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Claim Specialist jobs at West Virginia University

- 8 jobs
  • Senior Claims Manager (Remote) - Professional Liability Program

    Washington University In St. Louis 4.2company rating

    Saint Louis, MO jobs

    Scheduled Hours 40 Analyzes and evaluates complex incident reports and lawsuits, reviews medical records and interviews involved individuals to obtain needed information. Prepares complex investigative analytical reports for Director and Legal Counsel regarding potentially compensable incidents covered by the Self-Insured Professional Liability Program, and other reports as requested by Senior Management. Coordinates case development, case management, and participates in office management. Job Description Primary Duties & Responsibilities: * Conducts internal claims investigations, plans defense strategies and negotiates disposition of assigned files with guidance of legal counsel. Conducts meetings with physicians, analyzes medical record information and event reports; directs approved legal counsel and other legal personnel involved in the defense; evaluates liability and financial exposure, approves expert witness reviews; responds to discovery requests and answers interrogatories; coordinates witness preparations; makes recommendations for resolution of claim; and coordinates meetings with Director, defense counsel and Office of General Counsel to perform decision tree analysis to determine case value. Attends mediation, arbitration, and/or trial. * Prepares and submits required reports to Department Heads, Office of General Counsel, Director of Risk Management, excess insurance carriers, and when applicable, coordinates with external agency investigations, i.e., professional Board inquiries. Responds to general claim inquiries. * Establishes indemnity and expense reserves based on the reserving policy. Negotiates settlements within authority. Reviews and approves defense counsel related invoices and expenses. * Provides consultation and guidance on healthcare issues such as medical record release, subpoena responses, termination/transfer of care, patient complaints, and physician billing issues including accounts in litigation. Arrange for attorneys to attend depositions with physicians when necessary. Mentors less experienced claims managers. * Performs other duties as assigned. Working Conditions: Job Location/Working Conditions * Normal office environment Physical Effort * Typically sitting at a desk or a table Equipment * Office equipment The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: Bachelor's degree Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Analyzing Or Interpreting Medical Or Other Technical Evidence That Compares In Level Of Complexity To Medical Treatment (5 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Preferred Qualifications: * Analytical ability to evaluate facts and formulate questions in order to define problems and critical events in the medical care rendered. * General knowledge of The Joint Commission and patient safety standards, diagnosis and treatment of human disease and injury, medical therapies, procedures and standard of medical care. * Knowledge of methods and techniques of individual case study, recording and file maintenance. * Seven years' experience in medical malpractice claims management. Preferred Qualifications Education: No additional education unless stated elsewhere in the job posting. Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Analytical Thinking, Defining Problems, Detail-Oriented, Disease Diagnosis, Disease Management, Group Presentations, Injury Treatment, Joint Commission Regulations, Organizational Savvy, Patient Safety, Report Preparation Grade G13 Salary Range $65,900.00 - $112,700.00 / Annually The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal * Up to 22 days of vacation, 10 recognized holidays, and sick time. * Competitive health insurance packages with priority appointments and lower copays/coinsurance. * Take advantage of our free Metro transit U-Pass for eligible employees. * WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness * Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family * We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. * WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: ****************************** EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
    $29k-43k yearly est. Auto-Apply 18d ago
  • Denial Specialist, Full time - Days

