Insurance claims jobs in Hoboken, New Jersey - Page 13Create job alerts

Job DescriptionBenefits: • 401(k), • Competitive salary, • Health insurance If you are energetic, goal-oriented, and sales-minded, we are excited to harness your talents in this rewarding opportunity to build your career. RESPONSIBILITIES: • Manage customer insurance accounts and update information., • Assist customers with policy changes and renewals., • Provide information on insurance products and services., • Process insurance claims and follow up with customers.QUALIFICATIONS:, • Organizational skills and attention to detail., • Customer service and communication skills., • Previous experience in insurance or a related field preferred.

Job Description About AKAM: AKAM is a leading property management firm serving some of the most prestigious residential condominiums and cooperatives in New York City. Known for our high-touch service and dedication to excellence, we foster an environment of integrity, collaboration, and growth. Position Summary: AKAM is seeking a dynamic and experienced Managing Director to lead a team of Property Managers while directly managing a select portfolio of residential condominium and cooperative properties. This is a player/coach role—ideal for a hands-on leader who thrives in both operations and talent development. The Managing Director will be instrumental in delivering top-tier service to clients, ensuring operational excellence across their team’s portfolios, and cultivating a culture of performance and accountability. Position Overview The Managing Director is responsible for the comprehensive daily management of a portfolio of cooperative and condominium properties. This includes overseeing all operational, financial, and project management aspects of the buildings, while maintaining strong communication with Boards of Trustees/Directors, residents, and internal teams. In addition, this role provides leadership to the Management Division and plays a critical role in staff oversight and resident relations. Key Responsibilities Property Management & Operations • Manage a portfolio of cooperative and condominium high-rise properties., • Supervise day-to-day activities of engineering, maintenance, and building staff (union and non-union), including third-party contractors., • Oversee repairs, apartment alterations, and capital improvements in compliance with local codes., • Conduct formal site inspections per standard operating procedures., • Handle emergency situations and provide effective crisis management., • Maintain ongoing communication with Boards of Trustees/Directors/Managers and homeowners., • Attend and lead monthly and annual board meetings, keeping discussions focused and on agenda., • Prepare and distribute memos, notices, and correspondence to residents., • Accountable for all business, financial, and operational aspects of assigned properties., • Prepare, implement, and adhere to strategic plans and approved budgets., • Monitor building financials and reporting in coordination with the Assistant Management Division., • Oversee and coordinate capital improvement and construction projects., • Read and interpret construction blueprints and specifications., • Supervise the Management Division and provide leadership support across departments., • Participate in the recruitment and hiring of new building service staff., • Bachelor’s degree in a business-related field preferred., • Minimum of 5 years’ experience in NYC residential condominium and cooperative property management preferred., • Strong knowledge of financial accounting, reporting, and budgeting in residential real estate., • Hands-on experience with capital improvement and construction projects., • Ability to manage multiple projects and interpret technical documents and blueprints., • Excellent verbal and written communication skills., • Proficiency in Microsoft Office Suite (Outlook, Excel, Word).

Job DescriptionBenefits: • 401(k), • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off As a strategic and emotionally intelligent resource to the community, we are excited to expand our successful agency with your skillset. RESPONSIBILITIES: • Consult on life insurance products to customers., • Assist customers with life insurance applications and claims., • Provide customers with information on life insurance plans and options., • Maintain compliance with life insurance regulations.QUALIFICATIONS:, • Knowledge of life insurance products and services., • Strong sales and customer service skills., • 2-3 years of experience in life insurance sales., • Must be currently licensed in Life/Health., • Bilingual Russian, Cantonese or Spanish preferred.

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Competitive salary, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development We're looking for a people-person who can talk to patients, build trust, and keep the schedule full. Your voice, tone, and follow-up matter. If you enjoy connecting with people and making them feel taken care of, you'll thrive here. This role is part receptionist, part sales, part patient advocate. You'll need to understand our services, speak confidently, and turn inquiries into booked appointments. What You'll Do Core Responsibilities • Client Experience: Greet clients warmly, manage the waiting and therapeutic atmosphere, and provide compassionate support., • Scheduling & Intake: Manage complex calendars for multiple therapists, process intake forms and verify insurance benefits or referrals., • Communication Management: Act as a liaison between therapists and clients by screening calls, responding to emails, and managing HIPPA compliant correspondence., • Financial Administration: Collect co-pays, process payments via platforms like Square, and assist with billing inquiries or out-of-network claims., • Office Operations: Oversee opening/closing procedures, maintain inventory of supplies, and ensure the reception and treatment areas remains pristine., • Essential Skills & Qualifications, • Communication: Exceptional verbal and written skills; a "well-spoken" demeanor is often a requirement in NYC boutique settings., • Technical Proficiency: Experience with Electronic Medical Record (EMR) systems like WebPT and Google Office Suite, • Soft Skills: High emotional intelligence, empathy, and the ability to maintain professional boundaries while handling sensitive medical information., • Therapy or Medical Practice Experience, • Degree in Practice Administration, • Effective interpersonal, organizational and communication skills.Hand + Physical Therapy NYC offers competitive wages and a positive work environment. Equal Opportunity Employer. Job Type: 35-40 hours /week Monday - Friday Start date: Immediate Job Type: Full-time Job Type: Full-time Salary: $55,000 to $65,000 Benefits: • 401(k), • 401(k) matching, • Flexible schedule, • Health insurance Stipend, • Opportunities for advancement, • Paid time off, • Professional development assistanceSchedule:, • Day shift, • Evening shift, • Monday to FridayWork setting:, • Clinic, • In-person, • Office, • Outpatient, • Private practiceEducation:, • Associates / Bachelors Degree or equivalent (Preferred)Experience:, • Customer service: 1 year (Preferred), • Medical or Therapy Office Experience PreferredWork Location: In person

Job Description The Total Rewards Coordinator – is responsible for supporting the daily operations and administration of employee benefit programs. This role plays a critical part in ensuring the accuracy and effectiveness of benefit offerings and contributes to a positive employee experience by providing timely and knowledgeable support. The coordinator also assists with compliance, vendor communication, and process improvement initiatives related to benefits and broader total rewards programs. Responsibilities: • Benefits Administration:, • Process employee benefit enrollments, changes, and terminations in the HRIS and with external vendors., • Coordinate employee leave of absence and workplace accommodation requests, ensuring compliance with applicable laws, internal policies, and a positive employee experience, • Ensure timely and accurate updates to employee records and payroll deductions., • Maintain documentation and audit benefits-related data for compliance and accuracy. Employee Support & Communication: * Serve as a primary point of contact for employee questions related to benefits coverage, eligibility, and claims. * Assist with new hire benefit orientations and provide ongoing education to employees regarding benefit options and resources. * Collaborate on the development and distribution of benefits communications, including open enrollment materials. • Compliance & Reporting:, • Support compliance with applicable laws and regulations (e.g., ERISA, ACA, HIPAA, COBRA, FMLA). Assist with preparation of compliance documents and reporting (e.g., 1095-Cs, 5500s). * Maintain confidentiality of employee and plan information. • Vendor and Plan Coordination:, • Work with benefits vendors to resolve issues and ensure service levels are met. Assist in benefits billing, invoice reconciliation, and tracking vendor performance. * Support implementation of new plans or vendor transitions as needed. • Total Rewards Support:, • Provide administrative support for broader Total Rewards initiatives, including compensation benchmarking, recognition programs, and wellness initiatives. Participate in process improvement efforts to enhance the efficiency and effectiveness of rewards programs. Requirements: • A bachelor’s degree is required (or equivalent experience)., • A degree in Human Resources, Business Administration, Communications, or a related field is typically preferred., • Working knowledge of employee benefits programs and applicable regulations (e.g., COBRA, FMLA, ACA), • Strong communication and customer service skills, with the ability to explain benefits clearly to employees, • Detail-oriented with strong organizational skills and the ability to manage multiple priorities, • Experience supporting benefits communications, education, or events (like benefits fairs/exhibitions), • Ability to handle sensitive information with discretion and sound judgment, • Strong data accuracy and reporting skills, • Collaborative mindset with the ability to partner effectively within the HR team, cross-functionally, and with external vendors, • Experience with HRIS and/or benefits administration systems, • Proficient in MS Office Suite, PowerPoint, and Excel Compensation & Benefits: • Salary range is $60,000 - $68,000 and will be commensurate with experience, • Medical, Dental, Vision, 403(b) elections, • Generous Paid Time Off benefits, • Commuter benefits - parking and mass transit, • Admission to world-renowned museums across the city and nationally If you believe that you could excel in this role, we encourage you to apply. We are dedicated to considering a broad array of candidates. Whether you’re new to arts and culture administration, returning to work after a gap in employment, simply looking to transition, or take the next step in your career path, we will be glad to have you on our radar. Please use your cover letter to tell us about your interest in the arts and culture space and what you hope to bring to this role. About the Whitney: The Whitney Museum of American Art, founded in 1930 by the artist and philanthropist Gertrude Vanderbilt Whitney, houses the foremost collection of American art from the twentieth and twenty-first centuries. From her vision arose the Whitney Museum of American Art, which has been championing the most innovative art of the United States for 86 years. The core of the Whitney’s mission is to collect, preserve, interpret, and exhibit American art of our time and serve a wide variety of audiences in celebration of the complexity and diversity of art and culture in the United States. Through this mission and a steadfast commitment to artists themselves, the Whitney has long been a powerful force in support of modern and contemporary art and continues to help define what is innovative and influential in American art today. EEO Statement: The Whitney Museum of American Art is an Equal Opportunity Employer. The Museum does not discriminate because of age, sex, religion, race, color, creed, national origin, alienage or citizenship, disability, marital status, pregnancy, partnership status, caregiver status, veteran status, gender (including gender identity), sexual orientation, genetic information, predisposition, or carrier status, arrest or conviction record to the extent required by applicable law, credit history, domestic violence, sexual violence, or stalking victim status, or any other factor prohibited by law. The Museum hires and promotes individuals solely on the basis of their qualifications for the job to be filled. The Museum encourages all qualified candidates to apply for vacant positions at all levels. Powered by JazzHR kFXdtubIsO

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off If you are energetic, goal-oriented, and sales-minded, we are excited to harness your talents in this rewarding opportunity to build your career. RESPONSIBILITIES: • Manage client insurance accounts and update information., • Assist clients with policy changes and renewals., • Provide information on insurance products and services., • Process insurance claims and follow up with clients.QUALIFICATIONS:, • Strong organizational skills and attention to detail., • Excellent customer service and communication skills., • Previous experience in insurance or a related field preferred.

Job DescriptionBenefits: • 401(k), • Competitive salary, • Opportunity for advancement

Job Description We are eager to take our business to the next level by hiring an experienced insurance agent with a proven track record of maintaining and growing customer portfolios. You’ll hone your sales skills by forging strong relationships that serve as the foundation for our firm’s prestige, and we’ll give you the support you need to reach your earning potential. Embracing a personal approach to insurance sales gives candidates a leg up in this role, which includes developing strategies for promoting all types of new insurance contracts; making changes or additions to existing ones; and collecting key client information for risk profiles used to identify insurance plans for each unique individual. If you’re up for the challenge, apply now! Compensation: $100,000 - $130,000 Responsibilities: • Create tailored risk management strategies directly with clients that align with their risk profiles, • Implement sales strategies and tactics proven effective in maintaining and growing existing customer portfolios comprised of loyal, long-term clients, • Continue your education on evolving insurance industry protocols to adequately fulfill all policy requirements and monitor insurance claims to customers’ satisfaction, • Keep bookkeeping systems, sales databases, customer records, and related organizational tools current to accurately report progress to monthly and quarterly sales quotas to stakeholders, • Identify potential clients through networking, referrals, and marketing., • Meet with individuals, families, or businesses to evaluate their financial needs., • Recommend suitable insurance products (e.g., life, disability, long-term care)., • Guide clients through the application process., • Provide policy reviews and updates as clients’ needs change., • Attend ongoing training on products, sales strategies, and compliance., • Ensure all recommendations are compliant with regulatory and ethical standards., • Provide financial planning support to clients., • Support investment professionals to cultivate client relationships., • Prepare financial plans and check their accuracy.Qualifications:, • Excellent communication, customer service, analytical, and interpersonal skills are necessary, • Candidates should have basic computer skills and be able to use Microsoft Office programs, • Demonstrated comprehension of the insurance industry, insurance products, risk management profiles, and associated state and federal regulations, • Bachelor’s degree preferred; high school diploma required, • Job seekers must have an insurance license, • Bachelor's degree in finance or related field., • At least 1 year of industry experience., • Self-motivated., • Excellent interpersonal skills.About Company MassMutual Metro New York is a top financial planning firm offering comprehensive solutions in insurance, asset management, and fee-based planning. Our advisors receive dedicated support through a functional leadership model, allowing them to focus on delivering exceptional client outcomes. As a multicultural agency rooted in the heart of NYC, we serve diverse communities with integrity and care, fostering a culture that feels like family.

