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<h1> Technical Assistant</h1> Job Locations US-MA-Boston | US-CT-Stamford | US-Remote <dl> <dt>ID</dt> <dd> 2025-69018 </dd> <dt>Position Type</dt> <dd> Full-Time </dd> <dt>Minimum Salary</dt> <dd> USD $41,000.00/Yr. </dd> <dt>Maximum Salary</dt> <dd> USD $76,000.00/Yr. </dd> <dt>Typical Starting Salary</dt> <dd> $46,300 to $62,500 </dd> <dt>Flexible Time Off Annual Accrual - days</dt> <dd> 15 </dd> <dt>Application Deadline</dt> <dd> March 20, 2025 </dd> </dl> <h2> Pay Philosophy </h2> 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. <h2> Description </h2> Liberty Mutual Reinsurance (LMRe) is looking for a Technical Assistant (TA) to join the Operations Department. Are you a proactive individual with strong organizational skills and a keen eye for detail? As a TA, you play a crucial role by collecting, coordinating, and analyzing information. You'll maintain records, verify data, and provide essential administrative support to the US region. In this role, you'll have the opportunity to serve and support various teams, including Underwriting, Claims, Actuarial and Accounting. We offer a dynamic work environment with opportunities to learn and grow within the reinsurance industry. Effective communication, teamwork, and problem-solving skills are key to succeeding in this role. Join us and contribute to a team where your efforts will be valued and impactful. This is a remote position. You will be required to go into the office twice a week if you reside within 50 miles of one of the following offices: Boston, MA; Stamford, CT. Please note this policy is subject to change. <h1>Responsibilities:</h1> <ul> <li>Provide comprehensive administrative support by reviewing and categorizing incoming emails, maintaining and organizing records, and ensuring the precision and completeness of document uploads, data entry, and inquiries.</li> <li>Monitor incoming claims and broker reporting to identify workflow bottlenecks and enhance efficiency and accuracy.</li> <li>Collect, coordinate, and verify information needed by staff, including obtaining data from automated systems, reviewing claims, and preparing correspondences.</li> <li>Serve as a technical resource for internal and external contacts by handling inquiries, resolving problems through research and collaboration, and recommending enhancements for workflow and productivity.</li> </ul> <h2> Qualifications </h2> <ul> <li>Solid writing skills and the ability to work accurately with numbers. </li> <li>Excellent interpersonal skills to provide quality customer service to both internal and external customers. </li> <li>Strong organizational and time management skills. </li> <li>Broad working knowledge of departments operations and objectives. </li> <li>Proficiency in personal computer applications and systems which may include excel, desktop publishing, and department specific systems/applications. </li> <li>Associates degree or equivalent, plus 1-3 years of related office administrative work experience with at least 1 year of practical computer experience. </li> <li>Additional experience may be substituted for lack of formal degree.</li> </ul> <h2> About Us </h2> As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally. At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow. We are proud to support a diverse, equitable and inclusive workplace, where all employees feel a sense of community, belonging and can do their best work. Our seven Employee Resource Groups (ERGs) offer a centralized, open space to bring employees and allies together to connect, learn and engage. 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: <a href="https://lmi.co/Benefits" target="_blank">https://LMI.co/Benefits</a> 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 <ul> <li><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2024/02/ca-fair-chance-act.pdf" target="_blank">California</a></li> <li><a href="https://bca.lacity.gov/Uploads/fciho/FCIHO-factsheet-2024-03-05.pdf" target="_blank">Los Angeles Incorporated</a></li> <li><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2025/01/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf" target="_blank">Los Angeles Unincorporated</a></li> <li><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2024/02/pa-philadelphia-fair-chance-law.pdf" target="_blank">Philadelphia</a></li> <li><a href="https://jobs.libertymutualgroup.com/wp-content/uploads/2024/02/ca-san-francisco-fair-chance.pdf" target="_blank">San Francisco</a></li> </ul> <h2>Options</h2> <a href="https://careers-libertymutual.icims.com/jobs/69018/technical-assistant/job?mode=apply&amp;apply=yes&amp;hashed=-1834448064" target="_blank"> Apply NowApply </a><a href="https://careers-libertymutual.icims.com/jobs/69018/technical-assistant/referral?hashed=-625979090" target="_blank"> Email this job to a friendRefer </a> Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. <h2> Need help finding the right job? </h2> We can recommend jobs specifically for you! <a href="https://careers-libertymutual.icims.com/connect?back=intro&amp;findajob=1&amp;hashed=-625979090" target="_blank"> Click here to get started. </a> <a href="https://icims.help/candidate-faq" target="_blank">System Troubleshooting</a>Software Powered by iCIMS <a href="http://www.icims.com/platform_help?utm_source=platform&amp;utm_medium=link&amp;utm_content=page1&amp;utm_campaign=platform%20help" target="_blank">www.icims.com</a>