    University of Chicago Medicine 4.7company rating

    Burr Ridge, IL jobs

    Join Ingalls Memorial Hospital as a Patient Financial Services Denial Specialist. Here, you will join our Revenue Cycle team at our Burr Ridge location. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. Under general direction, the Patient Financial Services Denial Specialist is responsible for reviewing denied claims and carrying out the appeals process for Ingalls Memorial Hospital. This position works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence, and possibly setting up arbitration between parties. The denial analyst has a working knowledge of state/federal laws that relate to contacts and to the appeals process. Maintains and monitors integrity of the claim development and submission process. Essential Job Functions Executes the denial appeals process, which includes receiving, assessing, documenting, tracking, responding to and/or resolving appeals with third-party payers in a timely manner. Regularly makes complex decisions within the scope of the position, and is comfortable working independently Works closely with insurance and managed care companies to ensure proper review and processing of denied claims Acts as a liaison between insurance companies and physicians to provide medical necessity for denied claims Identifies and tracks payer denials trends and works with the payers to correct any erroneous denials and works with the departments to review and improve processes to avoid these denials in the future Conducts relevant research to assist with completing the appeals process and to stay informed on best practices and policy reforms Maintains data on the types of claims denied and root causes of denials, and collaborates with team members to make recommendations for improvements and resolving issues Contacts patients to communicate insurance coverage denials and works with the patient to overturn the denials related to patient information needed Works closely with Denial Manager to provide key information for the Denial Task Force Meetings. Complies with State and Federal regulations, accreditation/compliance requirements, and Ingalls Memorial Hospital policies, including those regarding fraud and abuse, confidentiality, and HIPAA. Maintains current knowledge of rules and regulations of third party payers. Performs related duties as required Required Qualifications High school diploma or equivalent Minimum 3 years of experience in healthcare billing, collections, payment processing, or denials management (Denial Management experience preferred). Minimum 3 years of experience using computer programs for tracking denials and appeals Demonstrated knowledge of: Hospital billing and reimbursement, Medicare and Medicaid denials and appeals, third-party contracts, NCQA guidelines for denials and appeals, federal and state regulations relating to denials and appeals, proven critical thinking and analytical skills, proficient organizational skills and attention to detail, strong writing and communication skills, high level of comfort with computer systems Position Details Job Type: Full Time (1.0 FTE) Shift: Days Work Location: Flexible Remote - Burr Ridge Department: Revenue Cycle CBA Code: Non-Union Why Join Us For nearly a century Ingalls Memorial has pioneered sophisticated clinical care and developed the area's most convenient network of comprehensive outpatient centers, all dedicated to improving the health and wellbeing of the community. Now, partnered with UChicago Medicine, we have expanded our network of expert physicians, convenient facilities and scope of service to speed your healing process and help navigate your path to wellness. A skilled Medical Staff and talented employees dedicated to prevention, diagnosis, treatment and rehabilitation of illness and injury provide a firm foundation for our reputation for quality. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine Ingalls Memorial is for you. Here at Ingalls, we're doing work that really matters. Join us! UChicago Medicine Ingalls Memorial is growing; discover how you can be a part of this pursuit of excellence at: Ingalls Career Opportunities UChicago Medicine Ingalls is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics. Must comply with Ingalls Memorial Hospital's compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background check are also required for all employees prior to hire. Compensation & Benefits Overview UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union. Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.
    $55k-79k yearly est. Auto-Apply 60d ago
  • Post Award Specialist III

