UnitedHealth Group jobs in Springfield, MA

REMOTE IN MASSACHUSETTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Reporting to and working under the general direction of the Supervisor(s) and Manager of the department, the Specialty Navigator reviews complex referral requests and evaluates and assigns appropriate specialist for the patient. Works with patients and providers to understand services being requested. Interviews patients as needed to obtain full understanding of what information is being requested. Works closely with Specialty Nurses to ensure clinical handoffs are safe and appropriate. Coordinates care both within Reliant and Atrius Health and with external partners. Schedule (38.75 hours/week): Monday - Friday 8:30am - 5pm EST or 8:00am - 4:30pm EST If you reside within the state of Massachusetts, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: * Reviews referral information from clinicians for pertinent information regarding tests, consultations, and procedures * Verifies demographics and insurance information * Work is highly complex and detail oriented, involving frequent contact with a range of internal and external contacts as well as the need to understand terms and processes of multiple payers * Reviews referral information from work queue for pertinent information regarding referral requests * Reviews each external referral for opportunity to convert to internal referral and reviews options with patients * Redirects patients with managed care products appropriately ensuring clinical handoff is safe using expertise of specialty nurses * Ensures adequate information is obtained and relayed when care is moved * Explains insurance benefits and options to patients * Explains denials to patients. Keeps patient informed of status of all referrals (approved and denied) * Notifies patients of scheduled appointments and confirms appointment by mail including confirmed location and map of destination * Informs patient of any preparation that must be completed prior to the appointment * Contacts patient if insurance coverage issues arise during the referral process so that patient can work directly with the insurance company * Promotes the Reliant and Atrius Health System of Care by highlighting internal providers and their expertise * As needed, places orders to start the referral process for the PCP on behalf of patients who have booked appointments and call for the referral * Researches the visit notes to determine if a referral was intended as well as processing referrals for follow-up or annual visits that require a referral * Schedules patients for tests, consultations, services and procedures with other departments, local private offices, and/or outside vendors/providers * Answers phone calls, faxed requests and other inquires relating to referrals and communicates with the physicians and clinicians to acquire authorization or to inform them of patient issues or clinical paperwork needed * Research questions/concerns from patients regarding bills and determines if issue is related to the referral process * Assists in resolving billing and denied referral matters as they relate to the referral process * Refers patients to appropriate staff (e.g., patient account representatives) for billing issues related to insurance benefits and services covered under the benefits plan * Works in collaboration with the person designated as the Practice's Benefits Coordinator to maintain cost control, ensure that services provided are within benefit plan guidelines, and that necessary policies and procedures are followed when dealing with non-preferred providers/vendors * May coordinate second opinion requests * Works with supervisors to ensure patients are receiving timely responses and detailed answers to their complex questions * Research questions/concerns from patients regarding billing and determines if issue is related to the referral process. Assists in resolving billing and denied referral matters as they relate to the referral process * Receives escalated issues and stat same day calls; determine appropriate action and/or works with clinical team for decision * Effectively deescalates issues with upset patients and practices. Uses advanced listening techniques to understand the issue and give patients options as they are available. Escalates to supervisors only as needed * Supports roles within the Navigator * Trains and teaches as needed * Participates in problem solving activities, focusing on productivity and quality * Works with supervisors to ensure continuous improvement of the department * If needed, contacts appropriate parties to obtain referral authorizations and verify coverage (e.g., the Authorization Services Unit (ASU), National Imaging Associates (NIA) or individual insurance companies) * Certain departments may also need to contact additional outside agencies for approval (e.g., American Imaging Management or Med Solutions) * Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations * Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance * Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents * Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager * Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers * Oral Communications: Ability to comprehend and communicate complex verbal information in * English to medical center staff, patients, families and external customers * Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations * Teamwork: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members * Complies with health and safety requirements and with regulatory agencies * Complies with established departmental policies, procedures, and objectives * Enhances professional growth and development through educational programs, seminars, etc. * Attends a variety of meetings, conferences, and seminars as required or directed * Regular, reliable and predictable attendance is required * Performs other similar and related duties as required or directed What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: * Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays * Medical Plan options along with participation in a Health Spending Account or a Health Saving account * Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage * 401(k) Savings Plan, Employee Stock Purchase Plan * Education Reimbursement * Employee Discounts * Employee Assistance Program * Employee Referral Bonus Program * Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) * More information can be downloaded at: ************************* You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * High School Diploma/GED (or higher) * 1+ years of receptionist, admin support, or healthcare-related experience * Intermediate level of proficiency with MS Office tools Preferred Qualifications: * 1+ years of experience working in a medical front office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays and maintaining medical records * Proficiency in Microsoft Office (Word, Excel and Outlook) * Knowledge of Epic EMR software * Ability to learn new software (EPIC/EMR) and flexibility to attend new hire training Soft Skills: * Ability to work independently and maintain good judgment and accountability * Ability to prioritize tasks to meet all deadlines * Ability to work well under pressure in a fast-paced environment * Demonstrated ability to work well with health care providers * Strong organizational and time management skills * Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO, #RED

