Medical Benefits Specialist Salary in Boise, ID

Innova Solutions is immediately hiring for a DEPARTMENT SUPPORT SPECIALIST I. Position type: Full-Time, Contract Duration: 12 Month Location: Remote As a DEPARTMENT SUPPORT SPECIALIST I, you will: This role will be fast paced and constant - working with Utility bills in a data entry capacity. Chosen candidates will need to be highly accurate, but also be able to work quickly and constantly throughout the shift. The position is fully remote, and the shift is 7am-3:30pm Pacific Time. So, regardless of the candidate's time zone, they will need to work these Pacific Time core hours. The most important skills for this role will be 10-key speed and accuracy, attention to detail and a positive attitude. Candidates without much experience but documented high 10-key KPM or WPM will be considered. Required: • High school diploma or GED • Documented 10-key speed/accuracy (submit candidate's results on the following 10-key typing assessment with their submittal: • Any candidates submitted without this assessment will be declined. Candidates will need to be north of 13,000 kph on the assessment to be considered for this role.) • Contractors will need to provide their own office equipment/setup. MAC computers will NOT work for this role and they must have a Windows machine. They will not be able to work from a tablet or laptop screen. Dual monitors are required and will aid them in being successful in the role. • Equipment: Windows Computer, dual high-resolution monitors, web camera, speakers or headphones, and a 10-key keyboard are required. A variety of support functions to support the department. Handles multiple projects and may assist in compiling data and generating reports. Requires 1-4 years of experience in the field or in a related area. Familiar with standard concepts, practices, and procedures within a particular field. The ideal candidate will have: Data entry, 10 key Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible. We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW. Thank you! Mohd Adnan Associate Team lead PAY RANGE AND BENEFITS: Pay Range*: $18 - $19 Per Hour *Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc. Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP). ABOUT INNOVA SOLUTIONS:Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields. Recent Recognitions: One of Largest IT Consulting Staffing firms in the USA - Recognized as #4 by Staffing Industry Analysts (SIA 2022) ClearlyRated® Client Diamond Award Winner (2020) One of the Largest Certified MBE Companies in the NMSDC Network (2022) Advanced Tier Services partner with AWS and Gold with MS Website: https://www.innovasolutions.com/ Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at [email protected] or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b. The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

Innova Solutions is immediately hiring for a < DEPARTMENT SUPPORT SPECIALIST I > Position type: Contract. Duration: 12 months Contract (Possible Extension) Location: Remote (All over United States) Job Requirements: As a DEPARTMENT SUPPORT SPECIALIST I, you will PRIMARY PURPOSE OF POSITION This role will be fast paced and constant - working with Utility bills in a data entry capacity. Chosen candidates will need to be highly accurate, but also be able to work quickly and constantly throughout the shift. The position is fully remote, and the shift is 7am-3:30pm Pacific Time. So, regardless of the candidate's time zone, they will need to work these Pacific Time core hours. The most important skills for this role will be 10-key speed and accuracy, attention to detail and a positive attitude. Candidates without much experience but documented high 10-key KPM or WPM will be considered. Required: High school diploma or GED Documented 10-key speed/accuracy. Contractors will need to provide their own office equipment/setup. MAC computers will NOT work for this role, and they must have a Windows machine. They will not be able to work from a tablet or laptop screen. Dual monitors are required and will aid them in being successful in the role. Equipment: Windows Computer, dual high-resolution monitors, web camera, speakers or headphones and microphone, and a 10-key keyboard are required. HS Diploma or GED. 14000 KPH Score, Dual-High Resolution Monitors, 10-key Keyboard, Microphone, Speakers, and Web Camera Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible. We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW. Thank you! Aditya Raj Senior Associate - Recruitment PAY RANGE AND BENEFITS: Pay Range*: $17- $18 Per hour. *Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc. Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP). ABOUT INNOVA SOLUTIONS:Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields. Recent Recognitions: One of Largest IT Consulting Staffing firms in the USA - Recognized as #4 by Staffing Industry Analysts (SIA 2022) ClearlyRated® Client Diamond Award Winner (2020) One of the Largest Certified MBE Companies in the NMSDC Network (2022) Advanced Tier Services partner with AWS and Gold with MS Website: https://www.innovasolutions.com/ Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at [email protected] or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b. The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws

Customer Support SpecialistBCforward is currently seeking a highly motivated Customer Support Specialist for an opportunity in Boise, ID!Position Title: Customer Support SpecialistLocation: Boise, IDAnticipated Start Date: 04-25-2024Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.Expected Duration: 24 Plus Months (Contract)Job Type: [FULLTIME (>=30 HOURS WEEKLY], [CONTRACT], [ONSITE]Pay Range: $16/hr to $18/hrPlease note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).Job Description:Uses ability as a skilled specialist to contribute to the development of new concepts/techniques and to complete assignments/tasks in innovative and effective ways. Expert knowledge on the general/technical aspects of the job. Works on assignments that are highly complex in nature where a strong degree of independent judgment, initiative, and technical knowledge are required to resolve problems. Work is completed independently and can handle most unique situations. Frequently determines methods and procedures for new assignments. May supervise the activities of other non-exempt employee.Responsibilities: Responsible for validating customer entitlement, log case for the purpose of routing or dispatching an end-user to the proper resources.Monitor the service event through completion for compliance.Manage the service requests of customers through different access channels.Reviews customer feedback related to customer entitlement & case management and analysis of statistics related to customer access (phone) & case management. Provide resolution and feedback based on analysis.Leads in projects for process or quality improvements and documents changes.Works with escalated customers and drives actions in post incident reviews.Manages multiple tasks or cases simultaneously without supervision.Acts as a mentor and may provide some supervision of other non-exempt employees. May provide input on training material for new and existing processes. Provide training to new and existing employees as needed. Process expert and subject matter expert on standard and nonstandard delivery types. Education and Experience:High school education or equivalent; some college-level education preferred. Typically requires a minimum of 5+ years general experience, or equivalent combination of experience and college-level education. Work Environment:Superior communication skills both written and verbal Experience in customer-facing role either remote or face to face.Understands internal processes and tools Computer proficiency.Problem solving skills.Accuracy in data entry.Excellent fluency in language to be supported.Experience in a phone based remote role.Familiarity with computer technology.Time management skills.Oversee compliance with operating procedures and standards.Advanced knowledgeable in call routing and case management processes and obligation systems.Strong understanding of internal processes, tools and usage of such tools in managing daily tasksOrganizational skills to manage workflow and tasks.Process analysis and documentation.Ability to mentor and train new agentsAbility to participate or lead in projects for process or quality improvements.Benefits:BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.Keywords:Customer Service and Customer Support.About BCforward:Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.Interested candidates please send resume in Word format Please reference job code 221107 when responding to this ad.Get job alerts by email.Sign up now!Join Our Talent Network!Job SnapshotEmployee TypeContractorLocationBoise, ID (Onsite)Job TypeCustomer ServiceExperienceNot SpecifiedDate Posted04/09/2024

Boise Cascade Company has been in the business of manufacturing wood products and distributing building materials for over half a century. We are one of the largest producers of engineered wood products and plywood in North America and a leading U.S. wholesale distributor of building materials. Because our business is built on relationships, our associates are critical to our success. We are committed to investing in them and that is why we offer a comprehensive benefits package designed to have a positive impact on all areas on your life – from health and well-being, career, and community, to financial security and personal safety, with many benefits beginning on your first day of employment. Please review the responsibilities and needed qualifications below and apply today!      Boise Cascade has an exciting opening for a Inside Sales Specialist!  Responsibilities Responsible for initiating sales, taking orders, anticipating and meeting customer needs. Responsible for assigned product management, including selecting product vendors, purchasing, pricing, monitoring inventory, and promoting assigned products. Contact customers regarding market fluctuations and trends. Initiate inquiries, sales, and promotions for product needs to customer. Coordinates and maximizes customer inventory. Communicate customer service requirements to location’s customer service representatives. Coordinate customer deliveries with shipping personnel. At some locations, may perform freight/trucking specialist responsibilities. Contact vendor as necessary regarding products relative to customer’s questions or concerns. Assist outside sales staff and product managers. Assist in developing and executing marketing programs, promotions, and new product research. Provide lead role to sales support staff. Demonstrate strong commitment to safety, quality, environmental awareness, and continuous process improvement. Perform other duties and responsibilities as assigned. Qualifications  Basic Qualifications: College Degree or equivalent work experience in related job function. Working conditions are an office environment with minimal physical exertion.    