Post job

Talcott Resolution jobs in Hartford, CT

- 2053 jobs
  • Project Management, Program Director

    Talcott Financial Group, Ltd. 4.6company rating

    Talcott Financial Group, Ltd. job in Hartford, CT

    The appointed Project Director will join Talcott's Portfolio Management Organization (PMO), taking ownership of delivering high-impact programs within established timelines and budgets. This leader will foster a culture rooted in accountability, agility, and measurable results. The ideal candidate demonstrates an inclusive approach, exceptional business acumen, and a history of successful project delivery across diverse regions and business units. This position requires strategic influence, outstanding communication, and collaboration skills. Success in matrixed environments and expertise in PMO methodologies, governance, and business alignment are essential. We are seeking a decisive, execution-focused leader to guide governance and drive delivery for complex, enterprise-wide initiatives. Project Management: Plan, organize, and control activities across projects of varying complexity, ensuring delivery within defined scope, timeline, and budget. Develop and maintain comprehensive project plans, track key milestones, dependencies and phase reviews across the lifecycle. Collaborate with project sponsors and senior stakeholders to align goals with strategic objectives and define success metrics and business cases. Apply best-practice methodologies (Agile, Waterfall, or hybrid) to plan, execute, and monitor projects efficiently. Identify and manage project risks, issues, and changes proactively, developing contingency plans as needed. Lead Steering Committee meetings and drive effective senior leadership decision making. Oversee project budgets, resource allocation, stakeholder communication, and executive reporting. Support change management, user adoption, and operational readiness. Influence cross-functional teams and vendors to ensure accountability and drive project outcomes. Champion a culture of continuous improvement by regularly evaluating project management processes, tools, and methodologies to identify opportunities for increased efficiency, effectiveness, and quality. Promote knowledge sharing and cross-team collaboration to leverage collective expertise and accelerate problem-solving. Encourage a mindset of agility and adaptability, enabling teams to respond effectively to changing business needs and project requirements. Build strong, effective business relationships that contribute to driving our strategic priorities. Knowledge & Experience Bachelor's degree in business, finance, economics or related fields. Experience in insurance preferred. Minimum of 15 years of experience in program leadership in Insurance and/or Financial Services domain Deep knowledge of project portfolio management, program governance, risk management, and change enablement. Demonstrated ability to mentor and develop PM talent and instill PM best practices across functions. Strong interpersonal, verbal, and written communication skills with the ability to influence at all levels of the organization in a matrixed organization. Certifications in PMP, PgMP, and Agile strongly preferred (e.g., PMI-ACP, SAFe, CSM). Key Competencies Executive Presence & Strategic Influence Business & Financial Acumen Agility in Complex, Evolving Environments Portfolio Rationalization & Prioritization Stakeholder Management & Influence Analytical Thinking & Decision-Making Cross-functional Collaboration
    $112k-176k yearly est. 47d ago
  • Financial Reporting Accountant

    Talcott Financial Group, Ltd. 4.6company rating

    Talcott Financial Group, Ltd. job in Hartford, CT

    The Financial Reporting Accountant will work closely with the accounting and reporting teams within the finance organization. This individual will join a team of experienced financial professionals and report to the Manager of Financial Reporting. A key responsibility of this role is preparing the annual SEC Form N-VPFS separate account financial statements and related filings. The position provides a macro-level perspective on Talcott's insurance operations, reinsurance arrangements, and corporate business functions, with opportunities to interact across the enterprise. This is a hybrid role based at our Hartford, Connecticut office. Responsibilities: Assume an active role in the US GAAP and US Statutory financial close and reporting process for Talcott with monthly, quarterly, and annual deliverables Meet regulatory reporting deadlines and respond to inquiries from auditors Support initiatives to enhance financial reporting packages through automation, including AI-driven solutions Deliver the Company's external financial reporting for both US GAAP and US Statutory standards Prepare journal entries and reconciliations to support the close process Streamline processes and strengthen internal controls to improve efficiency and accuracy Support the business in its strategic initiatives Assist with ad-hoc financial reporting, analysis projects, and process improvement opportunities Develop technical understanding of insurance business from a unique vantage point Build and maintain a robust internal controls environment Qualifications: Bachelor's degree in accounting, finance, or a related field required; CPA or MBA preferred Minimum of 2 years of experience in financial services; insurance or related industry experience strongly preferred Demonstrated experience managing audits and ensuring compliance with regulatory standards Prior experience with mutual fund reporting strongly preferred Solid background in accounting, reporting, audit, and financial statement preparation Proficiency in manipulating and analyzing large datasets using advanced Microsoft Excel, Oracle, and SQL-based reporting tools Strong attention to detail with the ability to manage competing priorities in a fast-paced environment Working knowledge of EDGAR filings (ASCII, HTML, or XML formats) Excellent verbal and written communication skills Ability to collaborate effectively across multiple teams and serve as a reliable business partner Flexibility to manage competing priorities and meet tight deadlines An organized self-starter who thrives in a dynamic entrepreneurial environment Expert knowledge of Microsoft Excel; familiarity with Oracle tools (including SmartView and HSGETS functions), Workiva/Wdata, or other applicable reporting applications preferred * Note* This position is a hybrid, in-office role in our Hartford, CT. office. Our selected candidate will work 3 days onsite in the office.
    $66k-88k yearly est. 33d ago
  • Information Technology Support Specialist