Contributes to the IT Support job family in a support capacity. Provides guidance, assistance, coordination and follow up on client questions, problems or malfunctions of all systems applications, hardware and software installed or maintained by IT. Responds to telephone inquiries concerning support, processing or request procedures, systems status and network connectivity, and a variety of hardware and software problems of all installed application hardware and software products supported by IT. Records inquiries, repair and service requests, resolves or directs requests to appropriate technical area or vendor, tracks status and follows up to ensure client satisfaction. Escalates to or consults with senior staff when solution is unclear. Reports problems with procedures and makes suggestions for improvements. Completes output (documents, analyses, product) in specific work area to appropriate time and quality targets. Works under own initiative, prioritizes own work, and meets agreed timescales. Work is subject to frequent review by more experienced professionals in IT Customer Support. .Strong knowledge of the following is preferred Microsoft operating systems and Microsoft Office. Networking switches and data networks. IP telecommunications systems. Capability to analyze problems and use sound judgement for determining solutions. Ability to clearly communicate with customers and other IT staff. At least 1 Year PC/LAN technical or equivalent experience preferred. Aptitude for providing strong customer service through interactions and communications, verbally and written. A likely candidate will be self-motivated, a team player, empathetic, innovative, and work with integrity. Willingness for continuing enhancement of technical skills through education/seminars and interaction with other IT discipline 1 to 3 years of experience required. Associate degree and/or equivalent work experience in the technology, hospitality, retail or customer focused field highly regarded. A+ certification or equivalent combination of education, training, and experience.

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

Liberty Mutual has an immediate opening for a Complex Claims Specialist with Managed Care, Errors & Omissions (E&O) and Directors & Officers (D&O) Professional Liability claims experience. The Complex Claims Specialist, with minimal supervision, handles a book of specialty lines claims under E&O and D&O policies issued to health plans and other Managed Care Organizations throughout the entire claim's life cycle. In this role, you will be responsible for conducting investigations, evaluating coverage, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business. * This position may have an in-office requirement and other travel needs depending on candidate location. If you reside within 50 miles of one of the following offices, you will be required to go to the office twice a month: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; Westborough, MA; or Weatogue, CT. Please note this policy is subject to change. Responsibilities * Analyzes, investigates and evaluates the loss to determine coverage and claim disposition. * Utilizes proprietary claims management system to document claims and to diary future events or follow up. * Issue detailed coverage position letters for all new claims within prescribed time frames. * Within prescribed settlement authority, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. * Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting. * Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment. * Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, as well as negotiation discussions within limit of settlement authority. * Participates in the claims audit process. * Provides claims marketing services by meeting with brokers and insureds. * As required, maintains insurance adjuster licenses Qualifications * Bachelors' and/or advanced degree * 7 + years claims/legal experience, with at least 2 years within a technical specialty preferred (Managed Care, Errors & Omissions and Directors & Officers) * Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge * Functional knowledge of law and insurance regulations in various jurisdictions * Demonstrated advanced verbal and written communications skills * Demonstrated advanced analytical, decision making and negotiation skills About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy Department duties in accordance with Company policies and procedures. Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. If PTCB certified, assists with and coaches pharmacy technicians in the operation of pharmacy systems and cashiers in the operation of the pharmacy cash registers. Models and delivers a distinctive and delightful customer experience. Customer Experience Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). Develops strong relationships with most valuable customers. Operations Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions. Assists pharmacists in scheduling and maintaining work flow. Reports, immediately, prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription dispensing activities. Responsible and accountable for registering all related sales on assigned cash register, collects and handles cash as required. Takes customer to OTC aisle when possible to assist in locating products. Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager. Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs. May assist pharmacist in administering clinical services including the collection and proper labeling of blood/urine samples from patients and other clinical services as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers. Assists Pharmacy Manager and Staff Pharmacist in developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care providers, by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums for enhancing growth opportunities. Assists with exterior and interior maintenance by ensuring the Pharmacy Department is stocked with adequate supplies, clean, neat and orderly in condition and appearance. Complies with all company policies and procedures; maintains respectful relationships with coworkers. Completes special assignments and other tasks as assigned. Training & Personal Development Earns and maintains PTCB certification through the designated PTCB training program and/or state required certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. Attends training and completes PPLs requested by Manager and acquires continuing education credits. Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments. Basic Qualifications Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico) Requires willingness to work flexible schedule, including evening and weekend hours. Preferred Qualifications Prefer six months of experience in a retail environment. Prefer to have prior work experience with Walgreens. Prefer good math skills so they can fill prescriptions accurately, including counting, measuring and weighing medications. Prefer good computer skills. Prefer the knowledge of store inventory control. Prefer PTCB certification. We will consider employment of qualified applicants with arrest and conviction records. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits Salary Range: $17.5 - $21 / Hourly

