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Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Share your information and we will contact you if new opportunities fitting your qualification become available. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is seeking a Claims Supervisor to lead a team of Claims Processors, ensuring accurate and efficient claims processing for employer-sponsored health plans. This role sets productivity benchmarks, enforces quality standards, and drives continuous improvement. The Claims Supervisor will collaborate with support teams to manage backlog and turnaround times while working with Quality/Training and System Configuration teams to standardize processes and resolve issues. They may also oversee appeals, subrogation, and overpayment/refunds, ensuring compliance and efficiency. Responsibilities Include: · Demonstrates knowledge and understanding of benefit administration for self-funded healthcare plans · Ensures that claims are processed and paid in accordance with benefit plans, pricing agreements, and required authorizations. · Manages the inventory of claims against standard service level agreements (SLA’s) · Educates and mentors claims staff to ensure proper application of client benefit plans to claims processed, at the required quality and production metrics, including establishing performance plans for those falling below expectations with appropriate coaching and mentoring to achieve improvement. · Provides reports to department leaders on claim inventory, production, turn-around lag, and quality metrics · Develops policy and procedures to ensure that benefit plans and claim standards are properly administered; assists in developing policies and procedures for operations, and monitors claim staff for compliance · Accountable for positively influencing the morale of the department employees, including setting achievable goals, fostering teamwork by involving team in the design/implementation of solutions to problems · Responsible to establish annual goals for staff that align with organization strategies and personal growth and can provide timely and constructive feedback on performance · Is a liaison for the claims on various projects and/or initiatives including testing needs to support system implementations and/or upgrades · Performs other duties as deemed essential and necessary Qualifications: Required Skills and Abilities: * Knowledge: Thorough understanding of insurance policies, claims handling processes, and legal requirements associated with claims. * Leadership: Strong leadership and team management skills, with the ability to effectively manage and motivate a team. * Analytical Skills: Ability to analyze claims data and make informed decisions based on findings. * Experience: Previous experience in claims processing or a related field, including supervisory experience. * Understands health insurance benefit administration in a Self-Funded environment * Ability to read and understand various forms, documentation, files, and information with the department. Education and Experience: · Candidate must have at least 3 years of experience with self-funded health care plans, and processing in a TPA environment · Candidate must have at least 3 years of experience supervising a claims team · Candidates must have prior experience with a highly automated and integrated claim adjudication system · Experience working with HealthRules Payer · Understanding of health insurance benefits administration in a self-funded environment Preferred Qualifications: · Past Training Experience · Experience working at TPA · Experience with self-funded plans Work Location: * An ideal candidate would be assigned to the Buffalo Office with ability to work from home. * If not in the Buffalo area, the opportunity can be remote. Leadership Skills & Behaviors: ● Strategic Thinking – Knack for sorting through clutter to find the best route, often by pulling up from the current complexity to identify patterns that guide future direction and allow one to narrow the options and articulate the options from which others can work backward. ● Business Acumen – A keenness and quickness in understanding and dealing with a business situation (risks and opportunities) in a manner that is likely to lead to a good outcome. Critical to this is an ability to think beyond their own function. ● Systems/Analytical Thinking – Demonstrates the ability to think fluidly and integrate information. Able to anticipate non-linear and non-obvious relationships. Often includes an ability to think holistically/conceptually – very powerful when accompanied by ability to communicate & clarify tactically. ● Flexibility/Working through Ambiguity – Tendency to be energized by new experiences/perspectives that test assumptions and thinking. Considers different points of view, sometimes with fragmented information, to arrive at practical, effective, actionable next steps. ● Communicate – Managers discuss the company’s vision and strategies, the department’s direction and goals, and in times of crisis, what we know and don’t know to make sure team members know what they need to know. ● Clarify – As managers, it’s up to us to clarify what good looks like. What do we expect? What do our clients, customers or colleagues need? If our teams are not performing as expected, managers must clarify expectations and ensure understanding. ● Coach – Managers provide recognition and feedback; help team members find solutions to challenges; amplify good and filter weaker aspects of organizational culture and the work as they coach employees in their day-to-day performance and their growth and career development. ● Connect – Managers help our teams see their collective purpose and how their work connects to the greater whole. We connect people within our company and network. ● Customize – As managers, we need to understand what makes each team member unique, and then customize, tailor and adapt how we support them. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $70K - $80K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Summary of role: As a Claims Business Analyst, you will be responsible for triaging operational issues and leading projects and tasks to completion. You will use your claims adjudication experience and TPA background to triage operational concerns, vendor issues, and related claims issues. Familiarity with Centivo’s claims systems (Javelina and HealthRules Payer) is preferred. You will coordinate with all business units and external vendors during client implementations and conversions to determine requirements. This role ensures seamless integration between internal and vendor systems to support client requirements and operational workflows. Additionally, you will lead key projects and tasks identified to improve efficiency of Centivo’s Claim team. This role will use data analytics and other tools to identify areas of improvement needed in the business, scope out the initiative, and then lead the project through to completion. Responsibilities Include: * Support the Centivo Claims Team with troubleshooting issues, identifying the root cause and magnitude, and then researching and recommending the best solution. * Effectively work with end-users and operational partners to identify business needs and to ensure implementations meet business requirements and appropriately address prioritized needs. * Assist with creating Process Flows on new initiatives and existing processes as needed. * Function as a liaison between business and technical resources to ensure people, processes, and solutions meet or exceed the needs of our Clients and Operational areas. * Work with business partners to identify and articulate business requirements in each area. Facilitate brainstorming sessions to review solution options that will solve business needs. * Assist and participate in the claims testing process for new technology, vendor, and processes. * Proactively keep abreast of vendor enhancements as well as how they integrate with existing solutions. * Collaborate with the Subject Matter Expert (SME) on all aspects of the functionality of the Claims systems and act as the primary liaison with the vendor for reported issues and enhancement requests. * Work with the team on oversight of the implementation of claims platform upgrades and supporting technologies. This includes coordinating user acceptance testing with the operational leads. * Proactively identify opportunities and recommend system solutions that increase automation, resolve system deficiencies, and enhance claims processing and reporting to meet and exceed business requirements. * Participate in the assessment of new technologies, new vendors, and any system enhancements being contemplated. * Participate in internal and external meetings for plan design, strategy, and setup. * Query data or create reporting to support analysis of issues, trends or specific reporting needs for clients or providers related to claim performance. Required Skills and Abilities: * Advanced problem-solving skills demonstrated by researching and resolving operational issues in a timely and accurate manner. * Demonstrated organizational skills and ability to work independently, problem-solve, and make decisions. * Demonstrated ability to work in a fast-paced environment managing multiple issues with the pressure of production schedules and deadlines. * Demonstrated ability to work collaboratively and influence others to drive results across multiple cross-functional teams. * Proficiency in Microsoft Office applications and other web-based software applications. * Demonstrated ability in running queries and performing data analysis to identify trends and issues. * Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others, including but not limited to reimbursement policy standards. * Strong interpersonal skills, establishing rapport and working well with others Education and Experience: * Candidates must have at least 5 years of experience within healthcare claims * Candidates must have 3 years of experience working as a Business Analyst * Candidates must have prior experience with a highly automated and integrated claim adjudication systems * Understanding of health insurance benefits administration in a self-funded environment Preferred Qualifications: * Experience working with El Dorado-Javelina or HealthRules Payer * Experience working at TPA * Experience with self-funded plans * Proficient in SQL, Tableau and JIRA * Intermediate to advanced proficiency in MS Excel Work Location: * Preference for Buffalo Office * Open to Remote Centivo Values: ● Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up. ● Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon. ● Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $80K - $100K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Summary of role: The Configuration Specialist – Contract Build role is responsible for the accurate and timely configuration and maintenance of provider contract and pricing configurations within Centivo’s core systems. This role involves interpreting contract terms, setting up fee schedules, and ensuring compliance with regulatory and organizational standards to support timely and accurate claims adjudication and provider payments. Key responsibilities include collaborating with the Network Contracting and Provider Relations team, configuring pricing mechanisms and fee schedules, coordinating with business units and vendors during client implementations, and ensuring system interfaces meet client and operational needs. Responsibilities Include: * Ability to read and interpret new and existing physician, facility and ancillary contracts. * Perform manual pricing based on accurate interpretation of contract language. * Configure and maintain provider contracts in the health plan’s database systems. * Interpret and apply contract terms, fee schedules, and reimbursement methodologies. * Skilled in interpreting and implementing both new and existing contract pricing configurations within the Centivo pricing platform, ensuring comprehensive client and claims administration aligned with product design and functionality, and conducting necessary test validations. * Identify contracts that are incompatible with Centivo’s pricing platform and collaborate with external pricing vendors to ensure accurate integration of these contracts into their systems as needed. * Collaborate with the Network Management, Provider Relations and Claims team when contracts are built or corrected to ensure updates are made in all systems pertaining to contracted providers. * When contract accuracy is in question, analyze claim impact reports to determine if claims are priced correctly. * Complete claim adjustments based on provider disputes, requests from internal departments and as determined by analyzing Claim Impact reports. * Complete configuration changes as identified, run, and evaluate claim adjustment reports within Centivo’s claim platform and supporting systems. * Perform unit and/or end user testing for new configuration, programming enhancements, new provider contracts, and software changes as necessary that affect claims adjudication rules. * Participate in special projects as needed and function as a liaison with specified user areas to define business requirements and processes for project deployment. * Provide technical support and training for other team members as needed. Required Skills and Abilities: * Demonstrated ability to identify when platform limitations or capabilities require a contract to be sent to an external pricing vendor. * Ability to perform contract reviews to determine accuracy in configuration and correct as needed. * Ability to analyze claims for pricing accuracy against contract requirements. * Exemplary customer service skills demonstrated by researching and resolving issues that are configuration related in a timely and accurate manner. * Possess excellent analytical and problem-solving skills. * Ability to work independently and as part of a team. * Ability to multi-task and apply critical thinking skills. * Strong attention to detail and accuracy. * Enjoy working in a fast-paced environment managing multiple issues with pressure of production schedules and deadlines. * Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others, including but not limited to reimbursement policy standards. * Strong people skills, establishing rapport and working well with others. Preferred Skills and Attributes: * 3 years of experience in provider contract configuration, health plan claims process or a similar role preferred. * In-depth knowledge of all claim components that influence pricing, including the requirements for UB and HCFA forms. * Knowledge and experience in coding with Current Procedural Terminology (CPT), Healthcare Common Procedure Code System (HCPCS), International Classification of Diseases 10th Revision (ICD-10), Revenue and Diagnosis Related Groups (DRG), Current Dental Terminology (CDT), other relevant medical and industry-standard codes. * Proficient in professional and institutional claims adjudication. * Knowledge in health insurance benefit administration within a self-funded plan. Preferred Qualifications: * The ideal candidate will have HealthRulesPayer (HRP) and HealthEdge Source (Source) experience. * Knowledge of TPA and self-funding processes and system contract configuration is preferred. * Advanced proficiency in Microsoft Office applications. Education * High school diploma or GED; associate or bachelor’s degree preferred. Work Location: * This position is remote. Centivo Values: * Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up. * Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon. * Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $60K - $70K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. The Recovery Analyst is primarily responsible for managing all file requirements from beginning to end for subrogation cases, No Surprises Act (NSA) disputes, and overpayment recoveries with the assigned third-party vendor. This includes researching paid claims, answering inquiries, coordinating with other departments, and adjusting claims based on overpayments of claims and