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

Actuarial Analyst III, IV, Associate Actuary, & Actuary Estimates future claims. Estimates current claims (reserving estimate unpaid claim liabilities). Analyzes historical experience. Reviews appropriateness of rating factors by plan, area, network, etc. Proposes premiums that achieve company goals. Forecasts the future. Loads and tests premiums. Performs ad hoc analyses

Supervises all production activities and projects to ensure efficient workflow continuity and timely completion of shared responsibilities. Monitors and manages system utilization to prioritize and resolve request conflicts. Monitors the security of processes and resolves Heath Insurance Portability and Accountability violations in relation to processes. Teaches and train

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

Infrastructure Engineer II Completes service requests and maintenance support in a timely manner. Documents the use of new features and procedures to improve server host systems and security operations. Assists with configuration management and change control of host systems. Assists with implementing host systems upgrades and expansions without adversely affecting system

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

Ready for a change? We offer flexibility in making your own schedule and offer remote or hybrid work locations. We're building our teams across America and hiring in 30 states! Our team Reserve National Insurance Company (formerly known as Kemper Health) is now MedMutual Protect! We stand for integrity, fairness and financial stability. Our company has the approval and co

Member Communications Specialist II Writes and edits content for varied and moderately complex customer retention materials maintaining a clear message and consistent brand identity with few, if any, grammar errors or typos. Develops general communications to internal business units and brokers and assists senior staff with complex communications programs. Coordinates wit

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

Data Catalog Analyst I IV Collaboration Learn to work seamlessly with various teams, departments and stakeholders to achieve common data related objectives Communication Good at conveying technical information clearly to both technical and nontechnical stakeholders. Develop active listening skills to gather requirements and address concerns Problem solving Demonstrate apt

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