Provides moderately complex consultative services to an assigned group of customers within a loss prevention specialty area or territory. Conducts on-site evaluations, evaluates data, and creates/implements service plans to control customer source of risk, losses and costs. Provides risk assessment services and information to track progress and demonstrate the value of doing business with Liberty Mutual. Serves as a trainer/mentor to less experienced consultants in their specialty area at the discretion of their manager. Enhances the Company`s leadership position in the safety field through developing key relationships. Provides an array of expert consultative services to an assigned group of customers within a specialized technical area or territory. Conducts on-site evaluations, evaluates data, and creates/implements service plans to control customer's source of risk, loss and/or costs. Provides expert technical support to other loss prevention employees by advising them about resources available, legislation and applicable regulations, technology, industry trends and effective methods to reduce risk, improve customer satisfaction and demonstrate the value of doing business with Liberty Mutual. Monitors and evaluates the technical quality of loss prevention services provided by less experienced consultants. At the discretion of their manager, provides coaching, mentoring and training to enhance their development and effectiveness. Collaborates with management in developing policies, procedures, service tools, technical resources, techniques and new products in order to support and enhance the delivery of loss prevention consulting services. Participates in actively acquiring and retaining profitable business. Identifies new business opportunities for LP services and may design and execute programs that improve results and increase the number and quality of services customers choose to buy. Enhances Liberty Mutual` s leadership position in the safety field and increases brand awareness by developing a network of contacts. Qualifications Bachelor's degree with coursework in math, engineering or related areas (or equivalent) and at least 5 years of directly related consulting experience in loss prevention or progressive safety/heath field. Candidates are typically working towards (or obtained) an advanced degree and/or professional certification in one or more of the following areas: CSP, ARM, CRM, CPCU, CIH, or CPE. Advanced knowledge, skills and experience in a specialized field, service planning and delivery, risk assessment, risk analysis, solutions management and progress measurement. Fully effective interpersonal, writing and other communication skills required to develop and maintain relationships with customers, peers, and industry contacts. Demonstrated ability to retrieve and enter information using various proprietary software applications and create/modify documents and complex spreadsheets using Microsoft Office suite. Position requires regular travel. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

The Underwriting Manager leads a team of Underwriters within Liberty Mutual's Ironshore Primary General Liability and Excess & Surplus (E&S) Casualty group. This role carries full management responsibilities, including talent attraction, development, performance management, and communication of underwriting strategy. Under the direction of senior leadership, the focus is on execution excellence, ensuring adherence to underwriting rules and guidelines, monitoring portfolio quality, and driving operational discipline across the team. Key Responsibilities * Manage, coach, and develop a team of Underwriters, fostering a culture of accountability, collaboration, and continuous improvement. * Build strong people management capabilities, ensuring career growth and engagement within the team. * Maintain a visible external presence and cultivate strong, trust-based relationships with brokers and agents. * Administer and monitor underwriting rules, guidelines, and best practices to ensure consistency and compliance. * Analyze the quality and profitability of policies underwritten by the team, identifying trends and opportunities for improvement. * Underwrite complex or high-value accounts, particularly in specialized segments of Ironshore Primary General Liability and E&S Casualty. * Maintain a visible external profile and cultivate strong relationships with brokers and agents, leveraging these connections to achieve team goals and expand market presence. * Represent Liberty Mutual's and Ironshore's value proposition across the business and marketplace, articulating competitive advantages and differentiators. * Contribute proactively to initiatives beyond the immediate team, supporting broader business objectives and cross-functional projects. * Ensure underwriting practices reflect Ironshore's commitment to innovation, responsiveness, and disciplined risk selection. * Drive continuous improvement in processes, tools, and analytics to enhance underwriting efficiency and decision-making. Qualifications * Degree in Business or equivalent typically required * 7 years progressive underwriting experience expected * CPCU or professional insurance designation preferred * Proven analytical ability to evaluate underwriting risks within scope of responsibility * Demonstrated ability to communicate complex analyses and information * Has capability to mentor and share information with less experienced employees for underwriting and training purposes * Demonstrated effective communication and interpersonal skills in dealing with internal and external partners required About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