Job DescriptionCOMMERCIAL PRODUCER | Top National Broker • Seeking a driven, entrepreneurial Commercial Producer to join one of the fastest-growing insurance brokerages in the country. This is a rare opportunity to join a producer-led organization, with cutting-edge AI tools, and equity options., • This agency is built BY producers, FOR producers and understands what is necessary to be successful. This is a collaborative culture that supports team splits between departments and celebrates wins., • If you're a successful producer frustrated with delayed payouts, low commission splits, lack of support, equity, or being stuck at a firm with no growth trajectory - this is your move. KEY RESPONSIBILITIES • Develop and maintain a book of commercial business (middle-market focus, $50K+ premiums), • Identify and pursue new business opportunities, • Build and maintain client relationships, • Conduct needs assessments and risk analysis, • Present comprehensive insurance solutions, • Collaborate with internal teams (risk management, claims, operations), • Cross-sell across P&C, Benefits, and Personal Lines platforms, • Leverage proprietary AI tools to enhance presentations and close rates QUALIFICATIONS • Active P&C license, • Middle-market account experience, • Proven new business development track record, • Entrepreneurial mindset with growth ambition COMPENSATION • Aggressive commission splits, • Base salary + bonuses, • Equity participation, • Producer Contest, Trips, President Club Events

Job DescriptionDescription: Why Join ADAPT? It's more than a job; it's a calling. It's where passion meets purpose. ADAPT Community Network, formerly United Cerebral Palsy (UCP) of NYC provides a multitude of services to people with developmental disabilities. At ADAPT, we are 3,000 strong, and it takes every one of us to empower the lives of the people we support. With caring and great resources at hand, we know what it takes to help people live fuller, happier, healthier lives. Our employees show their commitment to the people we support every day, and we all deliver on our promise to provide innovative and comprehensive services to individuals with developmental disabilities. For your next career move, apply with us at ADAPT Community Network! Wherever you work among our many locations around New York City, ADAPT offers paid training, competitive benefits, and we foster a team culture of learning, support, collaboration and career growth. SUMMARY Under the general supervision of senior leadership, the Billing Manager is responsible for overseeing the revenue cycle for OPWDD programs and Article 28 clinical services. This position ensures accurate, compliant, and timely billing in accordance with ADAPT Community Network policies and procedures, applicable federal and state regulations, payer requirements, and professional standards. The Billing Manager leads billing operations, monitors compliance with regulatory requirements, optimizes reimbursement, resolves billing discrepancies, and supports financial reporting and revenue integrity initiatives in collaboration with Finance, Compliance, Quality Assurance, and Program leadership. ESSENTIAL DUTIES AND RESPONSIBILITIES The key duties and responsibilities of the Billing Manager include but are not limited to: OPWDD Billing & Compliance • Manage billing processes for OPWDD services including but not limited to Community Habilitation, Day Habilitation, Respite, Supported Employment, Care Coordination / Health Home Care Management, Residential Services, Assistive Supports, and Representative Payee Unearned Income, • Ensure compliance with OPWDD, DOH, Medicaid, and HCBS waiver billing requirements., • Oversee accurate service documentation, encounter data, and billing submission timelines., • Conduct routine audits to ensure clean claims and correct service authorizations (e.g., DDP-2, LOCs, TABS/CHRC consistency)., • Track and resolve billing edits and rejections in eMedNY and managed care portals., • Manage billing for clinics licensed under Article 28, including primary care, behavioral health, specialty services, rehabilitation services, and ancillary testing., • Oversee claims submission for Medicaid FFS, Medicare, Medicaid Managed Care, and commercial payers., • Verify patient insurance eligibility, authorizations, referrals, and required documentation., • Ensure compliance with Article 28 billing standards, APGs (Ambulatory Patient Groups), and DOH regulations., • Oversee coding (ICD-10, CPT, HCPCS) accuracy and collaborate with clinical staff on documentation improvement., • Supervise billing team members, establishing clear performance expectations and productivity standards., • Develop workflows, SOPs, and KPI dashboards for improved billing efficiency and revenue performance., • Train staff on OPWDD and Article 28 billing practices, system updates, and compliance requirements., • Maintain proficiency in billing and EHR systems (e.g., eMedNY, EPaces, billing software, clearinghouses, and EMRs)., • Generate monthly revenue cycle reporting on AR aging, collections, denial rates, and payer trends., • Partner with the Finance team to support month-end close and revenue forecasting., • Identify billing risks and opportunities, recommending process improvements and system enhancements., • All other duties as required. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. REQUIRED • Bachelor’s degree in Health Care Administration, Accounting, or related field required., • Minimum five (5) years of healthcare billing experience required., • Minimum three (3) years of supervisory experience required., • Demonstrated experience with OPWDD and Article 28 billing required., • Knowledge of Medicaid, Medicare, Managed Care, and regulatory billing requirements., • Knowledge of CPT, HCPCS, and ICD-10 coding standards., • Experience with electronic medical record and billing software systems., • Strong analytical, organizational, communication, and problem-solving skills., • Experience with OPWDD billing and compliance platforms., • Familiarity with state billing portals and encounter reporting systems., • Experience with value-based payment or quality incentive programs., • Advanced spreadsheet and financial reporting skills. COMPENSATION: $70,000 - $80,000 Annually + Industry-Leading Benefits! At ADAPT, we value diversity, equity, inclusion, accessibility, and belonging. We strive to ensure that our employees are comfortable bringing their whole, authentic self to work and that the people we support can also be their authentic selves. We value diverse backgrounds, opinions, ideas, and ways of thinking. We aim to build an inclusive and diverse workforce that is empowered and supported with leaders who create diverse and inclusive teams. We continuously seek opportunities for the organization to foster a more positive, respected, united, and collaborative culture. ADAPT Community Network is proud to be an equal opportunity employer and is committed to creating an inclusive environment for all employees. Qualified candidates of diverse ethnic and racial backgrounds and status are encouraged to apply for vacant positions at all levels. Requirements:

Job DescriptionDescription: Founded in 1866, The Floating Hospital (TFH), is one of the last remaining charity hospitals in New York City. Our commitment is the same as it was more than 150 years ago: unrestricted healthcare to all who walk through our doors, regardless of immigration and insurance status, or the ability to pay. The Floating Hospital welcomes individuals of all ages, from infants, school age children (5+), youth and adults. TFH is a Federally Qualified Health Center and the largest provider to homeless families living in family shelters and domestic violence safe houses throughout all five boroughs. • Receives electronic coded claims for all Medical and Dental services rendered from all locations in the Practice Management System. • Review Accounts Receivable reports and provide feedback on a weekly basis to the billing supervisor and include common trends that impact the revenue cycle such as coding or eligibility issues. • Contact supervisor to escalate issues that require resolution by the PM Vendor, • Work closely with the supervisors to ensure denials are corrected and appealed as appropriate in a timely manner., • Review the Athena worklist and Dentrix AR report for initial claims submission or denied claim., • Handle follow-up and appeals with assigned payers for unpaid, denied, and underpaid claims., • Contact payers directly and work with the supervisor to resolve issues., • Determine the reasons for the denials, correct the issue, and resubmit the claims., • Contact the payer for additional information about non-payment., • Utilize the various insurance portals to obtain additional information for rebilling claims., • Reviews and submits all billable claims to insurance payers, third-party payers, and self-pay services in Dentrix system., • Prepare daily batches of claim submissions in the Dentrix system and review the clearinghouse batch report., • Review Athena worklist queue daily and follow up on denied claims., • Assist with the maintenance of the daily claim submission tracking log., • Receives and properly posts all electronic and manual payments and adjustment from insurance companies and patients into Dentrix system., • Reviews and sends patient statements in Dentrix coordinating with the Billing Manager prior to submission., • Analyzes electronic and paper remittances received for Dental: a. Determines reasons for claim denials and makes corrections for resubmission. b. Determines managed care plan payment for Medicaid Wrap claim submission. c. Determines reasons for other claim errors and reports to the Billing Manager for review. • Reviews self-pay accounts for medical and dental and locate id numbers for billing and assist with the retroactive review and billing for self-pay patients. • Assists with billing claims project and appeal submission to the insurance companies., • Sort and categorize incoming mail for delivery to the contacts at various sites., • Maintains Athena correspondence dashboard., • Reconciles Cash received in the Athena and Dentrix system., • Prepares deposit for cash and check received., • Retrieves/obtains capitation rosters from the various insurance companies and updates the capitation file on the shared drive., • Retrieves/obtains PCMH rosters from the various insurance companies and updates the file on the shared drive., • Retrieves/obtains per member per month rosters from the various insurance companies and update the files on the shared drive for UDS and MCVR reporting. • Maintains the unpotable dashboard in Athena., • Maintains the Unapplied credit dashboard in Athena., • Processes Credit card payments and HIM Receipts., • Processes patient refunds., • Maintain a current knowledge of payer guidelines including Medicaid, Medicare, and Third Party., • Maintain a system knowledge of the practice management systems – Dentrix and Athena., • Attends meetings and training with the approval of the Supervisors., • Complete special projects and report findings to management., • Must comply with all HIPAA laws regarding electronic health records and patient information., • Any other duties as assigned. This is a Hybrid position. Requirements: The Billing Associate position requires two to five years of experience in the medical billing environment. Some college backgrounds in health care or a financial field are highly recommended. The Associate must be familiar with medical and coding terminology and have excellent analytical and meticulous organizational skills. The candidate must possess strong skills in MS Office, MS Excel, and use of the various insurance portals. Must have experience working with Athena Practice Management System. Must be able to work effectively in a remote environment.

Job DescriptionDescription: We are seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. This role is vital in ensuring accurate and timely processing of medical claims, supporting our commitment to efficient patient care and revenue cycle management. If you have a strong understanding of medical billing and coding procedures, we invite you to become a key part of our organization’s success. Key Responsibilities: • Review and accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems., • Prepare and submit insurance claims in a timely manner, ensuring compliance with payer requirements., • Verify patient insurance coverage and obtain necessary authorizations., • Follow up on unpaid or denied claims to facilitate prompt resolution., • Maintain detailed and organized records of billing and coding activities., • Stay updated on changes in coding regulations and insurance policies., • Collaborate with healthcare providers and administrative staff to resolve billing issues., • Ensure compliance with all relevant healthcare laws and regulations. Benefits Available: • Multiple medical and prescription coverage options, • Dental and vision care plans, • Health Savings Accounts (HSAs), where applicable, • Flexible Spending Accounts (FSAs), • Voluntary critical illness, cancer, and accident insurance, • Voluntary hospital indemnity coverage, • Voluntary short-term and long-term disability insurance, • Voluntary term life insurance and AD&D (Accidental Death & Dismemberment), • 401(k) retirement savings plan, • Paid time off (PTO), • Commuter benefits, • Proven experience in medical billing and coding, preferably in a healthcare setting., • Certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is preferred., • Strong knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology., • Familiarity with electronic health records (EHR) and billing software., • Excellent attention to detail and organizational skills., • Ability to work independently and as part of a team., • Strong communication skills and problem-solving abilities., • Knowledge of healthcare regulations and compliance standards.