Preferred Qualifications: Drafting knowledge of engineered wood products is a plus. Ability to understand and apply mathematical calculations and concepts involving fractions, decimals, percentages, etc. Effective communication skills. Ability to work independently or with teams or groups. Knowledge of operation of office equipment, such as PC, calculators, computer software, etc. Our Benefits Medical + Dental + Vision Flexible Spending Accounts + HRA  401(k) Retirement Savings Annual Incentives  Paid Time Off (20/yr) and holidays (10/yr) Paid Parental Leave Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) Sales & Marketing

Requisition ID: 171884Job Level: Mid LevelHome District/Group: TIC DenverDepartment: QualityMarket: IndustrialEmployment Type: Full TimePosition OverviewAs a Quality Specialist, you will report directly to the Quality Manager, and will administer the Project Quality Plan. In this role, you will be responsible for assuring that quality standards and procedures are disseminated and implemented on the project you are on. You will be responsible for coordinating, documenting and reporting quality control and quality assurance activities. You may additionally be responsible for witnessing and performing quality control inspections and tests and for providing required documentation for the assigned areas or disciplines on a project. Your specific job functions and areas of responsibility will be determined by the Project Quality Manager and communicated through initial performance expectation reviews. To maximize your effectiveness, you must be able to develop a thorough understanding of the project scope and schedule as they relate to quality.District OverviewTIC is a Kiewit Subsidiary that provides direct-hire construction services for industrial projects. TIC Denver has projects in Power, Industrial Manufacturing, Oil Gas Chemical, and Mining across the United States. Its projects range from small capital work up to major EPC projects. We are looking for people committed to the construction industry in an "open-shop" environment.LocationOne of the many things that makes Kiewit's culture unique is that we go where the work is, which exposes your career to abundant opportunities. We relocate our teams based on the work that is available, combined with the development plans, skill sets and career goals of each team member. This means your Kiewit adventure is custom-designed to meet our shared needs.ResponsibilitiesDevelop an understanding of project scope, quality requirements and quality plan related to area of responsibility.Coordinate with operations and schedule inspections and tests in support of the project schedule and production goals.Listen to and take appropriate action on client's expressed concerns and observations.Provide open and honest communications to client representatives regarding the quality of work.Collaborate with operations in work pack development to identify the required inspections, tests and documentation.Review work pack to determine readiness for pre-activity meetings and construction execution.Coordinate source and receiving inspection of permanent materials and plant equipment for project requirements.Review supplier-provided quality documents for compliance with contract requirements.Monitor and manage the costs of third-party inspection and testing firms. Alert management to trends. Actively involved in forecasting costs. Perform inspections and tests at the required frequency in the assigned area as directed by supervisor.Prepare inspection/test reports and maintain the quality files related to area of responsibility.Review and approve inspection and test results for compliance with applicable contract documents, codes and standards.Communicate test results to the project team with accurate and complete documentation.Verify testing equipment is within calibration requirements. Maintain a log of all testing equipment and calibrations required for the work. Identify and report nonconforming work in accordance with the company quality standards and the project quality plan.Track open or failing test results through correction using company approved standard programs.Learn the programs and train the project team on the use of company approved quality tracking applications.Correctly interpret and utilize codes and industry standards to determine compliance of the work.Maintain effective communications (both orally and written) with supervisor, coworkers and the project management team. Develop strong working relationships with supervisor, coworkers and the project management team.Assist supervisor with punch list walks to assess final completion of the work. Monitor the process to verify all items are closed.Audit specific project quality processes and report results and recommendations for improvement.Perform project-level quality assessments as assigned.Organize quality documents and store per the company and project document management procedures.Examine/inspect field conditions and identify problems, inaccuracies, and cost saving measures that arise or that may be encountered. Take