AmTrust Financial Services, a fast-growing commercial insurance company, has an opportunity for a Claim Assistant I within our Managed Care organization where your talent and abilities contribute to our competitive edge. The Managed Care Claims Assistant I will perform a variety of support services to our Worker's Compensation Managed Care department as described below, with oversight from Clerical Supervisor. The Managed Care Claims Assistant I maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust and Claims organization. *This role will be hybrid out of our Southington, CT, or Dallas, TX, office* Responsibilities Processes treatment requests, referrals, and other activities as needed for Managed Care department following established methods to ensure compliance and privacy. Reviewing records with high attention to detail regarding documentation and accuracy to determine eligibility of requests. Generates letters from system templates, arranges distribution of response letters following proper handling procedures. Coordinates with adjusters, nurses, and others as needed to obtain claims or clinical information necessary for processing or assignment. Prioritizes requests and referrals based on review type, urgency of need while ensuring jurisdictional timeframes and department turnaround times are met. Meets or exceeds industry standards of daily productivity while maintaining accuracy. Accurately documents within multiple systems to reflect actions taken in response to referrals and requests. Performs general maintenance of claims documents across various systems. Adheres to any compliance changes as directed by supervisor. Other administrative tasks as assigned. Qualifications General knowledge of workers' compensation claims procedures and policies Ability to take direction, think critically, and make decisions Self-organized and detail oriented Ability to learn new procedures quickly and adapt to a changing environment Professional telephone demeanor and good oral and written communication skills Ability to work well under pressure and multi-task in a fast-paced environment Basic understanding of business technology Ability to work in a team environment Education: High school diploma Some college preferred 1- 3 years of experience in a worker's compensation claims department or related experience The expected salary range for this role is $20.00-$27.50/HR. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. #LI-AD1 #LI-Hybrid #AmTrust What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.

The Corporate Counsel, (Property & Casualty and Specialty Risk) provides counsel and support to General Counsel on all legal matters and represents AmTrust's US insurance business (Casualty and Specialty Risk). The Corporate Counsel works directly with Senior Corporate Counsel to advises corporate management on structuring insurance contracts, potential disputes, identifying regulatory issues, etc. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Liaise with corporate management and Senior Corporate Counsel Provide product support/development Responding to regulators and providing regulatory guidance Assist in support of the business with third party clients Keeps current with market trends and demands Performs other functionally related duties as assigned Qualifications Juris Doctorate from a nationally recognized law school; active State bar license 2+ years experience in law with some insurance background as inside or outside counsel Experience managing junior attorneys, paralegals, and/or legal assistants Experience in a variety of transactions and communicating with executive management Preferred: Strong legal research and drafting skills Strong interpersonal and oral and written communication skills The expected salary range for this role is $120,500-$150,000/year. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.

**Become a part of our caring community and help us put health first** Humana is a publicly traded, Fortune 100 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. Consumer Segment Team Identifying and delivering new avenues of growth is a critical company priority. The Consumer Segment team is an entrepreneurial, multi-functional team within Humana's Medicare and Medicaid business unit. The team is focused on driving industry leading membership growth, retention and health outcomes by identifying new consumer insights, developing growth strategies, and activating them across the enterprise to serve the unique needs of prioritized segments. Humana is seeking an experienced team member with meaningful strategy consulting or healthcare strategy experience to join this team. As Strategy Advancement Advisor, you will support development and implementation of consumer segment strategies that drive growth and retention while optimizing member experience and outcomes. You'll collaborate with teammates and cross-functional partners to frame up business questions, conduct analyses, and recommend solutions. You will help answer key strategic business questions that arise during the annual product/sales cycle across multiple domains, including product design, plan footprint, marketing and sales performance, membership analytics, customer/provider satisfaction and more. You will proactively identify new consumer insights and create business cases to support new pilots and initiatives to address critical unmet consumer needs. **Key Responsibilities Include** : + Managing analysis and/or work streams within high-profile, high-impact strategy projects + Conducting industry, market, competitor, and financial analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations + Conducting interviews, working sessions, and report-outs with associates and leaders across the company + Own development and presentation of key deliverables for leadership and cross-functional partners + Innovate new pilots and member experiences to drive growth and improved retention + Support business case development for key initiatives **Use your skills to make an impact** **Required Qualifications** + 7+ years of full-time relevant strategic work experience, ideally post-MBA + Strategy management consulting experience + Experience leading broad initiatives with cross-functional collaboration + Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis + Experience leveraging consumer insights to design and implement new products/services/solutions + Proficiency in verbal/written communication to senior and executive leadership + Proficient in delivering engaging and informative presentations to diverse audiences **Preferred Qualifications** + MBA, MPH, PhD, or graduate degree in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-18-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