    The Phoenix Group 4.8company rating

    New York, NY job

    Key Responsibilities: Service Desk Support: Provide first- and second-line support through phone, email, and in-person interactions. Respond to IT issues, log incidents in the ticketing system, and resolve issues within defined SLAs. Hardware and Software Maintenance: Set up, troubleshoot, and maintain desktops, laptops, printers, and mobile devices. Perform hardware diagnostics and coordinate repairs with third-party vendors as needed. Application Support: Provide end-user support for legal and office software, including Microsoft Office 365, iManage, Workshare, Elite 3E, and other industry-specific applications. Assist users with document management, time tracking, and PDF editing tools. New Hire Onboarding: Assist with the onboarding of new employees by configuring laptops, mobile devices, VPN, and remote access tools. Conduct introductory IT training sessions for new hires on firm software and technology. Video Conferencing Support: Set up and troubleshoot video conferencing systems, ensuring smooth connectivity and high-quality video/audio for meetings. Support conference room setups, including video and audio equipment. Inventory and Asset Management: Track and manage IT assets, including laptops, desktops, printers, and mobile devices. Maintain accurate records of equipment assignments and inventory updates. Documentation: Update technical documentation and knowledge base articles to assist in user training and support. Record common issues and solutions to streamline future support efforts. Project Assistance: Collaborate on IT projects, including hardware rollouts, software upgrades, and technology enhancements. Provide insights and feedback on process improvements. Technical Requirements: Proficiency with Windows 10/11 and Microsoft Office 365 applications. Experience supporting Document Management Systems (iManage or similar) in a law firm setting. Familiarity with VPN, Citrix, and other remote access technologies. Knowledge of IT ticketing systems such as ServiceNow, TOPdesk, or similar. Strong troubleshooting skills with hardware (PCs, laptops, printers) and mobile devices (iPhone, iPad, Android). Experience with legal applications such as Elite 3E, Workshare, Adobe Acrobat, and document management systems preferred. Knowledge of network fundamentals, including basic IP networking and connectivity troubleshooting. Qualifications: Bachelor's degree in Information Technology, Computer Science, or a related field preferred. 3+ years of experience in an IT support role, ideally within a law firm or professional services environment. Excellent communication skills with the ability to explain technical concepts to non-technical users. Ability to work independently and as part of a team. Strong organizational skills and attention to detail. Customer-service oriented with a proactive, problem-solving attitude. Ability to work flexible hours and travel to other office locations as needed. 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.
    $66k-105k yearly est. 3d ago
  • Coordinator, Security Services - Security Department - Full Time

    Guthrie 3.3company rating

    Binghamton, NY job

    Coordinates training, scheduling and other aspects of the security staff while also fulfilling the normal duties of Security Officer. Education, License & Cert: High school graduate or GED required. Associates Degree or higher is preferred. Experience: Minimum five years of experience required in the Safety and Security field with at least two years in a lead or supervisor role. Essential Functions: Serve as a full time Security Officer for the hospital, fulfilling all normal duties and working assigned shift. Oversee the schedule of security personnel, ensuring 24/7 coverage is provided. Participate in the provision of Non‐Violent Crisis Intervention training for personnel; will assist other Guthrie entities when needed. Serves as the lead in training new hire Security Officers and ensuring competencies are achieved. Coordinate and conduct security investigations in conjunction with department managers, leaders, and law enforcement. Serve as the departmental timekeeper/approver for automated time and attendance. Other Duties: It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position. Pay Range min $17/hr max $25.80/hr About Us Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the community. The Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.
    $17-25.8 hourly 4d ago
  • IT Systems Technician

    The Phoenix Group 4.8company rating

    New York job

    Our client, a computer service organization, is seeking an IT Systems Technician to join their team! Overview and Responsibilities The IT Systems Technician will report directly to the Service Delivery Manager. Key responsibilities include: Entering time and expense data into the Professional Services Automation (PSA) system Recording all work-related tasks and schedules in the PSA system Completing regular training on internal and client network line-of-business systems Setting up and configuring client equipment, such as workstations, network switches, wireless devices, and firewalls Managing client inventory and maintaining up-to-date documentation in the PSA and related systems Assisting with data entry, export, and reporting via the PSA and documentation systems Maintaining high standards of written and verbal communication, appropriate for a client-focused organization Participating in an on-call rotation, with hours from 5 PM to 10 PM ET on weekdays, and 9 AM to 9 PM ET on weekends Qualifications and Education Preferences • Associate of Applied Science program in Information Technology, Computer Information Systems, Computer Science or equivalent from an accredited institution or equivalent technology industry experience • CompTIA A+ or MCSA certification preferred • Two years relevant work experience 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.
    $63k-94k yearly est. 1d ago
  • Web Design & Technology Manager

