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IT’S TIME TO GROW YOUR CAREER! Chemsearch FE offers a career destination for talented, passionate and results-driven people who seek the innovation and growth opportunity that we provide. We don’t offer jobs….we solidify careers, as proven by the thousands of associates worldwide with an average tenure of 13 years. ABOUT CHEMSEARCH FE We are a facility resource management company with over 100 years of experience. Chemsearch FE is an industry leading provider of specialty maintenance solutions in urban facilities. As the fastest growing business division of NCH Corporation, FE is committed to standing by our clients to optimize building resources, improve efficiencies and convey a corporate message that the environment matters. We meet the unique needs of those who are responsible for the operation of urban facilities through water conservation, energy savings, waste stream reduction and property maintenance programs. WE ARE LOOKING FOR PEOPLE LIKE YOU! A passion for working with people… An eagerness to learn… Competitive and results-driven… A strong ability to self-manage… Proficiency in building and executing plans… WE KEEP THE POSITION CHALLENGING. RESPONSIBILITIES INCLUDE: • Developing and maintaining an assigned outside territory, • Seeking out prospective customers/business opportunities, • Establishing and maintaining customer relationships in order to grow profitable sales, • Attending training classes to develop superior product knowledge for various customer applications HIT THE GROUND RUNNING WITH THESE REQUIREMENTS: • Proven track record in managing time autonomously, • Exceptional interpersonal and communication skills, • Proficient with smart technology, • Demonstrated ability to engage and sustain productive professional relationships, • Four-year degree (B.A or B.S.) WHAT WE DO TO MAKE YOU SUCCESSFUL: • A world-class training program, • Managers acting as coaches with one main goal: your success, • Focus on developing strengths, not fixing weaknesses, • Culture recognizing results while embracing work-life balance, • Provide advancement opportunities that tailor to your individual skills, • Competitive compensation package, comprehensive benefits & 401(k) plan Because this position is a sales role, the total first year compensation can vary between $55,000-$80,000 based on performance. The base salary range for this position is $55,000-$55,000 (excluding bonus earnings) which represents the low and high end of NCH Corporation's salary range for this position. Actual salaries will vary and may be above or below the range based on various factors including but not limited to: experience, education, training, location, merit system, quantity or quality of production, responsibilities and regular and/or necessary travel. The range listed is only one component of NCH Corporation's total rewards package for associates. Please note that this range does not include commissions which for some associates is a substantial part of their overall compensation and there is no maximum for commissions. Join the Chemsearch FE team and start your career today! We celebrate, support, and thrive on difference and diversity. We are proud to be an Equal Opportunity Employer. This is a remote position.

IT’S TIME TO GROW YOUR CAREER! Chemsearch FE offers a career destination for talented, passionate and results-driven people who seek the innovation and growth opportunity that we provide. We don’t offer jobs….we solidify careers, as proven by the thousands of associates worldwide with an average tenure of 13 years. ABOUT CHEMSEARCH FE We are a facility resource management company with over 100 years of experience. Chemsearch FE is an industry leading provider of specialty maintenance solutions in urban facilities. As the fastest growing business division of NCH Corporation, FE is committed to standing by our clients to optimize building resources, improve efficiencies and convey a corporate message that the environment matters. We meet the unique needs of those who are responsible for the operation of urban facilities through water conservation, energy savings, waste stream reduction and property maintenance programs. WE ARE LOOKING FOR PEOPLE LIKE YOU! A passion for working with people… An eagerness to learn… Competitive and results-driven… A strong ability to self-manage… Proficiency in building and executing plans… WE KEEP THE POSITION CHALLENGING. RESPONSIBILITIES INCLUDE: • Developing and maintaining an assigned outside territory, • Seeking out prospective customers/business opportunities, • Establishing and maintaining customer relationships in order to grow profitable sales, • Attending training classes to develop superior product knowledge for various customer applications HIT THE GROUND RUNNING WITH THESE REQUIREMENTS: • Proven track record in managing time autonomously, • Exceptional interpersonal and communication skills, • Proficient with smart technology, • Demonstrated ability to engage and sustain productive professional relationships, • Four-year degree (B.A or B.S.) WHAT WE DO TO MAKE YOU SUCCESSFUL: • A world-class training program, • Managers acting as coaches with one main goal: your success, • Focus on developing strengths, not fixing weaknesses, • Culture recognizing results while embracing work-life balance, • Provide advancement opportunities that tailor to your individual skills, • Competitive compensation package, comprehensive benefits & 401(k) plan Because this position is a sales role, the total first year compensation can vary between $55,000-$80,000 based on performance. The base salary range for this position is $55,000-$55,000 (excluding bonus earnings) which represents the low and high end of NCH Corporation's salary range for this position. Actual salaries will vary and may be above or below the range based on various factors including but not limited to: experience, education, training, location, merit system, quantity or quality of production, responsibilities and regular and/or necessary travel. The range listed is only one component of NCH Corporation's total rewards package for associates. Please note that this range does not include commissions which for some associates is a substantial part of their overall compensation and there is no maximum for commissions. Join the Chemsearch FE team and start your career today! We celebrate, support, and thrive on difference and diversity. We are proud to be an Equal Opportunity Employer. This is a remote position.