    University of Central Florida 4.6company rating

    Orlando, FL jobs

    College of Engineering and Computer Science: As Florida's premier engineering and technology university, UCF is among the nation's largest producers of engineering and technology talent. The UCF College of Engineering and Computer Science offers students a world-class education and research opportunities alongside unrivaled partnerships with industry leaders such as L3Harris Corporation, Lockheed Martin, Duke Energy, Siemens, Walt Disney World and NASA. Focused on addressing society's biggest challenges, faculty and alumni are national leaders in energy, aerospace, computer vision, cybersecurity, transportation, health care and the environment, areas of focus that will drive the college's future growth. UCF is the nation's No. 1 provider of talent to the aerospace and defense industries, and the college is home to the national champion student cyber defense team and one of the nation's top computer programming teams. The Opportunity: The Finance Business Center supporting the College of Engineering and Computer Sciences and the College of Sciences can change services or modality depending on the needs of the constituents that are supported by these services. The Post-Award Specialist performs day-to-day post-award research administration conducted in the Finance Business Center. The Specialist will be responsible for working with administrative managers within assigned colleges, divisions, and the Central Research Office to ensure efficient transaction processing and provide stakeholders with accurate and timely information to make informed, data-driven decisions. UCF is seeking to fill multiple roles. Candidates for this job posting will be considered for additional vacancies in this department. Responsibilities: * Provide consultation/guidance to Principal Investigators (PIs) regarding Post-Award activities. This can include available budgets, compliance/limitations, or developing options. * Assist with award setup and modifications for new or incremental funding by entering information on behalf of the PI. * Review expenditure requests associated with grants to determine if it is allowable, allocable, and reasonable. This can include payroll, travel, and procurement. * Support PIs with completing their certification cards. This can include processing buyouts, cost shares, and release time. * Proactively notify PIs (and chair/director) about new awards or incremental funding and recommended steps. * Liaison between PI and Office of Research or Research Foundation. Support PIs in completing deliverables by sending reminders. * Update cost allocation for research faculty or staff under the PI. * Troubleshoot issues for other Post-Award staff and represent leadership as needed. Minimum Qualifications: Bachelor's degree and 4+ years of relevant experience or combination of relevant comparable education and experience, or an equivalent combination of education and experience pursuant to Fla. Stat. 112.219(6). Preferred Qualifications: * Related Bachelor's degree. * Experience in higher education or with a federal agency. * Prior research administration experience. * Prior grant or accounting experience. * Attention to detail when reviewing grant and contract documents. * Ability to comprehend, interpret, and apply grant and contract laws, guidelines, regulations, ordinances, and policies, as well as the ability to explain research administration and grant compliance to others. * Ability to use computers and computer systems (including hardware and software) to support, configure, run reports, enter data, or process information. * Experience with Huron Research Suite and Workday for financial processing. Additional Application Materials Required: In addition to the online application, applicants should submit a cover letter and a resume. Note: When applying please have all your documents ready to upload at the same time. Once the submission process is finalized, the system does not allow applicants to submit additional documents later. Special Instructions to the Applicants: This position has a remote work schedule. UCF is seeking to fill multiple roles. Candidates for this job posting will be considered for additional vacancies in this department. Are you ready to unleash YOUR potential? As a next-generation public research university and Forbes-ranked top employer in Florida, we are a community of thinkers, doers, creators, innovators, healers, and leaders striving to create broader prosperity and help shape a better future. No matter what your role is, when you join Knight Nation, you'll play an integral role at one of the most impactful universities in the country. You'll be met with opportunities to connect and collaborate with talented faculty, staff, and students across 13 colleges and multiple campuses, engaging in impactful work that makes a positive difference. Your time at UCF will provide you with many meaningful opportunities to grow, you'll work alongside talented colleagues on complex projects that will challenge you and help you gain new skills, and you'll have countless rewarding experiences that go well beyond a paycheck. Working at UCF has its perks! UCF offers: * Benefit packages, including Medical, Dental, Vision, Life Insurance, Flexible Spending, and Employee Assistance Program * Paid time off, including annual and sick time off and paid holidays * Retirement savings options * Employee discounts, including tickets to many Orlando attractions * Education assistance * And more…For more benefits information, view the UCF Employee Benefits Guide. Dive into our Total Rewards Calculator to discover the diverse selection available to you, giving you a glimpse into the benefits that together shape your comprehensive rewards package at UCF. Unless explicitly stated on the job posting, it is UCF's expectation that an employee of UCF will reside in Florida as of the date the employment begins. Additional Requirements related to Research Positions: Pursuant to Florida State Statute 1010.35, prior to offering employment to certain individuals in research-related positions, UCF is required to conduct additional screening. Applicants subject to additional screening include any citizen of a foreign country who is not a permanent resident of the U.S., or who is a citizen or permanent resident but is affiliated with or has had at least 1 year of education, employment, or training in China, Cuba, Iran, Russia, North Korea, Syria, or Venezuela. The additional screening requirements only apply to research-related positions, including, but not limited to faculty, graduate positions, individuals compensated by research grants or contract funds, postdoctoral positions, undergraduate positions, visiting assistant professors, and visiting research associates. #LI-REMOTE Department College of Engineering and Computer Science Finance Business Center* Work Schedule Monday - Friday, 8:00am-5:00pm. This position has a remote work schedule Type of Appointment Regular Expected Salary $56,030.00 to Negotiable Job Posting End Date 01-05-2026-12-00-AM As a Florida public university, the University of Central Florida makes all application materials and selection procedures available to the public upon request. UCF is proud to be a smoke-free campus and an E-Verify employer. If an accommodation due to a disability is needed to apply for this position, please call ************ or email ************. For general application or posting questions, please email **************.
    $56k yearly Auto-Apply 1d ago
  • Teaching Specialist/Lecturer (FY26 Continuous Posting)