    Oscar 4.6company rating

    New York, NY job

    Oscar is working with a highly successful web development agency that is looking for an experienced Web Design & Technology Manager to join their team. We're seeking a seasoned digital professional who understands the web inside and out, works well with people, and knows their way around Shopify. You'll manage client relationships, keep projects on track, jump into Liquid or CSS when needed, and help ensure everything we deliver feels thoughtful, polished, and well-built. If you're organized, people-savvy, and comfortable moving between strategic thinking and hands-on work, you'll thrive here. Key Responsibilities: Oversee day-to-day progress on web projects. Understand how Shopify works - new builds, theme updates, features, and customizations. Have foundational knowledge of cookies, WCAG, CSS, GitHub, Liquid, and ideally some frontend frameworks. Communicate directly with clients. Manage timelines and ensure details don't fall through the cracks. Collaborate closely with owners, designers, developers, and clients. Flag issues early and contribute to solutions. Jump into front-end code as needed - Liquid, HTML, CSS, JavaScript. Set up and troubleshoot Shopify themes, settings, apps, and metafields. Collaborate with developers to keep builds clean, tidy, and maintainable. Qualifications: Strong Shopify knowledge - Liquid, themes, apps, and platform nuance. 3-6 years of web experience (design, development, project management - any mix works). Solid front-end skills and an understanding of what makes a great website. Comfort with custom CMS platforms. Confidence communicating directly with clients using clear, jargon-free language. A strong sense of UX and how real people use the web. Organized yet easygoing - efficient without the over-engineered process. A solutions-first mindset and willingness to jump in. A creative approach paired with analytical thinking. Nice-to-Haves: Familiarity with WCAG accessibility standards. Strong front-end coding skills. Experience with Figma and Adobe tools. Basic SEO knowledge and an eye for performance. GitHub experience. Light back-end understanding. Recap: Location: Manhattan, NYC (Hybrid) Type: Full time Permanent Rate: $115k - $125k annual salary dependent on relevant experience If you think you're a good fit for the role, we'd love to hear from you!
    $115k-125k yearly 4d ago
  • Technology Business Manager

    Oscar 4.6company rating

    New York, NY job

    Oscar is working with a key client based out of New York City! They are looking for a Technology Business Manager to join their team. As the Technology Business Manager, you will be expected to: Define and review regularly with stakeholders from business, IT and Finance the list of use cases for technology business management for chargeback, service pricing, IT Total Cost of Ownership, benchmarking, etc. Gather reports requirements from stakeholders in business, IT and Finance Translate use cases and report requirements into a working set of operational and financial models, metrics, dashboards, and management reports Identify and document all data sources, systems of records supporting the collection of data for analytics from systems of record and interpret data into information and share across multiple audiences Implement operational and financial models, metrics, dashboards, and management reports in Apptio Operationalize data collection and reporting monthly by loading, validating, and reviewing reports on a timely basis with business, IT and Finance stakeholders Provide analytics for ad hoc IT strategic initiatives (sourcing strategy, cloud computing strategy, migration projects, application rationalization, etc) Preferred Skills/Experience: Bachelors-level degree in Finance and Accounting or a related field 3+ years experience in IT Finance or a TBM-related role Strong working knowledge and hands-on experience with IBM Apptio. Strong skills in MS Excel and PowerBI. Experience in Technology Accounting, GAAP accounting, strategy advisory, FinOps, IT management consulting or IT Data Analytics Ability to work with minimal supervision efficiently and effectively with multiple levels of management and staff across the organization, particularly within the Technology and Finance organizations Knowledge of IT services and financial management processes and best practices such as budgeting, cost allocations for chargeback, benchmarking, service costing and service pricing. Recap: Location: New York City, NY (Hybrid) Type: Long term Contract to Hire W2 Rate: $68/hr - $78/hr dependent on relevant experience If you think you're a good fit for the role, we'd love to hear from you!
    $68-78 hourly 3d ago
  • Health Care Sales Enroller

    MVP Health Care 4.5company rating

    Albany, NY job

    At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a **Health Care Sales Enroller** to join **\#TeamMVP** . This is an opportunity to dive into a role where your passion for community outreach, strategic engagement, and your love for your community can flourish. **What's in it for you:** + Growth opportunities to uplevel your career + A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team + Competitive compensation and comprehensive benefits focused on well-being + An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** . **Qualifications you'll bring:** + Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company. + The ability to speak more than one language preferred (for example, English and Bengali, Hindi an/or Spanish). + An Associate degree or equivalent combination of education and related experience. + The availability to work full-time, virtual with daily local travel (some evening and weekend hours required). + Must have a valid driver's license. + Curiosity to foster innovation and pave the way for growth. + Humility to play as a team. + Commitment to being the difference for our customers in every interaction. **Your key responsibilities:** + **Spearhead our membership growth initiatives in crucial target areas** by identifying eligible individuals and seamlessly enrolling them in a variety of plans including Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP). + **Conduct both individual and group outreach activities** to present our innovative health care solutions on- and off-site at various events-from health fairs and community expos to festivals and holiday-themed gatherings-ensuring MVP's presence is both seen and felt. Your collaborative efforts alongside our Field Marketing and Community Engagement Representatives will be pivotal in driving growth and visibility in assigned territories. + **Foster positive relationships** with community-based organizations, medical provider partners, and community contacts to develop a robust network within your territory. + **Generate, track, and convert qualified leads** and referrals into MVP customers. + **Lead two monthly events** that highlight our progressive health solutions directly to the communities we serve, strengthening ties and enhancing our brand's impact. + **Navigate the local landscape with required travel** , embracing the opportunity to bring MVP's customer-centric philosophy to life across our footprint. + **Participate in necessary screenings and provide proof of immunization** as part of our commitment to community well-being. + **Demonstrate the dynamic capability** to transport up to 30 lbs. of promotional materials, which play a key role in educating and empowering our customers about their health care choices. + **Contribute to our humble pursuit of excellence by performing various responsibilities** that may arise, reflecting our collective goal of enhancing health care delivery and being the difference for the customer. **Where you'll be:** + Remote with local travel (this role is salary plus incentive and travel reimbursement) \#CS **Pay Transparency** MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. **MVP's Inclusion Statement** At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** . **Job Details** **Job Family** **Outreach** **Pay Type** **Hourly** **Travel Required** **Yes** **Travel Percentage** **75** **Hiring Min Rate** **59,000 USD** **Hiring Max Rate** **64,000 USD**
    $74k-93k yearly est. 14d ago
  • Data Engineer