Job Description: Summary: Under the guidance of Risk Adjustment leadership, this position is responsible for delivering multiple concurrent Risk Adjustment Projects and Programs with quality, to plan, and within budget. The Risk Adjustment Project Manager is responsible for all aspects of the project from initiation to post-implementation monitoring and maintenance. This will include developing communications and presenting to internal and external audiences. Manages risk adjustment projects as assigned. In addition, the Project Manager will govern and provide oversight of assigned vendor partners within the Risk Adjustment Program Portfolio to ensure vendor performance meets contractual and Health Plan needs. Conducts operational process analysis and process improvement identification and recommendations and executes action plans. Responsible to fill one or more roles (simultaneously if needed) on Maintenance of Business (MOB) project teams (e.g., program manager, product manager, user experience lead). Essential Primary Responsibilities/Accountabilities: All Levels * Plans, directs, and coordinates matrixed team(s) activities to manage and implement interrelated risk adjustment projects. * Plans, schedules, monitors, and reports on activities related to Risk Adjustment projects and process improvement initiatives. Process improvement responsibilities include internal Risk Adjustment teams as well as process improvement for cross-divisional departments. * Guides and mentors Implementation project management team and fosters positive attitudes among staff re quality and excellence of execution to ensure that delivered service meets agreed service levels. * Creates the Risk Adjustment project work plans and is responsible for their execution. * Acts independently to assess and monitor projects and vendor partners performance, including problem identification, developing potential solutions, implementing them and evaluating outcomes involving various staff as needed. Responsible for troubleshooting and using all resources to find needed answers. This includes assessing when to elevate issues and doing so as needed. * Trains and mentors project team as to how to get project work done, how to use project tools and resources. * Writes and speaks fluently on all aspects of work. Communicates effectively with vendor partners, providers, colleagues 2-3 levels up/down and across a range of disciplines, and all levels of management. * Organizes and prioritizes tasks, proposed work assignments so that as to successfully complete projects in a timely manner. * Manages multiple projects with competing deadlines to successful completion. * Will act and serve as Project Manager, Product Manager, Program Manager, Test Lead and User Experience Lead (if needed simultaneously) within the Microsoft Framework Solutions Team Process Model. * Responsible of the creation and deployment of monitoring reports of the assigned Risk Adjustment projects. * Responsible for enhancing communication within and outside key Risk Adjustment priorities, project work, and other impact of Risk Adjustment work cross divisionally (may design and deploy newsletter and other communications vehicles). * Meets with management, sponsors, and project teams to review project scope/progress and resolve project issues. * Coaches and counsels members of cross-functional teams to accomplish projects, meet established schedules, or resolve technical/operational issues. * Establishes appropriate metrics for measuring key project criteria. * Selects and applies appropriate tools to accurately estimate and plan the work of teams or project groups within agreed policies. * Produces work plans according to required standards. * Works with colleagues to produce/recommend/develop long-term plans. * Fosters a positive environment of continuous process improvement. Constantly exploring ways to increase efficiencies and productivity, reducing waste, and reducing costs. * Monitors and reports on the progress of the resolution of high impact problems according to established standards. Handles those exceptions that have been referred from below relating to schedules, working methods, resources, staff matters, or technical difficulties. Passes decisions clearly outside scope upward, including proposed solutions whenever appropriate. * Ensures contracted vendor partners are being managed using standard governance processes including quarterly business reviews, vendor scorecards, escalation process, etc. * Executes and manages vendor performance corrective action plan. * Conducts post project Lessons Learned sessions project team and vendor partner. * Always acts professionally and encourages professional standards among staff. * Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. * Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. * Regular and reliable attendance is expected and required. * Performs other functions as assigned by management. Level II - performs these additional responsibilities: * Acts as lead and as contact company-wide for Risk Adjustment projects. Responsible for answering questions regarding risk adjustment projects and education for project internally and externally. * Represents Managers and Directors of supported areas in all pertaining to related projects, including decision-making responsibilities, attendance at cross-divisional and regional committees, meetings and workgroups. * Determines, monitors, and reviews all project economics to include project costs, operational budgets, staffing requirements, project resources, and project risk. Identifies and assembles the appropriate blend of talent and additional resources to meet project needs and requirements. * Formulates contingency plans to address schedule revisions, manpower adjustments, fund allocations, and work requirements. Ensures adherence to legally binding requirements and customer long-term strategic goals. Controls project requirements, scope, and change management issues. Level III - performs these additional responsibilities: * Responsible for taking all necessary steps with procurement, accounts payable, risk adjustment controls to ensure validated payment to contracted vendor partners. * Develops vendor performance metrics to monitor and evaluate vendor performance, making recommendations for additions and deletions of vendors as appropriate. * Leads in the identification and selection of vendors by directing the RFP process, partners with Finance on the financial details of the contract and partners with Legal to ensure the corporation is protected by the contract. Additionally, ensures all vended processes and interfaces are compliant with our security requirements. * Develops risk adjustment vendor contracts including all necessary service level agreements. * Leads re-negotiation and/or termination activities related to vendor relationships. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels: * A relevant BS degree and minimum of 2 years of Project Management experience. In lieu of a degree, six (6) additional years of experience required. * A minimum of 3 years demonstrated performance in a related area * PMP/PMI Certification preferred. * Lean Six Sigma experience desired. * Expert knowledge of Health Plan Operations and/or Risk Adjustment Operations. * Demonstrated leadership skills. * Demonstrated skills in developing and achieving project scope, costs, planning and meeting project deliverables. * Demonstrated skills in forming and fostering high performance, cross-functional teams. * Highly Effective communicator. * Demonstrated skills quality principles, especially root cause analysis and problem solving Demonstrated business and technical problem solving skills. * Very strong analytical and business process development skills. * Strong organizational and multi-tasking skills. * Demonstrated competence in staff leadership and project leadership tasks. Level II (in addition to Level I responsibilities): * A relevant BS degree and a minimum of 3 years Project Manager experience * PMP/PMI Certification required Level III (in addition to Level II responsibilities): * A relevant BS degree and a minimum of 5 years Project Management experience. * PMP/PMI Certification required Physical Requirements: * Ability to travel across regions. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E3: Minimum $62,400 - Maximum $106,929 Level II: Grade E4: Minimum $65,346 - Maximum $117,622 Level III: Grade E5: Minimum $71,880 - Maximum $129,384 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Under the general direction of the Assigned Management, and in accordance with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan provider networks. This position also is responsible for the development of consistent payment methodologies and negotiates allowances for out of area/out of network non-par claims. In the course of this work, the Analyst will be required to work closely with others to assemble and produce documentation and informational materials that will guide Senior Management in making strategic network specific business decisions. Essential Primary Responsibilities/Accountabilities: All Levels - Manages and supports various projects with implications for all lines of business. These projects arise in response to shifts in marketplace dynamics, changes in the delivery of healthcare services, or the emergence of new products. Responsibilities include, but are not limited to: * Differentiates claim types and navigates through the various claims platforms. * Uses pricing tools and efficiency in the varying payment methodologies. * Gathers data from a variety of sources; updates and maintains a variety of; prepares financial reports, statements and analysis for management review. * Performs assigned analysis and/or assists in complex analysis for supervisory review, creates models and makes recommendations based on the analysis completed. * Assists in the determination of the impact of various business options for strategic planning and other financial decisions. * Assists in accumulation and evaluation of data from outside sources to negotiate pricing for out of area/network services. Develops letter of agreement then notifies claims department that service has been priced. * Responsible for the development and analyses of supporting financial schedules, including preparation of worksheets, maintenance of appropriate backup and documentation for internal control and auditing purposes. * Supports and maintains contracting and relationship responsibilities associated the utilization of the Blue and non-Blue national/regional provider network(s), including development and maintenance of vendor contracts, tracking of open issues, leading team efforts to matrix manage open network issues relative to prospective employer groups, tracking and status reporting for senior management. * Creates and maintains network tracking reports by product and by region, including threatened resignation reports, specialty inventory reporting, provider specific product participation reporting, assessing analytics to identify potential network gaps and recommendations for change. * Supports product development initiatives such as development of networks to service Safety Net and Medicare products. This includes development of reports on products, network strategies, status reporting on activity, financial information preparation for negotiators. * Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values and adhering to the Corporate Code of Conduct. * Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. * Regular and reliable attendance is expected and required. * Performs other functions as assigned by management. * Regular and reliable attendance is expected and required. Level II - performs similar functions as the Network Services Analyst I and can be differentiated by the following: * Works with larger, more complex, higher visibility accounts that have been escalated. Develops and maintains more complex vendor contracts. * Identify root cause of problems; develop potential options and likely outcomes of each option; Recommend optimal option. * Model financial impact of change to reimbursement methodology on an individual claim basis; Articulates impact of changing from one reimbursement methodology to an alternate. * Analyzes, identifies and recommends improvements to the claims process and inventories such as triaging misrouted cases, conducting cost and quality analyses. * Maintains appropriate backup and documentation to ensure regulatory compliance is being met. * Demonstrates adherence to internal controls surrounding regulatory compliance and have ability to explain same. Level III - performs similar functions as the Network Services Analyst I & II and can be differentiated by the following: * Facilitates cross-functional workgroups and internal meetings to present recommendations and lead workgroup to determine best course of action to implement corrections to system or process improvement opportunities. Presents information clearly. * Discusses complex out of network claims with providers and recommends solutions. Tracks unusual and/or outstanding claims. * Identifies trends and opportunities with network management/negotiators, etc.; presents findings and recommendations to management. * Works with key stakeholders to create improvements as either a dedicated resource or with overall division processes to ensure end to end continuity. * Analyzes and interprets complex records/documentation; reviews and assesses validity of financial estimates from a variety of sources against stated business objectives. * Acts in a consultative capacity to management at all levels of assigned organization unit to provide professional technical expertise in the determination of suitable approaches to reimbursement concerns. * Applies principles of total quality management, team leadership, facilitates peer review activities on a consistent, ongoing basis to identify and remove barriers to increased productivity, quality, cost effectiveness, and timeliness of operations and customer satisfaction. * Designs and