settlements for both the subrogation and NSA processes. This individual will work as an effective interface between internal and external customers and maintain good member and partner relationships. Responsibilities Include: * Prepare documentation, review claim history, and other documentation related to overpayment, subrogation, and NSA requests. * Utilize available resources to investigate claim situations for overpayment, subrogation, and NSA cases. * Follow-up with responsible departments and delegated entities to ensure compliance. * Monitors daily and weekly inventory to ensure internal and regulatory timeframes are met. * Identify areas of potential improvement and provide feedback and recommendations to management on issue resolution, quality improvement, network contracting, policies and procedures, administrative costs, cost-saving opportunities, best practices, and performance issues. * Notifies the assigned vendors and clients of the subrogation and recovery interest; confers with other parties, internal departments, and clients concerning potential settlement or other actions. * Represents Centivo in meetings concerning recovery, subrogation, and NSA matters, including facilitating calls between Centivo’s third-party vendor and the client, to obtain final approval. * Maintain data entry requirements for all complaints and appeals. * Perform any other additional tasks or duties as assigned or required. Qualifications: Required Skills and Abilities: * Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others. * Must possess proven organizational, rational reasoning, ability to examine information, and problem-solving skills, with attention to detail necessary to act within complex environment. * Knowledge of applicable rules and statutes, of the process and principles of insurance and of basic subrogation and NSA concepts. * Ability to comprehend and produce grammatically accurate, error-free business correspondence required. * Ability to appropriately identify urgent situations and follow the appropriate protocol. * Requires the ability to plan, manage multiple priorities, and deliver complete, accurate, and timely results in a fast-paced office environment. Education and Experience: * High School diploma or equivalent required, Associate degree preferred. * At least one year of experience in health plan operations, claims processing, subrogation, or other experience directly related to position duties and knowledge. * Additional years of experience/training may be considered in lieu of educational requirements required. Preferred Qualifications: * Prior subrogation or NSA experience. Work Location: Candidates located within commuting distance of our Buffalo office will be considered for both in-person and hybrid roles. All other applicants will be considered for remote positions. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $55K - $60K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Summary of Role: Under the guidance of the Plan Documents Manager, the Plan Documents Specialist, Jr. will work cross functionally with the Configuration, Implementation, Client Success, and Product teams to ensure best-in-class output, client experience and satisfaction, which can include regular interaction with brokers, agents, TPAs, stop loss carriers, and other applicable vendors and clients. The Plan Documents Specialist, Jr. is a key member of the delivery team, facilitating client onboarding for document preparation, client changes, document management, and other duties related to requirements for employer-sponsored welfare benefit plans under the following federal and employment laws: * Employee Retirement Income Security Act (ERISA) * Internal Revenue Code (Code) * Health Insurance Patient Portability and Accountability Act (HIPAA) * Medicare Secondary Payer Act (MSP) * Consolidated Omnibus Budget Reconciliation Act (COBRA) * Affordable Care Act (ACA) * Women’s Health and Cancer Rights Act (WHCRA) Responsibilities Include: * Assisting in client implementation and client plan changes, defining clients’ benefits and structure for document preparation/completion for required plan document creation. * Managing benefit plan documentation processes including: Conducting and managing a complete, section-by-section review of prospective conversion plan documents, including, but not limited to, Summary of Material Modification (SMM), plan amendments, and Summary of Benefits and Coverage (SBC) Conducting and managing a complete, section-by-section review of prospective conversion plan documents for a Summary Plan Description (SPD) with some feedback/assistance from Senior team member(s) and/or Plan Documents Manager, if needed Drafting, finalizing, and maintenance of standard benefit plan documents (i.e. SBCs, standard to intermediate level plan amendments) by identifying/understanding change requests and their requirements. Must have ability to identify more complex tasks and request assistance from Senior team member(s) and/or Plan Documents Manager when needed Drafting standard SPDs (or those that require minimal customization) with some assistance from Senior team member(s) and/or Plan Documents Manager. Must have ability to work with and take instruction from Senior team member(s) and/or Plan Documents Manager in order to complete SPDs that may become more involved during process Identifying missing items needed for document preparation