Hybrid Insurance Jobs in Rockdale, MA
BJ's Wholesale Club
$100500 undefined
Marlborough, MA
This role will be responsible for the development of operational policies and procedures, as well as providing tools necessary to support execution of key projects, such as new/remodel club openings, growing eye exams, and enhancing systems or processes. Partner with Optical Tele-Optometry and Exam Equipment vendors to identify additional locations to add exam capabilities while also looking for opportunities to improve the patient experience and drive exam count.
Humana
$71100 - $97800 YEAR
Providence, RI
Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested, + Satellite, cellular and microwave connection can be used only if approved by leadership. Works collaboratively with members of the National Medicaid Quality team, state health plan quality teams, and external vendors to support the administrative activities surrounding project management, monitoring, and evaluation of multiple quality activities such as member surveys, improvement projects, educational materials, and team operations.
Fallon Health
$20.5 HOUR
Worcester, MA
Member Services has proven to be a launching pad of development that has translated into long term careers with advancement opportunities throughout the company in a number of different key area’s such as; Sales and Marketing, Provider Relations, Care Services, Pharmacy and other functions of the operation. Member Service Representatives are the primary liaison for our members to obtain the information or support they need As such, our representatives are expected to fully understand member/ provider needs, and within corporate/ department policies, take whatever action is necessary to fully satisfy the inquiry.
Maximus
Providence, RI
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.
The Mutual Group
Worcester, MA
Manager, Product you will provide oversight for all aspects of Product Management including intake and prioritization of new product and product enhancement requests, drafting coverage forms, and all aspects of the filings process. Ensures timely and compliant filings and subsequent implementation of approved forms and rates, ensuring very low error rates.
Alera Group
Worcester, MA
Maintain client accounts on agency automation system Applied-Epic, document conversations, properly attach documents in Epic, send confirmations to insured’s, and adheres to all other automation procedures that are or become established. Since 1974, Kaplansky built and continues to establish ourselves as the agency that delivers an exceptional customer experience, choice, and reliability.
Eliassen Group
$40 - $65 HOUR
Providence, RI
_Please be advised- If anyone reaches out to you about an open position connected with Eliassen Group, please confirm that they have an Eliassen.com email address and never provide personal or financial information to anyone who is not clearly associated with Eliassen Group. For over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions.
HealthEdge
Burlington, MA
Using the patented HealthRules software suite, health plans, health insurance companies, and other payors can finally respond to new business opportunities and market changes in hours, not months or years, while drastically reducing both IT and operational costs. You will be responsible for the design, implementation, and development within Java and will be involved in all phases of software development including: requirements definition, design, architecture, development, testing, and integration to bring cutting edge technologies to market.
Hanover Insurance Company
Worcester, MA
Review monthly Profit & Loss statements and other monthly reports, working with State Managers, to identify root causes for variances and emerging trends (e.g. Provide rate revision support, including attending meetings, completing checklists, resolving issues, completing analyses, reviewing filing.
CenterWell
$115200 - $158400 YEAR
Providence, RI
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.
Concentric Energy Advisors, Inc.
Marlborough, MA
Concentric Energy Advisors, Inc. (www.ceadvisors.com ) (“Concentric”) is an employee-owned leading management consulting and financial advisory firm focused on the North American energy and utility industries. Concentric specializes in financial advisory assignments; market assessment and strategy development; ratemaking and utility regulation; litigation support; and management and operations consulting.
Humana
$71100 - $97800 YEAR
Providence, RI
Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Fallon Health
$20.5 HOUR
Worcester, MA
Member Services has proven to be a launching pad of development that has translated into long term careers with advancement opportunities throughout the company in a number of different key area’s such as; Sales and Marketing, Provider Relations, Care Services, Pharmacy and other functions of the operation. Member Service Representatives are the primary liaison for our members to obtain the information or support they need As such, our representatives are expected to fully understand member/ provider needs, and within corporate/ department policies, take whatever action is necessary to fully satisfy the inquiry.
Eliassen Group
$60 - $65 HOUR
Providence, RI
This role requires expertise in cloud technologies and a deep understanding of network systems to optimize cloud resources, manage network configurations, and ensure seamless connectivity between on-premises and cloud-based systems. Job Summary: The Cloud Network Systems Engineer is responsible for designing, implementing, and managing cloud infrastructure and networking solutions to ensure high performance, scalability, and security for our cloud environment.
Humana
$115200 - $158400 YEAR
Providence, RI
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Capture Lead, Medicaid Plan Configuration and Member Strategy will lead initiatives to develop and execute strategy, specifically focused on value delivery to members though differentiated benefits and experience, to successfully position Humana to capture growth opportunities.
Fallon Health
$19.5 HOUR
Worcester, MA
Today, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Working from a script, asks both open-ended and closed ended questions of members in order to capture information such as why the member joined Fallon, how satisfied the member is with Fallon and why the member left Fallon.
Eliassen Group
$110000 - $125000 YEAR
Providence, RI
The Senior Enterprise Security Engineer is responsible for Security Compliance (PCI DSS, FISMA, FedRAMP) and the global management and operations of DLP, SIEM, Endpoint Protection, EDR, WAF/DDoS tooling across the enterprise. _Please be advised- If anyone reaches out to you about an open position connected with Eliassen Group, please confirm that they have an Eliassen.com email address and never provide personal or financial information to anyone who is not clearly associated with Eliassen Group.
Humana
$48800 - $65900 YEAR
Providence, RI
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate. The candidate's address may be provided to the third-party vendor prior to extending an offer, solely for the purpose of conducting a virtual assessment to determine whether the location meets the internet service requirements necessary for the role.