Liberty Mutual Strategic Ventures

Technical Assistant

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Note: To qualify for this Senior Actuarial Analyst role, you must have a Bachelor's degree and meet the Rule of 5. The Rule of 5 means your years of actuarial experience plus the number of actuarial exams passed must equal at least 5 (e.g., 2 years of experience and 3 exams passed). If you're already an ASA or FSA, please see our Associate or Actuary postings.*Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.*Position Purpose: <ul> <li> Assist in pricing, financial analysis, and risk assessment to estimate outcomes for Individual commercial (ACA) products. </li> <li> Support health plan specific actuarial needs and produce actuarial reports to aid in developing corporate strategy. </li> <li>Collaborate with actuaries and non-actuaries to assist with achieving well-rounded healthcare products. </li> </ul>In this Senior Actuarial Analyst role, you will: <ul> <li>Develop, analyze, and support optimizing pricing strategies for ACA Marketplace plans that consider the need for adequate premium rates and the competitive dynamics of a market </li> <li>Review key pricing inputs and assumptions, including experience, reimbursement, and morbidity analyses</li> <li>Lead the rate filing process in at least one state/market, including preparing rate filings and effective communication with federal and state regulators</li> <li>Serve as the main point of contact for all actuarial related activities for an assigned health plan</li> <li>Research and analyze the impact of various federal and state legislative/regulatory changes</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>What is appealing about this role: We are a highly collaborative actuarial team with varying levels of experience. This role will have the opportunity to:<ul> <li>Work directly with company leaders to provide actuarial input on pricing strategies</li> <li>Dive into interesting, complex problems while maintaining work / life balance</li> <li>Even though this role is fully remote, we maintain strong lines of communication with all team members to foster a community</li> <li>This will be an Individual Contributor role with future opportunity to move into a management track</li> <li>We also have a highly competitive study program and full managerial support of study hours</li> </ul>Education/Experience: Bachelor's degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.License/Certification: Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.Highly preferred skills:<ul> <li>ACA pricing related experience, including rate filing submissions, or an equivalent background in pricing/rate setting for health insurance products</li> <li>Excel, R/R-Studio, SQL</li> <li>Strong financial acumen, with a solid grasp of financial and actuarial principles within a health context</li> <li>Strong attention to detail and written and verbal communication skills, with a proven record of being able to communicate complex actuarial concepts to a variety of audiences</li> </ul>Pay Range: $68,700.00 - $123,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Oklahoma Complete Health