    The Phoenix Group 4.8company rating

    Fairfield, CT job

    Data Engineer - Vice President Greenwich, CT About the Firm We are a global investment firm focused on applying financial theory to practical investment decisions. Our goal is to deliver long-term results by analyzing market data and identifying what truly matters. Technology is central to our approach, enabling insights across both traditional and alternative strategies. The Team A new Data Engineering team is being established to work with large-scale datasets across the organization. This team partners directly with researchers and business teams to build and maintain infrastructure for ingesting, validating, and provisioning large volumes of structured and unstructured data. Your Role As a Data Engineer, you will help design and build an enterprise data platform used by research teams to manage and analyze large datasets. You will also create tools to validate data, support back-testing, and extract actionable insights. You will work closely with researchers, portfolio managers, and other stakeholders to implement business requirements for new and ongoing projects. The role involves working with big data technologies and cloud platforms to create scalable, extensible solutions for data-intensive applications. What You'll Bring 6+ years of relevant experience in data engineering or software development Bachelor's, Master's, or PhD in Computer Science, Engineering, or related field Strong coding, debugging, and analytical skills Experience working directly with business stakeholders to design and implement solutions Knowledge of distributed data systems and large-scale datasets Familiarity with big data frameworks such as Spark or Hadoop Interest in quantitative research (no prior finance or trading experience required) Exposure to cloud platforms is a plus Experience with Python, NumPy, pandas, or similar data analysis tools is a plus Familiarity with AI/ML frameworks is a plus Who You Are Thoughtful, collaborative, and comfortable in a fast-paced environment Hard-working, intellectually curious, and eager to learn Committed to transparency, integrity, and innovation Motivated by leveraging technology to solve complex problems and create impact Compensation & Benefits Salary range: $190,000 - $260,000 (subject to experience, skills, and location) Eligible for annual discretionary bonus Comprehensive benefits including paid time off, medical/dental/vision insurance, 401(k), and other applicable benefits We are an Equal Opportunity Employer. EEO/VET/DISABILITY 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.
    $190k-260k yearly 4d ago
  • Provider Relations Specialist

    Capital Rx 4.1company rating

    New York, NY job

    About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi , the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area or Denver) Position Summary: The Provider Relations Specialist serves as a key liaison between the Capital Rx and its pharmacy network providers. This role is responsible for managing provider relationships, maintaining contract integrity, resolving pharmacy inquiries, and supporting network operations. The specialist ensures smooth communication and operational efficiency across all stakeholders. Position Responsibilities: Manage the account for a designated group of pharmacy providers including chain pharmacies and independent pharmacies which shall include: serving as the day-to-day contact for an assigned group of pharmacy providers, answering relevant emails and phone calls, executing pharmacy network reporting requests, and escalating issues as needed to the Manager. Manage applicable contract routing and dissemination, standard contract and amendment creation, and maintain and update the contract databases. Manage the ongoing/consistent outreach to pharmacy providers as necessary to finalize contracts to ensure the department is executing on its goals to close out the agreements. Manage the communication of pertinent information such as drug recalls and payer sheet information to pharmacies. Act as the first point of contact for the call center help desk regarding pharmacy contractual issues and escalate the issues as needed to the Manager. Works closely with the Manager, Provider Relations to execute on the departmental and organizational goals. Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Minimum Qualifications: Bachelor's degree. 2+ yrs of PBM experience in provider/network relations, contracting or other relevant experience. Strong communication and project management skills with the ability to develop effective working relationships with providers and internal and external stakeholders. Intermediate level of proficiency with Microsoft Excel, Word, PowerPoint. Highly organized and self-directed with minimal supervision required. Preferred Qualifications: Certification in pharmacy technician or related field is a plus. Salary Range$55,000-$75,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
    $55k-75k yearly Auto-Apply 34d ago
  • Overpayment Recovery and Monitoring Analyst

    Mvp Health Plan Inc. 4.5company rating

    Fishkill, NY job

    Qualifications you'll bring: Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered. Coding certification, such as AAPC CPC, CIC, COC, CCS is required. The availability to work full-time, virtual in New York State A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience. Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details. Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable. Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction Your key responsibilities: Manage recurring audit inventories, ensuring timely progression and completion of existing audits. Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews. Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education. Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization. Assist in the reporting of monthly metrics and participate in cross-functional audit operations. Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts. Participate in training and development activities within the department and corporation. Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual within New York State #cs
    $65k-89k yearly est. 60d+ ago
  • Hourly Project Assistant II (Internship)