corrective actions as needed.Inspect subordinates' work for compliance with the contract plans and specifications, point out deficiencies and explain and take any corrective action needed.Listen to other employee's and supervisor's suggestions, complaints, problems, safety concerns and recommendations, evaluate each and then devise and implement a plan of action based on that evaluation.Observe functioning of installed equipment or systems to determine hazards and need for adjustments, relocation or replacement.Identify safety hazards you or other employees may be subject to and take all necessary corrective actions to eliminate or minimize hazards.Understand and respond appropriately to all safety hazards and warning devices.Understand and implement lockout/tagout procedures in safe manner.Be motivated and work productively.Perform all other job-related duties as requested by supervisor.QualificationsFour-year engineering, science or technical college degree plus two years of experience in a related construction field; OR an associate degree in engineering technology or science plus three years of experience in a related construction field (at least one of these years in a quality position); OR a high school graduate or equivalent (GED) plus five years of experience in a related construction field (at least two of these years in a quality position). Must be a self-starter with organizational and managerial skills. Having a working knowledge of the trades, disciplines and associated special processes, inspection and testing techniques for the work they are assigned to on the project is preferred. Having a working knowledge of the related construction industry codes, standards, and jurisdictional requirements (ASSHTO, ACI, AWS, ASME, NEC, etc.) associated with their work is beneficial as well as certifications from AWS, ACI, ICBO, ASNT, NACE, API etc. are advantageous.Other Requirements: Regular, reliable attendance Work productively and meet deadlines timely Communicate and interact effectively and professionally with supervisors, employees, and others individually or in a team environment Perform work safely and effectively. Understand and follow oral and written instructions, including warning signs, equipment use, and other policies. Work during normal operating hours to organize and complete work within given deadlines. Work overtime and weekends as required. May work at various different locations and conditions may varyBase Compensation: $63,016 - $96,774(Actual compensation is subject to variation due to such factors as education, experience, skillset, and/or location)We offer our fulltime staff employees a comprehensive benefits package that's among the best in our industry, including top-tier medical, dental and vision plans covering eligible employees and dependents, voluntary wellness and employee assistance programs, life insurance, disability, retirement plans with matching, and generous paid time off.We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.

Innova Solutions is immediately hiring a Data Entry Specialist Job Type: Full-Time, Contract Job Title: Data Entry Specialist Job Duration: 12+Months Location: 100 % REMOTE As a Data Entry Specialist: Your responsibilities This role will be fast-paced and constant - working with Utility bills in a data entry capacity. Chosen candidates will need to be highly accurate, but also be able to work quickly and constantly throughout the shift. The position is fully remote and the shift is 7 am-3:30 pm Pacific Time. So, regardless of the candidate's time zone, they will need to work these Pacific Time core hours. Candidates will need to be north of 14,000 kph on the assessment to be considered for this role.) Contractors will need to provide their office equipment/setup. MAC computers will NOT work for this role and they must have a Windows machine. They will not be able to work from a tablet or laptop screen. Dual monitors are required and will aid them in being successful in the role. Equipment: Windows Computer, dual high-resolution monitors, web camera, speakers or headphones, and a 10-key keyboard are required. A variety of support functions to support the department. Handles multiple projects and may assist in compiling data and generating reports. Requires 1-4 years of experience in the field or a related area. Familiar with standard concepts, practices, and procedures within a particular field. PAY RANGE AND BENEFITS: Pay Range*: $16-$17 per hour. *Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc. Benefits: Innova Solutions offers benefits (based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health savings account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP). ABOUT INNOVA SOLUTIONS:Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields. Recent Recognitions: One of Largest IT Consulting Staffing firms in the USA - Recognized as #4 by Staffing Industry Analysts (SIA 2022) ClearlyRated® Client Diamond Award Winner (2020) One of the Largest Certified MBE Companies in the NMSDC Network (2022) Advanced Tier Services partner with AWS and Gold with MS Website: https://www.innovasolutions.com/ Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at [email protected] or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b. The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