Sr Actuarial Analyst - ACA

Business Systems AnalystWhat you can expect:Zoom’s Business Applications team is looking for a Sr. Business Systems Analyst (BSA) to support our dynamic New Service Introduction (NSI) team. This position will partner with Zoom’s Product Managers to elicit business requirements and collaborate with multiple technology teams, driving solutions to improve Zoom’s customer adoption. The role seeks an experienced, driven self-starter with a 'can do' attitude to support NSI and Commerce Enablement initiatives.About the Team:The team focuses on NSI offer enablement, implementing system changes to introduce new products to direct, channel, and online markets. We work with product managers, operations, including sales, channel, finance, billing, and pricing teams across Zoom.Responsibilities:<ul> <li>Serve as an SME and advisor in processes for product Go-To-Market launches, including Lead to Cash, Subscription Billing, and User Licensing.</li> <li>Partner with Product Managers, Sales Ops, Finance, and FP&amp;A to understand needs and gather business requirements for system changes in Product Launches.</li> <li>Collaborate with Engineering technology teams to define functional requirements, process flow diagrams, and actionable tasks in a dynamic, agile environment.</li> <li>Work with the delivery team on development, manage testing activities, and perform post-launch monitoring.</li> <li>Lead system and user acceptance testing, negotiate with business stakeholders, triage defects, and obtain stakeholder sign-off.</li> <li>Establish detailed project plans and deliverables while communicating status, risks, and issues to both technology and business leadership.</li> </ul>What we’re looking for:<ul> <li>A BS in Computer Science, Management of Information Systems, or equivalent.</li> <li>12 to 15 years of experience analyzing business requirements, developing and documenting process flows and solution designs, and testing new functionality.</li> <li>8+ years of experience self-managing projects in fast-moving and dynamic environments, including developing project/sprint plans and reporting project status to executives.</li> <li>Experience collaborating with business stakeholders, solution architects, developers, and testers to drive end-to-end solutions.</li> <li>Functional experience in Order to Cash areas, including CPQ, eCommerce buyflows, Billing, and License Provisioning.</li> <li>Experience with supporting technologies such as JIRA, Confluence, Figma, Lucidchart.</li> <li>Experience with systems like Salesforce Sales Cloud, Zuora, and Oracle Financials.</li> <li>Expertise in business process modeling and diagramming (swimlane and sequence diagrams, process flows, UML, wireframes).</li> </ul>Salary Range or On Target Earnings:Minimum:$124 000,00Maximum:$271 200,00In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value.Note: Starting pay will be based on a number of factors and commensurate with qualifications &amp; experience.We also have a location based compensation structure; there may be a different range for candidates in this and other locationsAt Zoom, we offer a window of at least 5 days for you to apply because we believe in giving you every opportunity. Below is the potential closing date, just in case you want to mark it on your calendar. We look forward to receiving your application!Anticipated Position Close Date:03/18/25Ways of Working Our structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting.Benefits As part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click <a href="https://careers.zoom.us/benefits" target="_blank">Learn</a><a href="http://careers.zoom.us/benefits" target="_blank"> </a>for more information.About Us Zoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars. We’re problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Here, you’ll work across teams to deliver impactful projects that are changing the way people communicate and enjoy opportunities to advance your career in a diverse, inclusive environment. Our Commitment​ We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines.We welcome people of different backgrounds, experiences, abilities and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. If you need assistance navigating the interview process due to a medical disability, please submit an <a href="https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&amp;d=1127274756253361" target="_blank">Accommodations Request Form</a> and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed.#LI-Remote

Zoom

Sr. Business Systems Analyst

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes.<ul> <li>Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data</li> <li>Support execution of large-scale projects with limited direction from leadership</li> <li>Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers</li> <li>Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines</li> <li>Support the design, testing, and implementation of process enhancements and identify opportunities for automation</li> <li>Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products</li> <li>Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners</li> <li>Independently engage with customers and business partners to gather requirements and validate results</li> <li>Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools. Regional and HBR Analytics: Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.Pay Range: $55,100.00 - $99,000.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Data Analyst II Medical Economics