    Health Research, Inc. 4.5company rating

    Central Islip, NY job

    Applications to be submitted by January 02, 2026 Compensation Grade: H96 Compensation Details: Minimum: $20. 00 - Maximum: $20. 00 Hourly Positions with a designated work location in New York City, Nassau, Rockland, Suffolk, or Westchester Counties will receive a $4,000 annual downstate adjustment (pro-rated for part-time positions). Department (OPH) Office of Public Health Job Description: Responsibilities The Hourly Project Assistant II will work within The Office of Public Health, Division of Public Health with the Pathways to Public Health Internship Team. The incumbent will help to facilitate engagement activities and professional development opportunities to enhance the experience of all Pathways to Public Health Program Interns. In addition, the Hourly Project Assistant II will promote Pathways to Public Health Internship Program brand awareness, assist in designing promotional materials, and contribute to the program's marketing strategy in collaboration with the Division of Public Health Infrastructure Team and Public Affairs Group. This role will also provide organizational and administrative support for program functions. This position is part of the Pathways to Public Health Internship Program and the purpose is to help strengthen career pathways to public health by bringing together students of all disciplines and academic levels with public health professionals to create a space of exploration, learning, and development. Minimum Qualifications Currently enrolled in a relevant training program or pursuing a related degree or certificate in a related field. Preferred Qualifications Experience facilitating in-person and/or virtual group activities and/or events. Demonstrated strong communication skills. Experience creating marketing materials, communications, and/or brand strategy. Familiarity with graphic design and media software like Adobe, Canva, or similar programs. Proficiency with Microsoft Office (Teams, PowerPoint, Word, Outlook, etc. ). Interest in public health and public health careers. Experience with public speaking or presenting. Conditions of Employment Hourly, grant funded position expected to last through 05/08/2026. Compliance with funding requirements such as time and effort reporting, grant deliverables, and contract deliverables, is required. Valid and unrestricted authorization to work in the U. S. is required. Visa sponsorship is not available for this position. Travel, up to 10% of the time, will be required. The selected candidate must reside within a reasonable commuting distance of the official work location specified in the job posting and must also be located in or willing to relocate to one of the following states: New York, New Jersey, Connecticut, Vermont, or Massachusetts, prior to hire. Telecommuting will not be available. HRI participates in the E-Verify Program. Affirmative Action/Equal Opportunity Employer/Qualified Individuals with Disabilities/Qualified Protected Veterans www. healthresearch. org About Health Research, Inc. Join us in our mission to make a difference in public health and advance scientific research! At Health Research, Inc. (HRI), your work will contribute to meaningful change and innovation in the communities we serve! At HRI, we are on a mission to transform the health and well-being of the people of New York State through innovative partnerships and cutting-edge public health initiatives. As a dynamic non-profit organization, HRI plays a crucial role in advancing the strategic goals of the New York State Department of Health (DOH), Roswell Park Comprehensive Cancer Center (RPCCC), and other health-related entities. HRI offers a robust, comprehensive benefits package to eligible employees, including: Health, dental and vision insurance - Several comprehensive health insurance plans to choose from; Flexible benefit accounts - Medical, dependent care, adoption assistance, parking and transit; Generous paid time off - Paid federal and state holidays, paid sick, vacation and personal leave; Tuition support - Assistance is available for individuals pursuing educational or training opportunities; Retirement Benefits - HRI is a participating employer in the New York State and Local Retirement System and offers optional enrollment in the New York State Deferred Compensation Plan. HRI provides a postretirement Health Benefits Plan for qualified retirees to use towards health insurance premiums and eligible medical expenses; Employee Assistance Program - Provides educational and wellness programs, training, and 24/7 confidential services to assist employees, both personally and professionally; And so much more! As the Executive Director of Health Research, Inc. (HRI), I would like to welcome you to HRI's career page. HRI's mission is to build a healthier future for New York State and beyond through the delivery of funding and program support to further public health and research programs in support of the New York State Department of Health, Roswell Park Comprehensive Cancer Center and other entities. This achievement is made possible through the recruitment of highly talented and qualified individuals. As an Equal Opportunity and Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, age, disability, protected veteran status, or any other characteristic protected by law. HRI is committed to fostering an environment that encourages collaboration, innovation, and mutual respect and we strive to ensure every individual feels welcomed and appreciated. We invite you to explore and apply for any open positions that align with your interests. --- If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting HRI Human Resources at hrihr@healthresearch. org or **************.
    $20 hourly Auto-Apply 3d ago
  • Enterprise Architect

    The Cigna Group 4.6company rating

    Bloomfield, CT job

    The Enterprise Architect will support: Roadmap development Future-state architecture recommendations Pre-project planning and strategic analysis Early engagement with business & technology partners to define direction and investment strategy Expected early responsibilities (especially Q1): Partner with business and technology owners to understand upcoming investment needs Translate business needs into enterprise-level recommendations and future-state options Provide an enterprise lens across domains such as dental insurance, underwriting, and related payer capabilities Top 3 Must-Have Skills 1. Enterprise Architecture Experience (Non-Negotiable) Must have true enterprise-level architecture background Technical or solution architecture alone is not sufficient Must understand business problems, capabilities, context, and long-term planning 2. Enterprise Thinker + Exceptional Communication Must think across business + technical dimensions Able to clearly communicate complex architectural concepts to executives and cross-functional teams Focus is not on tools-strategic thinking matters more 3. Healthcare Background (Required) Preferably payer or provider Experience with sales, underwriting, install portions of payer operations is a strong plus Financial services experience may be considered only if healthcare experience is also present
    $117k-141k yearly est. 4d ago
  • Software Engineer