Job Description Hi, we're Oscar. We're hiring an Associate, Itemized Bill Review to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Payment Integrity, Itemized Bill Review (IBR) will be responsible for executing internal payment integrity solutions requiring billing and coding expertise with and continual improvement and development of the solutions. You will ensure claims are paid accurately and timely with the highest quality. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $91,908 - $120,629 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Perform line-by-line review of high-dollar facility itemized bills and corresponding claim forms (e.g., UB-04s), • Proactively identify and document potential billing errors, including duplicate billing of items, services, or procedures as improper unbundling of services (e.g., separating components that should be billed together) and charges for non-covered or non-rendered services, • Compare billed charges against both payor-specific contracts and industry guidelines to confirm appropriate billing practices., • Apply working knowledge of national coding systems (e.g., CPT, HCPCS, ICD-10, MS-DRGs) to validate the accuracy of codes used for services billed., • Review claims eligible under specific reimbursement scenarios: a percentage of charges or those exceeding stop-loss levels, ensuring the claim exceeds the minimum dollar threshold set by the payor, • Prepare clear, concise, and professional documentation of all findings, including savings identified, policy violations, and recommended claim adjustments, • Contribute to the refinement of internal audit processes and tools to enhance efficiency and accuracy in identifying claim inaccuracies, • Serve as a subject matter expert for internal and external stakeholders regarding complex billing issues, coding guidelines, and payor policies, • Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies, • Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue, • Respond to internal and external inquiries and disputes regarding policies and edits., • Document industry standard coding rules and provide recommendations on reimbursement policy language and scope, • Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change, • Provide training and education to team members when necessary, • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate, • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership, • Compliance with all applicable laws and regulations, • A bachelor's degree or 4+ years of commensurate experience, • 2+ years of bill / coding audit experience with a focus on hospital or facility billing (UB-04), • 4+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • 3+ years of experience working with large data sets using excel or a database language, • Knowledge management, training, or content development in operational settings, • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Physician Billing Specialist (Epic | Medicare/Medicaid | Insurance Follow-Up) Experience: 1–2 Years | Healthcare Revenue Cycle Job Summary We are seeking a detail-oriented Physician Billing Specialist with hands-on experience in insurance billing, claims follow-up, and denial management. This role

This role is ideal for someone with strong knowledge of Medicare/Medicaid , medical insurance coverages, and Epic EMR who thrives in a fast-paced healthcare environment. Key Responsibilities Submit and follow up on primary and secondary insurance claims Perform insurance carrier follow-up on outstan

Job DescriptionLocation: Jackson Heights, Queens Salary: $60K-$65K Bengali Fluent strongly preferred We are seeking an experienced and detail-oriented Telehealth Operations Manager to oversee and optimize our telehealth services within a growing home care agency. This role is responsible for managing day-to-day telehealth operations, ensuring smooth coordination between clinical teams, insurance providers, and billing departments, and maintaining compliance through Athena software. Key Responsibilities for Telehealth Operations Manager: * Oversee daily telehealth scheduling, workflows, and service delivery. * Ensure providers are properly credentialed and appointments are documented accurately. * Monitor telehealth performance metrics and identify opportunities for improvement. * Develop and implement operational protocols to enhance efficiency. Insurance & Billing Coordination * Verify insurance eligibility and benefits for telehealth services. * Coordinate with billing teams to ensure accurate claim submission and timely reimbursement. * Follow up on denied or delayed claims and resolve discrepancies. * Ensure proper coding and documentation for telehealth encounters. Athena (athenahealth) System Management * Utilize Athena software to manage patient records, scheduling, billing, and reporting. * Ensure accurate documentation within the EMR system. * Generate operational and financial reports. * Train staff on system workflows and best practices as needed. Compliance & Quality Assurance * Ensure telehealth services comply with state and federal regulations. * Maintain HIPAA compliance and patient confidentiality standards. * Conduct audits of documentation and billing processes. * Stay updated on telehealth reimbursement guidelines and policy changes. Team Collaboration & Leadership * Work closely with clinical staff, intake, billing, and leadership teams. * Address operational challenges and implement process improvements. * Support staff training and onboarding related to telehealth services. Qualifications for Telehealth Operations Manager: * 3+ years of healthcare operations experience (telehealth or home care preferred). * Strong understanding of insurance verification, claims processing, and billing workflows. * Hands-on experience with Athena (athenahealth) or similar EMR systems. * Knowledge of medical coding and telehealth reimbursement guidelines. * Excellent organizational and leadership skills. * Strong analytical and problem-solving abilities. * High attention to detail and compliance standards.

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Flexible schedule, • Opportunity for advancement, • Paid time off We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job DescriptionCompany Overview World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Position Summary • Receives guidance and or direction, to provide support to more senior colleagues, by following established workflows and procedures on routine work including ALL primary activities listed below., • Contribute to employee benefits strategy and the renewal/marketing process through gathering vendor/client information, preparing RFPs, inputting, tracking, and analyzing benchmarking data, providing value-added analysis and summaries, etc., • Coordination and support of Form 5500 filing with vendor including client setup and data gathering, • Support carrier and vendor implementation, including policy checking, paperwork submittal, and coordinating final enrollment submission., • Build and update fully insured financial dashboard, where applicable., • Draft and edit client deliverables such as strategy and stewardship decks/reports., • May be responsible for the preparation of monthly billing invoice for self-billed clients and tracking payments; auditing/reconciling monthly invoices to ensure billing accuracy for all clients, • Coordinate Benefits Administration technology implementation and annual configuration with technology team, including information gathering and system testing., • Prepare, edit and /or proof open enrollment materials and presentations, coordinate and may deliver enrollment presentations and or answer employee questions, etc., • Resolve claims or administrative issues on behalf of client and escalate claims issues by identifying where plan provisions were misapplied., • Research and resolve client revenue variances for accuracy., • Developing knowledge of BenefitPoint, Perfect Quote and World EB workflows., • Developing knowledge World EB value proposition by segmentation, the applicable EB templates and standardized client service deliverables., • Developing knowledge EB carriers and group insurance products, carrier portals, as well as ability to work within EB tools, systems, and templates, applying knowledge to middle and large., • Possesses excellent verbal and written communication skills. Physical Demands Office work involves working at a desk most of the time, using a stand-up/sit-down adjustable desk. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Typing, grasping, and repetitive motion typically is required every day, and walking and standing are required occasionally. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. To Executive Search Firms and Staffing Agencies World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World’s property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World’s Human Resources Talent Department. #LI-MA1 #LI-HYBRID Powered by JazzHR 6meZVREKph

Job DescriptionBenefits: • 401(k), • Bonus based on performance, • Competitive salary, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred., • Bilingual Spanish, Cantonese or Russian preferred.

Job Description Hi, we're Oscar. We're hiring a Staff Software Engineer to join our Engineering team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role As a Staff Software Engineer you'll join our distributed team, leading the design and development of enhancements to our next-generation claims and payment processing systems. You will work on a broad problem space spanning contract and pricing configuration, system extensibility through our internally developed DSL, and data pipeline architecture and efficiency. You'll selective apply AI to solve hard problems, automating and improving processes that previously tedious and error-prone. Your focus will be on building scalable and reliable systems that ensure the accuracy and efficiency of our claims and payment processes. You will report to the Director, Software Engineering. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $192,000 - $252,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses. Responsibilities • Serve as the subject matter expert on business and technical domains., • Lead the planning, execution and release of complex technical projects across multiple teams, including owning medium to large features or infrastructure projects from technical design through completion, • Work with partners, product managers, and designers to solve challenging problems., • Lead and mentor engineers and engineering teams to improve technology, apply best practices and set overall team direction., • Responsible for ensuring the team's delivery of large or complex technology capabilities (set of components or services) within their team's domain or spanning multiple domains., • Facilitate, encourage, and enhance a culture of collaboration within the engineering team and its internal customers; recognizing when cross-team projects are at risk and actively mitigate risk to deliver on time., • Prolific contributor to the objectives of their functional group, and plays a key role in driving outcomes for organization-wide projects., • Work with leadership to assign prioritization of technical roadmap and influence prioritization of product roadmap and process enhancements within their area and across related areas., • Actively identifies and reduces failure domains while working with their team to do the same., • Builds software to minimize effort and business impact during maintenance and failures., • Guide the development of Service-Level Objectives (SLOs) for systems they and their team are responsible for., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • 7+ years of professional software engineering experience, • 5+ years of experience as a leader of cross-pod or cross-company deliverables, • 5+ years of experience leading technical contributions, improving the quality of what your teams create, • 5+ years of experience with practical application of CS concepts within their team., • 5+ years of experience setting and enforcing the standard for writing stable, correct, and maintainable code At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Flexible schedule, • Opportunity for advancement, • Paid time off We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Competitive salary, • Flexible schedule The Medical Biller will support the therapists while being responsible for managing patient and insurance information, support and collaborate with Front office Receptionist, and initiating payment processes and procedures. The ideal candidate will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality, handling personal information, and providing world class customer service to all clients. Medical Bille OT/PT Duties and Responsibilities • Complete Revenue Cycle Management for OON OT/PT Therapy Practice, • Ensure patient information is accurate and complete, • Request any missing patient information, • Review referrals and authorizations, • Confirm patient benefits and insurance, • Follow all regulations and guidelines set by Medicare, state programs, and commercial insurances, • Review insurance claims and billing data in billing software (Web PT and Therabill), • Create both paper and electronic copies of documentation, • Develop and maintain a tracking system of incoming and late payments, • Monitor and date late payments, • Initiate late payment notices to relevant parties, • Respond to questions from patients or insurance companies, • Follow-up on late or missed payment notices, • Monitor and resolve financial discrepancies, • Arrange payment plans and timelines for payments, • File and maintain organized documentation of all billing and record, • Follow set billing processes and procedures, • Update and review all accounts to keep records of payments up-to-date, • Work with personal information and maintain patient confidentiality, • Collaborate and support Front Office Receptionist, • Provide concierge quality service to all clients throughout their course of treatmentMedical Biller / Practice Manager Requirements and Qualifications, • Bachelors degree in accounting, health care administration, finance, business, or related field preferred, • Two (2) years previous experience as a medical biller or in a related healthcare administrative position with certificate., • Able to multitask, prioritize, and manage time efficiently, • Self-motivated and self-directed; able to work without supervision, • Excellent verbal and written communication skills, • Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus, • Strong customer service skills and comfortable answering both patient and insurance company questions, • Able to analyze problems and strategize for better solutions, • Experience with supervision and/or collaboration of administrative front office staff, • Desire to join a growing company, • Strong interpersonal skills, • Ability to represent the practice and therapists with outgoing personality, • Desire to support the growth and success of our therapy practiceAbout Us We are a boutique therapy practice in Union Square, NYC, specializing in Physical Therapy, Occupational Therapy, Hand Therapy and Wellness programs. To apply please email resume and include the subject "Experienced Billing Administrator" along with your salary requirements. Explain why you would be a good fit for our company, and why you are qualified to move to the next phase of interviews. Job Type: Full-time Salary: $55,000 - $60,000.00 per year Experience: • OON Medical Billing: 2 years (Preferred), • OON Therapy Billing Experience, • Complete Revenue Cycle ManagementEducation:, • Bachelor's (Preferred)License:, • Medical Billing and Coding (Preferred)Language:, • English (Required)This is an In Office Position, 11am to 7pm