The Clinical Product Manager (CPM) shapes and optimizes ancillary healthcare services in workers' compensation, overseeing processes and vendors managing: DME, PT/OT, diagnostics/imaging, transportation/translation, home health, IME/peer review and other supporting vendors related to managed care medical spend. This cross-functional role blends strategy, clinical insight, and operational execution to improve outcomes, reduce costs, and enhance experiences for injured workers, adjusters, and clinical teams. Collaboration with vendors, stakeholders, and leadership is essential to drive measurable improvements and ensure program integrity. Amtrust is looking for a critical thinker who can bring structure and innovation to our workers' compensation managed care programs. In this role, you will own vendor performance and process management in a broad variety of areas - making sure the right partners are in place, performance stays strong, and programs deliver real value for injured workers and the carrier's work comp line of business. Responsibilities Lead vendor strategy from selection to onboarding, aligning partnerships with clinical and financial goals. Build strong relationships with both vendors and internal teams; serve as the go-to for performance, compliance, and problem-solving, while leading key objectives related to each ancillary service. Monitor and improve outcomes by developing and tracking key metrics, addressing gaps, while driving continuous improvement. Launch programs and pilots to assess ideas, streamline workflows, and enhance care delivery when appropriate. Keep operations running smoothly through clear processes, smart technology integration, and initiative driven issue resolution. Expert ability to work with data to drive outcomes, by developing reporting requirements in detail and ability to self-identify data needs. Lead deep-dive analyses of contracts, data, and business processes to identify risks, inefficiencies, and opportunities for improvement Protect financial integrity and outcomes by identifying billing issues, optimizing processes, and ensuring cost-effective solutions for transactions and the claim as a whole. Champion/Audit compliance and quality- ensuring all services meet regulatory standards and clinical best practices across all states. Educate and communicate-train teams, share updates, and align stakeholders on priorities. Qualifications Required: Bachelor's in Healthcare, Business, Analytics, or related field 5+ years in healthcare analytics or clinical operations 2+ years in Workers Compensation and associated ancillary services Proven vendor management and workflow optimization experience Proficiency with contracts, financial modeling, and business case development Advanced Excel and analytical skills Strong PowerPoint skills; Visio a plus Excellent communication, both with AmTrust leadership and external parties Preferred: Master's degree or advanced learning degree Familiarity with SQL /or advanced reporting and manipulation Experience with multi-disciplinary healthcare vendors in the Workers' Compensation line of business. Knowledge of workers' comp regulations, billing codes, and audit processes Experience in vendor management of healthcare services Strengths & Competencies: Big-picture thinking with execution skills Data-driven storytelling Contract and process expertise Executive-level communication Process improvement leadership Financial acumen Vendor accountability Cross-functional collaboration Industry and tech awareness The expected salary range for this role is $92,000-$120,000. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. #LI-GH1 #LI-HYBRID #AmTrust What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. Up to $20,000 Sign-on Bonus Based on Eligibility Saint Vincent Hospital offers a whole new experience in health care. By combining our advanced, state-of-the-art facility with our commitment to providing the best quality of life to the many members of our Worcester community. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester. Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen. Position Summary: Primarily responsible for monitoring services and providing community support services and therapeutic services. The BHC uses a basic knowledge of diagnostic characteristics, symptomology of primary mental illness and knowledge of medications, side effects and benefits to provide services in a person-centered, supportive, community-based environment. The LPC is monitored by periodic supervision. Qualifications: Education: Required: Master's degree in Psychology, Social Work, or related field. Experience: Required: If a new graduate, supervised-post graduate counseling experience (internship) with specified direct client contact under the supervision of a board-approved supervisor. Otherwise, 1 year of experience. Certifications: Required: Licensed Professional Counselor (LPC). Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

$2,500 Sign On Bonus for External Candidates Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Reliant Medical Group in Worcester has an opening for a full-time Ultrasound Technologist. This career opportunity offers great compensation, comprehensive benefits, 401k match, paid holidays, and flexible hours within a positive and caring environment that delivers outstanding patient care and compassion. No nights or holidays, though weekend hours are available if desired. Hours: Monday - Friday: 8:00 AM - 4:30 PM. No evenings, weekends, or holidays. Location: 5 Neponset Street, Worcester, MA. Primary Responsibilities: * This role incorporates all the technical skills associated with ultrasound, including related clerical and service duties * Performs ultrasound studies, including diagnostic breast imaging and limited vascular studies, as assigned * Performs routine quality control/quality assurance tasks and maintains exam suites in good and appropriate order * Obtains and reviews patient clinical history and related reports/documentation * Obtains pertinent medical history, instructs patient regarding exam procedures and preparation * Performs related clerical duties as needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Graduate of an AMA accredited ultrasound program or equivalent * Certified by the American Registry for Diagnostic Medical Sonography (ARDMS) * RDMS registered breast technologist, or become registered within 6 months of hire * BLS (Basic Life Support) certified and maintain this certification during employment * Demonstrated competency to perform ultrasound exams on newborns, children, adults, and geriatric patients, meeting all department guidelines * Maintain all required continuing education credits and licensure during employment * Physical health sufficient to meet the ergonomic standards and demands of the position Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

