Specialist in Atlanta, Georgia. The role involves managing a book of Non-Admitted Excess business, underwriting complex submissions, and fostering strong relationships with brokers. Candidates should have 5-10+ years of Excess Underwriting experience and a strong track record in this field. This position also includes an attractive salary range of $150,000 to $200,000 annually, along with bonuses and excellent benefits, including a flexible work schedule. #J-18808-Ljbffr

Health e Practices LLC, is excited to partner with The Portland Clinic to identify their next Chief Financial Officer. The following information is designed to outline the essential functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained. Primary Function Responsible for partnering with staff and board leadership to ensure the financial success of The Portland Clinic. CFO oversees team of professionals who are responsible for the daily financial functions of the clinic. CFO analyzes current trends, proposes new tactics, measures results and recommends improvements. CFO works closely with CEO, CMO, COO, and other executives on execution of the clinic's strategic plan and is a key ex-officio member of the Executive Board of five Partner owners. Duties and Responsibilities: ( * Essential Functions) Analyze financial trends in all aspects of the clinic operation and present findings and recommendations to the executive leadership team for discernment and action.* Serve as an engaged participant on the Executive Chiefs Team, which guides the execution of The Portland Clinic Strategic Plan.* Prepare and offer timely, accurate and engaging presentations to all the Partners and Associates who attend the Quarterly Clinic Partnership meetings. Address physician questions, comments, and concerns in a timely manner.* Supervise team members as outlined in the TPC organizational chart. Ensure deadlines are met related to reporting, work queues, billing, and accuracy.* Maintain a positive team environment in these departments and conduct annual performance evaluations for all direct reports.* Serve as the clinic's chief liaison with critical contractors, including the clinic's primary bank, its outside accountant, cost reduction analysis personnel, etc.* Offer accurate, timely and insightful reports about the clinic finances to Executive Board. Also address all other issues related to finance that are on the agenda.* Supervise the preparation of the annual clinic budget. Collaborate with the controller and clinic supervisors on their portions of the budget.* Calculate and ensure the accuracy of provider compensation. Effectively communicate changes in compensation. Use the Partner/owner compensation formula to calculate pay and bonuses for all participants. Calculate quarterly the estimated retirement plan contributions for Partners.* Partner with team leaders on applications such as coverage for property, crime, D&O, Cyber, general liability, auto, and ASC.* Meet with associates interested in joining the partnership and calculate the impact of the partner formula and a comparison of their current status.* Invest monies regularly based on cash flow following the clinic's investment policy.* Collaborate closely with our outside auditors on the Clinic Annual Audit. Prepare necessary schedules and research all questions that they have based on their findings. Coordinate all tax filings with outside tax accountants.* Regularly evaluate financing options. Attend conferences and seminars that continually provide excellent information on the latest financial practices and where we can generate more revenue or save additional costs.* Regularly audit reports from health insurance plans related to risk pool settlements, to ensure their accuracy. Oversee Capital Budget requests and the process for approval, in working closely with Purchasing and the Value Analysis Team.* Oversee Portland Coordinated Care Association (PCCA). Assume projects given by the CEO or the Executive Board. Work in a cooperative manner with management/supervision, coworkers, customers, and vendors.* Abide by company policies.* Maintain regular, in person, work attendance and punctuality, as scheduled.* Other duties as assigned. Requirements: Minimum of 10 years of progressive financial management experience, ideally within a large physician-owned practice required. Minimum 2 years' experience in public accounting preferred. Bachelor's degree in healthcare administration, accounting, finance, or related field required. CPA or MBA strongly preferred. Experience/Qualifications/Skills Preferred: Experience managing finances in multi-specialty or equivalent health care business. Proven track record of producing accurate, timely, and insightful financial reporting. Strong leadership skills with experience managing and developing teams. Demonstrated ability to communicate complex financial concepts to non-financial stakeholders, particularly physician leaders or professional owners. Collaborative and strategic mindset with a commitment to teamwork and organizational success. Experience in using products such as: Microsoft Office(Excel, Work, PowerPoint, Access), Epicor Accounting Software with FRx report writer, EPIC (Electronic Health Record). Compassionate, patient, tactful, diplomatic, sociable, well organized, thorough, and independent. Planning, organizing, and delegation skills. Excellent communication skills, especially in presenting information to physicians and Executive Board. Skill in establishing and maintaining effective working relationships with Business Office, Executive Board, physicians, and other staff.

