Directs all aspects of the learning and development cycle for all lines of business from concept to execution. Includes learning methodologies, processes, tools, vendors, technology, budget and logistics. Consults with Customer Experience leadership and other stakeholders to evaluate business needs and identify projects to enhance performance. Builds a comprehensive roadm

Works collaboratively with company stakeholders (Care Management, Provider Engagement, IT, Finance) to define, document, execute and deliver on business/systems requirements, and criteria to support the company's health informatics strategy Leads and interfaces with relevant parties to resolve issues, and maintain/accelerate progress to meet informatics projects outcomes

Develops and drives strategic initiatives, provider partnerships, and transactions to support the expansion and enhancement of division and market level value based operations. Designs and oversees implementation of population health operations and integration strategy that supports and delivers on the Company's health vision, values, goals, operating, and financial perfo

Supervises the intake, investigation and resolution of appeals and grievances/complaints, for members and providers, ensuring compliance with regulatory and contractual processes and timeframes for assigned commercial or government product line. Monitors workloads and workflow. Ensures grievances, appeals, and complaints are processed, prioritized, and resolved within reg

Training, mentoring, and motivating a team of independent sales agents. Sourcing, attracting, interviewing, and selecting quality individuals to join your sales team. Conducting field training and joint field work with your agency team. Leading sales meetings and orientations for new and tenured sales agents. Supporting health insurance prospecting and sales activity; inc

Translates overall IT roadmap into actionable processes. Supports the establishment of targeted architecture and develops standards for the organization covering all key domains (Application, Data, Engineering and Infrastructure). Defines the current and future state and the transitional plan. Focuses on streamlining environments and remove any redundancy. Collaborates wi

Maintains client records for assigned groups working directly with clients and/or through broker relationships. Responsible for completing a number of group onboarding tasks (new group implementation and benefit change) including gathering completed paperwork and required data elements to complete the account worksheet, ensuring enrollment is sent to Membership, deliverin

Provides consultation to non system administrators, the development team and infrastructure team with the design and support of host systems with client and internal applications by actively participating in client and internal project meetings. Creation and maintenance of end to end automation of deployment, monitoring, and infrastructure management. Build and configure

Learning & Development Specialist I Delivers, develops, and implements corporate or divisional training curriculum and/or development programs. Evaluates and administers training and development programs. Implements tools, practices, and approaches to facilitate learning that directly supports and effectively meets the needs of participants. Designs and develops training

Membership Billing Representative I TPA Processes routine and/or less complex member enrollment transactions such as address, name, etc. Prepares routine product invoices and reports. Reviews/updates open enrollment changes such as Coordination of Benefits (COB), dependent updates, etc. Reviews and approves enrollment information submitted by customers via the secured web

Develops and maintains new and existing applications by analyzing, designing and writing code of increasing complexity that satisfies a logical, efficient and optimal systems design. Leads program level and system level testing, implementation, and break fix tasks associated with business applications, including multiple platforms. Develops documentation of technical work

Data Engineer I Develop data pipelines to integrate and transform data for analysis Support other data users and enable applied use of data to solve business problems Business meetings to understand data and business needs, socialize knowledge of data products and insights, and generate consensus Data profiling, data documentation, measuring and enforcing data quality Dev

Proposal Specialist I Acts as project lead in responding to routine to moderately complex RFPs with support and/or general supervision including responding, preparing, coordinating and packaging to meet RFP specifications/requirements and department standards for accuracy and quality. Pre populates RFPs with standard database content with minimal supervision. Manages outr

Insights & Analytics Advisor II Under the direction of the Insights & Analytics team, manages primary and/or secondary research for the Company including methodological design consulting, survey design, data analysis, reporting, and consulting on insights and recommendations for improvement. With guidance from the Insights & Analytics team, coaches and counsels members of

Sourcing & Development Establish local networks and source prospective Independent Agent candidates and independent agencies to sell MedMutual Protect products Conduct informational seminars for prospective Independent Agents as needed Represent the Market at local job fairs or other hiring events Affiliate Independent Agent candidates Make recommendations for developing