develops reports which illustrate integrated solutions to meet business needs or enhance performance. * Reviews and approves project cost/benefit analyses prior to presentation to company management. * Acts as a mentor to the team by setting, and striving to achieve high levels of professional competence. Leads by example. Minimum Qualifications: NOTE: This description includes multiple levels of classification. The levels of classifications are differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making and in some cases, becoming a resource to others. New hires will be placed in the level for which they are most qualified based on their experience, credentials and skills. Level I * Bachelor's degree in Health Care Administration, Business, Finance or relevant field with a minimum of four years health care/business experience in an analytical function, plus a minimum of one year of business user experience including negotiation, research, analysis and working with outside customers. * In lieu of degree, a minimum of eight years health care/business experience in an analytical function including a minimum of one year of business user experience including negotiation, research, analysis and working with outside customers. * Ability to read and understand contractual language - weave through it and be able to negotiate on layman's terms. * Strong analytical, written and oral communication, organizational and time management skills. * Proficiency in Microsoft Office suite. * Ability to work with the various levels of internal management and external audiences. Level II - requires similar minimum qualifications as level I, as well as: * A minimum of five years health care experience in an analytical function, plus a minimum of one year of business user experience including negotiation, research, analysis and working with outside customers. * Excellent written and oral communications skills in addition to strong organizational and time management skills are required. * Strength in spreadsheet, data base, word processing and Microsoft Office products. * Ability to present and communicate complex issues with fluency and expertise. * Must be able to interact comfortably with all levels of management. * Relationship building skills required Level III - requires similar minimum qualifications as level I & II, as well as: * A minimum of seven years health care analytical experience, plus a minimum of two years of business user experience including negotiation, research, analysis and working with outside customers. * Ability to identify trends and opportunities with network management/negotiators, etc.; presents findings and recommendations. * Demonstrated leadership, decision-making and team building skills. * In addition to solid oral and written skills, must have solid presentation skills. * Certification preferred in Lean Six Sigma Green Belt. * Excellent presentation skills. Physical Requirements: * Use of computers and phone * Ability to have limited travel In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E2: Minimum $62,400 - Maximum $96,081 Level II: Grade E3: Minimum $62,400 - Maximum $106,929 Level III: Grade E4: Minimum $65,346 - Maximum $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Essential Accountabilities: Level I • Handles physical health member clinical management programs., • Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case Management Program activities, and performs the activities as directed by departmental policy and leadership, current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable., • Carries out job responsibilities in accordance with departmental, corporate, state, federal and accreditation standards, as well as licensure, certification and scope of practice requirements for each specific health-related field/specialty,, • Maintains confidentiality and conducts information management procedures per corporate and departmental policy., • Implements the Case Management Process per department policies, procedures and guidelines. The process includes case identification, case opening, member assessment, education and support intervention opportunities, developing care plans, conducting member-centric interventions, measuring member outcomes during re-assessment, case closure, and case reviews., • Screens members that fall within the defined populations served, referred to the department, either by data analysis or by internal or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management services., • Initiates case management, as outlined in the Case Management Program Description. Opens appropriate cases timely and effectively. Using motivational interviewing, assures essential information relating to case management is disclosed to members, thus increasing the opportunity for success in meeting member health goals., • Works in collaboration with members' physicians and other health care providers to assess the needs of the member, facilitate development of an interdisciplinary care plan, coordinates services, evaluates effectiveness of services and modifies the member care plan as necessary. Maintains positive working relationships within this arena., • Assesses member/caregiver knowledge of his/her illness and initiates appropriate education interventions to address knowledge deficits., • Collaborates with member/caregiver to determine specific objectives, goals and actions to address member needs and barriers to meeting health goals identified during assessment., • Provides appropriate resources and assistance to members with regards to managing their health across the continuum of care. Maintains updated information related to appropriate community resources and serves as a source of information for providers and other members of the healthcare team. Acts as a liaison between providers and community resources., • Participates in inter-disciplinary coordination and collaboration to ensure delivery of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist, • Accepts responsibility for continuing education relative to professional growth. Meets or exceeds the minimum continuing education requirements as set forth by departmental and corporate policy, and by individual professional certification standards, if applicable., • Participates in and promotes other health plan programs, such as, Preventive Health, use of web-based tools for self-management of conditions and engagement in digital health programs and applications., • Work collaboratively with all Case Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and coordination of care., • May work with internal and external stakeholders for value-based payment programs, such as accountable cost and quality arrangements (ACQA)., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • May participate in the orientation of new staff., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Essential Accountabilities) • Handles all member clinical condition management programs., • Offers process improvement suggestions and participates in the solutions of more complex issues/activities., • Mentors junior staff and assists with coaching whenever necessary., • Consistently meets/exceeds all productivity and performance metrics, including positive results of audits., • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health., • Manages more complex assignments and/or larger caseloads., • Displays leadership skills and serves as a positive role model to others in the department., • Participates in the orientation of new staff. Level III (in addition to Level II Essential Accountabilities) • Process Management and Documentation, • Identifies, recommends, and evaluates new processes as necessary to improve productivity and gain efficiencies., • Assists in updating departmental policies, procedures and desk-top manuals relative to the CM functions., • Identifies and develops processes and guidelines for performance improvement opportunities for the Case Management Department., • Expert and resource for escalations. Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems., • Mentors and provides guidance and leadership to the daily activities of the Case Management Department clinical staff. Acts as resource to Case Management staff, members, and providers., • Provides backup for the Supervisor/Manager, whenever necessary by:, • Participating in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care., • Acting as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing., • Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group., • Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational needs to address established policies and procedures and job responsibilities. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Associates degree required. Bachelor's degree preferred., • Active NYS RN or Registered Dietician or Physical Therapist licensure required., • Minimum of three years of clinical experience required. Case Management experience preferred., • Must demonstrate proficiency with the Microsoft Office Suite., • Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred., • Strong written and verbal communication skills., • Ability to multitask and balance priorities., • Must demonstrate ability to work independently on a daily basis., • Deliver efficient, effective, and seamless care to members., • For incumbents aligned to the Federal Employee Program (FEP) line of business, Case Management Certification required within three (3) years of either hire and/or moving into this role supporting the FEP LOB. Level II (in addition to Level I Qualifications) • A minimum of 2 years in case management position., • Case Management Certification preferred., • Delivers efficient, effective, and seamless care to members., • Demonstrates ability to escalate to management, as necessary., • Demonstrates proficiency in all related technology and documentation requirements., • Consistently meets or exceeds all performance metrics. Level III (in addition to Level II Qualifications) • Must have been in a current Case Management position or similar subject matter expert for at least 5 years., • Case Management Certification required, • Broad understanding of multiple areas (i.e. UM and CM). At this level, incumbent is required to know multiple functional areas and supporting systems., • Expertise in Case Management area and able to handle complex assignments, challenging situations, and highly visible issues., • Ability to lead the training of new staff., • Demonstrated presentation skills. Physical Requirements: • Ability to travel and work long hours on a computer., • May require flexible hours to meet needs of member discussions. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: E2: Minimum: $62,400 - Maximum: $ 96,081 Level II: E3: Minimum: $62,400 - Maximum: $ 106,929 Level III: E4: Minimum: $65,346 - Maximum: $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: The COBRA & Premium Billing Administrator responds to and resolves written, telephone, and personal inquiries from clients and/or subscribers concerning policies and procedures in a professional and efficient manner. This position coordinates and monitors daily activities for COBRA and Third-Party Premium Billing Administration to ensure regulatory requirements & established standards and deadlines are met. Essential Accountabilities: Client Team • Serves as a point of contact for clients and brokers in relation to the day-to-day operational tasks including, but not limited to, responding to client and broker inquiries/requests; scheduling, facilitating, and delivering client reporting; processing member refund requests; managing open enrollment requests; monitoring member grace periods, managing member payment requests, reviewing and reporting on member payment status., • Responds to client/broker inquiries on a timely basis within department service standards. Notifies and educates clients of any rules or regulation changes., • Conducts webinar demonstrations and supports client and broker training of the software system and portal functionality., • Manages the rate renewal process for assigned clients., • Participates in client and broker requested conference calls. File Team and Enrollment • Responsible for the processing of the inbound and outbound departmental file exchanges within the services standards. Files are primarily membership files that require adding, updating, or deleting subscriber group data within the software system. Responsible for processing any identified error or no-load files., • Responsible for the coordination and execution of the daily carrier file for member coverage reinstatements, changes, and terminations., • Coordinates and collaborates will the LBS EDI team to proactively identify and resolve any file errors., • Communicate with client, broker, or vendor(s) to resolve file related processing issues., • Supports the process of establishing and testing new client files., • Monitors and documents each respective carrier preferred eligibility process., • Works with Carriers to assure all billing activities meet the needs of the client and the carrier. Level I • Maintains knowledge of rules, regulations, policies, and benefits governing COBRA and Premium Billing., • Administers group plans in accordance with all appropriate regulations and process all activity within service time standards., • Supports customer service team in answering or researching member inquiries. Researches, interprets, and responds to inquiries in a professional and efficient manner using problem solving skills., • Processes member requests not facilitated through software vendor, including but not limited to member payments, banking forms, enrollment and termination forms., • Assists in system and release testing and troubleshooting., • Performs departmental and team functions according to established desk level procedures (DLP). Participates in the development, updating, and monitoring of DLP., • Participates in ongoing training to further knowledge of regulations, software systems, policies and procedures, and develops skills to accurately fulfill requirements of the job., • Consistently meets the established departmental and team productivity metrics. Successfully satisfies the assigned tasks and standards of the inter-departmental team assignments., • Maintain current knowledge of LBS policy and procedures., • Consistently demonstrates high standards of integrity by supporting the Lifetime Benefit Solution's mission and values, adhering to the Corporate Code of Conduct and, leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs functions as assigned by management. Level II (in addition to Level I Accountabilities) • Performs advanced research and resolution of inquiries and adjustments on behalf of clients, brokers or carriers., • Assists in resolution of escalated or systematic issues. Proactively identifies error trends., • Assists in client audits and data comparisons., • Services strategic accounts as well complex COBRA and Premium Billing accounts., • Serves as a resource to other team members. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. Level I • High School diploma or equivalent. Associate degree in business administration or related field preferred., • Two or more years of related experience., • Knowledge of COBRA rules and regulations preferred., • General understanding of medical, dental, vision, and Medicare benefits., • Excellent problem solving, reasoning, and organizational skills. Ability to manage multiple projects., • PC experience including knowledge of Microsoft Word and Excel., • Excellent oral and written communication skills., • Ability to communicate effectively while working collaboratively and maintaining positive relationships with clients., • Ability to work in a team environment as well as independently. Level II (in addition to Level I Qualifications) • Four or more years of experience working in COBRA and Premium Billing industry., • Strong knowledge of COBRA and Premium Billing rules and regulations., • Demonstrated problem solving and ability to resolve complex inquiries or escalated situations., • Advanced knowledge of departmental software system and Excel. Physical Requirements: • Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time., • The ability to hear, understand, and speak clearly while using a phone, with or without a headset. One Mission. One Vision. One I.D.E.A. One you. Together we can create a better I.D.E.A. for our communities. At the Lifetime Healthcare Companies, we're on a mission to make our communities healthier, and we can't do it without you. We know diversity helps fuel our mission and that's why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating our employees' experiences, skills, and perspectives, we take action toward greater health equity. We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans, and other underrepresented groups to apply. OUR COMPANY CULTURE: Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Minimum: $20/hr - Maximum: $26.90/hr The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: The Transition Coordinator will work in support of the Hospital to Home program by coordinating efforts of medical and behavioral health care managers to ensure that all members who are hospitalized leave with comprehensive discharge plans. The Care Coordinator may engage members and/or their loved one's face to face in one of our Hospital to Home facilities and may collaborate with hospital treatment teams and discharge planners. Engagement may also occur over the phone and through electronic channels such as email, Microsoft Teams and fax. Outreach may include but is not limited to: appointment setting, member communication about gaps in care and preventive health opportunities, member and provider education, communication campaigns, prior authorization process for step down treatments, home care, durable medical equipment and medications. The Care Coordinator will assist with mail processing, materials organization, technology/service requests and other administrative tasks as necessary. This position is based is one or more Hospital to Home facilities and therefore requires hospital clearance and compliance with any hospital standards (ie. physical exam, PPD, up to date with vaccinations). Essential Accountabilities: • Work collaboratively with other members of the CDPHP Care Management team, including Registered Nurses and Social Workers; as well as collaborators from other areas of Member Health, Member Services and State Programs., • Exhibit strong customer intimacy and ability to prioritize needs for complex hospital discharges, with support from clinical staff when needed;, • Engage effectively through written and verbal communication with both members and providers;, • Conduct targeted member and provider outreach via face to face engagement, phone calls and mail communication;, • Work collaboratively with members and families to build rapport and positively impact overall health status and compliance with health care service;, • Schedule member appointments and ensure timely sharing of hospital records with primary and specialty care providers, ensuring proper consents are in place;, • Schedule meetings and/or conferences by interacting with internal partners and/or external clients/partners to coordinate calendars, accommodations, meeting materials and supplies;, • Serves as a resource pertaining to the authorization process for member/provider inquiries (requires a familiarity with plan benefit design and CDPHP prior authorization process);, • Respond to ad-hoc requests (filing, copying, responding to problems with printers, etc.),, • Coordinate and monitor project status and/or manage small projects/programs, and/or participate in larger projects representing the team;, • Practice and adhere to departmental, organizational and state guidelines;, • Contribute to several projects simultaneously and effectively. Develop and implement new solutions that enhance the efficiencies within the department;, • Participate in data collection through accurate documentation and record keeping;, • Adapt to changing work priorities and a fast-paced environment while maintaining a professional attitude;, • Maintain comprehensive computerized records of all case management activities;, • Maintain effective, cooperative working relationships with people both internally and externally as it relates to the operations and business of CDPHP;, • Facilitates communication links among different disciplines involved in the member's treatment;, • Work independently and maintain confidentiality at all times;, • Work additional hours as needed;, • The employee agrees to comply with CDPHP's Corporate Compliance Policy and all laws, rules, regulations and standards of conduct relating to the Corporate Compliance Policy and has a duty and obligation to report any suspected violations of any law, the standards of conduct or Corporate Compliance Policy to his or her immediate Supervisor, the fraud and abuse hotline, the Compliance Officer, the Compliance Director, Human Capital Management or the Chief Executive Officer;, • Performs other duties as assigned. Minimum Qualifications: • Associates degree or two (2) years of equivalent experience required., • Associates degree in human services or related field preferred., • Minimum one (1) years of experience working in customer service required., • Experience with Government or State Programs population preferred., • Experience with and knowledge of social determinants of health required., • Proficiency in Microsoft Outlook, Word, and Excel required. Knowledge or experience in PowerPoint, Access or other database software preferred., • Strong understanding of community characteristics and resources in the local community preferred., • Bilingual preferred., • Excellent verbal and written communication skills., • Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions., • Demonstrated ability to work with and maintain confidential information., • Demonstrated ability to provide excellent customer service and develop relationships both internally and externally., • Excellent verbal and written communication skills., • Flexibility to adapt to a changing and fast-paced environment., • Ability to travel locally as needed. Access to reliable transportation and a valid driver's license is required. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): N4: Minimum: $19.22 - Maximum: $30.76 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: This position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical health (PH) services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to meet departmental time frames. Per department needs, may be responsible for additional hours. Essential Accountabilities: Level I • Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' behavioral health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits as well as State and Federal Mandates. May perform clinical review telephonically, electronically, or on-site, depending on customer and departmental needs., • Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge, members' specific health plan benefits, and efficient care delivery processes. Ensures compliance with corporate and departmental policy and procedure, identifies and refers potential quality of care and utilization issues to Medical Director., • Utilizes appropriate communication techniques with members and providers to obtain clinical information, assesses medical necessity of services, advocating for members in obtaining needed services, as appropriate, interacts with the treating physician or other providers of care., • Collaborates with hospital, home care, care management, and other providers effectively to ensure that clinical needs are met and that there are no gaps in care., • Acts as a resource and liaison to the provider community in conjunction with Provider Relations, explaining processes for accessing Health Plan to perform medical review, obtains case or disease management support, or otherwise interacts with Health Plan programs and services., • Makes accurate and consistent interpretation of required clinical criteria, medical policy, contract benefits, and State and Federal Mandates., • May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical Policies., • Accountable for meeting departmental guidelines for timeliness, production and metrics and meeting requirements established for audits to ensure adherence to regulatory and departmental policy/procedures., • Maintains compliance with all regulatory and accrediting standards. Keeps abreast of changes and responsible for implementation and monitoring of requirements., • Assists with training and special projects, as assigned., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Offers process improvement suggestions and participates in the solutions of more complex issues/activities., • Mentors staff and assists with coaching, as necessary., • Provides consistent positive results on audits., • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health., • Manages more complex assignments; cross-trained to review various levels of care and/or services., • Participate in committees and lead when required. Level III (in addition to Level II Accountabilities) • Displays leadership and serves as a positive role model to others in the department., • Identifies, recommends and assesses new processes to improve productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department., • Assists in updating departmental policies, procedures, and desk level procedures relative to the functions., • Expert and resource for escalations - Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems., • Mentor (to others in department) - Provides guidance and leadership to the daily activities of the Utilization Management Department clinical staff. Acts as resource to Utilization Management staff, members and providers., • Provides backup for the Supervisor, whenever necessary. Participates in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care., • Assists Medical Director (MD) in projects as needed. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Associates degree and active NYS RN license required. Bachelors degree preferred., • Minimum of three (3) years of clinical experience required. Utilization Management experience preferred., • Must demonstrate proficiency with the Microsoft Office Suite., • Demonstrates general understanding of coding standards., • Maintains current and working knowledge of Utilization Management Standards., • Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred., • Strong written and verbal communication skills., • Ability to multitask and balance priorities., • Must demonstrate ability to work independently on a daily basis., • Deliver efficient, effective, and seamless care to members. Associates degree and active NYS RN license required. Bachelors degree preferred. Level II (in addition to Level I Qualifications) • Minimum of 2 years in utilization management position., • Demonstrates ability to escalate to management, as necessary., • Demonstrates proficiency in all related technology., • Ability to take on broader responsibilities., • Ability to participate in training of new staff. Level III (in addition to Level II Qualifications) • Must have been in a utilization management position or similar subject matter expert for at least 5 years., • Broad understanding of multiple areas (i.e. UM and CM). Incumbent is required to know multiple functional areas and supporting systems., • Expert in Utilization Management and ability to handle complex assignments, challenging situations and highly visible issues., • Ability to lead the training of new staff., • Demonstrated presentation skills. Physical Requirements: • Ability to independently travel within regions., • Ability to work at a computer for prolonged periods of time. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): E2: $62,400 - $96,081 E3: $62,400 - $106,929 E4: $65,346 - $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Sales or customer service experience is advantageous but not mandatory. Remote, work from home career. While this position is remote, you will have lots of support.