    University of Minnesota 4.5company rating

    Minneapolis, MN jobs

    About the Job The Department of Educational Psychology in the College of Education and Human Development, continually accepts resumes for teaching positions that may open up during the academic year or summer sessions. Responsibilities include, but are not limited to teaching graduate and undergraduate level courses for students pursuing baccalaureate and advanced degrees. Applications are reviewed as openings occur, and individual applicants are invited to interview when their skills or areas of expertise match an opening. These are temporary, non-tenured, Academic Professional and Administrative (P&A) positions as Teaching Specialist or Lecturer, paid on a per course basis. Typically these appointments are made semester by semester and employment is contingent on the course meeting its enrollment target. This position actively supports and advances the University's commitment to equity, diversity, and inclusion. This posting is designed to establish a "pool" of instructors. Applications will not be acknowledged, but will be reviewed when such openings occur throughout the academic year. The University of Minnesota encourages a healthy work life balance for employees. CEHD is committed to an excellent employee experience, offering a flexible work environment that meets the needs of students, staff, faculty, and the communities we serve. Flexible work arrangements may include flexibility in schedule and/or work location. Please note that 100% remote work requires approval prior to offer. Programs Counselor Education The counselor edducation (CE) track prepares counselors and counseling psychologists for work in a variety of settings, including education, business, community, and agency environments. Psychological Foundations Psychological Foundations focuses on the psychological underpinnings of high-level cognition and learning throughout the lifespan, particularly in STEM (Science, Technology, Engineering, and Mathematics) domains and reading: scientific reasoning, technologies that support learning, mathematical problem solving, reading, and language comprehension. Quantitative Methods in Education The quantitative methods in education (QME) track offers training in measurement, evaluation, statistics, and statistics education leading to the M.A. and Ph.D. degrees. QME provides students with broad but rigorous methodological skills so graduates can conduct research on methodologies, help to train others in methodology, or conduct research in related fields. The QME track is affiliated with the psychological foundations of education track within the department of educational psychology. School Psychology The school psychology program is designed to prepare school psychologists who have a strong and broad-based knowledge of psychology, educational psychology, and child development, and are prepared to apply that knowledge to school settings. It is accredited on probation by the American Psychological Association (APA) and approved by the National Association of School Psychologists (NASP). Special Education The goal of the programs in Special Education is to advance opportunities for learning and development of infants, children and adults who require specialized instruction, educational adaptations and support for their learning efforts to succeed. The special education faculty is committed to research, leadership and practice that will have an impact on academic, social and behavioral development in diverse cultural contexts. Job Responsibilities Teaching (90%) * Attend class meetings and deliver course content * Evaluation of student performance * Grade student materials, including exams, papers and final projects * Submit grades * Respond to student inquiries and meet with students Course Preparation (10%) * Complete orientation and training to subject matter * Meet with appropriate faculty and gather information as needed * Develop course content and syllabus in ways that effectively account for a variety of diverse backgrounds, communities, identities, and abilities. * Prepare course materials, including final exam Qualifications Required Qualifications * MEd/Master's degree relevant to the teaching assignment required for appointment as Teaching Specialist * A doctorate or terminal degree in a closely related field is required for an appointment as Lecturer * Demonstrated ability to teach course material in program area * Professional and/or teaching experience related to assigned instructional responsibilities * Evidence of attention to diverse identities in teaching or professional experience, and the commitment to support the University's work in diversity, equity, and inclusion. Preferred Qualifications * Demonstrated commitment to advocating for an inclusive environment for all backgrounds and identities. * Capacity to work cooperatively with others within the department, college and university * Strong record of teaching and service in a university setting * Strong understanding of curriculum concepts and processes * Strong understanding of teacher training in clinical settings and demonstrated ability to work collaboratively with others within a university setting About the Department Department Overview The Department of Educational Psychology provides training in the cognitive, emotional, and social learning processes that underlie education and human development across the lifespan, including: the psychological foundations of education, quantitative methods in education, the practice and science of counseling psychology, school psychology, and special education. Faculty and students provide leadership and consultation to the state, nation, and international community. The department's scholarship and teaching enhance professional practice in schools and universities, community mental health agencies, business and industrial organizations, early childhood programs, and government agencies. ******************************** College Overview The College of Education and Human Development (CEHD), the third largest college and the University, contributes to a just and sustainable future through engagement with the local and global communities to enhance human learning and development at all stages of the life span. We know diversity is necessary to do our best work and foster our humanity. That's why the CEHD community is collectively dedicated to cultivating an inclusive and equitable environment, embracing and celebrating all identities of our students, staff, and faculty. These values are also a moral imperative requiring continuous proactive measures and a firm stance against prejudice, discrimination, and systemic injustice. ************************ Pay and Benefits Pay Range: The salary range for this position is $750 - $2515 per credit. Final salary offers are dependent on the candidate's experience, skills, and internal equity within the department. Time Appointment: Part-Time Position Type: P&A Staff Retirement plan options are available for Civil Service, Faculty, Labor-Represented, Professional & Administrative, and Temp Casual classifications. Learn more about retirement plans. How To Apply Applications must be submitted online. To be considered for this position, please click the Apply button and follow the instructions. You will have the opportunity to complete an online application for the position and attach a cover letter and resume. Upload additional documents after submitting your application by accessing your "My Job Applications" page and uploading documents in the "My Cover Letters and Attachments" section. Applicants should submit the following for consideration: * Curriculum vitae. * Cover letter detailing interest in the position and background/experience relative to each of the required qualifications, as well as applicable preferred qualifications. * Graduate school transcripts. * Contact information for three individuals willing to provide professional reference. * Statement of teaching philosophy. Applications will not be acknowledged, but will be reviewed when such openings occur throughout the academic year. To request an accommodation during the application process, please e-mail ************** or call (612) 624-UOHR (8647). Diversity The University recognizes and values the importance of diversity and inclusion in enriching the employment experience of its employees and in supporting the academic mission. The University is committed to attracting and retaining employees with varying identities and backgrounds. The University of Minnesota provides equal access to and opportunity in its programs, facilities, and employment without regard to race, color, creed, religion, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation, gender identity, or gender expression. To learn more about diversity at the U: ************************ Employment Requirements Any offer of employment is contingent upon the successful completion of a background check. Our presumption is that prospective employees are eligible to work here. Criminal convictions do not automatically disqualify finalists from employment. About the U of M The University of Minnesota, Twin Cities (UMTC) The University of Minnesota, Twin Cities (UMTC), is among the largest public research universities in the country, offering undergraduate, graduate, and professional students a multitude of opportunities for study and research. Located at the heart of one of the nation's most vibrant, diverse metropolitan communities, students on the campuses in Minneapolis and St. Paul benefit from extensive partnerships with world-renowned health centers, international corporations, government agencies, and arts, nonprofit, and public service organizations. At the University of Minnesota, we are proud to be recognized by the Star Tribune as a Top Workplace for 2021, as well as by Forbes as Best Employers for Women and one of America's Best Employers (2015, 2018, 2019, 2023), Best Employer for Diversity (2019, 2020), Best Employer for New Grads (2018, 2019), and Best Employer by State (2019, 2022).
    $40k-48k yearly est. 34d ago
  • COBRA Specialist

