Geronimo Hospitality Group Description: JOIN A TEAM THAT VALUES PEOPLE At Hendricks Commercial Properties, we value people who value people. We believe in creating environments where communities thrive, and we encourage our team to embrace the freedom to do amazing things. We didn't come this far to only come this far-join us in making a real impact. OUR COMMITMENT TO YOU We offer more than just a job. Our benefits include flexible work hours, Employee Discounts, Paid Time Off, Training & Development Opportunities, 401K Match, Medical Benefits, 24/7 Online Care, Pet Insurance, and many other company perks. You'll also enjoy working in beautifully designed offices, situated in dynamic downtown areas with access to great amenities that enhance your day-to-day experience. At Hendricks, you'll have the opportunity to teach what you know and learn what you don't-and community matters here. BE THE CEO OF YOUR JOB As the Risk Management Analyst, you are responsible for effectively coordinating and recording policy compliance and assisting with management of property, general liability, automobile, work comp, cyber and crime policies and incident/claims for Hendricks Commercial Properties, Geronimo Hospitality and their affiliated companies' internal & external partners. Your ability to own your work and drive success will make a direct impact on the communities we serve. YOUR KEY RESPONSIBILITIES Executes well-defined work assignments that are subject to a moderate level of control and review. Comprehensive knowledge of insurance concepts & utilization. Basic understanding of construction. Review of contracts for proper indemnity and certificate requirements. Tracks the collection, distribution and management of tenants, contractor & vendor COI and EOPs. Provides quarterly updates on certificate compliance to SVP of REM, Risk Management and Sr Contracts Administrator. Responsible for premium/claim allocation and premium/claim invoice submissions. Gathers Incident & Claim information, conducts investigation while in tandem identifying applicable policy, coverage, deductible and potential subrogation recovery. Communicates and Coordinates with Claimant(s), Field partners, Broker, TPA and all other interested parties regarding incident/claims to obtain best possible outcome Coaching internal partners for productive incident reporting, management and process. Manages claims In-house and reports claim, as necessary, to Insurance Carrier and manages expectations Analysis of invoices/estimates for proper support and cost detail in relationship to scope of covered damage. Data & Loss Trend Analysis Obtain valuations for acquisitions while managing & maintaining the SOV. Conducts BPP review with all Grey Collar Enterprise entities. Aids in budget creation and analysis. Participation within REM & Safety monthly meetings. Collaborate with internal & external partners for collection necessary for insurance programs and potential needs. Assist with the annual policy renewal process. Understands our entity structure and interdependency. COMPENSATION This position offers a competitive starting salary, with opportunities for growth based on performance and tenure. Hard work matters, and we reward it. HCP24 Requirements: QUALIFICATIONS REQUIRED Education High School Diploma, GED, or equivalent skills Experience and/or Training Document review experience in insurance related policies and/or commercial contracts. Work within a fast paced, deadline driven environment with little supervision that seeks support when required. Ability to multi-task and prioritize assignments. Attention to detail and accuracy. Self-starter, naturally intuitive with detective like skills Capable of building strong internal and external relationships. Robust analytical and communication skills Licenses Possess a valid driver's license. Technology/Equipment Advanced level of proficiency in Word, Outlook, and Excel PREFERRED QUALIFICATIONS Education Associate degree or BA/BS from a two or four-year technical college or university. AIC certification. Experience and/or Training Commercial real estate and/or Insurance experience preferred. Licenses/Certificates Real Estate and/or Insurance license. MANDATORY REQUIREMENT U.S. Work Authorization CHALLENGE ACCEPTED? At Hendricks Commercial Properties, we don't just keep our word, we make an impact. If you're ready to be the CEO of your job, embrace the freedom to do amazing things, and take your career to the next level, we'd love to have you on our team. PI224e178ad25c-3818
09/17/2026
Full time