Sales or customer service experience is advantageous but not mandatory. Remote, work from home career. While this position is remote, you will have lots of support.

Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls, creating authorizations via phone, Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipment. Essential Accountabilities: Level I • Facilitates inbound and outbound calls to customers (members and providers) by delivering excellent customer-centered service providing information regarding services in a call center environment., • Responds to customers in a professional, efficient manner to encourage public acceptance of products, services, and policies., • Perform triage for UM Services., • Serves as the primary contact for providers regarding authorization requests., • Contacts members and providers concerning regulatory requirements relating to Department of Health (DOH) notifications and other regulatory requirements such as the National Committee for Quality Assurance (NCQA) guidelines., • Provides timely response to all research inquiries from other departments and assures the response is thorough, accurate, and within regulatory timeframes., • Processes fax requests from the designated fax and system queues., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Assists and performs tasks associated with project and departmental management., • Backup Team Leads by assisting with questions when needed., • Work on assigned offline projects., • Provides, prepares, and assists with preliminary support to multiple levels of providers and or members (as well as others as needed), including but not limited to physicians, skilled nursing facilities, mid-level providers, members, pharmacies, pharmacists, and support staff., • Provide one-on-one support, coaching, and training to UM Services Reps., • Collaborates with other key departments (Claims, Customer Service, related care management units) to ensure end-to-end process for authorizations, telephonic notifications, and/or care management referrals is accurate and complete. Level III (in addition to Level II Accountabilities) • Assists Team Leads with assigned tasks when necessary (including but not limited to authorizations, claims, care management referrals, monitoring and controlling inventory levels/call queues, timeliness, reporting)., • Meet departmental requirements for Facets UM Services workflows and PEGA., • Resolves escalated customer questions and complex concerns., • Assists Medical Directors with scheduling Fair Hearings., • Assists with coordinating Grievance and Appeals requests., • Assist with all Blue Card Claims escalations., • Assist management with the review and creation of desk level procedures, acting as a subject matter expert for UM Services. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • High School Diploma or GED., • Experience with using a desktop computer in a professional environment, preferably with Microsoft Office Products., • Call center experience preferred, not required., • Strong analytical and problem-solving skills., • Strong written and verbal communication skills and ability to work within a team., • Demonstrated organizational skills to manage multiple projects and priorities., • Self-motivated and able to work independently, as well as on intra- and inter-departmental teams where needed. Level II (in addition to Level I Qualifications) • 2 years' experience working with managed care or healthcare industry., • Ability to apply in-depth knowledge of complex rules, such as those of the authorization process, regulatory processes/time frames, care management systems and processes, departmental policies and procedures, product lines, and contract benefits., • Advanced skills working between multiple programs and applications simultaneously., • Demonstrates willingness to develop collaborative solutions to achieve a better end-to-end process., • Demonstrates proficiency in basic navigation and utilization of department specific applications., • Demonstrates role-specific competencies as it pertains to their work unit on a consistent basis., • Active demonstration of broad knowledge base and positive work habits as evidenced by ability to train new staff, take on new challenges, flexibility in work assignments, and participation in meetings and projects as assigned. Level III (in addition to Level II Qualifications) • 4 years' experience working with managed care or healthcare industry., • Demonstrates a thorough knowledge and understanding of sources of information about health plan contracts, riders, policy statements, and procedures to identify eligibility and coverage and assisting other staff and other areas within the company with related inquiries., • Demonstrates operational knowledge of FACETS application and workflow processes, • Ability to resolve/respond to customer inquiries across multiple plans with limited assistance., • Ability to collaborate within the organization when issues arise with limited assistance., • Ability to identify potential systemic issues and report as necessary without supervisor assistance. Physical Requirements: • Ability to work prolonged periods sitting at a workstation and working on a computer., • Ability to work while sitting and/or standing while at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time., • Ability to work in a home office for continuous periods of time for business continuity., • Ability to travel across the Health Plan service region for meetings and/or trainings as needed., • Manual dexterity including fine finger motion required., • Repetitive motion required., • The ability to hear, understand and speak clearly while using a phone, with or without a headset. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): N3 - Min 18.55 Mid 22.72 Max 26.90 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Essential Accountabilities: Level I • Handles behavioral health member clinical management programs., • Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case Management Program activities, and performs the activities as directed by departmental policy and leadership, current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable., • Carries out job responsibilities in accordance with departmental, corporate, state, federal and accreditation standards, as well as licensure, certification and scope of practice requirements for each specific health-related field/specialty,, • Maintains confidentiality and conducts information management procedures per corporate and departmental policy., • Implements the Case Management Process per department policies, procedures and guidelines. The process includes case identification, case opening, member assessment, education and support intervention opportunities, developing care plans, conducting member-centric interventions, measuring member outcomes during re-assessment, case closure, and case reviews., • Screens members that fall within the defined populations served, referred to the department, either by data analysis or by internal or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management services., • Initiates case management, as outlined in the Case Management Program Description. Opens appropriate cases timely and effectively. Using motivational interviewing, assures essential information relating to case management is disclosed to members, thus increasing the opportunity for success in meeting member health goals., • Works in collaboration with members' physicians and other health care providers to assess the needs of the member, facilitate development of an interdisciplinary care plan, coordinates services, evaluates effectiveness of services and modifies the member care plan as necessary. Maintains positive working relationships within this arena., • Assesses member/caregiver knowledge of his/her illness and initiates appropriate education interventions to address knowledge deficits., • Collaborates with member/caregiver to determine specific objectives, goals and actions to address member needs and barriers to meeting health goals identified during assessment., • Provides appropriate resources and assistance to members with regards to managing their health across the continuum of care. Maintains updated information related to appropriate community resources and serves as a source of information for providers and other members of the healthcare team. Acts as a liaison between providers and community resources., • Participates in inter-disciplinary coordination and collaboration to ensure delivery of consistent and quality health care services. Examples may include Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist, • Accepts responsibility for continuing education relative to professional growth. Meets or exceeds the minimum continuing education requirements as set forth by departmental and corporate policy, and by individual professional certification standards, if applicable., • Participates in and promotes other health plan programs, such as, Preventive Health, use of web-based tools for self-management of conditions and engagement in digital health programs and applications., • Work collaboratively with all Case Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and coordination of care., • May work with internal and external stakeholders for value-based payment programs, such as accountable cost and quality arrangements (ACQA)., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) • Handles all member clinical condition management programs., • Offers process improvement suggestions and participates in the solutions of more complex issues/activities., • Mentors junior staff and assists with coaching whenever necessary., • Consistently meets/exceeds all productivity and performance metrics, including positive results of audits., • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health., • Manages more complex assignments and/or larger caseloads., • Displays leadership skills and serves as a positive role model to others in the department., • Participates in the orientation of new staff. Level III (in addition to Level II Accountabilities): • Process Management and Documentation - o Identifies, recommends, and evaluates new processes as necessary to improve productivity and gain efficiencies. o Assists in updating departmental policies, procedures and desk-top manuals relative to the CM functions. o Identifies and develops processes and guidelines for performance improvement opportunities for the Case Management Department. • Expert and resource for escalations. Serves as subject matter expert and if called upon, works directly with the operation and clinical staff to resolve issues and escalated problems., • Mentors and provides guidance and leadership to the daily activities of the Case Management Department clinical staff. Acts as resource to Case Management staff, members, and providers., • Provides backup for the Supervisor/Manager, whenever necessary by: o Participating in the orientation of new staff and/training opportunities for all staff. Assists staff to identify opportunities to successfully engage members into care. o Acting as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing. o Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. • Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational needs to address established policies and procedures and job responsibilities. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels • Active NYS RN license required with three years' behavioral health experience; or LMSW; or LCSW; or LMHC., • Minimum of three years of clinical experience required. Case Management experience preferred., • Must demonstrate proficiency with the Microsoft Office Suite., • Experience in interpreting managed care benefit plans and strong knowledge of government program contracts (Medicare and Medicaid) and benefits, preferred., • Strong written and verbal communication skills., • Ability to multitask and balance priorities., • Must demonstrate ability to work independently on a daily basis., • Deliver efficient, effective, and seamless care to members., • For incumbents aligned to the Federal Employee Program (FEP) line of business, Case Management Certification required within three (3) years of either hire and/or moving into this role supporting the FEP LOB. Level II (in addition to Level I Qualifications) • A minimum of 2 years in case management position., • Case Management Certification preferred, • Delivers efficient, effective, and seamless care to members., • Demonstrates ability to escalate to management, as necessary., • Demonstrates proficiency in all related technology and documentation requirements., • Consistently meets or exceeds all performance metrics. Level III (in addition to Level II Qualifications) • Must have been in a current Case Management position or similar subject matter expert for at least 5 years., • Case Management Certification required, • Broad understanding of multiple areas (i.e. UM and CM). At this level, incumbent is required to know multiple functional areas and supporting systems., • Expertise in Case Management area and able to handle complex assignments, challenging situations, and highly visible issues., • Ability to lead the training of new staff., • Demonstrated presentation skills. Physical Requirements: • Ability to travel and work long hours on a computer., • May require flexible hours to meet needs of member discussions. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: E2: Minimum: $62,400 - Maximum: $ 96,081 Level II: E3: Minimum: $62,400 - Maximum: $ 106,929 Level III: E4: Minimum: $65,346 - Maximum: $117,622 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the CDPHP Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description Lead the future of flight with BAE Systems! Are you a highly experienced and visionary embedded software engineer seeking a leadership role in a dynamic and innovative environment? At BAE Systems' Electronic Systems business, within our Controls & Avionics Solutions (CAS) sector, we are dedicated to creating cutting-edge avionics systems that ensure the safety and efficiency of air travel. We're seeking a talented and motivated Principal Embedded Software Engineer to join our team in Endicott, NY and provide technical leadership in the development of next-generation flight control and related systems. Sign-On Bonus and Relocation Assistance are offered for this position! About the Role: As a Principal Embedded Software Engineer within CAS, you will be a key technical leader responsible for the architecture, design, implementation, and verification of complex embedded software solutions. You will mentor and guide a team of engineers, driving best practices, and ensuring the delivery of high-quality, safety-critical software. This role demands a deep understanding of embedded systems, real-time operating systems, and a commitment to software security and safety. What You'll Do: • Lead the software engineering team for complex embedded control systems, considering safety, performance, and security requirements, • Provide technical guidance and mentorship to a team of embedded software engineers, fostering a collaborative and innovative environment., • Experience leading high performing technical teams., • Participate in all phases of the software lifecycle - from requirements definition and system design, through implementation, integration, and rigorous verification., • Develop and review software designs, code, and documentation to ensure adherence to industry standards (e.g., DO-178C) and internal quality guidelines., • Evaluate and integrate new technologies and tools to improve software development processes and product capabilities., • Contribute to the evolution of our software development processes and best practices., • Act as a technical point of contact for complex software issues and provide resolution strategies., • Focus on software product security, leading the integration of security features and supporting comprehensive validation efforts. What We're Looking For: • Bachelor's degree in Computer Engineering, Electrical Engineering, or a related field; Master's degree preferred., • 8-10+ years of experience in embedded software development, with a significant focus on aerospace or defense applications., • Expert proficiency in C/C++, Python programming languages and software development tools., • Extensive experience with software architecture, design patterns, and software modeling techniques including Model Based Systems Engineering (MBSE)., • Strong knowledge of software security principles and best practices., • Comprehensive understanding of aerospace software standards (e.g., DO-178B/C)., • Proven leadership skills with the ability to mentor and guide junior engineers., • Excellent communication, collaboration, and problem-solving skills. What We Offer:, • A dynamic and challenging work environment with opportunities for growth and advancement., • The chance to work on cutting-edge projects that impact the future of flight., • A competitive salary and comprehensive benefits package., • Professional development opportunities to stay at the forefront of technology., • A flexible hybrid work schedule, balancing on-site and remote work. Ready to lead the way in avionics innovation? Apply today! About BAE Systems Electronic Systems BAE Systems, Inc. is the U.S. subsidiary of BAE Systems plc, an international defense, aerospace and security company which delivers a full range of products and services for air, land and naval forces, as well as advanced electronics, security, information technology solutions and customer support services. Improving the future and protecting lives is an ambitious mission, but it's what we do at BAE Systems. Working here means using your passion and ingenuity where it counts - defending national security with breakthrough technology, superior products, and intelligence solutions. As you develop the latest technology and defend national security, you will continually hone your skills on a team-making a big impact on a global scale. At BAE Systems, you'll find a rewarding career that truly makes a difference. Electronic Systems (ES) is the global innovator behind BAE Systems' game-changing defense and commercial electronics. Exploiting every electron, we push the limits of what is possible, giving our customers the edge and our employees opportunities to change the world. Our products and capabilities can be found everywhere - from the depths of the ocean to the far reaches of space. At our core are more than 14,000 highly talented Electronic Systems employees with the brightest minds in the industry, we make an impact - for our customers and the communities we serve. This position will be posted for at least 5 calendar days. The posting will remain active until the position is filled, or a qualified pool of candidates is identified. Required Skills and Education • Bachelor's or Master's degree in Computer Science, Software Engineering, Electrical Engineering or related field with strong embedded software development background., • 10+ years of experience in embedded controls development with at least 3 years leading high performing distributed teams., • Experience in full software lifecycle including requirements, design, coding, integration and verification., • Experience integrating on real-time, safety-critical electronic control systems that include hardware, software and programmable logic devices., • Experience with implementing cybersecurity capabilities leveraging features/components including any of the following; secure boot, cryptographic accelerators, Trusted Execution Environments (TEEs), Trusted Platform Modules (TPMs) or Hardware Security Modules (HSMs)., • Understanding of purpose and usage of; cryptographic objects: Keys, Certs, CRLs; algorithms: SHA, AES, RSA, ECC, HMAC, GMAC, etc., and protocols: TLS/DTLS, IPSec, etc., • Solid knowledge and hands-on experience with C/C++, Python and assembly language programming, • Experience performing static/dynamic code analysis., • Technical writing skills: capable of creating clear and concise engineering documentation. Preferred Skills and Education, • Master's Degree in related engineering field, • 12+ years of experience in avionics or electronic controls embedded development, including familiarity with systems such as flight controls, engine controls or mission systems, with at least 3 years of leading high performing distributed teams., • Experience with Multi-core and ARM processing hardware., • Experience with safety critical development guidelines including DO-178B/C, DO-254, ISO-26262 or equivalent safety process requirements., • Demonstrated experience providing technical leadership, • Team player with a proactive attitude and the ability to be productive in a dynamic/collaborative environment, • Strong oral and written communications skills, • Motivated self-starter with good problem solving skills, judgment, and analytical capability, with good planning and organizational skills