    Onesource Virtual Hr 4.7company rating

    Remote

    OneSource Virtual (OSV) has helped more than 1,000 Workday customers take their teams from transactional to transformational with innovative technology and services for HR, payroll, and finance. Founded in 2008, OSV is the leading exclusive provider of Business-Process-as-a-Service (BPaaS) solutions for Workday, delivering services with unparalleled choice, unwavering commitment, and uncompromising support. OneSource Virtual's global headquarters is located in Dallas, Texas, with additional locations across North America and Europe. Find your company's solution at ************************* Position Summary/Objective The COBRA Specialist supports and services clients as well as COBRA participants for whom OneSource Virtual contracted to provide COBRA Administration Essential Functions/Duties/Responsibilities Provides professional and timely service to internal and external customers Effective communication skills via telephone, email and in-person Participates in new business implementation process Provides accurate and timely responses to all inquiries Processes qualifying events, participant terminations and updates Resolves COBRA administration service issues with internal staff and outside Vendors Advises COBRA participants of regulatory requirements regarding grace periods, processes, etc. Processes premium payments Processes all incoming and outgoing COBRA-related correspondence Meets or exceeds all performance standards Participates in Open Enrollment planning and implementation Assumes other duties as assigned by Manager Competencies Analytical skills Attention to detail Customer service experience Ability to multi-task Professional communication skills Ability to work independently Flexible Ability to make decisions utilizing sound judgment Must value and promote team spirit, have outstanding interpersonal skill set; exhibit professionalism within the workplace; maintain punctuality and adherence to set schedule; have solid research and follow-up skills. Must be able to cope in fast-paced, demanding environment and manage sensitive, confidential issues Supervisory Responsibility This position has no supervisory responsibilities Qualifications and Experience High School Diploma Required 1-2 years of related experience and/or training Customer Service experience preferred Must have knowledge of COBRA; knowledge of federal regulations Proficient PC Skills (Microsoft Office, Outlook, HRIS, etc…) Preferred Skills Bilingual, Spanish preferred Bachelor's Degree preferred #LI-REMOTE You are encouraged to learn and share ideas when you join the OneSource Virtual team. We reward innovative thinking, fresh perspectives, creative collaboration, and hard work. As an organization experiencing routine strategic growth, we are always on the lookout for intelligent, talented, and forward-thinking professionals to join our team. OSV employees enjoy a values-based culture, upward mobility, and professional development with opportunities of all kinds.
    $37k-71k yearly est. Auto-Apply 4d ago
  • Renewals Specialist

    Opensesame 4.0company rating

    Remote

    OpenSesame is transforming workforce development with an AI-powered marketplace of 60,000+ skill-building courses and learning pathways. We help organizations build skills and stay compliant through a high-quality content catalog, seamless LMS/LXP integrations, and advanced capabilities like skills-based curation and multilingual content creation. More than 2,000 companies, including 150+ of the Global 2000, rely on OpenSesame to develop the world's most productive and admired workforces. Learn more: ************************ About the Team: Our Customer Success Managers are dedicated partners to our customers, working closely with them to understand their training goals and ensure OpenSesame delivers meaningful results. They provide ongoing guidance, recommend the right solutions, and help customers maximize the value of their learning programs. Through thoughtful engagement and strong relationship-building, the CSM team drives utilization, supports strategic initiatives, and helps customers maintain momentum with OpenSesame. Their impact is reflected in renewals, account growth, reduced churn, and consistently high customer satisfaction. About the Job: As a Renewals Specialist, you'll be the engine powering our customer retention and expansion efforts. Partnering closely with our Customer Success Managers, you'll drive the entire renewal cycle-from developing pricing strategy and leading negotiations to crafting proposals, generating quotes, sending Sales Orders, closing opportunities, and completing RFPs. Your work keeps our customers moving forward and fuels revenue growth, ensuring they continue to thrive with OpenSesame while accelerating the company's overall momentum. We're looking for a proactive, experienced Procurement, Vendor Management, Account Management, or Sales professional with strong negotiation skills, who will work with CSMs to prove the value delivered to our customers and drive the contract renewal process. Performance-Based Objectives In