CompanyCox Communications, Inc.Job Family GroupSalesJob ProfileSr. Solutions Engineer - CCIManagement LevelManager - Non People Leader Flexible Work Option Can work remotely but need to live in the specified city, state, or regionTravel %Yes, 25% of the timeWork ShiftDayCompensationCompensation includes a base salary of $126,200.00 - $189,200.00. The salary rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's experience. In addition to the salary range identified herein, this role is also eligible for an annual incentive/commission target of $52,800.00.Job DescriptionOur Sales SA positions will require 25-35% travel to conferences, partner offices, and customer sites. At RapidScale, exceptional technology is powered by exceptional people. As a growing leader in secure, reliable managed cloud solutions, we help SMBs and enterprises alike simplify IT and unleash innovation. With a broad portfolio spanning AWS, Azure and Google to a full set of Private Cloud and Cybersecurity solutions, RapidScale helps companies turn technology into their biggest competitive advantage. As part of the Cox family of companies, we offer best-in-class benefits, a commitment to work-life balance, and an award-winning workplace experience. We are seeking a highly skilled and experienced Data Solutions Architect to join our dynamic team. The ideal candidate will have a deep understanding of data architecture, data engineering, and data management, coupled with a strong background in Pre-Sales Solution Architecture. You will be responsible for educating clients on data strategies, articulating how our data experts can help them build robust data solutions, and overseeing data project plans and contracts that drive business value for our clients. This role requires a blend of technical expertise, strategic thinking, and excellent communication skills.Key Responsibilities:<ul> <li>Represent the technical expertise of RapidScale and act to position RapidScale as a trusted data advisor to customers in the sales process.</li> <li>Conduct full technical discovery and assessment workshops to identify pain points and gather business and technical requirements from prospective customers who are looking to modernize their data infrastructure on AWS, Azure, and Google Cloud.</li> <li>Conduct workshops on data strategy, data warehousing, data lake architecture, and cloud-based data processing solutions.</li> <li>Consult with prospects and architect data solutions on public cloud platforms, leveraging your deep experience with cloud-native and third-party data services (e.g., Amazon Redshift, BigQuery, Snowflake, Databricks, Synapse Analytics, etc.).</li> <li>Produce cost and labor estimates and SOWs for potential data-related projects.</li> <li>Collaborate and participate in the creation of technical collateral, documentation, pitch and presentation materials (e.g., SOWs, HLDs, Decks, Reference Architectures).</li> <li>Provide technical training sessions and workshops for Sales and Go-to-Market staff.</li> <li>Clearly document and communicate proposed architectures to implementation teams during and after the pre-sales cycle to validate and verify project success.</li> <li>Interface with the Product team and provide feedback for improving product quality and capabilities by leveraging information gathered in field engagements.</li> <li>Provide thought leadership by speaking at industry events such as trade shows, panels, or marketing events as well as publishing blog posts, white papers, and participating in case studies.</li> </ul>Qualifications:Minimum:<ul> <li>High School Diploma/GED and 7 years’ experience in a related field.<ul> <li>The right candidate could also have a different combination, such as any level degree/certification beyond a HS diploma/GED in a related discipline and 5 years’ experience; or 9 years’ experience in a related field</li> <li>Professional or Expert-Level certification in one or more major cloud platforms (AWS, Azure, Google Cloud).</li> </ul> </li> <li>Experience working in fast-paced sales environments, particularly in pre-sales solution architecture.</li> <li>Must have Professional or Expert-Level certification on one or multiple major cloud platforms (AWS, Azure, Google Cloud).</li> <li>Expertise in data architecture, data modeling, and database design.</li> <li>Understanding of cloud-based data storage, processing, and integration technologies.</li> <li>Expertise in database and data warehousing technologies such as SQL, NoSQL, and distributed databases.</li> <li>Experience with modern data platforms, including data lakes, warehouses, and ETL/ELT pipelines.</li> <li>Understanding of AWS, Azure, and/or Google Cloud data services (e.g., Amazon RDS, Google BigQuery, Azure Synapse, etc.).</li> <li>Familiarity with data governance, security, and compliance best practices.</li> <li>Hands-on experience with cloud migrations and data modernization initiatives.</li> <li>Understanding of containerization &amp; virtualization technologies (e.g., Kubernetes, Docker, EKS, ECS, etc.).</li> <li>Experience with Infrastructure as Code (IaC) tools (e.g., Terraform, CloudFormation, Ansible, Puppet).</li> </ul>Preferred:<ul> <li>Data specialty certification (cloud-agnostic or platform-specific).</li> <li>Proficiency and/or willingness to pursue expertise across multiple clouds (AWS, Azure, Google Cloud).</li> <li>Experience with data pipelines, data transformation, and data orchestration tools (e.g., Apache Airflow, dbt, Glue, Dataflow, Data Factory, etc.).</li> <li>Knowledge of AI readiness strategies, ensuring data infrastructures are optimized for AI/ML adoption.</li> <li>Understanding of data science workflows, feature stores, and MLOps frameworks.</li> </ul>BenefitsThe Company offers eligible employees the flexibility to take as much vacation with pay as they deem consistent with their duties, the company’s needs, and its obligations; seven paid holidays throughout the calendar year; and up to 160 hours of paid wellness annually for their own wellness or that of family members. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Cox Communications is all about creating moments of real human connection; and for employees, that’s true both in the workplace and in the problems we solve for customers. From building advertising solutions to unleashing IoT technologies to creating an exceptional experience for customers in our retail locations and online, we’re creating a world that is smarter and more connected. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer – All qualified applicants/employees will receive consideration for employment without regard to that individual’s age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. In California, we will consider non-driving candidates who use alternate means of transportation in accordance with applicable law.<h3> </h3>Application Deadline: 05/29/2025