Job DescriptionAmalgamated Bank is seeking a Licensed Retail Banking Representative! Under general supervision, but following established policies and procedures, this position will provide potential and existing customers with high quality customer service in a broad variety of activities (including, but not limited to, life insurance products and general banking needs in branch and at off-site events). The Licensed Retail Banking Representative will need to identify customers or potential customers for an in-depth financial review with the dedicated Financial Advisor. This role will be called upon to work both the Teller and Customer Service areas, according to business needs. This role will also support branch management in achievement of Branch performance metrics and participate in Branch campaigns and promotions. Essential Job Functions: Customer Service Duties: • Perform all aspects of opening and maintaining a variety of accounts in accordance with Bank policy and procedures, including but not limited to the Bank’s CIP and customer service policies, • Proactively present and cross sell Bank products, through probing questions and offer appropriate products and services based on customer responses. This is accomplished by utilizing the Client Relationship Notes form with current or potential customers. Participate in Bank promotions and sales campaigns to achieve Branch performance metrics, • Actively promote the Bank and its products and services. This will include setting - up a table outside the branch and handing out information when necessary, • Participate in off-site sales calls, branch networking, and community and CRA activities, • Resolve customer complaints regarding sales, service or account issues. Respond to customer inquiries or complaints in person or over the phone in a professional manner, which may include preparing and submitting written correspondence to respective departments, • Maintain correspondence with customers and back office by following-up to ensure resolution, • Greet customers in a professional manner that creates a welcoming environment; this includes proper acknowledgement and introduction in accordance with Bank policies, • Demonstrate a comprehensive understanding of specific Bank products and services while matching those products and services to individual customer needs, • Review and verify all previous days’ work to ensure accuracy and resolve any discrepancy that may exist; including but not limited to general ledger accounts, • Approve checks (up to authorized limit) using knowledge of account history and account information on file, • Perform various administrative duties as directed by Manager, • Monitor customer preferences to determine focus of sales efforts, • Contact new and existing customers to discuss their needs, and to explain how these needs could be met by specific bank products including but not limited to Life products and services, • Perform all RBR duties such as issuance of official checks, accept payment for rental of safe deposit boxes, process deposits/withdrawals, cash checks, loan payments, etc., • Assist other RBR’s in balancing daily transactions, verifying tickets and daily balancing of the teller area. Help RBR’s with complex work-related matters (i.e. check cashing), • Research and investigate customer claims in matters relating to transaction discrepancies, in order to help resolve issues for customers in a timely manner, • Assist Officers in performing various Branch functions and Branch reports, as requested, • Render priority services to customers in need of special handling, • Perform various related clerical duties as directed, • Knowledge and compliance with investment guidelines and regulatory requirements, including continuing education and certifications, • Bachelor’s degree or equivalent work experience, • Must have State Life Insurance license, • Three years of branch operations experience and strong aptitude for sales, • Must be flexible to work and/or transfer throughout the network, on an as needed basis, • Strong interpersonal and communication skills to build rapport with prospective and existing customers, • Detailed knowledge of banking procedures, regulations and all Branch related functions and terminal systems Our job titles may span more than one career level. The actual base pay is dependent upon many factors, such as training, transferrable skills, work experience, business needs and market demands. The base pay range is subject to change and may be modified in the future. Amalgamated Bank is an Equal Opportunity and Affirmative Action Employer, Minorities / Females / Individuals with Disability / Veterans. AmeriCorps, Peace Corps and other national service alumni are encouraged to apply. View our Pay Transparency Statement. Submission of a resume or any information regarding your qualifications does not constitute a promise or offer of employment. At Amalgamated Bank, we consider an applicant to be someone who has interviewed at least once, in person, with the hiring manager. Amalgamated Bank does not sponsor applicants for work visas.

Job Description Join the Allstate Insurance-Tom Birks Agency, a vibrant and customer-focused establishment located in the heart of Bloomfield, New Jersey. As a Licensed Insurance Representative, you will be an essential part of our dedicated team, helping clients navigate their insurance needs with expertise and care. Our agency is renowned for providing exceptional service and cultivating strong relationships with our community. We pride ourselves on our positive work environment and inviting culture, ensuring that every team member feels valued and supported in their professional journey. In this role, you will leverage your knowledge and skills to provide personalized insurance solutions, ensuring our clients are well-protected and informed. If you are passionate about making a difference in people's lives and eager to grow in a stable and fulfilling career, the Allstate Insurance-Tom Birks Agency is the place for you. Your path to a rewarding future begins here! This position has unlimited earning potential (salary, commission and bonus). Many 1st year agents can make $75,000+ and $100,000+ in year 2 and beyond. We are looking for motivated individuals that want to make real money and believe in their abilities...!!! Benefits Annual Base Salary + Commission + Bonus Opportunities Health Insurance Dental Insurance Vision Insurance Life Insurance Hands on Training Mon-Fri Schedule Career Growth Opportunities Retirement Plan Evenings Off Paid Time Off (PTO) Salary+Commission+Bonus Aggressive Commissions Sales Contests/Prizes Responsibilities Client Consultation: Engage with clients to understand their property and casualty insurance needs, providing personalized advice and solutions. Policy Management: Accurately maintain and update client records, ensuring all information is current and correct. Sales: Develop strong relationships with potential clients to convert opportunities into sales and policy renewals. Claims Assistance: Guide clients through the claims process, offering support and advice to ensure a smooth experience. Product Knowledge: Stay informed about Allstate's insurance products and services to effectively address client inquiries and recommend appropriate solutions. Compliance: Ensure all actions and practices comply with state and federal insurance regulations, maintaining a high standard of ethical integrity. Requirements Licensing: Must hold an active Property & Casualty or Personal Lines Insurance License in the state of New Jersey. Experience: Minimum of 1-2 years in insurance sales in property and casualty insurance. Communication Skills: Strong verbal and written communication techniques, capable of engaging potential clients effectively. Customer Service: Demonstrated commitment to providing excellent customer service and understanding client needs. Team Collaboration: Ability to collaborate with team members to achieve agency goals. Reliability: Consistent attendance and punctuality is essential for this on-site position. Tech Proficiency: Familiarity with insurance software and CRM systems is beneficial.

Job Description Raphael & Associates, a nationwide third-party claims administrator (TPA) and field adjusting company is seeking a Specialty Claims Intern to support our claims team during the Summer of 2026. Interns will learn our business while gaining exposure to real projects, develop professional skills, and contribute to initiatives that enhance our national presence. This position will be located at our Rutherford, New Jersey home-office. Responsibilities • Develop skills in the identification and handling of claim documents., • Learn and apply claim file creation and procedures to ensure accuracy of data., • Organize claim documents and files in accordance with department guidelines., • Reorganize and update vendor database., • Assist in the creation of policy form(s) comparative analysis for examiners., • Deliver exceptional service on a timely basis., • Collaborate effectively with team members., • Other assignments as directed by manager.Qualifications, • Students pursuing a bachelor's degree required with a focus on insurance and risk management, business, or related area., • GPA of 3.0 or above required, • MS Office skills including Microsoft Word, Excel, PowerPoint, and Outlook, • Strong verbal and written communication skills., • Detail-oriented with strong organizational skills and the ability to multi-task. 6C76j6GnoO

Job Description About Kindbody Kindbody’s mission is to make fertility and family-building care affordable and accessible for all. Founded in 2018, Kindbody has been recognized for technology innovation and industry leadership, Kindbody has been named to CNBC Disruptor 50, Fast Company’s Brands that Matter, Forbes Best Startup Employers, Inc.’s Best In Business list of most admired companies, as well as Deloitte Technology Fast 500™, which recognizes the fastest growing and most innovative technology companies in North America. Kindbody is the leading U.S. fertility clinic network and global family-building benefits provider for employers on a mission to make fertility care more affordable and accessible for all. Kindbody serves patients at 26 state-of-the-art signature clinics and IVF labs, 400+ partner clinics, and in 113 countries around the world. Trusted by more than 140 employers, Kindbody’s physician-led model covers the full-spectrum of reproductive healthcare including fertility assessments, fertility preservation, genetic testing, IVF, donor and surrogacy services, adoption, postpartum care, and menopause support. Kindbody is the only fertility benefits provider that serves patients directly, delivering a seamless, integrated experience with superior health outcomes at lower cost. Kindbody has raised more than $315 million in debt and equity funding from leading investors including Perceptive Advisors, JP Morgan Chase’s Morgan Health, GV, RRE Ventures, Claritas Health Ventures, Rock Springs Capital, Distributed Ventures, Whatif Ventures and TQ Ventures. About the Role As an experienced Practice Director, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. This role is a full-time position based in our New York City Clinics. Responsibilities * Oversee practice and clinical team members comprised of practice coordinators, nurses, medical assistants, and sonographers to ensure they are meeting their day-to-day responsibilities * Provide regular feedback and reviews * Track KPIs and deliverables * Manage performance improvement plans * Coordinate team meetings and oversee takeaways * Serve as the liaison between team members and the physicians and lab team * Perform hiring procedures for all clinic staff * Oversee the onboarding program for the team members. The onboarding role involves but is not limited to, executing training materials, training in all SOPs, training on the process for the documentation, shadowing/coaching, and proficiency testing and sign-offs * Responsible for managing all internal staff escalations in collaboration with the Operations leadership and the People team * Work with Operations leadership to address all patient questions, complaints, and feedback within 24-48 hours by collaborating with the clinical, operations, and laboratory teams. * Work with the Operations leadership team and Finance team to ensure overhead and cost of goods and services are in line with budget and continue to push for budget improvement * Approve and ensure all purchase orders are in line with budget * Execute patient conversion lists for specific markets by holding regular meetings with appropriate clinic staff to ensure coordination is being handled and patients are moving into treatment timely * Update and maintain the Anticipated List for specific markets for accurate forecasting * Coordinate clinic staff schedules to ensure there is appropriate in-office support, cross-team collaboration, patient recovery support, and 24/7 customer support by team members * Manage the schedule of per-diem and temp employees, if applicable * Oversee time cards, PTO, and leave requests for the clinic for both direct and indirect reports * Manage procedural scheduling for all OR cases and ensure the appropriate teams, including the external anesthesia team, are aware of and available for cases. * Oversee procedural scheduling for all procedures (hysteroscopies, egg retrievals, embryo transfers, and IUIs) * Scrub clinic schedule daily to ensure appropriate access is available and patients are scheduled correctly * Coordinate provider cross-regional coverage in collaboration with local leadership * Troubleshoot scheduling issues and make changes to the patient portal & provider templates as needed * Address customer billing & insurance questions including, but not limited to accepting payments, refunds processing, and insurance claims submissions in collaboration with the RCM/Finance teams * Ensure all copays, patient responsibilities, and self-pay or outstanding balances are collected at the time of check-in * Maintain the highest degree of ethics when handling patient payments and bill processing * Report KPIs weekly in an effort to forecast company revenue accurately * Assist with business improvement and marketing efforts * Manage clinic P&L in alignment with company goals and objectives * Monitor clinic activities for compliance with health industry regulations * Oversee facilities and maintenance issues * Manage annual retraining of SOPs as necessary * Responsible for the management and tracking of provider’s licensing, credentialing, and hospital privilege applications and renewals * Manage all RN BLS renewals * Establishes a compassionate environment by providing emotional and psychological support to patients and patient's families * Works independently to assure the program goals are achieved * Support and promote excellence in customer service * Provide feedback to HQ on process improvement and job specifications to help gain efficiencies in your day to day Who You Are * 3+ years of managerial experience * Bachelor's of Science or a clinical background is a plus * Strong change management skills * Experienced in EMR and G-Suite * Experience in and a passion for women’s health and fertility is a plus * Strong communication skills & a team player * Detail oriented * Exemplifies strong customer service skills and professionalism