Employee Benefits Corporation is hiring for a Client Account Representative II. The Client Account Representative II is the primary point of contact for a specific set of Employee Benefits Corporation's clients across all products and services and various brokers. This position utilizes internal resources to resolve various client inquiries, including moderately complex issues, via telephone and email. The Client Account Representative II is responsible for managing all customer contact to ensure timely resolution to inquiries and issues. This person may work in our Middleton, WI office, fully remote (Wisconsin locations only), or a combination of the two depending on availability. Must be available for one day of onsite training and onboarding in person at our Middleton, WI office. Responsibilities: Serve as primary point of contact and organization resource for assigned clients and various brokers Establish rapport and trust with all clients, ensuring a high quality and meaningful experience is delivered with every interaction Obtain information from multiple systems and relay to clients and brokers in a seamless manner Facilitate resolution of service issues of specific clients in a professional manner utilizing interpersonal skills including diplomacy, tact and a concern for the client's needs De-escalate situations involving dissatisfied clients and brokers, offering patient assistance and support Obtain and maintain current and ongoing product and regulation related knowledge at a level of proficiency to resolve complex client requests and inquiries Collaborate and engage with organizational resources to ensure accurate and effective client data exchange, issue resolution and service Respond to incoming inquiries and tasks from other departments in a timely, customer centric and professional manner Required Qualifications: Associate degree in Business or related field; may be substituted by two years directly related experience Three years' experience in a customer-centric role Experience providing customer service for a variety of products in the health care industry Demonstrated subject matter expertise in Employee Benefits Corporation's product offerings or equivalent experience in the health care industry Demonstrated effective listening, verbal and written communication skills, utilizing proper grammar, syntax and excellent business acumen Ability to articulate relevant information in an organized and concise manner Ability to remain calm when dealing with challenging clients Demonstrated experience de-escalating client issues Strong attention to detail and critical thinking skills to help manage difficult situations Demonstrated ability to develop, maintain and foster relationships at all levels of the organization Demonstrated ability to maintain a positive, empathetic and professional attitude internally and externally Successful experience coordinating activities and tasks of a variety of resources towards a specific business goal Strong organizational and time management skills with proven ability to multitask in a high paced environment Self-motivated and able to resolve issues independently Demonstrated ability to guide clients through troubleshooting and navigating various company systems and the mobile application Computer proficiency in Windows-based applications along with a demonstrated ability to learn new software programs Intermediate proficiency with Microsoft Outlook, Word and Excel Previous experience working with a Customer Relationship Management system (CRM) Preferred Qualifications: Bachelor degree We offer: A friendly, collaborative team environment A competitive compensation and benefits package that includes employee-ownership Opportunities for personal and professional growth Flexible scheduling to encourage and support a healthy work-life balance More About Us: Employee Benefits Corporation administers a variety of employee benefits, from IRS-approved, tax-advantaged plans to COBRA and state-regulated continuation administration through informative education materials, dedicated reporting, creative plan design and expert customer support. We work with benefit brokers and consultants, employers and HR administrators, and benefit plan participants to offer top-notch workplace benefits and customer service. As a 100% employee-owned company, we are committed to using our experience, knowledge, creativity and technology to ensure our customers' satisfaction with their plans and with our services. ? Employee Benefits Corporation is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Our affirmative action program is available to any applicant or employee upon request. If you need an accommodation as part of the employment process, please contact Human Resources via email at or via phone at .

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 Creative Project Manager is responsible for all aspects of the development and implementation of assigned projects and or initiatives and provides a single point of contact for those projects. Provides subject matter expertise based on established project management techniques. Performs other duties as assigned. Key Accountabilities Project Management: Manage workflow and deliverables Daily management of tasks in the workflow tool Facilitate weekly status meetings and review status reports Report project status to stakeholders and team; help eliminate roadblocks and identify solutions for projects that are off track Ensure Robohead accountability with partners Facilitate forward-planning meetings with business partners to identify upcoming work, prioritize current work, and address bottlenecks Coordinate weekly creative reviews and traffic circulation/review process Support coordination of assets Coordinate retrospectives for significant projects or to address issues Assess current processes and provide recommendations for improvement Workflow Management: Manage intake, resource assignments, and schedule work reviews Ensure Robohead adherence and provide training to maintain complete and up-to-date project documentation Review all requests to confirm necessary information is complete Coordinate and assign work to designers and writers Schedule necessary meetings and reviews Review the level of work required for projects (tier projects) Provide reporting on team capacity, efficiency, and success in meeting deadlines Ensure standardized project timing and processes across design and copy teams Key Initiatives Support: Ensure seamless execution and provide reporting for key creative deliverables Provide summaries of