Submitting finalized plan documents and any changes to stop loss carriers or Stop Loss team as well as PDM vendor Determining changes to plan documents to ensure accuracy, seamless coverage, and any additional updates as necessary * Managing and maintaining a book of business primarily relating to Mid-Market accounts and/or assigned projects at direction of Plan Documents Manager * Stay current on requirements under ERISA, PPACA, and other related laws/regulations as it relates to plan benefits * Elevating client issues and concerns to appropriate to leadership and or Client Success team members when necessary * May assist in training process of Analyst and newly hired Junior team members at the direction of Plan Documents Manager * May support client communications, including, but not limited to, introductory calls with assistance/feedback from Senior team member(s) and/or Plan Documents Manager * Performing other miscellaneous projects, assignments, and duties as assigned Qualifications: Required Skills and Abilities: * Strong organizational and multi-tasking skills, attention to detail * Excellent written, verbal, and interpersonal communication skills; including ability to identify and communicate clearly on inconsistencies and issues found during drafting process * Ability to manage time effectively, set priorities effectively and meet deadlines * Intermediate to advanced knowledge of Microsoft Office products (Excel, Power Point, Word) * Demonstrated ability to meet performance goals, including accuracy and productivity * Ability to take initiative and be self-motivated while exercising proactivity and creativity in problem solving and appropriate decision-making * Display, at minimum, an intermediate level of understanding for compliance principles as it applies to document drafting and client communication * Team player and willingness to take instruction when necessary * Must be able to adapt, be flexible, and have the ability to function efficiently during fast-paced work environment * Have passion and drive in delivering quality documents * Ability to work independently with minimal supervision * Typing speed of at least 60-70 WPM Education and Experience: * 1-3 years of employee benefits paralegal or similar job experience required * 1-3 years of experience in Health and Welfare benefit consulting in ERISA & Non-ERISA plans * 3 years of experience in client management in self-funding document creation and management Preferred Qualifications: * Bachelor’s degree or equivalent job experience required * A paralegal or related degree * Phia Group’s PDM online portal document management experience or similar use of a portal for document creation and management is a plus * Worked with DOL Summary of Benefits and Coverage (SBC) templates and SBC Coverage Examples Calculator * Exposure to plan/policy documents, including amendments/SMMs, in prior work environments is a plus Work Location: * An ideal candidate would be able to work from home * This position is remote Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $60K - $82.5K

Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is seeking Member Care/Provider Specialists to join our dynamic team. As a Member Care/Provider Specialist, you’ll be a vital part of that mission, serving as a trusted guide and problem-solver for our members and provider partners. If you're driven by purpose, love helping others, and thrive in a fast-paced environment, we want to hear from you. Our next paid training program kicks off on December 1, 2025, so now is the perfect time to apply! What you'll love about this role: * Supporting members and healthcare providers with inquiries * Solving complex problems with care, empathy, and resourcefulness * Educating members and healthcare providers on benefits and navigation of our site and applications. * Being part of a team that’s disrupting the traditional healthcare model in the best possible way What you’ll be doing: * Answer incoming calls from members and providers with questions about benefits, eligibility, and claims * Research and resolve complex issues using our tools, documentation, and outbound calls * Educate members and providers on how to navigate our platform, benefits, and resources * Accurately document every interaction and follow established procedures * Calmly de-escalate concerns and handle first-level complaints with empathy * Support appeals processes and ensure timely follow-up actions are taken Qualifications: Required Skills and Abilities: * Familiarity with the Microsoft operating system and its suite of applications (Outlook, Word, Excel) * Ability to communicate professionally, both written and verbal * Solid attention to detail and problem-solving abilities * A calm, professional demeanor when handling calls Education and Experience: * A high school diploma or GED * 1–2 years of experience in a provider office and/or fast-paced call center environment Preferred Qualifications: * At least 1 year of hands-on experience in healthcare, health insurance, or a related field, with a strong understanding of medical or provider office operations * Bilingual (Spanish/English preferred) Location: This role is located in our downtown Buffalo, NY office. Centivo Values: * Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up. * Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon. * Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.