Group Onboarding/Renewal Specialist I - IV, DOEHybrid from Lewiston and Boise, Idaho - Candidates from outside these locations will not be considered. Primary Job PurposeProvides internal entry level support for new and retention Sales staff. Provides administrative and technical information, education, and assistance to potential customers.Group Onboarding/Renewal Specialist II and III provides more internal support to new and retention Sales staff. Independently resolves and provides administrative and technical information, education and assistance to potential customers or producers. Typically works in small and mid-size groups, or in training for less complex 101+ (large) groups.Group Onboarding/Renewal Specialist IV provides an advanced level of internal support to new and retention sales staff Independently resolves and provides administrative and technical information, education and assistance to potential customers or producers. Typically works on the less complex 101+ (large) groups.General Functions and OutcomesAssist in all internal aspects of sales and renewal process that do not involve independent, direct solicitation or decisions of quote, new sale or renewal activity. Internal and external communication to support the Sales staff. Quickly and accurately assess inquiries in order to understand the customer needs.Identify issues promptly and determine corrective steps to resolve.Document customer inquiries and actions on tracking system.Review documentation or correspondence for completeness. Acquire missing information following established policies and procedures.Data entry of customer informationExplain benefits, rules of eligibility, and grievance/appeal procedures to internal and external stakeholders.Manage emails, & appropriate work production ques, calls and correspondence on a daily basis and prioritize follow-through.May generate written correspondence and process document requests.Maintain files/records of constantly changing customer information.Additional General Functions and Outcomes for level IIApply knowledge and experience to answer a variety of increasingly complex inquiries.Monitor status of sales to assure timely delivery.Performs detailed research and problem solving to assist both internal and external stakeholders.Assist in all internal aspects of sales and renewal process.Additional General Functions and Outcomes for level IIIApply knowledge and experience to answer a variety of increasingly complex inquiries.Identify issues promptly and independently take corrective steps to resolve.Perform detailed research and problem solving for increasingly complex issues to assist both internal and external stakeholders.Additional General Functions and Outcomes for level IVApply knowledge and experience to answer a variety of increasingly complex inquiries.May provide administrative or technical assistance to sales with health and benefit fairs.Interacts, coordinates and communicates with, internal and external stakeholders such as clients, agents, government officials and outside consultants in order to ensure effective use of systems and processes and ensure coordination of activities for efficient implementation.Perform detailed research and problem solving for the more complex issues to assist both internal and external stakeholders.Minimum RequirementsDemonstrated ability to use MS Office products and other corporate software as required.Strong oral, written and interpersonal skills including courteous telephone etiquette.Ability to interpret policies and procedures and communicate effectively.Demonstrates excellent customer service skills (empathizes with customers, asks effective questions, seeks to satisfy).Demonstrated ability to set priorities and strong attention to detail in a rapidly changing environment.Demonstrates the ability to work effectively on teams to accomplish group objectives.Additional Minimum Requirements for level IIKnowledge of health insurance, including sales processes, terminology, operational flow and data requirements.Additional Minimum Requirements for level IIIAbility to negotiate and resolve complex and sensitive issues and resolving Group or Member issues with diplomacy and persuasiveness.Ability to work under pressure, availability to travel and work extended shifts as necessary.Comprehensive knowledge of health insurance, including sales processes, terminology, operational flow and data requirements.Additional Minimum Requirements for level IVDemonstrated experience in report preparation, ability to analyze and review statistical data and write concise relevant communications.Demonstrated analytical ability to identify problems, develop solutions and implement a chosen course of action.Normally to be proficient in the competencies listed above:Group Onboarding/Renewal Specialist I would have a High School diploma or GED and 1 year of experience in customer service or equivalent combination of education and work experience. Group Onboarding/Renewal Specialist II would have a High School diploma or GED and 2 years of experience in customer service or equivalent combination of education and work experience. Group Onboarding/Renewal Specialist III would have an Associate's Degree and 3-5 years of experience in customer service or equivalent combination of education and work experience. Group Onboarding/Renewal Specialist IV would have an Associate's Degree and 5-7 years of experience in health care administration or equivalent combination of education and work