Cox Communications

Data Solutions Architect (RapidScale)

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.Position Purpose: Responsible for the timely, consistent, and accurate communication of state and federal regulatory updates related to the regulatory filing of commercial plans. Prepares, organizes, and submits the annual QHP and Off-Exchange product filings for assigned states using Health Insurance Oversight System (HIOS) and System for Electronic Rates &amp; Forms Filing (SERFF).<ul> <li>Monitors regulatory guidance and requirements affecting Centene’s commercial products. Analyzes, interprets, summarizes and distributes regulatory filing guidance to impacted cross-functional departments. Provides guidance to business to help them understand regulatory filing requirements and timelines.</li> <li>Executes timely and accurate formal regulatory filings, including the annual QHP and off-exchange product filings, seeking approval of our commercial health products within Health Insurance Oversight System (HIOS) and System for Electronic Rates &amp; Forms Filing (SERFF) for assigned states ensuring deliverables spanning across multiple departments are received and appropriately filed.</li> <li>Acts as the primary contact between Regulators and the company, supporting communication during the filing season as needed. Manages relationship with regulatory agencies (Department of Insurance and Centers for Medicare &amp; Medicaid Services (CMS)) related to the commercial filings. Leads responses to DOI objections and CMS correction communications for assigned states. Partners closely with health plans in managing relationships with regulatory agencies, including state regulators and State Based Exchanges.</li> <li>Conducts assigned special projects and maintains multiple critical trackers related to filing work. Should have the ability to understand the needs of internal and cross-functional departments and communicate those needs effectively at the appropriate level of detail for the audience.</li> <li>Performs regulatory filing research to aid in the development of new products and initiatives for the Enterprise related to commercial products. Responsibility for understanding regulations and business needs for multiple states, as well as federal regulations pertaining to the commercial health insurance market.</li> <li>Interprets and distributes data collected throughout the filing season to aid in proactively updating processes for ongoing improvement across multiple departments.</li> <li>Creates and maintains a deliverables chart which outlines all required documents needed for state specific filings. Audits trackers and deliverable for assigned states to ensure consistency and quality across teams.</li> <li>Develop trust-based relationships and collaborates with other functional areas to collect information, follow up with team and others for project deliverables and serves as a Subject Matter Expert. Leads sub-projects and smaller initiatives.</li> <li>Maintains and implements department policies, procedures, and work processes.</li> <li>Identifies, analyzes, and manages resolution of filing related issues for low risk states. May attend external and/or virtual conferences and seminars to evaluate industry trends.</li> <li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li> </ul>Education/Experience:<ul> <li>Bachelor's Degree Business, Communications, Healthcare, Political Science/ Pre-Law or equivalent experience required.</li> <li>3+ years Regulatory experience, including product regulatory filings (CMS and/ or State DOI).</li> <li>Experience in commercial health insurance required.</li> </ul>Pay Range: $26.50 - $47.59 per hourCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Regulatory Operations Filing Analyst II