Geronimo Hospitality Group Description: JOIN A TEAM THAT VALUES PEOPLE At Hendricks Commercial Properties, we value people who value people. We believe in creating environments where communities thrive, and we encourage our team to embrace the freedom to do amazing things. We didn't come this far to only come this far-join us in making a real impact. OUR COMMITMENT TO YOU We offer more than just a job. Our benefits include flexible work hours, Employee Discounts, Paid Time Off, Training & Development Opportunities, 401K Match, Medical Benefits, 24/7 Online Care, Pet Insurance, and many other company perks. You'll also enjoy working in beautifully designed offices, situated in dynamic downtown areas with access to great amenities that enhance your day-to-day experience. At Hendricks, you'll have the opportunity to teach what you know and learn what you don't-and community matters here. BE THE CEO OF YOUR JOB As the Risk Management Analyst, you are responsible for effectively coordinating and recording policy compliance and assisting with management of property, general liability, automobile, work comp, cyber and crime policies and incident/claims for Hendricks Commercial Properties, Geronimo Hospitality and their affiliated companies' internal & external partners. Your ability to own your work and drive success will make a direct impact on the communities we serve. YOUR KEY RESPONSIBILITIES Executes well-defined work assignments that are subject to a moderate level of control and review. Comprehensive knowledge of insurance concepts & utilization. Basic understanding of construction. Review of contracts for proper indemnity and certificate requirements. Tracks the collection, distribution and management of tenants, contractor & vendor COI and EOPs. Provides quarterly updates on certificate compliance to SVP of REM, Risk Management and Sr Contracts Administrator. Responsible for premium/claim allocation and premium/claim invoice submissions. Gathers Incident & Claim information, conducts investigation while in tandem identifying applicable policy, coverage, deductible and potential subrogation recovery. Communicates and Coordinates with Claimant(s), Field partners, Broker, TPA and all other interested parties regarding incident/claims to obtain best possible outcome Coaching internal partners for productive incident reporting, management and process. Manages claims In-house and reports claim, as necessary, to Insurance Carrier and manages expectations Analysis of invoices/estimates for proper support and cost detail in relationship to scope of covered damage. Data & Loss Trend Analysis Obtain valuations for acquisitions while managing & maintaining the SOV. Conducts BPP review with all Grey Collar Enterprise entities. Aids in budget creation and analysis. Participation within REM & Safety monthly meetings. Collaborate with internal & external partners for collection necessary for insurance programs and potential needs. Assist with the annual policy renewal process. Understands our entity structure and interdependency. COMPENSATION This position offers a competitive starting salary, with opportunities for growth based on performance and tenure. Hard work matters, and we reward it. HCP24 Requirements: QUALIFICATIONS REQUIRED Education High School Diploma, GED, or equivalent skills Experience and/or Training Document review experience in insurance related policies and/or commercial contracts. Work within a fast paced, deadline driven environment with little supervision that seeks support when required. Ability to multi-task and prioritize assignments. Attention to detail and accuracy. Self-starter, naturally intuitive with detective like skills Capable of building strong internal and external relationships. Robust analytical and communication skills Licenses Possess a valid driver's license. Technology/Equipment Advanced level of proficiency in Word, Outlook, and Excel PREFERRED QUALIFICATIONS Education Associate degree or BA/BS from a two or four-year technical college or university. AIC certification. Experience and/or Training Commercial real estate and/or Insurance experience preferred. Licenses/Certificates Real Estate and/or Insurance license. MANDATORY REQUIREMENT U.S. Work Authorization CHALLENGE ACCEPTED? At Hendricks Commercial Properties, we don't just keep our word, we make an impact. If you're ready to be the CEO of your job, embrace the freedom to do amazing things, and take your career to the next level, we'd love to have you on our team. PI224e178ad25c-3818
Job Description Job Description Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business. You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits. Respond to internal and external inquiries and disputes regarding policies and edits. Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope. Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change. Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions. Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems. Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate. Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever leadership escalates and assigns issues. Compliance with all applicable laws and regulations Other duties as assigned Requirements: Experience in Payment Integrity focused on Disputes and/or appeals 4+ years of experience in claims processing, coding, auditing or health care operations 3+ years experience in medical coding Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA) Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices. 2+ years experience deriving business insights from datasets and solving problems 1+ years experience improving business workflows and processes 1+ years experience collaborating with internal and external stakeholders Bonus points: 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar) 2+ years of experience working with large data sets using excel or a database language Experience in a professional healthcare claims organization Knowledge management, training, or content development in operational settings Process Improvement or Lean Six Sigma training Experience using SQL This is an authentic Oscar Health job opportunity. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