Binghamton, NY IT'S TIME TO GROW YOUR CAREER! ABOUT CHEMSEARCH FE We are a facility resource management company with over 100 years of experience. Chemsearch FE is an industry leading provider of specialty maintenance solutions in urban facilities. As the fastest growing business division of NCH Corporation, FE is committed to standing by our clients to optimize building resources, improve efficiencies and convey a corporate message that the environment matters. We meet the unique needs of those who are responsible for the operation of urban facilities through water conservation, energy savings, waste stream reduction and property maintenance programs. WE ARE LOOKING FOR PEOPLE LIKE YOU! Chemsearch FE offers a career destination for talented, passionate and results-driven people who seek the innovation and growth opportunity that we provide. We don't offer jobs....we solidify careers, as proven by the thousands of associates worldwide with an average tenure of 13years. WE KEEP THE POSITION CHALLENGING. RESPONSIBILITIES INCLUDE: • Developing and maintaining an assigned outside territory, • Seeking out prospective customers/business opportunities, • Establishing and maintaining customer relationships in order to grow profitable sales, • Attending training classes to develop superior product knowledge for various customer applications HIT THE GROUND RUNNING WITH THESE REQUIREMENTS: • Proven track record in managing time autonomously, • Experience in water treatment a plus, • Exceptional interpersonal and communication skills, • Proficient with smart technology, • Demonstrated ability to engage and sustain productive professional relationships, • Four-year degree (B.A or B.S.) WHAT WE DO TO MAKE YOU SUCCESSFUL: • A world-class training program, • Managers acting as coaches with one main goal: your success, • Focus on developing strengths, not fixing weaknesses, • Culture recognizing results while embracing work-life balance, • Provide advancement opportunities that tailor to your individual skills, • Competitive compensation package, comprehensive benefits & 401(k) plan The base salary range for this position is $50,000-50,000 (excluding bonus earnings or overtime pay as applicable by position) which represents the low and high end of Chemsearch FE's salary range for this position. Actual salaries will vary and may be above or below the range based on various factors including but not limited to: experience, education, training, location, merit system, quantity or quality of production, responsibilities and regular and/or necessary travel. The range listed is only one component of Chemsearch FE's Total Rewards package for associates. Please note that this range does not include commissions which for some associates is a substantial part of their overall compensation and there is no maximum for commissions. Join the Chemsearch FE team and start your career today! We celebrate, support and thrive on difference and diversity. We are proud to be an Equal Opportunity Employer. This is a remote position We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Customer Service / Remote] - Anywhere in U.Health-Dental-Vision / 401(k) plan / Time Off - As a Customer Support Specialist, you will: Provide exceptional customer service through phone, email, and chat support; Troubleshoot and resolve technical issues for clients; Collaborate with cross-functional