Your First 30 Days: Gain a deep understanding of how OpenSesame Customer Success Managers operate and how renewals support the overall customer journey. Build strong working relationships with internal and cross-functional teams, including Sales, Finance, and Legal. Become proficient in CPQ/SFDC and the systems that support the renewals process. Generate quotes and Sales Orders and begin closing opportunities with guidance. Confidently articulate the value of OpenSesame products and services during internal and customer conversations. In Your First 60 Days: Actively engage with customers and internal stakeholders to manage assigned renewals. Begin crafting pricing proposals in collaboration with CSMs and proactively resolve roadblocks to ensure on-time renewals. Review customer usage metrics and clearly articulate value delivered to reinforce renewal justification. Complete RFPs in our internal tool in partnership with CSMs. Forecast and begin closing upcoming renewals while identifying early upsell opportunities. In 90 days: Fully own the renewals and upsell lifecycle-from outreach to negotiation to close-for SMB and mid-market customers. Diagnose renewal risks, lead negotiation calls with Procurement teams, and collaborate with CSMs on enterprise opportunities. Confidently manage the renewals pipeline, ensuring continuous and accurate forecasting. Drive customer retention and expansion by contributing to a streamlined, customer-centered renewal strategy. In 120 days: Take over full management of enterprise renewals. Build strong cross-functional partnerships with Customer Success, Sales, Finance, and Legal to support seamless renewal and contract processes. Maintain accurate, up-to-date records of activities, opportunities, and forecasts in Salesforce on a daily basis. Demonstrate a solid grasp of customer needs, market dynamics, and expansion opportunities to further strengthen retention and revenue growth. Location: This position can be based anywhere in the US. We operate as a remote-first company and invest in all-company in-person meetings several times a year. Performance Driven: We're looking for self-starters with a track record of delivering excellent results, but we're highly selective about who we hire. We don't focus on typical job requirements; instead, we're interested in specific examples from your past experiences. All positions can be based anywhere in the US, and require up to 15 days of travel per year, with senior management and leadership teams requiring up to 35 days. Compensation: The base salary for this position generally ranges between $110,000 and $119,000, depending on experience, and is bonus eligible. On-target earnings (OTE) range from $157,000 to $170,000. At OpenSesame, we offer a comprehensive benefits package to employees upon hire, including professional development, ISOs, health insurance, 401(k) matching, and paid time off.We carefully consider a wide range of compensation factors, relying on market data to determine compensation and consider your specific job family, background, skills, and experience. We prioritize pay transparency, fairness, and equity to create a positive and inclusive work environment, regularly reviewing our compensation practices to align with our values and goals. Equal Employment Opportunity: OpenSesame is an Equal Employment Opportunity and Affirmative Action employer that values and welcomes diversity. We do not discriminate on the basis of various legally protected characteristics, including criminal history, and strive to provide reasonable accommodations to qualified individuals with disabilities. We prioritize safety and security and may use your information accordingly, and you can contact us for assistance or accommodations during the job application process. Pay Transparency: At OpenSesame, we prioritize pay transparency, fairness, and equity to create a positive and inclusive work environment, regularly reviewing our compensation practices to align with our values and goals. We provide competitive and fair compensation to our employees based on their skills, experience, and performance. CPRA (California Candidates): When you submit your application, OpenSesame may collect and use your personal information in accordance with our privacy policy and the CPRA. This may include personal details and employment history, and will only be used for employment-related purposes. We may share this information with third-party service providers, but we will not sell it to third parties. If you have any questions or concerns, please contact us, and for more information on your rights under the CPRA, refer to our privacy policy or the California Attorney General's website. We Care About Your Security: We've been made aware of a phishing scam involving individuals impersonating OpenSesame recruiters. All legitimate communication from our team will come ******************** email addresses. If you receive a suspicious message, please contact us directly at **********************. Your security matters to us - thank you for staying vigilant
    $37k-71k yearly est. Auto-Apply 11d ago
  • Pre-K/Elementary Specialist