09/17/2026
Full time
Job Description Job Description Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business. You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement. You will report into the Manager, Payment Integrity (Pre-Pay). Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits. Respond to internal and external inquiries and disputes regarding policies and edits. Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope. Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change. Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions. Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems. Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate. Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever leadership escalates and assigns issues. Compliance with all applicable laws and regulations Other duties as assigned Requirements: Experience in Payment Integrity focused on Disputes and/or appeals 4+ years of experience in claims processing, coding, auditing or health care operations 3+ years experience in medical coding Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA) Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices. 2+ years experience deriving business insights from datasets and solving problems 1+ years experience improving business workflows and processes 1+ years experience collaborating with internal and external stakeholders Bonus points: 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar) 2+ years of experience working with large data sets using excel or a database language Experience in a professional healthcare claims organization Knowledge management, training, or content development in operational settings Process Improvement or Lean Six Sigma training Experience using SQL This is an authentic Oscar Health job opportunity. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
Job Description Job Description Analytics Engineer, Care Operations Full Time - Exempt Columbus, Ohio AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions, with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers, and independent practices to remove barriers to care to ensure all people have access to the care they deserve. None of that happens without good data. Every model we build, every intervention we design, and every conversation our care teams have with a partner is only as strong as the data behind it. That's where you come in. About the role We're looking for an Analytics Engineer to be the dedicated data partner to our Care Delivery team - the people on the front lines of getting patients into care and keeping them there. You'll take raw clinical and operations data and turn it into something a care leader can actually use: a trusted number on a dashboard, a governed metric everyone agrees on, a model that surfaces a problem before it becomes a crisis. This is an embedded data partner role that sits close to Care Delivery. You'll be just as comfortable deep in a dbt model or a gnarly SQL query as you are in a room with a VP, translating what the data means and what to do about it. If you like owning a domain end to end - from the metric definition in the semantic layer to the dashboard a leader checks every morning - this role is for you. Impact The dashboards and data products you build will directly shape how AndHealth delivers care to thousands of patients managing chronic, often life-altering conditions. When you catch a data quality issue before it reaches a report, you're protecting the integrity of decisions that affect real people's access to care. When you build the semantic layer that lets an analyst self-serve a trusted metric instead of waiting on you, you're multiplying the entire team's ability to act. This isn't dashboards for dashboards' sake - it's the infrastructure that lets Care Operations see what's working, fix what isn't, and prove the value we bring to the partners and patients who depend on us. What you'll do: Translate business decisions into metrics - work with stakeholders to understand the decision they're trying to make, help them articulate what they need, and define the governed metric that answers it. Partner with stakeholders from several teams to generate actionable insights that improve AndHealth's value to our partners and patients. Build internal and external reporting and dashboards that visualize what's happening, why it's happening, and what we should do next across pharmacy and care operations. Develop the semantic layer in dbt - defining governed metric definitions, curated datasets, and self-service data products that analysts and stakeholders can consume directly. Partner with Data and Software Engineering as a key consumer of the raw data - flagging upstream data quality issues and gaps, and helping shape staging transformations so data arrives in a usable form. Build a thorough testing suite across the data platform: schema tests, data quality checks, anomaly detection, and SLA monitoring so stakeholders can trust what they see. Partner with the client management team to build the value story for quarterly business reviews. Become a domain expert in your assigned area (care operations), translating business logic into accurate, scalable dbt data models. Proactively identify data quality issues, gaps in coverage, and