    The Phoenix Group 4.8company rating

    New York, NY job

    We are seeking a highly skilled and motivated Software Engineer to join our growing technology team. The role is responsible for designing and coding enhancements, features, and fixes for existing applications, as well as building new applications, including initiatives involving Generative AI and agentic solutions. The engineer will provide expert-level support, contribute to system strategy and planning, and collaborate with internal teams, stakeholders, and external vendors to deliver technology solutions. Base: 200k-300k All in total comp including bonus: 300k-450k Responsibilities Develop, integrate, and support custom and vendor technology solutions for business processes. Collaborate with business analysts, support, and infrastructure teams to implement end-to-end solutions. Create and maintain detailed functional and technical user stories. Design, develop, train, and support Generative AI solutions. Maintain documentation, conduct knowledge transfer sessions, and participate in peer review of designs. Experience Level 4+ years of IT development experience, including design, implementation, testing, and documentation of modern web applications (Python, React/Angular, JavaScript, .NET, cloud platforms). Experience building RESTful APIs and backend integrations. Exposure to Generative AI applications, agentic solutions, and LLM frameworks is a plus. Solid RDBMS and SQL knowledge; familiarity with data warehousing tools is preferred. Experience with DevOps and CI/CD pipelines (Azure DevOps, GitHub, Jenkins, Maven, Kubernetes). Knowledge of secure development practices and API security. Experience in Agile/Scrum development methodologies. Strong analytical, problem-solving, and system design skills. Willingness to participate in on-call rotations and after-hours support. 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.
    $89k-123k yearly est. 1d ago
  • Risk Management Client Service Intern, Commercial Lines - Syosset, NY

    World Insurance Associates, LLC 4.0company rating

    Syosset, NY job

    Job DescriptionAbout Us World Insurance Associates is a unique insurance and professional services organization offering top products and services from major providers, combined with attentive service from local agents. We are one of the fastest-growing insurance brokers in the top 20 in the U.S. and we offer you the opportunity to develop your skills in a rapidly expanding organization. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions. Position Summary The WORLD Internship Program is a 10-week program aimed to develop a bench of talented professionals who will be able to join us after college graduation. As a Summer Intern, you will gain an understanding of the Insurance Industry and the distribution models for Insurance Products. The program will provide you with a broad understanding of the insurance brokerage cycle from identifying and properly marketing risks, building a service timeline, implementing service requests, and working through a renewal. You will be placed in our Commercial Lines department for the duration of the summer: Primary Responsibilities You will work alongside our team and help drive the timely and accurate completion of assigned tasks: Processing renewal of ID cards and policy change requests Carrier document attachments and Certificates of Insurance Shadowing client calls and Client Advisor or Carrier visits Data management work Additional tasks that could be beneficial to the intern You will support the development of positive relationships with clients and teammates by providing high levels of advocacy, excellent service, and professional communication. Key components of the program include In addition to the work, you do with your manager daily, you'll have the opportunity to participate in programs and events over the 10 weeks. Intern Orientation and Closing Presentation at Iselin, New Jersey headquarters Speaker Presentations, Town Halls, Monthly webinars by Executive Leadership Learning from our CEO and COO about World's business strategy, operating model, and key priorities Self-paced online program provided by the Council for Insurance Agents and Brokers Fun networking, volunteer, and social events Developmental workshops Qualifications Must be enrolled in a business program at an accredited university or college and graduating in May 2027 or December 2026. (Graduates and students enrolled in Insurance and Risk Management programs strongly preferred) Must be willing to work onsite, M-F between 9 a.m. and 5 p.m. (we do not offer remote internships) Prior customer support experience preferred. Possess strong organization / administrative and computing skills, including Microsoft Office (Word, Excel and Power Point) Able to work independently and enjoy a high degree of interaction with team members. Self-motivated and driven. Maintain a sense of urgency and ability to work with and meet deadlines. Demonstrate effective written and verbal communication, including the ability to actively listen, and problem solve with minimal assistance. The ability to multitask, prioritize, work independently, and use discretion surrounding sensitive information. Ability to maintain a professional demeanor and positive attitude. What You'll Gain: You will have the opportunity to learn how World helps clients improve financial performance while protecting them from risk exposure. You will have the opportunity to build a foundation for a solid career in a stable industry with a rapidly growing team. You will develop valuable skills and build a network that will help you launch a successful career. You will build valuable skills in creating and presenting business proposals, understanding risk management, and developing time management strategies. Compensation The compensation for this internship is $23/hr. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. To Executive Search Firms and Staffing Agencies: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-KM1 Powered by JazzHR ZPgRv9WZny
    $23 hourly 22d ago
  • Actuarial Associate - Insurance Risk Modeling & Analytics