accomplishments, risks, and progress for creative deliverables for OEP/AEP and 1/1 readiness Coordinate and manage creative deliverables for key brand touchpoints such as the Medica Magazine and Annual Report Establish and govern consistent job naming conventions and file/folder hierarchy Partner with the MDAC librarian on process, training, tools, and governance to ensure efficient and consistent access to creative assets and deliverables in the Digital Asset Library Required Qualifications Bachelor's degree or equivalent combination of education and work experience 3+ years of related experience, including demonstrated project management experience Skills and Abilities Experience driving deliverables across all media types, including print, video, digital, and OOH Experience managing projects using workflow software (Robohead, Workfront) Demonstrated success driving execution and managing complex efforts to meet time and budget targets Expert communicator, capable and confident working with all levels of stakeholders Detail-oriented and able to quickly pivot to address changing timelines or requirements Comfortable with ambiguity 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 $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. 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. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. Oversees contractual and regulatory requirements necessary to service Medica's contracts with the Department of Human Services. Includes communication of requirements with affected areas within Medica and vendors by monitoring their activities and through thorough documentation of implementation and contract adherence activities in accordance with Medica standards. Submits regulatory reports to DHS, responds to internal inquiries and DHS inquiries following Medica Regulatory Adherence team process. Performs other duties as assigned. Key Accountabilities Track State Medicaid Regulatory Requirements Communicate regulatory changes to internal teams, track adherence to new requirements Review and submit materials to State Medicaid agency Conduct quality check and submit reports as assigned Required Qualifications Bachelor's degree or equivalent experience in related field 3 years of work experience beyond degree 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 $56,600 - $97,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $56,600 - $84,840. 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. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Vizance is looking for Client Service Advisors for our Commercial Lines/Risk Management Team in Hartland. WHY JOIN VIZANCE? Vizance has nearly 200 associates in 9 locations throughout Wisconsin, and is among the top 1% of all insurance agencies in the United States, based on agency revenue. We are different from other insurance agencies - on purpose! The combination of our Culture, Independence, and Performance/ System-Based Mindset clearly differentiate us as a company built to last. Vizance has earned a number of awards, including Top Workplaces, Best Places to Work, Future 50, and Fastest Growing Firms, and is proud to be a Minority-Owned Business Enterprise (MBE). WHAT YOU WILL DO AT VIZANCE As a Client Service Advisor, you will be responsible for developing a strong working relationship with Risk Management Advisors and your clients. You will work with the Advisor and our carrier partners to ensure the timely and successful delivery of our client service standards. This includes: Policy Administration: Manage policy documentation, endorsements, and renewals Risk Assessment: Collaborate with underwriters to assess and understand clients' unique risks Communication: Work with dedicated sales and service teams to plan and execute client service plans WHAT YOU WILL BRING TO VIZANCE At least 2 years of Commercial Property & Casualty experience, preferably in an insurance agency setting Wisconsin Property and Casualty Insurance License Ability to work in a fast-paced environment with attention to detail Desire to be part of a growing and collaborative team Enthusiasm, exceptional communication skills, and a strong work ethic WHAT YOU WILL LIKE ABOUT BEING AN ASSOCIATE AT VIZANCE Comprehensive employee benefits package including medical, dental, vision, life, and disability insurance 401(k) match Paid Time Off (including your birthday) Sponsored education opportunities A supportive team environment that celebrates success Opportunities for growth If you are looking for a promising career in a growing organization, then we want to hear from you!

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 County Engagement Manager serves as a key representative of Medica and its Medicaid programs, responsible for building and strengthening relationships with counties, community partners, and members across the service area. This role promotes Medica's services, participates in regional workgroups, and supports community engagement initiatives designed to improve the lives of members. Perform other duties as assigned. Key Accountabilities Represent Medica at county meetings, health fairs, conferences, public forums, and community events. Develop, organize, and facilitate meetings, discussion groups, and special events. Identify and cultivate partnerships to expand outreach and strengthen relationships with counties and community partners. Share insights and learnings with Medica leadership on issues important to counties and supporting organizations. Maintain detailed records of member and county engagement, contacts, and outreach activities within Medica's CRM platform. Required Qualifications Bachelor's degree in a related field or equivalent experience. Minimum of 5 years of experience in county relations, public health, social services, community outreach, or advocacy. Preferred Qualifications Experience in community outreach, public health, or social services with demonstrated relationship-building strength. 