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Job Description We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Summary of role: At Centivo, we’re rebuilding health insurance the way it should be — affordable, predictable, and built around employers and their employees. As a Client Success Executive (CSE), you’ll be the trusted partner guiding our clients through that journey — helping them see, feel, and share the value of Centivo’s model every day. What You’ll Do * Own the client relationship. Serve as the strategic and day-to-day contact for your client portfolio, building deep, consultative partnerships with HR, Finance, and broker/consultant teams. * Tell a compelling, data-driven story. Translate complex health, claims, and engagement data into meaningful insights that show progress, demonstrate value, and inspire confidence in Centivo’s approach. * Drive client growth and retention. Lead renewals and strategic planning conversations that highlight measurable outcomes, promote member engagement, and identify opportunities to expand Centivo’s solutions across markets or populations. * Guide a seamless client journey. Ensure a smooth transition from implementation to ongoing partnership, proactively anticipating client needs and aligning Centivo’s capabilities to meet them. * Be the client’s voice inside Centivo. Collaborate cross-functionally with operations, analytics, and product teams to ensure we deliver with excellence and continuously enhance the client experience. * Engage with brokers and consultants. Build trusted relationships that extend Centivo’s reach and strengthen our position as a high-value, innovative partner. * Champion continuous improvement. Bring forward ideas and feedback that help evolve our client success playbook and enhance how we serve clients every day. Who You Are * An individual with demonstrated technical expertise in working with self-funded employers — including building compelling, data-driven financial narratives; analyzing stop-loss performance and renewal dynamics; and translating complex plan and network performance into clear, actionable insights. Deep understanding of value-based healthcare models and experience with high-performance network strategies. * A relationship builder who earns trust through credibility, empathy, and results. * A strategic communicator who can craft and deliver a story that connects data to business outcomes. * A growth-oriented professional who thrives on helping clients achieve measurable success while deepening the partnership. * A collaborative leader who enjoys working across teams to create solutions and deliver exceptional service. Education and Experience: * Bachelor's degree or equivalent experience is required * 10 years’ experience as Client Success Executive (Account Management) in employer-sponsored health plans * 5 years’ experience working with self-funded accounts * 5 years’ experience working at a TPA or direct carrier Qualifications: * Advanced knowledge of Microsoft Office products (Excel, Power Point, Word) * Excellent oral and written communication; an ability to present information in a way that establishes rapport, persuades others, gains understanding. * Business Acumen – A keenness and quickness in understanding and dealing with a business situation (risks and opportunities) in a manner that is likely to lead to a good outcome. Critical to this is an ability to think beyond their own function. * Strong ability to work cross functionally and build consensus among stakeholders and cross-functional teams in a dynamic environment Work Location: · Remote · Access to Buffalo or NYC offices if local · 25% travel is expected Centivo Values: ● Resilient – This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don’t give up. ● Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon. ● Positive – We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive. Who we are: Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com. Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. Compensation Range: $105K - $125K

As such, upon active employment with JPMorgan Chase, you will be required to either register on NMLS, or to update your existing registration as necessary to grant access to and reflect your employment with JPMorgan Chase. Any of the completed information you provide during the Chase on-line applica

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As a line cook at Wegmans, you'll sharpen your culinary skills by preparing menu items for prepackaged meals and hot food bars, helping customers enjoy delicious meals.You'll work with top chefs in a dynamic, fast-paced kitchen where every day is different.With opportunities to grow and pursue your

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