    Global Atlantic Financial Group 4.8company rating

    New York, NY job

    About Global Atlantic Global Atlantic is a leading provider of retirement security and investment solutions with operations in the U.S., Bermuda, and Japan. As a wholly-owned subsidiary of KKR (NYSE: KKR), a leading global investment firm, Global Atlantic combines deep insurance expertise with KKR's powerful investment capabilities to deliver long-term financial security for millions of individuals worldwide. With a broad suite of annuity, preneed life insurance, reinsurance, and investment solutions, Global Atlantic, through its issuing companies, helps people achieve their financial goals with confidence. For more information, please visit *********************** Overview The Actuarial Associate, Insurance Risk Modeling plays a critical role in shaping the firm's understanding of insurance liabilities and risk exposures. This individual will design, enhance, and validate advanced liability models that drive pricing, valuation, asset-liability management (ALM), and hedging strategies across the enterprise. This is a hands-on, highly analytical role at the intersection of actuarial science, quantitative finance, and risk management - ideal for an actuary who wants to build scalable modeling solutions and influence key financial and strategic decisions. Key Responsibilities * Develop and maintain insurance liability models within GA Risk's proprietary modeling platform to support pricing, valuation, ALM, and hedging functions. * Perform scenario and stress testing under multiple reporting frameworks (GAAP, Statutory, Economic, Bermuda), analyzing the interaction between actuarial and market risks. * Onboard new Institutional transactions onto the Risk platform, ensuring accurate integration of liability data and consistent modeling methodologies. * Validate and review actuarial models - challenge assumptions, assess methodologies, and strengthen control frameworks to meet internal governance and regulatory standards. * Collaborate with cross-functional teams - including Pricing, Valuation, Investments, and Hedging - to translate complex modeling results into clear, actionable risk insights. * Support new product launches by ensuring risk models remain current with rate updates, product enhancements, and emerging market conditions. * Develop quantitative tools and analytics that enable the Risk team to assess and challenge existing modeling and risk management practices constructively. Qualifications * Bachelor's degree in a quantitative discipline (Actuarial Science, Mathematics, Statistics, Engineering, Finance, or related field). * 5+ years of actuarial or quantitative modeling experience in life and annuity insurance, financial services, or consulting. * Professional designation (FSA/ASA/CFA/FRM) strongly preferred. * Proven experience building or maintaining complex insurance liability models. * Solid understanding of life and annuity products, including the drivers of both actuarial and market risks. * Experience in hedging, ALM, or risk-based capital frameworks preferred. * Proficiency in Python or another modern programming language highly desirable. * Exceptional communication skills, with the ability to synthesize technical insights for both technical and non-technical stakeholders. What Success Looks Like * You build reliable, efficient models that serve as the backbone for key risk and capital decisions. * You identify model or assumption weaknesses before they become financial exposures. * You collaborate seamlessly across Risk, Actuarial, and Investments - helping leadership see around corners. * You balance technical precision with strategic perspective, shaping the firm's risk view at a portfolio level. Why Join This is an opportunity to influence how a sophisticated insurer measures and manages risk in a dynamic, capital-intensive environment. You'll work with high-caliber peers across actuarial, investment, and quantitative disciplines - while building the next generation of insurance risk modeling infrastructure. This role is not eligible for visa sponsorship now or in the future. Various jurisdictions have passed pay transparency laws that require companies provide salary ranges for any positions for which they are accepting applications. Global Atlantic has offices in Atlanta, Batesville, Bermuda, Boston, Des Moines, Hartford, Indianapolis, and New York City. The base salary range posted below is inclusive of the lowest cost of living geography to the highest in which we have a Global Atlantic office. Global Atlantic's base salary range is determined through an analysis of similar positions in the external labor market. Base pay is just one component of Global Atlantic's total compensation package for employees and at times we hire outside the boundaries of the salary range. Other rewards may include annual cash bonuses, long-term incentives (equity), generous benefits (including immediate vesting on employee contributions to a 401(k), as well as a company match on your contributions), and sales incentives. Actual compensation for all roles will be based upon geographic location, work experience, education, licensure requirements and/or skill level and will be finalized at the time of offer. Compensation for our more senior positions have a larger component of short-term cash bonus and long-term incentives. The base salary range for this role is $140,000 - $155,000 USD #LI-KS1 Privacy Statement Our employees are in the office 5 days per week in New York and 4 days per week in all other offices. If you have questions on this policy or the application process, please reach out to ***************** Global Atlantic reserves the right to modify the qualifications and requirements for this position to accommodate business needs and regulatory changes. Future adjustments may include obtaining specific licenses or certifications to comply with operational needs and conform to applicable industry-specific regulatory requirements, state and federal laws.
    $140k-155k yearly Easy Apply 57d ago
  • Health Care Sales Enroller

    MVP Health Care 4.5company rating

    Herkimer, NY job

    At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a **Health Care Sales Enroller** to join **\#TeamMVP** . This is an opportunity to dive into a role where your passion for community outreach, strategic engagement, and your love for your community can flourish. **What's in it for you:** + Growth opportunities to uplevel your career + A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team + Competitive compensation and comprehensive benefits focused on well-being + An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** . **Qualifications you'll bring:** + Twoor more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company. + An Associate degree or equivalent combination of education and related experience. + The availability to work full-time, virtual with daily local travel (some evening and weekend hours required). + Must have a valid driver's license. + The ability to speak more than one language (for example,English and Bengali, Hindi an/or Spanish). + Curiosity to foster innovation and pave the way for growth. + Humility to play as a team. + Commitment to being the difference for our customers in every interaction. **Your key responsibilities:** + **Spearhead our membership growth initiatives in crucial target areas** by identifying eligible individuals and seamlessly enrolling them in a variety of plans including Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP). + **Conduct both individual and group outreach activities** to present our innovative health care solutions on- and off-site at various events-from health fairs and community expos to festivals and holiday-themed gatherings-ensuring MVP's presence is both seen and felt. Your collaborative efforts alongside our Field Marketing and Community Engagement Representatives will be pivotal in driving growth and visibility in assigned territories. + **Foster positive relationships** with community-based organizations, medical provider partners, and community contacts to develop a robust network within your territory. + **Generate, track, and convert qualified leads** and referrals into MVP customers. + **Lead two monthly events** that highlight our progressive health solutions directly to the communities we serve, strengthening ties and enhancing our brand's impact. + **Navigate the local landscape with required travel** , embracing the opportunity to bring MVP's customer-centric philosophy to life across our footprint. + **Participate in necessary screenings and provide proof of immunization** as part of our commitment to community well-being. + **Demonstrate the dynamic capability** to transport up to 30 lbs. of promotional materials, which play a key role in educating and empowering our customers about their health care choices. + **Contribute to our humble pursuit of excellence by performing various responsibilities** that may arise, reflecting our collective goal of enhancing health care delivery and being the difference for the customer. **Where you'll be:** + Remote with local travel in Herkimer and Oneida Counties. This role is salary, plus travel reimbursement and quarterly incentives. **Pay Transparency** MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. **MVP's Inclusion Statement** At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** . **Job Details** **Job Family** **Outreach** **Pay Type** **Salary** **Travel Required** **Yes** **Travel Percentage** **75** **Hiring Min Rate** **58,000 USD** **Hiring Max Rate** **64,000 USD**
    $74k-93k yearly est. 29d ago
  • Application Support Engineer