A travel support company is seeking a Remote Client Support Representative to assist clients throughout their travel journey.This fully remote role involves providing support before, during, and after trips.The ideal candidate possesses strong customer service skills, is organized, and can work inde

Customer Support / Remote] - Anywhere in U.Medical-Rx-Dental-Vision-Life-AD&D-Disability / 401(k) plan / ESPP / HSA-FSA / - As a Customer Service Representative, you will: Handle incoming customer inquiries via phone and email in a timely and professional manner; Provide accurate and efficient reso

Utilization Management Workflow Support This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls, creating authorizations via phone, Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health, and durable medical equipment. Essential Accountabilities: Level I • Facilitates inbound and outbound calls to customers (members and providers) by delivering excellent customer-centered service providing information regarding services in a call center environment., • Responds to customers in a professional, efficient manner to encourage public acceptance of products, services, and policies., • Perform triage for UM Services., • Serves as the primary contact for providers regarding authorization requests., • Contacts members and providers concerning regulatory requirements relating to Department of Health (DOH) notifications and other regulatory requirements such as the National Committee for Quality Assurance (NCQA) guidelines., • Provides timely response to all research inquiries from other departments and assures the response is thorough, accurate, and within regulatory timeframes., • Processes fax requests from the designated fax and system queues., • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs., • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures., • Regular and reliable attendance is expected and required., • Assists and performs tasks associated with project and departmental management., • Backup Team Leads by assisting with questions when needed., • Work on assigned offline projects., • Provide, prepare, and assist with preliminary support to multiple levels of providers and or members (as well as others as needed), including but not limited to physicians, skilled nursing facilities, mid-level providers, members, pharmacies, pharmacists, and support staff., • Provide one-on-one support, coaching, and training to UM Services Reps., • Assists Team Leads with assigned tasks when necessary (including but not limited to authorizations, claims, care management referrals, monitoring and controlling inventory levels/call queues, timeliness, reporting)., • Meet departmental requirements for Facets UM Services workflows and PEGA., • Resolves escalated customer questions and complex concerns., • Assists Medical Directors with scheduling Fair Hearings., • Assists with coordinating Grievance and Appeals requests., • Assist with all Blue Card Claims escalations. All Levels • High School Diploma or GED., • Experience with using a desktop computer in a professional environment, preferably with Microsoft Office Products., • Call center experience preferred, not required., • Strong analytical and problem-solving skills., • Strong written and verbal communication skills and ability to work within a team., • Demonstrated organizational skills to manage multiple projects and priorities., • 2 years' experience working with managed care or healthcare industry., • Ability to apply in-depth knowledge of complex rules, such as those of the authorization process, regulatory processes/time frames, care management systems and processes, departmental policies and procedures, product lines, and contract benefits., • Advanced skills working between multiple programs and applications simultaneously., • Demonstrates willingness to develop collaborative solutions to achieve a better end-to-end process., • Demonstrates proficiency in basic navigation and utilization of department specific applications., • Demonstrates role-specific competencies as it pertains to their work unit on a consistent basis., • 4 years' experience working with managed care or healthcare industry., • Demonstrates a thorough knowledge and understanding of sources of information about health plan contracts, riders, policy statements, and procedures to identify eligibility and coverage and assisting other staff and other areas within the company with related inquiries., • Demonstrates operational knowledge of FACETS application and workflow processes, • Ability to resolve/respond to customer inquiries across multiple plans with limited assistance., • Ability to collaborate within the organization when issues arise with limited assistance., • Ability to work prolonged periods sitting at a workstation and working on a computer., • Ability to work while sitting and/or standing while at a workstation viewing a computer and using a keyboard, mouse and/or phone for three (3) or more hours at a time., • Ability to work in a home office for continuous periods of time for business continuity., • Ability to travel across the Health Plan service region for meetings and/or trainings as needed., • Manual dexterity including fine finger motion required., • Repetitive motion required. Equal Opportunity Employer Compensation Range(s): N3 - Min $20.00 Max $26.90 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: The opportunity for remote work may be possible for all jobs posted by the Univera Healthcare Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

A travel-focused company is seeking a Remote Client Support Representative to assist clients throughout their travel journey. This fully remote position requires strong customer service skills and allows flexibility in scheduling.