Job Description Join Our Team and Keep Moving Forward with Breg! At Breg, we are dedicated to advancing orthopedic solutions that enhance the lives of patients and support healthcare professionals. As a leader in the orthopedic industry, we provide innovative products, consulting, technology, and services that help people move forward with confidence. We are currently seeking a Patient Access Representative to join our team in Staten Island, NY. If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you. Who You Are You are a forward-thinking professional who values collaboration, innovation, and making a meaningful difference. You bring expertise in communicating effectively both written and verbally and are eager to contribute to a team that is committed to delivering exceptional patient outcomes. What You’ll Do As a Patient Access Representative, you will: • Answers and routes incoming calls using multi-line telephone system. Hospitably greets and routes patients, clients, vendors, and other visitors. Maintains tidiness of reception and other public areas., • Locates and processes referrals at the time of visit., • Checks in upon arrival, registers walk-in patients and identifies existing patients; correctly adds/edits demographic information to include email address, guarantor, and insurance coverage and obtains necessary signatures., • Verifies eligibility and accurately estimates out of pocket expense., • Collects co-pays and patient account balances., • For all same day referrals, on-call referrals, and walk-in patients, obtains medical records and supporting documentation required to successfully register, verify insurance, and meet all payor authorization and documentation requirements. Completes these critical steps prior to the patient fitting., • Processes all referrals received within the identified timeline., • Schedules follow up appointments as necessary., • Reviews and acts on all emails, electronic referrals, and correspondence within one business day., • May participate in the delivery of Ancillary Products., • Performs pre-scan validation of new claims and supporting documentation to ensure accuracy, timely processing, and revenue recognition., • Administrative tasks may include receives paper claim documentation, scans claims, tends to mail, overnight shipping, fax, copy, scan, file, office supplies, and general correspondence and ensures efficient office operations., • Knowledge of EMR systems and understanding of where various data points and clinical information is located., • Follows and upholds all HIPAA standards and guidelines while discussing and accessing patient information., • Maintains and updates skills by collaborating with peers, participating in assigned Breg Academy training courses, as well as, reviewing and implementing new SOPs and Work Instructions., • Promotes Breg’s culture of accountability by demonstration and exemplifying Breg’s cultural beliefs., • Supports all other Health Information Management System (HIMS) department tasks and clinical location requirements as needed to support the Breg Billing Business., • Maintains a professional appearance and work environment., • High school diploma or equivalent required., • Working knowledge of medical terminology and standard medical forms preferred., • 1+ year of medical reception experience preferred., • Computer proficient to include web browser/internet search, MS Outlook, Word, Excel, and Power Point capabilities. Technical competence includes the ability to learn new software and systems., • A passion for innovation and a commitment to Breg’s mission to Keep Moving Forward. Why Breg? At Breg, we invest in our people and culture. We offer: • Comprehensive Benefits: Medical, dental, vision, disability, and life insurance, effective the first of the month after hire., • Work-Life Balance: Paid Time Off (PTO) and company-paid holidays., • Growth & Development: Opportunities for professional advancement within a company that values your contributions., • Commitment to Diversity & Inclusion: Breg is proud to be an Equal Employment Opportunity employer, fostering a diverse and inclusive workplace. Salary Range: $19.50-$26.00/hr. Actual compensation is determined by factors such as experience, skills, and business needs. This range reflects the minimum and maximum target range for new hire base salary/pay across all US locations. Actual pay is based on many factors unique to each candidate, including but not limited to geographical location, work experience, skill set, relevant trainings and certifications, and business needs. The base pay range is subject to change and may be modified in the future. This role may also be eligible for bonus. Ready to Move Forward? If you’re ready to be part of a company that is redefining orthopedic care, apply today at . Breg is an Equal Employment Opportunity Employer and dedicated to a diverse work force and Drug Free work environment. EOE/Minorities/Females/Vet/Disabled are encouraged to apply. Applicants must be currently authorized to work in the United States on a full-time basis. The Company will not sponsor applicants for work visas for this position. #LI-AC2

Job Description Garner's mission is to transform the healthcare economy, delivering high-quality and affordable care for all. We are fundamentally reimagining how healthcare works in the U.S. by partnering with employers to redesign healthcare benefits using clear incentives and powerful, data-driven insights. Our approach guides employees to higher-quality, lower-cost care, creating a system that works better for everyone. Patients achieve better health outcomes, employers spend healthcare dollars more effectively, and physicians are rewarded for delivering exceptional care rather than performing more procedures. Garner is one of the fastest-growing healthcare technology companies in the country. Our products are trusted by the most sophisticated employers and providers in the industry, and we are building a team of talented, mission-driven individuals who are motivated to make a meaningful impact on healthcare at scale. About the role: We are seeking an exceptional Integrations Associate to join our Feed Integrations Team. This role will report to the Feed Integrations Manager. In this role, you'll be responsible for the maintenance and optimization of eligibility and claims data feeds that are foundational to Garner's healthcare platform. This position blends technical acumen with cross-functional collaboration. You'll serve as a key point of contact for external partners, including health insurance carriers, TPAs, and benefits administrators, while working closely with internal teams to identify opportunities for automation and efficiency gains. This is a mission-critical role, managing the data infrastructure that directly impacts our clients' success and our product performance. Where you will work: Garner is headquartered in NYC, but this position is available for individuals who are comfortable with remote work and occasional travel to HQ. What you will do: • Own maintenance and improvement of existing eligibility and claims data integration feeds, • Conduct in-depth data analysis and error reporting to validate feed performance and troubleshoot discrepancies, • Collaborate with external feed providers to gather technical requirements, map files, test integrations, and resolve issues for renewing clients, • Analytical mindset with a keen attention to detail and a drive for root-cause problem solving, • 0 - 5 years of experience with healthcare data, including eligibility and claims file formats (e.g., EDI 834, 837, custom flat files), • Familiarity with data integration protocols such as SFTP, encryption standards (e.g., PGP), and file transformation/mapping, • Strong communication skills with experience working cross-functionally and externally with partners, • A proactive, collaborative approach and a willingness to get hands-on with complex work, • Passion for transforming healthcare and improving outcomes for members and clients Compensation Transparency: The base salary range for this position is $55,000 - $70,000. Individual compensation for this role will depend on various factors, including qualifications, skills, and applicable laws. In addition to base compensation, this role is eligible to participate in our equity incentive and competitive benefits plans, including but not limited to: flexible PTO, Medical/Dental/Vision plan options, 401(k) with company match, flexible spending accounts, Teladoc Health and more. Fraud and Security Notice: Please be aware of recent job scam attempts. Our recruiters use getgarner.com and garnerhealth.com email domains exclusively. If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to . Equal Employment Opportunity: Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics. Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at .

Job Description Location: New York, New York Quick job details: • Setting: Outpatient private practice / multi-physician group (non-hospital, office-based pediatrics), • Hours: Typical clinic hours 8:30 a.m. – 5:30 p.m, • Patient Volume: Average 20–25 patients per day, balanced mix of well-child and sick visits., • Job Requirements:, • Benefits: Malpractice insurance (claims-made or occurrence). Paid time off and holidays. Health, dental, and vision insurance. CME days and annual stipend. 401(k) or retirement plan About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates. Our Promise: • We will put you in front of the decision makers., • We will provide feedback on your application., • We will work on your behalf to obtain as much info as you need to make a well-informed decision. If interested in this position, please submit your CV. We look forward to finding your next position! The HealthPlus Team.

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development Agent Hielly Martinez, earned the privilege of becoming a State Farm Agent in 2008, inspired by the work ethic and humility of his immigrant parents. Through hard work, determination, and a passion for helping others, his agency quickly became a top producer and eventually expand to multiple office locations. Mr. Martinez is grateful for the chance to serve his community while creating opportunities for othersespecially young adults who, like himself, dream of financial stability and a brighter future. ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Hielly Martinez - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred., • Property & Casualty license (must have or be able to obtain)., • Bilingual Spanish preferred.

Job Description Hi, we're Oscar. We're hiring an Associate, Medical Economics to join our Medical Economics team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. The Associate reports to the Senior Director, Medical Economics, and is part of a team that analyzes medical costs to understand trend drivers, project financial outcomes, monitor programs, and identify cost savings opportunities. You will partner with Medical Economics leadership, Data Science, Finance, Payment Integrity, and other analytic support responsibilities to ensure accurate projections are reflected in management reporting. You will report into the Senior Director, Medical Economics. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $131,200 - $172,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Work under the guidance of the Senior Director, Medical Economics., • Maintain sophisticated models to forecast the financial impact of proposed changes to clinical and payment policies. Conduct sensitivity analyses and stress testing on models to understand the range of potential outcomes under multiple utilization and cost scenarios., • Develop knowledge of industry best practices and work to drive innovation., • Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers., • Provide proactive financial guidance on latest clinical trends and their potential impact on our financial performance., • Accomplish retrospective studies to measure the actual financial and clinical outcomes of implemented policies, comparing results against initial projections., • Build repeatable analytic processes that scale across programs., • Create executive-ready visualizations tailored to different stakeholder audiences (clinical vs. financial)., • Promote and shape Oscar best practices concerning automation and documentation. Contribute to department initiatives around automation, AI use, and tooling improvements., • Compliance with all applicable laws and regulations, • College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research., • 4+ years of quantitative analysis experience using SQL., • Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job DescriptionJob Description Frank Darling, is a rapidly growing female-founded fine jewelry brand making custom engagement rings more accessible than ever before. We’ve been featured in Vogue, WSJ, Bloomberg, Glossy, and a number of other publications for our design, sustainability, and modern take on the bridal category. Are you a customer experience pro with the ability to personalize every client interaction and a deep knowledge of jewelry design and manufacturing techniques? Do you thrive off of creating a positive environment for every customer? Love love love diamonds? We’re looking for an amazing Lifetime Care Jewelry Specialist to join our ever-growing team of fine jewelry enthusiasts! This is a client-facing role responsible for working cross-functionally with our quality, sales, client care, and production teams to help facilitate remakes while maintaining a five-star customer experience. Key Duties and Responsibilities: * Work one-on-one with clients throughout the ring remake process, acting as a liaison between production, sales, design, gemology, and CAD teams. * Meet clients to pick up their finished rings and discuss insurance and ring care * Guide clients through complicated repairs with compassion, ensuring their concerns are understood and addressed. * Meet with clients to intake rings for resizing or repair, providing clear expectations and next steps. * Partner with the design and sales teams to suggest design updates that preserve the client’s vision while enhancing durability and longevity. * Conduct quality assessments (QA) of physical rings to determine the best path forward. * Collaborate with the production team to ensure all changes, fixes, and design updates are completed before shipping. * Manage insurance claims from Jewelers Mutual and BriteCo, working closely with clients to redesign and remake their rings. * Recommend thoughtful design modifications to help resolve remake challenges. * Act as the escalation contact for production issues that impact design or gemstones—such as chipped stones, poorly designed settings, or mismatched side stones. * Suggest alternative diamonds when the originally selected stone is unavailable. Requirements and Experience: * A people person who thrives on creating an excellent customer experience. * 2+ years of experience in client services * Hands-on bench jewelry and/or fine jewelry design experience * Computer-savvy and phone experience is a must. * A bachelor’s degree is preferred, but not required, for the right candidate. * Ability to multitask and desire to work with a small, tight-knit team. * High-level of empathy and desire to make every client feel special. * A self-starter who goes above and beyond for their clients. * Responsive through all communication channels with the team and clients * Highly empathetic with a high emotional intelligence Job Details: * Full-time on-site role located in Tribeca, NYC * Office hours are 10 AM to 6 PM * Available schedules: Thursday - Monday * Salary: $55K - $65K Benefits: * Equity Compensation. Every Frank Darling team member receives a stock option package to share in the upside of the company's success. * Insurance. Medical, dental, and vision insurance kicks in on the first day of your 2nd month! * 401k. Optional 401k program. * Paid Time Off. A flexible, unlimited paid time off policy enables motivated goal-oriented team members to recharge * Performance-Based Bonuses. Monthly bonus programs tied to procurement efficiency and cost savings * Disability and Life Insurance. 100% employer-paid. * Pre-Tax Commuter Benefits. * Employee Discounts. A generous discount program for you, your friends, and your family to make it easy to wear and gift Frank Darling.