_This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ **Explore opportunities with Optum** , in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind **Caring. Connecting. Growing together.** Responsible for providing oversight to Optum360 coding services, directly overseeing facility-based and/or HIM (Health Information Management) Center operations leadership of Optum 360 Coding Departments within the assigned Region. The SME will lead key initiatives within the organization related to Quality metrics, workflow improvement, and audits, etc. to meet or exceed metrics, drive efficient coding services, and deliver performance excellence through standardization of processes and focus primarily on ensuring best practices are followed within their respective facilities. The Coding SME is a critical member of the Optum360 HIM/Coding Operations team. This role is responsible for client facing meetings with the Quality Teams, CDI, and others directly related to accounts associated with prebill reviews, such as, HAC/PSIs. The Coding SME drives continuous quality improvements and tracks, monitors, and trends performance to improve business objectives and to disrupt the status quo to exceed Service Level Agreement commitments. This position must maintain strong client relationships and represent Optum360 in all aspects of its values. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6am - 6pm. It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training and the hours during training will be during normal business hours. **Primary Responsibilities:** + Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global) and best demonstrated coding practices; drives the integration of Optum360 Coding related business objectives within the client environment. + Identifies & builds consensus for facilitation of system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communication related to the key components of coding operations: + Works collaboratively with HIM, CDI, Client, and Coding Operations to monitor day to day coding operations, complete prebill coding reviews, and prebill quality reviews. + Assists Coding Leadership with oversight of processes and initiatives designed to continuously improve coding quality and/or efficiency. + Maintains expert knowledge of coding to ensure high level of accuracy and proficiency standards of performance are achieved to meet or exceed targets. + Effectively leads and participates in coding quality assurance/compliance activities that include action plans relevant to audit results including remediation, education, and when appropriate assisting to create and monitor corrective action plans + Serves as the liaison between the coding operations collaboratively bring each unit together including establishing, building, and maintaining cohesive relationships with the client. + Effectively utilizes tools and data provided to capture and continually improve union, client, and employee engagement. Leads initiatives towards meeting and exceeding employee satisfaction. + Leads by example; promotes teamwork by fostering a positive, transparent, and focused working environment which achieves maximum results. + Participates actively in leadership forums at the system level and leads such forums and other informational/educational offerings for assigned HIM/Coding/CDI Managers. + Provides team leadership and promotes a successful business operation by: Executes the integration of the Optum360 Coding functions and processes in the facilities they serve. Leverages standard processes, systems, or other vehicles to reduce waste and cost at the facility while improving SLAs, KPIs (Key Performance Indicators), metrics and the overall client and/or patient experience. Fosters teamwork atmosphere between business and clinical stakeholders. Provides staff training and mentoring. Provides development of employees through consistent and constructive feedback geared towards accuracy. Rewards and recognizes performance and provides leadership direction during the common review process. Seeks to innovate and foster innovative ideas toward the development of staff to ensure increased employee engagement and employee satisfaction. + Other duties as needed and assigned by Optum360 leadership, including but not limited to leading and conducting special projects. Develops project work plans, facilitates resource allocation, executes project tasks and obtains assistance from other intra and inter-departmental resources, as required. + Subject Matter Expert of applicable Federal, State, and local laws and regulations, Optum360's organizational integrity program, standards of conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior. + Promotes a service-oriented culture within the organization and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives, and projects. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + High School Diploma / GED + AAPC or AHIMA (CCS, CPC, RHIT or RHIA) coding credential + Must be 18 years of age or older + 3+ years of experience in inpatient hospital coding + Experience with MS-DRG and/or APR-DRG + Experience with ICD-10-CM and/or ICD-10-PCS coding systems + Experience working collaboratively with CDI and/or Quality leadership in partnership to improve reimbursement and coding accuracy + Experience with computer assisted coding technologies and EMR (Electronic Medical Record) coding workflow + Experience with Microsoft Office Suite, including Excel, Word, and PowerPoint + Ability to work an eight-hour shift between 6:00 AM and 6:00 PM, Monday through Friday. **Preferred Experience:** + 5+ years as a subject matter expert in corporate coding leadership role for large multi-site healthcare organizations with at least 35 coding staff members, both internal and contract as well as remote and/or domestic and global + Ability to influence change and serve as primary change agent + Ability to work with a variety of individuals in executive, managerial and staff level positions. The incumbent frequently interacts with staff at the Corporate/National, Regional and Local organizations. May also interact with external parties, such as financial auditors, third party payer auditors, consultants, and various hospital associations + Operational knowledge of health care related Federal and State regulations, as well as standards from regulatory agencies and accrediting organizations (e.g., CMS, TJC) **Telecommuting Requirements:** + Ability to keep all company sensitive documents secure (if applicable) + Required to have a dedicated work area established that is separated from other living areas and provides information privacy + Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service **Soft Skills:** + Excellent organizational skills required (ability to multi-task, produce rapid turnaround, and effectively manage multiple projects) + Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum360 and our client organization(s) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 - $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._ _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