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: As part of Fidelis Care, a subsidiary of Centene, the Senior Healthcare Analyst provides analytic support for financial modeling, trend analysis, therapeutic class strategy, and initiative implementation and measurement. Develops custom reports and models used in identifying issues, trends, patterns and relationships to be applied in financial and operational decisions.*Candidates residing in EST time zone, preferred. The role is fully remote and may have 10% travel.<ul> <li>Develops financial models to project cost or estimate savings for specific business decisions.</li> <li>Develops and manages therapeutic class cost and utilization projection models to support budget forecasting, pricing, and strategy development.</li> <li>Develops exception reporting and conducts drill down analysis to proactively identify specific opportunities and risks that warrant assessment by the Strategy Development Committee.</li> <li>Develop data analytics solutions using Power BI.</li> <li>Use SQL to query, manipulate, and manage large datasets efficiently.</li> <li>Gather and clean data from various sources, ensuring accuracy and completeness.</li> <li>Present insights to stakeholders in a clear and actionable format.</li> <li>Analyze large datasets to identify trends, patterns, and insights.</li> <li>Monitors projection targets. Analyzes, researches, and interprets results, variances, and trends.</li> <li>Prepares and maintains strategy documents for therapeutic classes.</li> <li>Prepares and communicates trend analysis and recommendations verbally and in writing to committees, clinical staff, management, and clients.</li> <li>Develops and manages reporting templates used to analyze and interpret data.</li> <li>Designs complex ad hoc reports to support a variety of functional areas.</li> <li>Advises Healthcare Analysts in producing reports and interpreting data.</li> </ul>Education/Experience: ​<ul> <li>Bachelor’s degree in business, finance, public health, health informatics or related field required. Master's degree preferred.</li> <li>Minimum five years related experience with minimum two years financial modeling experience required.</li> <li>Experience in Healthcare analytics of financial/clinical data, with knowledge of analytical or data mining techniques including data modeling, trend analysis, and root-cause analysis strongly preferred.</li> <li>Experience using advanced analytical/reporting tools such as R, Python, SAS, SQL, Snowflake, Micro-strategy, Tableau, Hadoop, or related tools strongly preferred.</li> </ul>Pay Range: $68,700.00 - $123,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Senior Healthcare Analyst