    Berkeley County Schools 3.9company rating

    Martinsburg, WV jobs

    Pre-K/Elementary Specialist Reports to: Director of Pre-K Programs Length of Employment: 210 days Salary: As per Berkeley County teacher pay schedule with years of experience and degree level with coordinator index. The Pre-K/Elementary Specialist supports the development, implementation, and continuous improvement of the county's WV Universal Pre-K program. This position ensures all collaborative classrooms meet WV Policy 2525, WV Early Learning Standards Framework, and IDEA requirements through systematic monitoring, professional support, and program coordination. The specialist provides leadership in instructional quality, health and safety compliance, data reporting, professional development, and behavioral support for Pre-K students and staff. Essential Duties and Responsibilities Program Leadership & Compliance Ensure all county Pre-K classrooms operate in full compliance with WVBE Policy 2525, 2510, 2419, and 2520.15. Lead completion of the WV Universal Pre-K Observation Walkthrough, monitoring instructional environments across all five sections (Environmental, Group, Choice, Gross Motor, and Meals/Snack). Compile results to inform the Continuous Quality Improvement (CQI) process and provide written feedback to staff. Maintain and submit compliance data through ELRS and WVEIS systems. Coordinate enrollment, verification, and state addendum submissions for all collaborative sites and classrooms. Ensure adherence to class size, ratio, supervision, and instructional-time standards. Support fidelity of the Creative Curriculum and other approved instructional frameworks. Instructional Coaching & Professional Development Conduct regular classroom visits (weekly or bi-monthly) to monitor implementation of curriculum, classroom management, and child engagement practices. Deliver or coordinate professional development sessions on early learning, WV Early Learning Standards, TPOT, PTR-YC, and WVECPBIS frameworks. Coach teachers in best practices, using observation data, and TPOT results to target improvement areas. Support staff in completing reliability certifications and WV STARS professional-learning requirements; track progress and provide reminders for overdue items. Facilitate monthly PLC meetings, Education Advisory sessions, and collaborative team discussions. Assist new teachers with onboarding, system access (ELRS, Schoology, WVEIS), and instructional resource orientation. Health, Safety, and Environmental Oversight Conduct Health and Safety Checklists within the first 45 days of school. Review safety results with building principals and identify corrective actions. Monitor classroom set-up, daily routines, supervision, and compliance with sanitation and emergency procedures. Coordinate with transportation, child nutrition, and facilities to ensure safe environments and program readiness. Follow-up on all deficiencies or safety risks until resolved. Behavioral Support and Tiered Interventions Oversee implementation of WVECPBIS and PTR-YC tiered models within all classrooms. Collaborate with BCBAs, RBTs, and the Directors to address behavioral concerns through a multi-step process: Classroom-wide Support and Consultation Individual Student Support Teaming (I-PBIS) Student Support Plan Development and IEP Integration Progress Monitoring and Fidelity Checks Coordinate BCBA and RBT involvement, FBA/BIP development, and training for staff on behavioral interventions. Monitor data collection and ensure social-emotional goals are integrated into IEPs when applicable. Administrative and Operational Coordination Develop and maintain annual calendars for staff training, observations, assessments, and enrollment. Plan and facilitate Core Team and County Collaborative meetings. Prepare and review Pre-K contracts, budgets, and collaborative agreements with Head Start, daycare partners, and other providers; ensure timely signatures and board approvals. Manage ordering of materials, classroom setup, and distribution of supplies and furniture for new or relocated classrooms. Coordinate annual program reports, CQI plans, and presentations for the Board of Education. Supervise program records, teacher schedules, and student placement data. Collaborate with HR for staffing requests, postings, and mentor assignments. Assessment, Data, and Family Engagement Oversee administration of required screenings and assessments (Brigance, Ages & Stages, ELRS, COS). Verify data accuracy and timeliness for all three ELRS reporting periods. Facilitate Transition to Kindergarten planning, documentation, and parent communication. Support family engagement initiatives, including but not limited to, home visits, preschool application fairs, and Kindergarten readiness outreach. Maintain communication with collaborative partners, principals, and families regarding student needs and program updates. Continuous Improvement and Evaluation Lead the Self-Assessment and Community Assessment processes. Compile annual CQI reports, analyze CLASS and TPOT data, and use results to guide training priorities. Support program evaluation, monitor implementation fidelity, and report progress toward school-readiness and strategic-plan goals. Qualifications Master's Degree in Early Childhood Education, Elementary Education, or related field required. Minimum five (5) years of experience in early childhood or Pre-K instruction. Strong knowledge of WV Policies 2525, 2510, 2520.15, and IDEA requirements. Demonstrated expertise in child development, curriculum implementation, and positive behavioral supports. Excellent organizational, communication, and data-analysis skills. Proficiency with WVEIS, ELRS, WV STARS, and related systems. Evaluation Performance will be evaluated annually by the Director of Pre-K based on compliance indicators, program outcomes, and continuous-improvement documentation.
    $31k-42k yearly est. 24d ago
  • To-Go Specialist

    Teays Valley 4.6company rating

    Hurricane, WV jobs

    Job Description - Greet and welcome guests in person and via phone in a friendly and professional manner - Take customer orders accurately and efficiently - Serve food and beverages promptly - Handle guest inquiries and resolve any issues or complaints - Operate the Toast POS system for order processing - Maintain cleanliness and organization of carryout areas - Collaborate with kitchen staff to ensure timely delivery of orders - Uphold high standards of customer service and satisfaction Experience: - Familiarity with Toast POS system is a plus - Strong communication skills to interact effectively with guests and team members - Knowledge of food service industry practices - Experience in restaurant or similar setting is beneficial - Ability to handle guest relations professionally - Proficiency in phone etiquette for taking guest orders or handling inquiries We use eVerify to confirm U.S. Employment eligibility.
    $31k-41k yearly est. 23d ago

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