Job Description Hi, we're Oscar. We're hiring an Associate, Delegated Vendor Management to join our Speciality Contracting team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will be a key collaborator in the management of contracts with large, national and/or complex vendors or partners. You will manage the daily operations associated with the delegated dental and vision vendor contracts, including the triage and management of member and provider issues; supporting cost- saving initiatives; collaborating on internal process improvement and optimization effort. You will have management responsibilities of delegated vendor(s) and be a subject matter expert in the end-to-end program, serving as a knowledgeable and responsive point of triage and assistance for internal teams (including clinical and claims teams) and external vendor partners and ensuring providers across our service area have the information and support they need to provide best-in-class member care. You will report into the Director, Speciality Contracting. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $96,876 - $127,149 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Be an internal expert on program operations and provide consultation and partnership to internal partners to drive strategic initiatives, process optimization, and cost containment efforts, • Implement contracting strategies under the direction of Network Director and/or Senior Manager and in partnership with Market Leaders that align with the company's overall network adequacy, development and cost management objectives., • Utilize data and analytics of competitor strategies to support informing negotiation and contracting decisions., • Facilitate guidance and mentorship of more junior team members by reiterating strategic objectives, providing training and development opportunities, and fostering a collaborative and innovative work environment, • Support implementation of policies and workflows; supports identifying when effective and efficient processes need improvement Meet defined metrics and SLAs including but not limited to provider outreach and contract completion., • Collaborate with internal teams to effectively triage and manage issues related to claims, members, and providers., • Support with account management tasks across the team, including deliverable tracking, report management, meeting minutes, and team organization, • Support with financial operations, including budget forecasting and projections, • Support with administrative tasks as assigned, • Compliance with all applicable laws and regulations, • 3+ years of experience in healthcare client management, healthcare consulting, or provider healthcare contracting, healthcare operations, or a related field, • 2+ years of experience supporting provider network strategy development and negotiating provider contracts, • Associate's degree or equivalent professional working experience., • 1+ years experience running financial analyses on a markets or product lines, and working cross-functionally to support driving improvement opportunities At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business. You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $72,036 - $94,547 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits., • Respond to internal and external inquiries and disputes regarding policies and edits., • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope., • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions., • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever leadership escalates and assigns issues., • Compliance with all applicable laws and regulations, • Experience in Payment Integrity focused on Disputes and/or appeals, • 4+ years of experience in claims processing, coding, auditing or health care operations, • 3+ years experience in medical coding, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices., • 2+ years experience deriving business insights from datasets and solving problems, • 1+ years experience improving business workflows and processes, • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • 2+ years of experience working with large data sets using excel or a database language, • Experience in a professional healthcare claims organization, • Knowledge management, training, or content development in operational settings, • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job DescriptionDescription: Who We Are John Paul Mitchell Systems (“JPMS”) is recognized worldwide for developing and marketing innovative hair and skin care products since 1980. We’ve been serving the professional beauty industry with salon-quality hair care products, styling tools and professional hair color through our family of brands including Paul Mitchell, MITCH, Awapuhi Wild Ginger, Tea Tree, Paul Mitchell Tools, Neuro, The Demi, Paul Mitchell the Color, Blonde, and Color XG. We were the first professional hair care company to take a stand against animal testing and continue our strong commitment to giving back, supporting a wide range of philanthropic causes both domestically and internationally. Sustainability has always been a priority, and we are committed to making our company operations climate neutral to preserve the beauty of the world around us. Who You Are: You are a skilled and enthusiastic, high-performing professional who is passionate about hair care and wants to positively contribute to the growth of our iconic brand as well as to our people first culture. About the Role We are seeking a highly experienced and innovative Principal Hair Color Chemist to lead the development and optimization of high-performance professional hair color systems. This role requires deep technical expertise in oxidative and non-oxidative color chemistry, strong hands-on laboratory capability, and a clear understanding of salon and consumer expectations within the professional hair color market. The ideal candidate combines scientific rigor with commercial awareness and thrives in a fast-paced, cross-functional collaborative environment. What You will Do: • Lead end-to-end development and reformulation of professional hair color systems including permanent color, demi/semi-permanent color, lighteners, and developers, • Own formula architecture from concept through pilot and commercial scale-up, • Design innovative systems aligned with brand positioning, performance benchmarks, cost targets, and global regulatory requirements, • Serve as technical subject matter expert for hair color chemistry and bleaching systems, • Drive raw material evaluation, alternative sourcing, and cost optimization initiatives, • Partner cross-functionally with Marketing, Regulatory, Quality, Packaging, and Operations to ensure successful commercialization, • Support salon validation, claims substantiation, and instrumental performance testing, • Troubleshoot complex formulation and manufacturing challenges, • Maintain rigorous documentation in accordance with GMP and GLP standards, • Monitor competitive landscape, emerging technologies, and ingredient innovations within the professional hair color space Skills: • Successful development of professional hair color through hands-on formulation, • Deep expertise in oxidative dye systems, semi-permanent dyes, alkalizing agents, bleaching chemistry, developers, and tone control technologies, • Strong knowledge of polymers, conditioning systems, emulsions, rheology modifiers, and surfactants., • Experience transferring formulas from lab to manufacturing scale, • Strong understanding of global cosmetic regulations (US, EU preferred), • Demonstrated ability to manage multiple complex projects simultaneously, • Excellent communication skills with ability to translate technical data into clear business insights, • Business acumen and understanding of salon professional market dynamics and consumer needs, • 7+ years hands-on laboratory experience developing professional hair color systems Preferred Qualifications: Skills: • Experience in professional salon brands, • Experience supporting global launches, • Exposure to color cosmetics or adjacent beauty categories Working Conditions • On-site, full-time (California R&D site) in laboratory environment, • The expected base salary range for this position is $150, 000 to $165,000. The exact base salary is determined by various factors including geographic location, experience, skills, and education., • Discretionary Bonus Plan: This position is also eligible for participation in the company discretionary bonus plan, based on personal performance and company results.

Job DescriptionParalegalEmployment Type: Full-Time, Entry LevelDepartment: Legal As a CGS Paralegal, you will work under the direction of a Supervisory Paralegal or Project Supervisor. You will provide litigation and administrative support to a group of United States Attorneys. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Collects court ordered restitutions and fines of criminal and civil defendants.- Drafts legal documents, and files legal documents using the Electronic Court Filing system (ECF),- Prepares garnishments, liens, and other legal process documents for collection.- Sends demand letters, files liens, run credit reports, prepares and submits subpoenas.- Manages and tracks collection activity in an internal database.- Communicates with and coordinates collection activity with AUSAs in the Monetary Penalties Unit (MPU).- Completes fact research in public information databases and other research databases to gather information and identify assets.- Prepares legal documents using templates, such as motions, memoranda, subpoenas, correspondence, discovery documents and other similar documents and forms.- Prepares all recurring legal documents in conformance with rules governing their style and format.- Performs routine document center support functions, such as photocopying, delivering items, assembling notebooks, including pulling file copies of documents, tabbing binders, numbering, binding, labeling, re[1]filing documents and shelving, packing boxes and preparing them for shipment, bate stamping, retrieving case materials, completing log sheet, answer phones, logging messages, and faxing information.- Provides trial preparation assistance to AUSAs by independently compiling trial notebooks, preparing jury instructions, drafting witness, and exhibit lists.- Opening new case files, closing case files, organizing case files, and record material for disposition or storage.- Maintains calendar of active cases and assigned AUSAs by scheduling appointments, interviews, conferences, providing reminders of commitments and court appearances.- Assist AUSAs in producing discovery to defense council.- Maintains, manages, and organizes case material utilizing software, including databases, spreadsheets, and word processing applications.- Sorts incoming mail and prepares outgoing mail including packaging boxes for shipment.- Filing pleadings using the Electronic Court Filing system (ECF).- Produces a variety of written documents using templates ad materials utilizing a range of office software applications.- Completes all aspects of travel in accordance with Federal Travel Regulations (FTR) and Department of Justice (DOJ) policies, including traveling arrangements, submitting authorizations, completing vouchers, and submitting local mileage claims.- Sorts incoming mail and prepares outgoing mail including packaging boxes for shipment. Qualifications:- Requires paralegal certificate, JD, or currently attending an ABA-accredited law school, having completed at least one year of study.- One year of legal training or legal experience or at least two years of college education may be substituted for the paralegal certificate.- Additionally, at least one year of litigation paralegal experience or project experience (as related to the task order) is required; trial experience very helpful.- Automated litigation support experience valued. Must have basic legal knowledge, including knowledge of standard legal citation to cite check legal motions and memorandum and must have sufficient experience with legal research tools such as LEXIS and Westlaw to perform basic legal research.- Requires excellent written and oral communication skills, thorough knowledge and hands-on familiarity with a variety of computer applications, including word processing, databases (such as document review and file management systems), spreadsheets, imaging, and hardware systems.- Role also requires basic familiarity with ESI tools and knowledge of eDiscovery procedures and resources.- Ability to consistently deliver highest quality work under extreme pressure will be very important. Our commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of meaningful government innovation! Explore additional job opportunities with CGS on our Job Board: For more information about CGS please visit: or contact:Email: #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job DescriptionBenefits: • License reimbursement, • 401(k), • Bonus based on performance, • Competitive salary, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off Responsibilities: • Establish customer relationships and follow up with customers, as needed., • Responding promptly to customer inquiries via phone and email., • Providing information about insurance policies, coverage details, and claims processes., • Assisting clients with policy changes, updates, and renewals., • Investigating and resolving customer issues or concerns with empathy and professionalism., • Use a customer-focused, needs-based review process to educate customers about insurance options.Requirements:, • Interest in marketing products and services based on customer needs, • Excellent communication skills - written, verbal, and listening, • People-oriented, • Detail oriented, • Proactive in problem-solving, • Able to learn computer functions, • Ability to work in a team environment, • Bilingual Spanish preferred

Job DescriptionBenefits: • Bonus based on performance, • Company parties, • Opportunity for advancement, • Paid time off, • Training & development, • 401(k) Job Description: As a Customer Service Representative - State Farm Agent Team Member, you will be a crucial link between our company and our diverse client base. Your primary responsibilities will include: • Assisting bilingual clients with inquiries related to insurance policies, coverage details, and claims processes., • Providing exceptional customer service through phone, email, and other communication channels., • Translating documents and correspondence between English and Spanish., • Collaborating with team members to ensure accurate and timely resolution of customer issues., • Educating clients on insurance products and helping them make informed decisions.Qualifications:, • Fluent in both Spanish & English, with excellent written and verbal communication skills in both languages., • Previous customer service experience in the insurance industry is a plus., • Strong organizational and multitasking abilities., • Empathetic and patient, with a commitment to resolving customer concerns., • Familiarity with insurance terminology and policies.Requirements:, • High school diploma or equivalent; college degree is a plus., • Relevant state insurance license preferred., • Proficiency in Microsoft Office Suite and customer relationship management (CRM) software. Hector Camilo - State Farm Agent is an equal opportunity employer and encourages applications from individuals of all backgrounds.