opportunities to improve the reliability and usability of the data platform. Education & Licensure Requirements: Bachelor's degree in Computer Science, Economics, Engineering, Mathematics, or a related quantitative field, or equivalent practical experience. Other Skills or Qualifications: 6+ years of data analysis or related experience with significant experience partnering directly with business stakeholders. Proven ability to turn ambiguous business questions into concrete, governed metric definitions - comfortable leading the discovery conversation with stakeholders rather than just executing a spec. Strong analytical instincts - able to interrogate data, identify anomalies, trace them to their source, and communicate findings clearly to technical and non-technical audiences. Strong SQL proficiency - complex queries, CTEs, window functions, and performance-optimized transformations across large datasets. Hands-on experience with dbt (Core or Cloud) - preferred. Comfortable working within a dimensionally modeled warehouse - facts and dimensions, mart layers, and why transformations are separated into staging, intermediate, and mart layers - even if you haven't owned that architecture from the ground up. Experience creating reporting systems and visualizations; advanced experience with Excel and other data systems. Comfort working alongside ETL/ELT pipelines and partnering with data or software engineers on ingestion. Experience with a BI tool (Omni, Looker, Metabase, or similar), especially defining governed metrics and data products - preferred. Familiarity with healthcare data (clinical, pharmacy, billing, or claims from EHRs, TPAs, or pharmacy operating systems) - preferred. Advanced data modeling experience - designing non-trivial dbt/SQL models that encode real business logic. Experience with R or Python or another scripting language in data analysis work - preferred. Comfort working in ambiguous, fast-moving environments with competing priorities. Here's what we'd like to offer you: Equal investment and support for our people and patients. A fun and ambitious growing environment with a culture that takes on important things, takes risks, and learns quickly. The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together. A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer. We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally. Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Paid time off, Short- and Long-Term Disability, 401k match and more. We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees. Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status. Powered by JazzHR 2lXGu4dNqn
09/16/2026
Full time
Job Description Job Description Analytics Engineer, Care Operations Full Time - Exempt Columbus, Ohio AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions, with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers, and independent practices to remove barriers to care to ensure all people have access to the care they deserve. None of that happens without good data. Every model we build, every intervention we design, and every conversation our care teams have with a partner is only as strong as the data behind it. That's where you come in. About the role We're looking for an Analytics Engineer to be the dedicated data partner to our Care Delivery team - the people on the front lines of getting patients into care and keeping them there. You'll take raw clinical and operations data and turn it into something a care leader can actually use: a trusted number on a dashboard, a governed metric everyone agrees on, a model that surfaces a problem before it becomes a crisis. This is an embedded data partner role that sits close to Care Delivery. You'll be just as comfortable deep in a dbt model or a gnarly SQL query as you are in a room with a VP, translating what the data means and what to do about it. If you like owning a domain end to end - from the metric definition in the semantic layer to the dashboard a leader checks every morning - this role is for you. Impact The dashboards and data products you build will directly shape how AndHealth delivers care to thousands of patients managing chronic, often life-altering conditions. When you catch a data quality issue before it reaches a report, you're protecting the integrity of decisions that affect real people's access to care. When you build the semantic layer that lets an analyst self-serve a trusted metric instead of waiting on you, you're multiplying the entire team's ability to act. This isn't dashboards for dashboards' sake - it's the infrastructure that lets Care Operations see what's working, fix what isn't, and prove the value we bring to the partners and patients who depend on us. What you'll do: Translate business decisions into metrics - work with stakeholders to understand the decision they're trying to make, help them articulate what they need, and define the governed metric that answers it. Partner with stakeholders from several teams to generate actionable insights that improve AndHealth's value to our partners and patients. Build internal and external reporting and dashboards that visualize what's happening, why it's happening, and what we should do next across pharmacy and care operations. Develop the semantic layer in dbt - defining governed metric definitions, curated datasets, and