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Executes and supports the enterprise IT Disaster Recovery and I/S Crisis process with the goal to ensure that the Enterprise Critical I/S services and work processes can be resumed with agreed upon service and resumption levels. Leads in Disaster Recovery requirements gathering and recommends recovery strategies and options. Facilitates the implementation of recovery solutions.<ul> <li>Develops and implements a business recovery plan and procedure; review, revise, and expand existing plans and protocols</li> <li>Develops, maintains, and implements the Enterprise Disaster Recovery Plans, risk assessments, and application and technical strategies together with other teams</li> <li>Conducts risk assessments for various departments and functions, analyzing potential business impact of unpredictable business interruptions such as natural disasters, security breach, legal claims, and market disruptions]</li> <li>Drives the alignment of IT organization priorities and plans with key business objectives</li> <li>Identifies, troubleshoots and implements recovery operations and methods to allow the company to function at limited or partial capacity in the event that part or all of the infrastructure is damaged or destroyed</li> <li>Creates and facilitates practice drills for plan execution</li> <li>Develops and track program metrics (as developed) to show activities and progress</li> <li>Reviews, configures and maintains business continuity and crisis management tools</li> <li>Coordinates with health, safety, and security staff and local, state, and federal agencies to align the organization's emergency management plan with established best practices and community standards</li> <li>Supports the event of a business disruption to manage the response coordination and communications</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science). Requires 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Preferred Skills: <ul> <li>Ensure disaster recovery plans are robust, tested, and capable of meeting recovery point objectives (RPO) and recovery time objectives (RTO)</li> <li>Create and maintain disaster recovery capabilities and risk profiles</li> <li>Ensuring compliance standards</li> </ul> Soft Skills:<ul> <li>Intermediate - Seeks to acquire knowledge in area of specialty</li> <li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li> <li>Intermediate - Ability to work independently</li> <li>Intermediate - Demonstrated analytical skills</li> <li>Intermediate - Demonstrated project management skills</li> <li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li> <li>Intermediate - Demonstrates excellent judgment and decision making skills</li> </ul> License/Certification:<ul> <li>Certified Business Continuity Professional (CBCP)</li> <li>Crisis Communication Certified Expert (CCCE)</li> <li>Disaster Recovery Certified Planner (DRCP)</li> <li>Master Business Continuity Professional Certification (MBCP)</li> </ul>Pay Range: $85,300.00 - $158,100.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Senior Disaster Recovery Analyst

The Opportunity At MetLife, we seek to make a meaningful impact in the lives of our customers and our communities. The Operations Transformation and Technical Quality Operations organizations include diverse teams of Quality Analysts that address core business challenges within MetLife. This role will conduct quality reviews of the Return to Health clinical team, collecting and analyzing quality opportunities and root causes to ensure quality standards are achieved. How You’ll Help Us Build a Confident Future (Key Responsibilities) <ul> <li>Conducts clinical quality reviews of the Vocational Rehabilitation Counselors (VRC) within the Vocational Health Unit (VHU) for the Return to Health organization.</li> <li>Identifies trends, root causes, and areas of opportunity from the analysis of data developed from the completed quality reviews.</li> <li>Provides consistent, timely, and meaningful feedback regarding behaviors identified and quality standards.</li> <li>Participates in problem solving discussions and proposes potential solutions to identified areas of opportunity with the Return to Health organization to drive results.</li> <li>Detects, analyzes, and presents Objective and Key Results to operational partners on an ongoing basis.</li> <li>Collaborates within a team dynamic to promote and sustain a culture of quality improvement.</li> </ul> What You Need to Succeed (Required Qualifications) <ul> <li>MA/MS in Rehabilitation Counseling and 5+ years of relevant experience </li> <li>Advanced written and verbal communication skills </li> <li>Ability to provide constructive feedback at all levels and build relationships through these interactions</li> <li>Desire and ability to cross train into additional health unit(s) to expand scope of quality reviews</li> <li>Demonstrated critical thinking, attention to detail, analysis, and problem-solving skills </li> <li>Microsoft Office, Power Point, and Excel knowledge </li> <li>Ability to work independently and as a team</li> <li>Certified Rehabilitation Counselor (CRC) certification or Behavior Health experience (LCMHC or LCSW license).</li> </ul> What Can Give You an Edge (Additional Skills) <ul> <li>Strong knowledge of psychiatric conditions, symptoms, and terminology.</li> <li>Certified Rehabilitation Counselor (CRC) certification and Behavior Health experience (LCMHC or LCSW license). </li> </ul>