Job Description As a Customer Service Representative, you will answer incoming calls in a fast-paced call center environment. You will also build relationships with clients and agents and process payments and complex service requests. This position will have the opportunity to work primarily remote with periodic time required in their assigned Company office location (Binghamton, NY or Houston, TX). If you reside in the Greater Houston or Greater Binghamton area, this may be an opportunity for you! Description of Duties & Responsibilities: • Support resolution of incoming calls by answering questions, performing research and initiating additional processes as necessary., • Process billing requests, which could include billing account number changes, payment type changes (mode changes), refund requests, premium payment histories, value quotes, form requests, policy reprojection requests, taxable gain calculations, policy conservation, mailing Electronic Funds Transfer forms, etc., • Process manual premium payments and other service requests from calls by check or phone via a checking or savings account., • Process loan by phone requests., • SML website inquires. Handle inquired forwarded by Corporate Communications that were made on our public website., • Complete insurance verifications and policy summary requests., • Complete follow-up calls to request missing items and funds needed to bring policies up to date., • Keep records of customer interactions and transactions. Description of Duties & Responsibilities:, • Minimum of 3 years of experience in Customer Service., • Minimum of 1 year of accounting experience preferred., • Experience in an insurance industry or call center environment., • Fluency in Spanish a plus., • Basic knowledge of Microsoft Word and Excel., • Excellent written and verbal communication skills., • Excellent data entry skills., • Ability to perform work accurately and thoroughly., • Ability to pay close attention to detail., • Ability to prioritize and organize a heavy workload., • Ability to work a flexible schedule with occasional overtime. Education Required: Associate’s degree in business or related field. Pay Range: $19.02 to $21.03 hourly The starting pay rate for this role is based on a variety of relevant factors, including location, education, experience, and skills. The level for this position will be determined based on factors including relevant skills, experience and other qualifications. Visa sponsorship is not available for this position Relocation assistance is not available for this position Security Mutual is an Equal Opportunity Employer Federal & State Labor Law Posters

Job Description As a Customer Service Representative, you will answer incoming calls in a fast-paced call center environment. You will also build relationships with clients and agents and process payments and complex service requests. This position will have the opportunity to work primarily remote with periodic time required in their assigned Company office location (Binghamton, NY or Houston, TX). If you reside in the Greater Houston or Greater Binghamton area, this may be an opportunity for you! Description of Duties & Responsibilities: • Support resolution of incoming calls by answering questions, performing research and initiating additional processes as necessary., • Process billing requests, which could include billing account number changes, payment type changes (mode changes), refund requests, premium payment histories, value quotes, form requests, policy reprojection requests, taxable gain calculations, policy conservation, mailing Electronic Funds Transfer forms, etc., • Process manual premium payments and other service requests from calls by check or phone via a checking or savings account., • Process loan by phone requests., • SML website inquires. Handle inquired forwarded by Corporate Communications that were made on our public website., • Complete insurance verifications and policy summary requests., • Complete follow-up calls to request missing items and funds needed to bring policies up to date., • Keep records of customer interactions and transactions. Description of Duties & Responsibilities:, • Minimum of 3 years of experience in Customer Service., • Minimum of 1 year of accounting experience preferred., • Experience in an insurance industry or call center environment., • Fluency in Spanish a plus., • Basic knowledge of Microsoft Word and Excel., • Excellent written and verbal communication skills., • Excellent data entry skills., • Ability to perform work accurately and thoroughly., • Ability to pay close attention to detail., • Ability to prioritize and organize a heavy workload., • Ability to work a flexible schedule with occasional overtime. Education Required: Associate’s degree in business or related field. Pay Range: $19.02 to $21.03 hourly The starting pay rate for this role is based on a variety of relevant factors, including location, education, experience, and skills. The level for this position will be determined based on factors including relevant skills, experience and other qualifications. Visa sponsorship is not available for this position Relocation assistance is not available for this position Security Mutual is an Equal Opportunity Employer Federal & State Labor Law Posters

Job Description As a Customer Service Representative, you will answer incoming calls in a fast-paced call center environment. You will also build relationships with clients and agents and process payments and complex service requests. This position will have the opportunity to work primarily remote with periodic time required in their assigned Company office location (Binghamton, NY or Houston, TX). If you reside in the Greater Houston or Greater Binghamton area, this may be an opportunity for you! Description of Duties & Responsibilities: • Support resolution of incoming calls by answering questions, performing research and initiating additional processes as necessary., • Process billing requests, which could include billing account number changes, payment type changes (mode changes), refund requests, premium payment histories, value quotes, form requests, policy reprojection requests, taxable gain calculations, policy conservation, mailing Electronic Funds Transfer forms, etc., • Process manual premium payments and other service requests from calls by check or phone via a checking or savings account., • Process loan by phone requests., • SML website inquires. Handle inquired forwarded by Corporate Communications that were made on our public website., • Complete insurance verifications and policy summary requests., • Complete follow-up calls to request missing items and funds needed to bring policies up to date., • Keep records of customer interactions and transactions. Description of Duties & Responsibilities:, • Minimum of 3 years of experience in Customer Service., • Minimum of 1 year of accounting experience preferred., • Experience in an insurance industry or call center environment., • Fluency in Spanish a plus., • Basic knowledge of Microsoft Word and Excel., • Excellent written and verbal communication skills., • Excellent data entry skills., • Ability to perform work accurately and thoroughly., • Ability to pay close attention to detail., • Ability to prioritize and organize a heavy workload., • Ability to work a flexible schedule with occasional overtime. Education Required: Associate’s degree in business or related field. Pay Range: $19.02 to $21.03 hourly The starting pay rate for this role is based on a variety of relevant factors, including location, education, experience, and skills. The level for this position will be determined based on factors including relevant skills, experience and other qualifications. Visa sponsorship is not available for this position Relocation assistance is not available for this position Security Mutual is an Equal Opportunity Employer Federal & State Labor Law Posters

Working as a Customer Service Agent ("CSA") is central to demonstrating that we understand the demands of air travel and our goal is to make the experience as smooth and enjoyable as possible.

A financial services company is seeking a Customer Support Agent to provide support for clients managing their retirement plans. This role includes assisting customers via phone, email, and chat in a remote work environment. Ideal candidates should have strong communication skills and previous custo

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

No customer service representative experience required. We're currently looking for individuals across the country to take part in remote paid market research, including online focus groups, product trials, and consumer studies. Most research studies are conducted remotely from home, though some may

We're looking for candidates with great customer service skills to fill our Remote Customer Service role!. This role is entirely remote and offers full-time/Part time hours with flexibility. We're seeking someone who is great with people, building relationships, and putting customers first.

Remote Work From Home Customer Service Representative Agent - Part Time Market Research Panelists Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments. If you are a customer service representative agent or someone j

Remote Work From Home Customer Service Representative Agent - Part Time Market Research Panelists Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments. If you are a customer service representative agent or someone j

If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. Remote Work From Home Customer Service Representative Agent - Part Time Market Research Panelists Our company is seeking indiv

Location 140 Cooper Ave, Tonawanda, NY, 14150, United States.Description Requirements Summary.

If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. Remote Work From Home Customer Service Representative Agent - Part Time Market Research Panelists Our company is seeking indiv

We help customers with their insurance and financial services needs, including Auto Insurance, Home Insurance, Life Insurance, Business Insurance, Health Insurance, and Renters Insurance.

If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. Remote Work From Home Customer Service Representative Agent - Part Time Market Research Panelists Our company is seeking indiv

Competitive Pay / Third shift with start times between 9:00 PM and 12:30 AM ET / Equipment provided / Career growth pathways and continuous training - As an Overnight Customer Service Rep, you will: Provide exceptional customer service to clients by responding to inquiries and resolving issues in a

Remote Work From Home Customer Service Representative Agent - Part Time Market Research Panelists Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments. If you are a customer service representative agent or someone j

Respond to Distributors, Manufacturer's Representatives, Architects and End-Users via telephone, or e-mail for the purpose of processing orders, providing technical support, including basic drafting, and resolving customer issues. Gather necessary information from the customer, and decide on the bes

Respond to Distributors, Manufacturer's Representatives, Architects and End-Users via telephone, or e-mail for the purpose of processing orders, providing technical support, including basic drafting, and resolving customer issues. Gather necessary information from the customer, and decide on the bes

If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income. Remote Work From Home Customer Service Representative Agent - Part Time Market Research Panelists Our company is seeking indiv

DOE / Comprehensive health & welless benefits / Generous PTO / Equity Eligibility - As a Customer Support Specialist, you will: Provide exceptional customer service by responding to inquiries and resolving issues through various channels such as phone, email, and chat; Utilize product knowledge and

DOE / Flexible Schedule / PTO / Opportunities for growth and advancement - As a Customer Support Services Specialist, you will: Provide exceptional customer service by promptly responding to inquiries and resolving issues via email, phone, and live chat; Maintain accurate records of customer interac