2+ years of relationship management experience with providers, counties, community health organizations, or tribal nations. Understanding of healthcare and managed care, including Medicaid, Medicare, and Indian Health Service. Experience attending public events in various weather conditions and standing/sitting for extended periods. Strong interpersonal, public speaking, and presentation skills; ability to engage diverse populations. Ability to work independently and collaboratively across teams. Strong organizational skills with the ability to multitask effectively. Proficiency in Microsoft Office (Word, Excel, Teams, PowerPoint) and virtual meeting platforms (WebEx, Zoom). Cultural competency and understanding of Healthy Communities principles. Ability to maintain a regularly assigned work schedule. Skills and Abilities: Strong relationship-building and community engagement skills. Ability to represent Medica effectively in public forums and with diverse community groups. Excellent communication skills, including public speaking and facilitation. High level of cultural awareness and ability to engage with diverse populations. Strong organization, attention to detail, and documentation skills. Ability to work both independently and collaboratively across teams. Comfort working in varied environments, including community settings and outdoor events. This position is a Remote role.To be eligible for consideration, candidates must reside within the state of MN. The full salary grade for this position is $62,700 - $107,500. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $62,700 - $94,080. 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. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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. Medica's Commercial Product Specialist II, Small Group and Level Funded, is responsible for collaborating with the Commercial Product team and internal departments on the development and deployment of new and existing Small Group and Level Funded products. This role will complete product analysis, implementation activities, research product/program challenges, and identify trends for improvements that are incorporated into a 3-5 year roadmap. Performs other duties as assigned. Key Accountabilities Collaborates with Underwriting, Actuary, Legal, and Regulatory teams during the product life cycle Develops training materials for brokers and sales teams Maintains and updates product grids Engages with functional and matrix partners (Regulatory, Legal, Sales, Product, Marketing) Enhances product performance and supports growth goals Reviews customization requests related to product design Conducts market segment research Monitors trends using internal and external resources Assists with gathering and executing product requirements Partners with Underwriting and Actuary teams for rating and pricing Considers overall customer experience and product performance Collaborates with Product Managers to provide recommendations Supports other product segments as needed (Fully Insured, Self-funded) Performs other duties as assigned Works collaboratively and effectively communicates with the product team Identifies process improvements Develops templates, workflows, and process documentation The Product Specialist reports to the Manager of Small Group and Level Funded Products and works with internal stakeholders within Actuary, Underwriting, Finance, Legal, Regulatory, Sales, and Marketing. Required Qualifications Bachelor's degree or equivalent experience in a related field 3+ years of related experience beyond the degree Preferred Qualifications Knowledge of Small Group actuarial values, ACA and CMS guidelines, and products Understanding of Level Funded cost structure (stop-loss insurance, claims, and admin fees) and products Understanding of the overall customer experience and the product performance lifecycle Ability to support other product segments Ability to perform tactical execution, identify areas of process improvement, and streamline processes Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) Detail-oriented Strong interpersonal skills, with strong written and verbal communication skills Ability to manage competing priorities and meet tight deadlines Independent, self-driven professional 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, Madison, WI, Omaha, NE, or St. Louis, MO The full salary grade for this position is $50,800 - $87,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $50,800 - $76,125. 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. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

We are seeking experienced Independent Field Adjusters to investigate and evaluate daily property claims on behalf of our clients. This role involves delivering timely, accurate, fair, and professional service while managing a high volume of claims independently. Contractors are expected to uphold the highest standards of service and professionalism, representing both the client and company with integrity. Essential Responsibilities Promptly and effectively manage all assigned claims with minimal oversight. Make claim decisions within delegated authority per company and carrier policies. Accurately interpret policy coverages and apply appropriate claims practices. Establish and communicate reserves in alignment with carrier expectations. Maintain up -to -date knowledge of insurance policies, guidelines, and industry practices. Understand local construction methods, pricing, and repair standards. Submit supplemental reports as needed (e.g., severe incident reports, ITV reports). Provide exceptional customer service to all insureds, clients, and stakeholders. Maintain high standards of professional conduct throughout all assignments. Perform additional responsibilities as assigned. RequirementsQualifications High school diploma or equivalent required; associate's or bachelor's degree preferred Minimum 2 years of experience handling property claims Minimum 2 years of experience using Xactimate and Symbility estimating software Strong understanding of insurance policies, practices, and procedures General construction knowledge strongly preferred BenefitsImportant: This is a 1099 Independent Contractor Opportunity This opportunity is classified as an independent contractor role under the IRS and applicable state laws, including New York. By applying, you acknowledge and agree to the following: You will not be classified as an employee of Ryze Claim Solutions, and no employer -employee relationship exists. You are responsible for your own taxes, insurance, and business expenses. You control the manner, timing, and method of completing your work, consistent with client expectations. You may provide services to other clients or entities, subject to applicable confidentiality or non -compete terms. To qualify as a 1099 contractor under the ABC test: (A) You must be free from company control and direction in how work is performed. (B) The work must be performed outside the usual course of our business. (C) You must be customarily engaged in an independently established trade or business. If you do not meet all three criteria, you may not be eligible for this engagement