MetLife

Behavior Health Senior Quality Analyst

At Mitratech, we are a team of technocrats focused on building world-class products that simplify operations in the Legal, Risk, Compliance, and HR functions of Fortune 100 companies. We are a close-knit, globally dispersed team that thrives in an ecosystem that supports individual excellence and takes pride in its diverse and inclusive work culture centered around great people practices, learning opportunities, and having fun! Our culture is the ideal blend of entrepreneurial spirit and enterprise investment, enabling the chance to move at a rapid pace with some of the most complex, leading-edge technologies available. Given our continued growth, we always have room for more intellect, energy, and enthusiasm - join our global team and see why it's so special to be a part of Mitratech! Job Overview Mitratech seeks talented individuals who can support our growth globally and support our Managed Bill Review solution. We have an excellent opportunity within our Compliance Services Group for a legal professional (paralegal or attorney), seeking an alternative career path to that of private law practice or corporate law department, to utilize their legal education and work experience in a unique manner. Essential Duties &amp; Responsibilities: <ul type="disc"> <li>Perform an objective and subjective review of law firm invoices to determine compliance with the client’s Outside Counsel billing guidelines</li> <li>Effectively prioritize and self-manage workflow to meet a standard analysis time for invoice processing according to Mitratech's Managed Bill Review methodology and client requirements</li> <li>Establish and maintain excellent rapport as a primary contact for assigned client(s)</li> <li>Develop and maintain diplomatic relationships with law firms to best serve mutual client(s)</li> <li>Communicate and respond to inquires from external parties as needed</li> <li>Track and update client authorizations and exceptions at the law firm and case level in company database</li> <li>Work closely with other departments to ensure accuracy and completeness of client data</li> </ul> Requirements &amp; Skills: <ul type="disc"> <li>Minimum two (2) years prior law firm experience as a paralegal or attorney within one or more of the following practice areas: general liability, workers’ compensation, insurance defense, health care law, asbestos litigation, civil tort, intellectual property/patent, class action or business law</li> <li>Demonstrated ability to work independently with the highest level of integrity and confidentiality</li> <li>Strong work ethic, initiative and commitment to team success</li> <li>In-depth knowledge of legal terminology and defense counsel billing practices (including hourly billing)</li> <li>Thorough understanding of litigation process</li> <li>Advanced deductive reasoning skills</li> <li>Superior customer service skills</li> <li>Strong working knowledge of Microsoft Office</li> <li>Sound judgment and decision-making abilities</li> <li>Flexibility and ability to multi-task</li> <li>Organized and detail-oriented</li> </ul> Education: <ul> <li> J.D. or ABA-approved Paralegal Certification (or equivalent degree in Paralegal Studies) required Mitratech remains committed to equitable and transparent pay practices. Final base salary offered may vary from the range listed and will be determined after carefully considering multiple factors during the hiring process, including location, relevant experience and education, required competencies and skill proficiency level, and review of internal equity. We encourage candidates to apply even if they may not meet all listed requirements. We will disclose intended pay ranges in our job ads for US-based opportunities– This role can be performed 100% remote anywhere in the US. Anticipated Pay Range: $55,000 - $63,000 Annually USD Total compensation includes US employee benefits, and annual bonus eligibility. Benefits we offer: · Health, Dental &amp; Vision Insurance · 401k + Employer Match · PTO + 11 Paid Holidays + 4 Annual Paid Global Wellness Days Off · STD, LTD &amp; Group Life Insurance · Paid Parental Leave · Pet Insurance · FSA &amp; HSA Options · Employee Assistance Program Perks we offer: · Remote Work · Career Advancement &amp; Professional Development Opportunities · Employee Recognition The position will remain posted until a candidate has been hired, or we may pull the job ad at any time due to volume of qualified applicants. </li> </ul> Mitratech is proud to be an EEOE, M/F/D/V, and we are committed to diversity both in practice and spirit at the corporate level. Mitratech participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: <a href="http://everify.com/" target="_blank">everify.com</a> We are an equal-opportunity employer that values diversity at all levels. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, or veteran status.

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