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Flexible schedule, • Opportunity for advancement, • Paid time off We offer perks like paid vacation, performance bonuses, and health insurance stipends, along with hands-on training to support your success. As a business graduate from the University of Delhi, I bring a global perspective and a passion for giving back, including supporting education and school supply donations for underserved children in India. If youre looking for a supportive, growth-oriented environment, wed love to have you on our team! ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Hemant Jiwnani - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job Description UNITE HERE HEALTH serves 200,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! This is a Culinary Health Fund role The Sr Health Plan Promoter is the face of the Fund, especially to participants, and to provide benefits, claims, eligibility, enrollment planning and support, and health care education and information to this multi-cultural community. This position will also be responsible for maintaining various spreadsheets, assisting with member inquiries, data entry and coordinating with Fund vendors on special projects. The ideal candidate will be based in Las Vegas. This is a field-based role requiring approximately 75%–100% travel within the assigned region. We are open to hiring candidates located in Sacramento, Biloxi, Atlantic City, and New York. ESSENTIAL FUNCTIONS: • Engages, educates, and motivates participants regarding participation in Fund programs/care coordination designed to improve health outcomes, • Recruits’ participants into Fund self-management programs; follows up with participants to ensure maximum participation; and establishes regular meetings for program graduates, • Coordinates with contracted Case Management partners, providers, vendors, and community resources to ensure access to quality care and appropriate services are available, • Collaborate with providers of care to retrieve medical records, such as inpatient clinical, emergency room records, discharge instructions and outpatient office visits along with member/member representative interviews to assist clinical care management partners to develop a comprehensive plan of care., • Meets with participants at their worksite, home, union office, and places where they receive medical services, • Reviews data to determine priority targets for program outreach, • Arranges, coordinates, and facilitates group programs, participant leader meetings and other health education events, • Recruit and develop participant leaders to expand the reach of these programs, • Plans calendar and priorities of health promotion work, in conjunction with Supervisor, • Documents outreach and engagement outcomes with members/member representatives, providers of care, community representatives and care management partners in documentation system (SalesForce/CarMa) as applicable, • Provides input to management regarding concerns identified through interactions with participants, • Acts as the positive “face” of the Fund as the main point of contact for the Hospitality participants, unions, employers, providers, and vendors, • Provides benefit plan and eligibility information to participants, providers, unions, employers, and others for Hospitality plans, • Performs telephonic or onsite enrollment functions and in-person outreach as needed, including hosting, and attending enrollment events, • Provides proactive education to participants by phone, in person at the office, and at the worksite, including presentations and work with the union and employers to build a relationship and support these initiatives., • Receives and records telephone and walk-in inquiries regarding plan benefits, • Conduct root cause analysis on walk-in inquiries and provide management with recommendations on how to improve the member experience, • Provides input to management regarding concerns identified through interactions with participants, • Maintains up-to-date knowledge of all systems and sources relating to plan benefits, processes, policies, etc. that will affect the performance of daily tasks, • Support the tracking and reporting of all inquiries, complaints, access issues, and requests received, including trending, root cause analysis, process improvements, and pending items to leadership regularly, • Utilizes internal system to record all activity, including updates and resolution details for all inquiries, complaints, and requests., • Participates in TPA Customer Service oversight meetings and analytics review., • Seeking management assistance on issues unable to resolve in a timely manner, • Maintains awareness of work volumes and service levels, • Assists in special projects as requested by management, • Assists in participant outreach and navigating them to take steps to get involved in programs to improve their health, • Assigned, works outside traditional office hours and traditional office locations to reach participants, • Utilizes effective listening skills to recognize and communicate issues to management, including trends and anomalies, • Performs research on benefit issues and initiates corrective action if needed, • Handles escalated participant and provider complaints, • Maintains confidentiality when handling materials and member information, • Makes improvement recommendations to benefit materials, forms, and processes, • Performs special projects as requested by Fund Management, • Drives on Fund Business and/or authorized to drive a Fund-owned or leased vehicle, • Set goals and achieve measurable results ESSENTIAL QUALIFICATIONS: • Associate’s degree or equivalent work experience required, • 2 ~ 3 years of related experience at minimum, • Working knowledge and experience in healthcare, service sector labor unions, healthcare community organizing, healthcare customer service and/or health outreach and education, • Strongly Preferred fluency (speak and write) in Cantonese or Spanish or other language common to our participants in the region (French, Haitian Creole, Cape Verdian Creole), • Valid driver’s license, car, auto insurance, and ability to use public transportation, • The ability to travel up to 75% -100% of the time (mostly local field work) Salary range for this position: Salary: $70,500 - $88,200. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) as a field heavy, hybrid position. Daily onsite visits to union halls and employer sites in assigned regions. Required: 1 week a month onsite at SLS in Las Vegas We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short- & Long-term Disability, Life, Pension, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #LI-HYBRID

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Free food & snacks, • Opportunity for advancement, • Paid time off We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred., • Bilingual Spanish Preferred

Job DescriptionAbout the Company e.l.f. Beauty, Inc. stands with every eye, lip, face and paw. Our deep commitment to clean, cruelty free beauty at an incredible value has fueled the success of our flagship brand e.l.f. Cosmetics since 2004 and driven our portfolio expansion. Today, our multi-brand portfolio includes e.l.f. Cosmetics, e.l.f. SKIN, pioneering clean beauty brand Well People, Keys Soulcare, a groundbreaking lifestyle beauty brand created with Alicia Keys, Naturium, high-performance, biocompatible, clinically-effective and accessible skin care, and our newest brand, rhode, a line of curated skincare essentials, formulated for a variety of skin types and needs with high performance ingredients, it’s a daily routine that nourishes your skin barrier over time. In our Fiscal year 25, we had net sales of $1 Billion and our business performance has been nothing short of extraordinary with 28 consecutive quarters of net sales growth. We are the #2 mass cosmetics brand in the US and are the fastest growing mass cosmetics brand among the top 5. Our total compensation philosophy offers every full-time new hire competitive pay and benefits, bonus eligibility (200% of target over the last six fiscal years), equity, flexible time off, year-round half-day Fridays, and a hybrid 3 day in office, 2 day at home work environment. We believe the combination of our unique culture, total compensation, workplace flexibility and care for the team is unmatched across not just beauty but any industry. Visit our Career Page to learn more about our team: Position Summary e.l.f. Beauty, Inc. is currently looking for an experienced and collaborative Senior IP Paralegal to join our dynamic, high-growth beauty company and be a key partner in our small but mighty legal department (one General Counsel, two VP, Assistant General Counsels, and two other Senior Paralegals). This role will be responsible for providing high level legal support in the management and development of our global trademark portfolio and other IP-related matters. Responsibilities: • Assist in managing trademark portfolio and coordinate with outside counsel under guidance, • Perform and analyze trademark clearance searches, and provide guidance on product names and slogans, • Review and analyze trademark watch notices, • Coordinate with outside counsel for new filings, prosecution, and other trademark matters, • Review advertising and marketing materials for proper trademark usage and accuracy of marketing claims and sufficiency of corresponding substantiation, • Support intellectual property legal compliance initiatives, including internal training, trademark use guidelines across multiple jurisdictions, and issue spotting, • Communicate with internal business teams regarding brand protection/IP prosecution needs and deadlines, • Collect Statements of Use and first use dates for trademark prosecution, • Formal document management: obtaining signatures for trademark and patent documents (i.e. declarations, assignments, Apostille certification, powers of attorney), • Conduct online investigations of possible infringements, • Conduct copyright searching and application filing, • Manage matters efficiently with appropriate supervision, escalating issues as needed and coordinating with senior members of the legal department and outside counsel when requiredRequirements:, • Bachelor’s degree and paralegal certificate or equivalent experience required, • 10+ years of law firm and/or in-house paralegal experience., • In-house experience with managing a global portfolio is preferred., • Strong understanding of domestic and international trademark processes, • Proficiency in conducting trademark clearance searches and managing trademark watch notices, • Advanced proficiency in the use of IP portfolio management and docketing software, and MS Office for the creation and editing of documents, spreadsheets, and presentations, • Working knowledge of patents, copyrights, trade dress and domain names, • Highly motivated and excited to learn all facets of intellectual property, • Strong verbal and written communication skills, • Self-motivated with exceptional attention to detail, • Must be highly organized and experienced at tracking multiple matters simultaneously, • Ability to work independently, take ownership of assignments and adhere to deadlines, • Willingness to assist, when and where needed

Job Description Job Title: Member Services Representative (Benefits Specialist) Department: Member Services The 32BJ Benefit Funds is growing, and we’re currently seeking mission-driven Benefit Specialists (Member Services Representatives) to join our team. We offer: • Competitive Salary coupled with a great work/life balance, • Prime Location - Flatiron District in Manhattan (NYC), • Comprehensive Health Package including medical, dental & vision coverage with no employee contribution to the premium for a family plan, • Pension Benefit that includes monthly employer contributions, • Retirement Benefit that includes 3% 401K employer contributions, • Professional Coverage/Reimbursement includes Tuition Reimbursement Program, • Paid Time Off including vacation, personal, and sick days, • Federal Paid Holidays – Up to 11 days off with pay, • And more... FLSA Status: Non-Exempt (Eligible for OT per business needs) Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm) About Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A Position Summary: After extensive paid training and under the supervision of the Member Services Call Center or Welcome Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call Center or Welcome Center to assist participants with information for all the benefits offered by the Fund. Essential Duties and Responsibilities: • Collecting and analyzing data/information to resolve a problem in real time, at high volume standards., • Provide customer service to participants to resolve eligibility or Fund benefit issues., • Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system, CRM/WF and vendor systems, • Displayed proficiency in all Funds (Health, Pension, Legal, SRSP, Shortman)., • Handling of inquiries through vendors, Medical, Optical, Pharmacy, Dental and Employee Assistance., • Follow workflows to resolve participant questions., • Representatives analyze and interpret customer phone and written correspondence., • Ongoing management of own inventory of work accumulated through Participant interactions/inquiries. These inquiries will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims, and Pension related issues., • Operating computers with multiple information screens to research and resolve customer inquiries on line., • Representatives ensure that all processing meets or exceeds MSR Quality measurement objective and performance standards, including, but not limited to, handling and documentation., • Ability to effectively communicate to Participants., • Perform any other relevant, related or pertinent work or duties as requested or assigned. Qualifications: To perform the job satisfactorily, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. As well, the candidate must be free of any disciplinary actions. Technical Skills: • Strong computer skills., • Detailed knowledge of benefits as displayed in training and determined through subject matter exams utilizing OneView, vendor systems, COOL/V3/DYNAMICS and CRM processing system., • Ability to prioritize work and meet deadlines., • A demonstrated capability to manipulate and use multiple software programs and macros simultaneously including Excel, Microsoft Word, Windows and Outlook applications., • Strong analytical, problem solving and decision-making skills., • Excellent organizational and prioritizing skills., • Strong ability to multitask., • Various work schedules available. Interpersonal Skills: • Strong oral and written interpersonal skills., • Demonstrated customer service orientation., • Ability to effectively operate in fast-paced work environment., • Excellent listening skills., • Detail oriented with excellent organization and communication skills., • Experience working directly with customers. Education and/or Experience: High School diploma, some college preferred; Health Care, Employee Benefits and/or Customer Service experience are strongly preferred. Bilingual Language Skills: Fluent in multiple languages is a plus, but not required. Reasoning Ability: Above average. Certificates, Licenses, Registrations: None Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm) Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm)