experience. Work EnvironmentHybrid from Lewiston and Boise, IDWork primarily performed in office environmentMay be required to work overtime and/or work outside of normal work hoursTravel may be required, locally or out of stateThe base pay range for a Group Onboarding/Renewal Specialist I position is $17.20 - $31.00/hour,depending on candidate's experience and geographic location.The base pay range for a Group Onboarding/Renewal Specialist II position is $18.80 - $34.10/hour,depending on candidate's experience and geographic location.The base pay range for a Group Onboarding/Renewal Specialist position is $21.20 - $37.50/hour,depending on candidate's experience and geographic location.The base pay range for a Group Onboarding/Renewal Specialist position is $25.30 - $41.30/hour,depending on candidate's experience and geographic location.Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Appeals Specialist IRemote within WA, ID, OR, and UTPrimary Job Purpose:Responsible for all activities associated with requests for Provider Billing Disputes and Appeals. Includes analysis, preparation, evaluation of prior determinations, coordination of clinical review if needed, decision making, notification, and completion. Follows guidelines outlined by subscriber or provider contracts, company documents, government mandates, other appeals regulatory requirements and internal policies and procedures. Provides information and assistance to members, providers, other insurance companies, and attorneys or others regarding benefits and claims. Does not make final clinical decisions but has access to licensed health professionals who conduct clinical reviews for appeals.Normally to be proficient in the competencies listed below:Appeals Specialist I would have a high school diploma or GED and a minimum 4 years' experience in Regence Customer Service, Claims, or Clinical Services or equivalent combination of education and work experience.Responsibilities:Responsible for all activities associated with appeal analysis, decision-making and closure as described below:Appeal Intake - Validate intake determinations regarding timeliness, member benefits, employer group, and provider contract provisions for each appeal. Document information in appropriate system.Appeal Analysis - Review claim coding and claim processing history, medical policy and reimbursement policies, regulatory and legal requirements, benefit contracts, and/or provider contracts. Collect and catalogue supporting documentation and formulate an appeal recommendation. Document information in appropriate system. Apply knowledge and experience to answer a variety of increasingly complex inquiries from members, providers, and provider representatives. Collaborate effectively with coding specialists, appeal nurses, physician reviewers, and others as necessary to reach timely decisions on appeals.Decision & Closure - Make non-clinical appeal determinations as permitted by department business processes and guidelines. Follow department's processes to receive a clinical review and decision from licensed health professionals. Present complex cases to appeal panels, document decisions, communicate determinations to members, providers or their representatives. Document information in appropriate system(s).External review process - Oversee set-up of appeals for external review organizations, including document collection and coordination, communication with all parties, and other responsibilities as an intermediary between the provider and the external review organization. Ensure external review information is documented in appropriate system. Prepares letters and cases for external review as needed. Implement external review decisions.Interpersonal and Communication - Provide information, education and assistance to members, providers, and their representatives. Facilitate the member's or provider's' understanding of the appeal process and of the information necessary to effectively process an appeal. Be a courteous advocate to the member or provider when requesting supporting information. Work cooperatively and effectively across all business areas to resolve.Systems and data - Track appeals in appropriate systems and assist in the maintenance of files. Assist with compilation of reports on appeals, including trends, number of cases, decisions, suggestions for process improvement, types of appeals, and compliance with timelines. Support, apply and promote Provider or Member Appeal Policies & Procedures.Adhere to dependability, customer focus, and all performance criteria as established by the department including: timeliness, production, and quality standards for all work.Manage a defined caseload within department productivity and quality expectations and provide back up for other appeals staff.May perform as expert witness during any level of appeal, regarding policies, procedures and member or provider appeal rights.Meet timeliness standards as set forth through department policies and procedures, subscriber summary plan descriptions, performance guarantees, and regulations.Minimum Requirements:Excellent verbal and written communication skills.Intermediate computer skills (e.g. Microsoft Word, Excel, Outlook) and experience with Regence systems.Knowledge of medical terminology, anatomy and coding (CPT, DX, HCPCs).Knowledge of Regence claims processing and clinical services operations.Demonstrated initiative and