    The Phoenix Group 4.8company rating

    Fairfield, CT job

    bout Us We are a global investment firm focused on combining financial theory with practical application. Our goal is to deliver long-term results by cutting through market noise, identifying the most impactful factors, and developing ideas that stand up to rigorous testing. Over the years, we have built a reputation as innovators in portfolio management and alternative investment strategies. Our team values intellectual curiosity, honesty, and a commitment to understanding what drives financial markets. Collaboration, transparency, and openness to new ideas are central to our culture, fostering innovation and continuous improvement. Your Role We are seeking an Application Support Engineer to operate at the intersection of technical systems and business processes that power our investment operations. This individual contributor role involves supporting a complex technical environment, resolving production issues, and contributing to projects that enhance systems and processes. You will gain hands-on experience with cloud-deployed portfolio management and research systems and work closely with both business and technical teams. This role is ideal for someone passionate about technology and systems reliability, looking to grow into a systems reliability or engineering-focused position. Responsibilities Develop and maintain expertise in the organization's applications to support internal users. Manage user expectations and ensure satisfaction with our systems and tools. Advocate for users with project management and development teams. Work closely with QA to report and track issues identified by users. Ensure proper escalation for unresolved issues to maintain user satisfaction. Participate in production support rotations, including off-hours coverage. Identify gaps in support processes and create documentation or workflows in collaboration with development and business teams. Diagnose and resolve system issues, including debugging code, analyzing logs, and investigating performance or resource problems. Collaborate across teams to resolve complex technical problems quickly and efficiently. Maintain documentation of system behavior, root causes, and process improvements. Contribute to strategic initiatives that enhance system reliability and operational efficiency. Qualifications Bachelor's degree in Engineering, Computer Science, or equivalent experience. 2+ years of experience supporting complex software systems, collaborating with business users and technical teams. Hands-on technical skills including SQL and programming/debugging (Python preferred). Strong written and verbal communication skills. Ability to work independently and within small teams. Eagerness to learn new technologies and automate manual tasks to improve system reliability. Calm under pressure and demonstrates responsibility, maturity, and trustworthiness. Compensation & Benefits Salary range: $115,000-$135,000 (may vary based on experience, location, or organizational needs). Eligible for annual discretionary bonus. Comprehensive benefits package including paid time off, medical/dental/vision coverage, 401(k), and other benefits as applicable. 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.
    $115k-135k yearly 5d ago
  • Provider Relations Specialist

    Capital Rx, Inc. 4.1company rating

    New York, NY job

    About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: * Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and * Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area or Denver) Position Summary: The Provider Relations Specialist serves as a key liaison between the Capital Rx and its pharmacy network providers. This role is responsible for managing provider relationships, maintaining contract integrity, resolving pharmacy inquiries, and supporting network operations. The specialist ensures smooth communication and operational efficiency across all stakeholders. Position Responsibilities: * Manage the account for a designated group of pharmacy providers including chain pharmacies and independent pharmacies which shall include: * serving as the day-to-day contact for an assigned group of pharmacy providers, * answering relevant emails and phone calls, * executing pharmacy network reporting requests, and * escalating issues as needed to the Manager. * Manage applicable contract routing and dissemination, standard contract and amendment creation, and maintain and update the contract databases. * Manage the ongoing/consistent outreach to pharmacy providers as necessary to finalize contracts to ensure the department is executing on its goals to close out the agreements. * Manage the communication of pertinent information such as drug recalls and payer sheet information to pharmacies. * Act as the first point of contact for the call center help desk regarding pharmacy contractual issues and escalate the issues as needed to the Manager. * Works closely with the Manager, Provider Relations to execute on the departmental and organizational goals. * Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Minimum Qualifications: * Bachelor's degree. * 2+ yrs of PBM experience in provider/network relations, contracting or other relevant experience. * Strong communication and project management skills with the ability to develop effective working relationships with providers and internal and external stakeholders. * Intermediate level of proficiency with Microsoft Excel, Word, PowerPoint. * Highly organized and self-directed with minimal supervision required. Preferred Qualifications: * Certification in pharmacy technician or related field is a plus. Salary Range $55,000-$75,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
    $55k-75k yearly 34d ago
  • Overpayment Recovery and Monitoring Analyst

    Mvp Health Plan Inc. 4.5company rating

    Tarrytown, NY job

    Qualifications you'll bring: Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered. Coding certification, such as AAPC CPC, CIC, COC, CCS is required. The availability to work full-time, virtual in New York State A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience. Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies. Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details. Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable. Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction Your key responsibilities: Manage recurring audit inventories, ensuring timely progression and completion of existing audits. Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews. Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types. Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education. Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization. Assist in the reporting of monthly metrics and participate in cross-functional audit operations. Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts. Participate in training and development activities within the department and corporation. Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual within New York State #cs
    $65k-89k yearly est. 60d+ ago

Learn more about Talcott Resolution jobs

Most common locations at Talcott Resolution