Job Description Job Title: Member Services Representative (Benefits Specialist) Extended Hours Differential Pay Added for Working Extended Hours Department: Member Services The 32BJ Benefit Funds is growing, and we’re currently seeking mission-driven Benefit Specialists (Member Services Representatives) to join our team. We offer: • Competitive Salary coupled with a great work/life balance, • Prime Location - Flatiron District in Manhattan (NYC), • Comprehensive Health Package including medical, dental & vision coverage with no employee contribution to the premium for a family plan, • Pension Benefit that includes monthly employer contributions, • Retirement Benefit that includes 3% 401K employer contributions, • Professional Coverage/Reimbursement includes Tuition Reimbursement Program, • Paid Time Off including vacation, personal, and sick days, • Federal Paid Holidays – Up to 11 days off with pay, • And more... FLSA Status: Non-Exempt (Eligible for OT per business needs) Work Hours & Shift: 35 Total (Tuesday-Friday 12:00pm-8:00pm and Saturday 9:00am-5:00pm) Differential Pay Added for Working Extended Hours About Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A Position Summary: After extensive paid training and under the supervision of the Member Services Call Center or Welcome Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call Center or Welcome Center to assist participants with information for all the benefits offered by the Fund. Essential Duties and Responsibilities: • Collecting and analyzing data/information to resolve a problem in real time, at high volume standards., • Provide customer service to participants to resolve eligibility or Fund benefit issues., • Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system, CRM/WF and vendor systems, • Displayed proficiency in all Funds (Health, Pension, Legal, SRSP, Shortman)., • Handling of inquiries through vendors, Medical, Optical, Pharmacy, Dental and Employee Assistance., • Follow workflows to resolve participant questions., • Representatives analyze and interpret customer phone and written correspondence., • Ongoing management of own inventory of work accumulated through Participant interactions/inquiries. These inquiries will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims, and Pension related issues., • Operating computers with multiple information screens to research and resolve customer inquiries on line., • Representatives ensure that all processing meets or exceeds MSR Quality measurement objective and performance standards, including, but not limited to, handling and documentation., • Ability to effectively communicate to Participants., • Perform any other relevant, related or pertinent work or duties as requested or assigned. Qualifications: To perform the job satisfactorily, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. As well, the candidate must be free of any disciplinary actions. Technical Skills: • Strong computer skills., • Detailed knowledge of benefits as displayed in training and determined through subject matter exams utilizing OneView, vendor systems, COOL/V3/DYNAMICS and CRM processing system., • Ability to prioritize work and meet deadlines., • A demonstrated capability to manipulate and use multiple software programs and macros simultaneously including Excel, Microsoft Word, Windows and Outlook applications., • Strong analytical, problem solving and decision-making skills., • Excellent organizational and prioritizing skills., • Strong ability to multitask., • Various work schedules available. Interpersonal Skills: • Strong oral and written interpersonal skills., • Demonstrated customer service orientation., • Ability to effectively operate in fast-paced work environment., • Excellent listening skills., • Detail oriented with excellent organization and communication skills., • Experience working directly with customers. Education and/or Experience: High School diploma, some college preferred; Health Care, Employee Benefits and/or Customer Service experience are strongly preferred. Bilingual Language Skills: Fluent in multiple languages is a plus, but not required. Reasoning Ability: Above average. Certificates, Licenses, Registrations: None Work Hours & Shift: 35 Total (Tuesday-Friday 12:00pm-8:00pm and Saturday 9:00am-5:00pm) Differential Pay Added for Working Extended Hours Work Hours & Shift: 35 Total (Tuesday-Friday 12:00pm-8:00pm and Saturday 9:00am-5:00pm) Differential Pay Added for Working Extended Hours

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Flexible schedule, • Opportunity for advancement, • Paid time off, • Signing bonus We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job Description Hi, we're Oscar. We're hiring an Analyst II, Actuarial to join our Actuarial. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Analyst II, Actuarial maintains Oscar's forecasting, valuation, and pricing processes for several Affordable Care Act (ACA) markets. You will oversee regularly maintaining and reviewing actuarial models used to develop pricing, forecasting, trend analytics, Incurred but not Reported (IBNR) projections and risk adjustment accruals. You will report into the Manager, Actuarial. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $72,800 - $95,500 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Maintain core pricing and plan design models. Ensure consistency and standardization across team users., • Important contributor in developing and submitting regulatory filings, and developing a viewpoint and recommendation for strategic pricing decisions., • Develop and provide recommendations for the accrual setting process with respect to IBNR claims, Risk adjustment and Shared Savings deals., • Identify and triages meaningful observations of experience across plan designs, providers, vendors, and markets., • Promote and shape Oscar actuarial best practices concerning automation and documentation., • Maintain relationships, rapport, and lines of communication with all partners., • Aid in the onboarding of analysts by collaborating and integrating them into existing processes., • Compliance with all applicable laws and regulations, • Bachelor's degree in a STEM field., • Passed a minimum of two actuarial exams., • Experience with health insurance concepts and nuances., • Highly technical with a strong enthusiasm to apply tech-forward methods in actuarial models. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description Capgemini is at the forefront of Generative AI innovation, helping Financial Services clients industrialize GenAI and Agentic AI platforms at enterprise scale. We are seeking an experienced and innovative AI Product Engineer – Agentic Platforms to join our Financial Services Artificial Intelligence & Business Lines (FS‑ABL) practice. This role is ideal for a consulting technologist with deep expertise in modern GenAI tooling, agentic system design, and enterprise SDLC, who can partner directly with clients to envision, design, develop, and deploy Agentic AI platforms in regulated environments. In this role, you will work at the intersection of client advisory, AI product engineering, and delivery execution, helping banks, insurers, and capital markets firms transition from GenAI pilots to production‑grade, governed, multi‑agent systems. You will apply leading GenAI frameworks and LLM platforms — including Anthropic, OpenAI, LangChain, LangGraph, DSPy, and vector databases—while operating across the full Agentic SDLC. P&C Insurance knowledge and experience is a significant plus. Additionally, familiarity with core insurance platforms like Guidewire, DuckCreek or Majesco will be extremely helpful to succeed in this role. We are looking for candidates across all levels of experience and expertise - junior through senior level AI Product Engineers. Requirements Client Advisory & Product Vision • Partner directly with Financial Services clients to identify, prioritize, and shape Agentic AI use cases across customer operations, underwriting, claims, risk, compliance, finance, and technology., • Lead client workshops to define agent personas, responsibilities, autonomy boundaries, human‑in‑the‑loop checkpoints, and escalation logic., • Translate evolving business needs into agentic product backlogs, roadmaps, and MVP definitions., • Design and implement multi‑agent architectures using modern GenAI tooling, including:, • Planner, executor, reviewer/critic, and supervisor agents, • Tool‑calling and function‑calling agents, • Memory‑enabled agents (conversation, semantic, episodic, and structured memory), • Leverage LangChain and LangGraph for agent orchestration, workflows, and control flow., • Apply DSPy and declarative prompt optimization techniques for repeatability, performance tuning, and regression control., • Design agent interaction patterns such as hierarchical agents, collaborating agents, and event‑driven agent workflows., • Own delivery across the full Software Development Lifecycle (SDLC), extending it into a formal Agentic SDLC, including:, • Agent design specifications and behavior contracts, • Prompt, policy, and tool versioning, • Simulation environments and offline evaluation, • Automated testing of agent flows and guardrails, • Controlled rollout, telemetry‑driven optimization, and continuous learning, • Build production‑grade AI services primarily using Python, integrating:, • LLM providers such as Anthropic (Claude), OpenAI, and open‑source models, • Retrieval‑Augmented Generation (RAG) using vector databases (e.g., Pinecone, FAISS, Milvus, Weaviate), • Implement CI/CD pipelines for agent code, prompts, and policies., • Implement agent observability including tracing, decision logging, tool usage, and failure analysis., • Apply evaluation frameworks for hallucination detection, consistency checks, and fitness scoring., • Design feedback loops incorporating human‑in‑the‑loop review and reinforcement., • Design Agentic AI platforms aligned with Financial Services regulatory expectations, including:, • Auditability and traceability of agent decisions, • Model and prompt explainability, • Data privacy and security controls, • Resilience and fail‑safe mechanisms, • Embed guardrails and policies addressing hallucination risk, bias, unauthorized actions, and escalation failures., • Provide technical leadership and mentorship to consulting delivery teams., • Contribute to internal GenAI accelerators, agent frameworks, and reusable assets., • Support RFPs, proposals, and client solution designs with credible GenAI and agentic architectures. This position comes with competitive compensation and benefits package: • Competitive salary and performance-based bonuses, • Comprehensive benefits package, • Career development and training opportunities, • Flexible work arrangements (remote and/or office-based), • Dynamic and inclusive work culture within a globally known group, • Private Health Insurance, • Retirement Benefits, • Paid Time Off, • Training & Development, • *Note: Benefits differ based on employee level About Capgemini Capgemini is a global leader in partnering with companies to transform and manage their business by harnessing the power of technology. The Group is guided everyday by its purpose of unleashing human energy through technology for an inclusive and sustainable future. It is a responsible and diverse organization of over 420,000 team members in more than 50 countries. With its strong 55-year heritage and deep industry expertise, Capgemini is trusted by its clients to address the entire breadth of their business needs, from strategy and design to operations, fueled by the fast evolving and innovative world of cloud, data, AI, connectivity, software, digital engineering and platforms. The Group €22.5 billion in revenues in 2025.

Job Description Soar With Us! Dassault Falcon Jet proudly provides competitive pay, quality benefits, and programs that support your career advancement and personal development. Our benefits are designed to support you and your family’s health and wellbeing, help you secure a strong financial future, and empower you to be successful in all aspects of your work and life. We are committed to finding the best, brightest, and most dedicated individuals in the aviation industry. Our employees are the key to our success. Soar with us! Why Join Us? Impactful Work: Your expertise will directly contribute to the safety and efficiency of our operations. Growth Opportunities: We support your professional development and offer opportunities for advancement. Collaborative Environment: Work with a team of dedicated professionals who are passionate about aviation. Ready to soar with us? Apply now and be a part of our mission to support the world's greatest business jets! Principal Duties/Responsibilities (Essential Functions): • Responsible for the day-to-day administration and processing of claims including:, • Actively seek all relevant information for proper claim adjudication (i.e. vendor/customer information, Dassault policies, agreements etc.), • Prepare documentation for debiting or crediting customers, process claims (i.e. warranty and commercial program), and categorize expenses, produce documents and reports as required by the Warranty Supervisor., • Document and support all claim coverage decisions, • Adjudicate both customer and vendor claims, maximizing cost recovery for DFJ complying with all existing commercial and warranty policies, • Responsible for customer and vendor follow-up to ensure timely dispute resolution, • Analyze and report on cost recovery trends, providing management with accurate, actionable insights to improve recovery performance and identify process inefficiencies., • Utilize advanced Excel capabilities (e.g., pivot tables, lookup functions, and dashboards, modeling) and analytics tools to support claim analysis, financial reporting, and performance metrics., • Assist in performance dashboards and analytical reports that highlight recovery rates, dispute aging, and cost recovery opportunities., • Coordinate/assist all Dassault support personnel requests (i.e. Spares Account Reps, Field Service Reps, Customer Service Managers, etc.), • Assist in the preparation of company documents (i.e. work instructions, decision letters etc.) and SAP reports related to claim adjudication, • Recover non-repairable parts from customers, to seek replacement from manufacturers, • Initiate invoices, credits or payments to customer based on warranty adjudication., • Prepare and process cross billing activity between DFJ and DA, • Assist in updating a Vendor commercial and coverall policies database from vendor agreements’ information, coordinate with Dassault Aviation., • 4 years’ college degree (preferably technical or aviation) or equivalent experience, • Minimum of three (3) years of general Falcon programs experience, • Minimum of (2) years of experience in a customer or vendor facing position with proven ability to effectively communicate with customers or vendors and address their concerns, • Solid understanding of business and attention to details, • Ability to communicate effectively with both internal and external customers in a professional manner – Excellent verbal and written communication skills, • Strong negotiator capable of navigating complex discussions to secure favorable outcomes while maintaining positive stakeholder relationship, • Ability to handle multiple tasks and coordinate with cross-functional groups to keep schedules and deadlines, • Self-starter who takes initiative and works with minimal supervision, • Proficiency in Excel, including advanced functions, pivot tables, data modeling, and dashboard creation., • Demonstrated ability to interpret financial and operational data to produce accurate, meaningful metrics., • FAA A&P license desired, • Aviation experience, • Knowledge of accounting principles, • Bachelor of Science or related studies, • Office Environment The compensation for this position typically falls between $60,000 and $80,000 per hour/per year. This position is eligible for overtime. Note: the final compensation offered to a successful candidate will depend on several factors that may include but are not limited to the type and years of relevant experience, Falcon-specific experience, relevant education/certifications, geographic location, and shift. Our total compensation package also offers comprehensive healthcare coverage (Medical/Prescription, Dental, Vision), HSA and FSA options, 401k Plan with Company Match, Life Insurance, Disability Benefits, Supplemental Insurance, Group Legal, Paid Time Off, Tuition Reimbursement, Employee Discounts and much more. We are committed to finding the best, brightest and most dedicated individuals in the aviation industry. Our employees are the key to our success. Soar with us.