analytical ability in identifying problems, researching issues, developing solutions, and implementing a course of action.Ability to listen and communicate appropriately in a manner that promotes positive, professional interaction while maintaining confidentiality and sensitivity in all aspects of internal and external contacts.Ability to present complex medical and reimbursement information to others and to be diplomatic and persuasive regarding health plan benefits, claims and eligibility. Ability to switch from one task or type of work to another as the business needs require.Ability to effectively prioritize work to meet strict timelines while maintaining quality and consumer centric focus.Required Licenses, Certifications, Registration, Etc.:Coding Certification preferred for Specialist I and II. Work Environment:Travel may be required, locally or out of state.May be required to work overtime.The base pay annual salary range for this job is $25.30 - $41.30/hour,depending on candidate's geographic location and experience.The annual incentive payment target for this position is 5%.Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Benefit Specialist II or III, DOERemote opportunity for residents of Oregon, Washington, Idaho and UtahPrimary Job PurposeThe Benefit Development Specialist II utilizes knowledge of current and proposed healthcare regulations and potential benefit offerings to analyze, develop, implement and monitor new or existing benefits in order to ensure benefit offerings are compliant with state and federal regulations, competitive and efficient to administer. General Functions and OutcomesLeads ongoing benefit activities including benefit development and current benefit monitoring.Audits and reviews complex benefit contracts and makes recommendations based on regulations and product/benefit design changes Works with Product Development, Customer Marketing, Sales, Actuarial, Marketing Communications, Business Intelligence, and other internal departments to implement, communicate and monitor all activity affecting benefits.Works with, and develops relationships with external associates (e.g., regulators, legislators, lobbyists, other insurers/health plans, trade associations, etc.). Leads other specialists on benefit design aspects of research, mandates and process to further their skills. Maintains team process documentation.Represents the department and division in cross-functional activities that impact department operations (i.e. governmental and regulatory changes). Analyzes interdepartmental procedures and their impact on benefit structure; makes recommendations for enhancements and increased efficiencies as appropriate.Oversees benefit change proposals and recommendations to ensure compliance with state and federal laws surrounding benefit coverage. Tracks, reviews and analyzes regulations which can impact benefit design and presents final regulations to Product Platform Team for final recommendations. Responds to inquiries from regulators regarding benefit design and compliance.Prepares and conducts benefit presentations and training to internal and external audiences.Oversees benefit coding configuration lists for Product Platform and process for new benefit design and ongoing code updates.Oversees benefit design summary information creation for internal hand-off to departments for development of marketing collateral, automated customer summaries and other customer facing materials. Oversees review of final materials for benefit accuracy sign-off.Analyzes trends and shifts in competitive benefit offerings and communicates competitive benefit design changes and strategic implications to internal management team to help drive product development process.Monitors regulator websites for updates related to benefit compliance and federal/state interpretations of mandates/rules.Responds to RFP/RFI proposals for large segments of business regarding benefit information or design.Acts as benefit expert across internal departments for ongoing benefit administration.Leads the Medicare benefit design bid submission process to CMS for Medicare PPO line of business. Also performs and leads competitive research, benefit analysis and review of marketing collateral for benefit accuracy.Performs and leads benefit analyses to compare benefit levels between products and assists in presentation for senior management review.Responds to inquiries regarding specific benefits, design, and modification as well as status information and general trouble-shooting to meet the needs of the business customer.Recommends improvements to department processes.Acts on behalf of the Manager during his or her absence.Conduct market research, data analysis, and benefit training. Minimum RequirementsDemonstrated ability to organize and manage time to effectively prioritize the workload and adapt to shifting priorities. Demonstrated ability to think analytically, apply analytical techniques, obtain benefit information from a variety of internal and external sources and provide in-depth analysis and recommendations for corrective or performance enhancing benefit strategies. Experience in report preparation, project documentation, or policy and procedure writing, including the ability to organize and review statistical data and write concise relevant communications.Demonstrated ability to communicate effectively with all levels of management; with tact, orally and