Join our team as a Financial Lines Operations Associate and play a key role in ensuring accurate policy administration, vendor management, and regulatory compliance for Financial Lines insurance products. This position focuses on processing and servicing Financial Lines policies, performing quality assurance, maintaining SOPs and attestations, and collaborating with internal and external stakeholders to drive operational excellence. This is a hybrid position with twice a week requirement to report in Weatogue, CT office. Please note this is subject to change. Responsibilities: * Partner with vendor partners to collect, validate, and reconcile source data required for accurate processing and servicing of Financial Lines insurance products. * Maintain and update attestation and compliance documentation to meet Financial Lines regulatory requirements and internal control standards. * Communicate and coordinate with underwriting, claims, actuarial, and other internal teams to support accurate policy administration and claims processing. * Monitor vendor performance against contractual obligations and SLAs; identify and resolve operational issues in partnership with vendors. * Apply, interpret, and maintain standard operating procedures (SOPs) for Financial Lines workflows, including endorsements, coverages, and policy lifecycle activities. * Conduct detailed quality assurance reviews of vendor deliverables, system outputs, and documentation to ensure accuracy and compliance. * Participate in continuous improvement and root cause analysis efforts to optimize policy issuance and servicing workflows. * Share Financial Lines knowledge and best practices in team huddles; support a diverse, inclusive, and collaborative work environment. * Pursue ongoing professional development to deepen expertise in Financial Lines products, regulatory changes, and system enhancements. * Provide guidance and training to team members and business partners on Financial Lines procedures and system usage. Qualifications * Associate degree or equivalent work experience plus 1 to 2 years of insurance industry experience required. * Solid problem solving skills. * Ability to follow and refine detailed processing instructions. * Solid verbal and written communication skills. * Ability to work in a team environment. * Solid knowledge of Microsoft Office and processing systems. * Solid customer service skills. * Solid organizational and time management skills. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

**Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. **In addition, the Associate Actuary will:** + Support long term projects aimed at advancing technical maturity, process efficiency, and forecasting accuracy. We are looking for creativity, curiosity, and a desire to explore and influence uncharted territory. + Conduct independent research, collaborate across many teams/departments, and require strong communication skills to be successful in the job. **Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree + Associate of Society of Actuaries (ASA) designation + Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP) + MAAA + Strong communication skills + Demonstrated ability to communicate technical information with audiences not in the actuarial space + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + 3+ years health industry experience with ASA, or 1+ years health industry experience with FSA + 2+ years SQL experience, or equivalent skillset **Preferred Qualifications** + Medicare Advantage background + Creative, high degree of self-accountability + Experience in Python, PowerApps, and PowerBI Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $106,900 - $147,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-30-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Saint Vincent Hospital offers a whole new experience in health care. By combining our advanced, state-of-the-art facility with our commitment to providing the best quality of life to the many members of our Worcester community. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester. Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen. Description: Under the supervision of pathologists, assists with preparing and selecting/dissecting tissue samples for analysis, including small biopsies and a variety of large specimens. Record Findings. Teaches techniques of specimen dissection and tissue sectioning for microscopic examination to residents rotating through the Department. Prepare frozen section slides for Pathologist. Prepare digital photograph of gross pathology specimen for teaching and publications. Maintain the supplies in frozen section room and grossing room. Participate in quality assurance assessment and other duties required by medical director. Communicates effectively with Surgeons, Primary Care Physicians, visitors, co-workers and other employees. Education: Bachelor's / Master's degree from an accredited Pathology Assistant program. Certification as a pathology assistant preferred. Able to read, write and speak English. PROFESSIONAL LICENSURE AND CERTIFICATION REQUIRED: Certification as a pathology assistant preferred REPORTING RELATIONSHIPS AND LEVEL OF AUTONOMY: Performs duties under the direction and supervision of a qualified Pathologist. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A wide degree of creativity and latitude is expected. Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

+ Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the entire store, including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ordering, and facilitating returns. Champions On-Shelf Availability and is responsible for receiving, counting, pricing, returns, and all in-store inventory processes. Validates and ensures accuracy of planograms. + Responsible for reviewing and coordinating the proper use of reports and system applications, which have an impact on the accuracy of front end and pharmacy on-hand balances and pricing. + Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including prescription drugs. + In designated stores, as required, opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling and cashier responsibilities, and ensuring the floor and stock room are ready for the business day. **Customer Experience** + Engages customers by greeting them and offering assistance with products and services. In designated stores, when serving as the leader on duty, resolves customer issues and answers questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). **Operations** + Executes and coaches team members on warehouse and vendor inventory management processes including but not limited to creating, reviewing, and receiving orders. + Scans in all deliveries while the vendor is still in the store, including common carrier deliveries. Focuses on One Box receiving. Takes the appropriate action marking delivery as received if the product was physically delivered, contacting vendor for past undelivered scheduled receipts, and opening tickets as needed to correct inaccurate orders. + Under the supervision of the pharmacist-in-charge, verifies all pharmacy shipments are posted for products physically received at the store. Completes or verifies postings of all pharmacy warehouse orders, ABC prescription and OTC orders daily, secondary vendor orders, flu and dropship orders performing any necessary tote audits, and accurately reporting any shortages or damaged product. + Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs. + Under the supervision of the pharmacist-in-charge,completes pharmacy inventory activities including but not limited to pharmacy recalls following Pharmacy Hazardous Waste Policy, vendor returns, non-controlled, and damaged salvage returns. Facilitates excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims. + Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily price changes, accurate pricing with correct signage, and reliable and timely completion of any additional regulatory pricing tasks. + Responsible for supporting front end and pharmacy ordering by ordering expense items. Monitors pharmacy manual orders to identify excess orders. Maintains consigned inventory and orders as required. + Ensures all designated pull & quarantine item on-hands are updated and placed in the designated holding area. + Maintains accurate inventory counts. Maintains the accuracy of on-hand quantities including but not limited to basic departments, stockroom, overstock locations. + Under the supervision of the pharmacist-in-charge, maintains accurate inventory counts and accuracy of on-hand quantities in pharmacy and completes pharmacy smart counts. + Ensures the store maintains inventory compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products). + Assists in the maintenance of inventory records, including receiving and posting of all products (in the front-end)) received at the store in all inventory systems. Organizes files and retains all invoices/receipts/return authorizations necessary for all inventory activities. + Helps to prepare for physical inventory and supports the physical inventory day activities, including but not limited to preparing sales floor, stockroom, and pharmacy for inventory and auditing the third party team on the day of inventory. + Supports keeping all counters and shelves clean and well merchandised. + Knowledgeable of all store systems and equipment. + Assists and coaches store team on all package delivery activities, including scanning in and out of packages, completing all daily inventory functions and, package returns at Walgreens. Supports execution of Pickup Program. + In designated stores, when serving as the leader on duty, responsible and accountable for registering all related sales on assigned point-of-sale system (POS), including records of scanning errors, price verifications, items not on file, price modifications, and voids. Completes product returns, order voids, customer refunds, cash drops to safe, and provides change as requested for point of sale. + Complies with all company policies and procedures; maintains respectful relationships with coworkers. + Completes any additional activities and other tasks as assigned. **Training & Personal Development** + Attends company-based trainings for continuous development and completes all e-learning modules including safety training requirements. + Obtains and maintains a valid pharmacy license/certification as required by the state. **Communications** + Serves as a liaison between management and non-management team members by coaching and developing other capabilities with inventory systems. When serving as the leader on duty, communicates assigned tasks to team members and reports disciplinary issues and customer complaints to management. **Job ID:** 1723595BR **Title:** Inventory Specialist **Company Indicator:** Walgreens **Employment Type:** Full-time **Job Function:** Retail **Full Store Address:** 240 AVENUE A,TURNERS FALLS,MA,01376 **Full District Office Address:** 240 AVENUE A,TURNERS FALLS,MA,01376-01817-17488-S **External Basic Qualifications:** + Six months of prior work experience with Walgreens (internal candidates) or one year of prior retail work experience (external candidates). + Must be fluent in reading, writing, and speaking English (except in Puerto Rico). + Must have a willingness to work a flexible schedule, including evening and weekend hours. + "Achieving expectations" rating on last performance review and no written disciplinary actions in the previous 12 months (internal candidates only). + Demonstrated attention to detail and ability to multi task and manage execution. + Experience in identifying operational issues and recommending and implementing strategies to resolve problems. **Preferred Qualifications:** + Prefer previous experience as a shift lead, pharmacy technician, designated hitter, or customer service associate. + Prefer to have prior work experience with Walgreens, with an evaluation on file. We will consider employment of qualified applicants with arrest and conviction records. **An Equal Opportunity Employer, including disability/veterans.** The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits . If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits **Shift:** **Store:** 17488-TURNERS FALLS MA **Pay Type:** Hourly **Start Rate:** 17 **Max Rate:** 20

Saint Vincent Hospital offers a whole new experience in health care. By combining our advanced, state-of-the-art facility with our commitment to providing the best quality of life to the many members of our Worcester community. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester. Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen. Job Summary The Infection Control Manager directs and coordinates the infection control program in the hospital. The designated person will be given the authority to implement and enforce the Surveillance, Prevention and Control Program policies, coordinate all infection prevention, and control within the hospital and facilitate ongoing monitoring of the effectiveness of prevention and/or control activities and interventions. Qualifications: Education Required: Bachelor's degree in Nursing, or other healthcare related field. Experience Required: 4 years of experience in infection prevention with previous experience in health care. Certifications Mass RN License, or ASCP, CIC certification preferred Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.