in writing. Demonstrated writing and editing skills. Strong presentation skills needed. Broad knowledge of the health insurance industry, including benefit design, market demands and compliance issues. Demonstrated ability to work effectively with all levels of staff throughout the organization.Demonstrated ability to lead employees in working effectively within a team atmosphere to achieve department goals and objectives and thrive in a fast-paced environment.Extensive knowledge of benefit regulations in the Cambia service area and federal level.Normally to be proficient in the competencies listed above The Benefit Development Specialist II would have a Bachelor's degree in business, health care or related field and a minimum of five years' experience in benefit administration, project coordination, or the equivalent combination of education and experience.The Benefit Development Specialist III would have a Bachelor's degree in business, health care or related field and seven years' experience in benefit administration, project coordination, or the equivalent combination of education and experience.The expected hiring range for a Benefit Development Specialist II is $73,000 to $99,000 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $68,500 to $112,000. The expected hiring range for a Benefit Development Specialist III is $80,500 to $109,500 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $76,000 to $123,500. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Member Engagement Specialist:Remote within 4 State Region:WA, OR, ID, UT*Onsite is optional where office locations are available.Primary Job Purpose:Provide member outreach to remove barriers, assist and support education about benefits, preventative health screenings, and community resources as part of specific initiatives or care management programs. Encourage engagement in health-related activities and programs and provide appropriate referrals to case management and/or other internal or external services and resources. Provide excellent and caring services to all internal and external customers. Minimum Requirements:Strong communication skills with the ability to effectively interact with a wide variety of individuals on highly sensitive topics.Demonstrated ability of strong customer-service skills, including courteous telephone etiquette, listening, patience, empathy, and maintaining confidentiality. Ability to exercise discretion on sensitive and confidential mattersAbility to communicate effectively orally and in writing with understanding and ability to apply correct punctuation, spelling, grammar and proof-reading skills. General organization, data entry and administrative skills. Proven ability to effectively handle multiple tasks and prioritize workload.General computer skills (including use of Microsoft Office, Outlook, Internet search). Ability to work a varied schedule such as early evening.Basic knowledge of medical terminology and familiarity with topics such as specific disease and lifestyle topics and related resources. Ability to work independently, to prioritize work, meet deadlines and achieve operational standards.Ability to research and problem solve in a creative manner to reach a solution. Ability to identify when it is appropriate to refer to others. Ability to make decisions and exercise good judgment in a complex and rapidly changing environmentAbility to adapt to a fast-paced environment and learn, retain, and interpret new or evolving information, procedures, and policies and communicate them effectivelyAbility to work under stress and pressure and respond to inquiries with tact, diplomacy and patienceAbility to work in a team environmentDemonstrate initiative in researching and resolving benefit, and eligibility issuesNormally to be proficient in the competencies listed above:Member Engagement Specialists:would have a High School diploma and one (1) year customer service call center experience or one (1) year customer service experience such as insurance, retail, banking, restaurant, hospital medical office or other experience with extensive customer service contact or equivalent combination or education and experience. Preferred medical certification like a Certified Nursing Assistant (CNA) or Medical Assistant and prior health plan Customer Service, Clinical Intake, Provider office, or health coaching or equivalent combination of education and experience.Responsibilities:Initiates outbound telephone calls or emails to members identified for the Regence Care Management Programs or initiatives. Utilizes principles of motivational interviewing to encourage engagement in health-related activities and programs.Educate members by providing information regarding benefits, tools or resources they need to adhere to nationally recognized preventive screenings, discharge and treatment plans.Works with a Care Manager to assure that member needs are met through identification and referral to appropriate resources and licensed clinical staff as appropriate. Utilizes the applicable care management platform to appropriately record and track member interactions.#LI-remoteThe base pay range for the Member Engagement Specialist is $20 - $28 an hour depending on experience and geographical location. The current full salary range for this role is $18.80 - $34.10 an hour. The bonus target for this position is 5%. At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.