self-service data products that analysts and stakeholders can consume directly. Partner with Data and Software Engineering as a key consumer of the raw data - flagging upstream data quality issues and gaps, and helping shape staging transformations so data arrives in a usable form. Build a thorough testing suite across the data platform: schema tests, data quality checks, anomaly detection, and SLA monitoring so stakeholders can trust what they see. Partner with the client management team to build the value story for quarterly business reviews. Become a domain expert in your assigned area (care operations), translating business logic into accurate, scalable dbt data models. Proactively identify data quality issues, gaps in coverage, and opportunities to improve the reliability and usability of the data platform. Education & Licensure Requirements: Bachelor's degree in Computer Science, Economics, Engineering, Mathematics, or a related quantitative field, or equivalent practical experience. Other Skills or Qualifications: 6+ years of data analysis or related experience with significant experience partnering directly with business stakeholders. Proven ability to turn ambiguous business questions into concrete, governed metric definitions - comfortable leading the discovery conversation with stakeholders rather than just executing a spec. Strong analytical instincts - able to interrogate data, identify anomalies, trace them to their source, and communicate findings clearly to technical and non-technical audiences. Strong SQL proficiency - complex queries, CTEs, window functions, and performance-optimized transformations across large datasets. Hands-on experience with dbt (Core or Cloud) - preferred. Comfortable working within a dimensionally modeled warehouse - facts and dimensions, mart layers, and why transformations are separated into staging, intermediate, and mart layers - even if you haven't owned that architecture from the ground up. Experience creating reporting systems and visualizations; advanced experience with Excel and other data systems. Comfort working alongside ETL/ELT pipelines and partnering with data or software engineers on ingestion. Experience with a BI tool (Omni, Looker, Metabase, or similar), especially defining governed metrics and data products - preferred. Familiarity with healthcare data (clinical, pharmacy, billing, or claims from EHRs, TPAs, or pharmacy operating systems) - preferred. Advanced data modeling experience - designing non-trivial dbt/SQL models that encode real business logic. Experience with R or Python or another scripting language in data analysis work - preferred. Comfort working in ambiguous, fast-moving environments with competing priorities. Here's what we'd like to offer you: Equal investment and support for our people and patients. A fun and ambitious growing environment with a culture that takes on important things, takes risks, and learns quickly. The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together. A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer. We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally. Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Paid time off, Short- and Long-Term Disability, 401k match and more. We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees. Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status. Powered by JazzHR 2lXGu4dNqn
Job Description Job Description Overview This role is seeking candidates who specialize in EDI analytics and ERA/EFT Enrollments, we are not seeking developers and/or designers, thank you! As an EDI Analyst, you will be responsible for the development, implementation and ongoing maintenance of the Electronic Data Interchange (EDI) transactions including HIPAA 270/271 eligibility inquiry and response, 276/277 claims status inquiry and response, and 278 referral/prior authorization transactions. The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835-Health Care Claim Payment/Advice. The EDI Specialist will work collaboratively with information systems staff, government and third-party payers, clearinghouses, and Nextgen technical support personnel to implement these transactions in an integrated, efficient, and cost-effective manner. This position will have responsibility for planning, implementing and managing HIPPA EDI projects relating to these transactions, including end-user contact, analysis, design, mapping, programming, training and documentation. Ideal candidates will require a certain level of revenue cycle management experience in order to successfully fulfill the job responsibilities. This position has the potential to be remote in the following states: Arizona, Nevada, California, New Mexico and Texas. Responsibilities Setup and Complete EDI registration for all EDI products, including facilitating payer-specific enrollments, until payer grant approval. Install and Configure healthcare electronic data interchange applications on provider's network and/or billing stations. Research and analyze providers' billing requirements to ensure all data fields are mapped and converted correctly in X12 ANSI inbound/outbound file. Initiates test EDI transaction prior initial implementation live environment. Conduct post-live support for 6 to 8 weeks by monitoring and assessing the overall usage of EDI products, and conducting weekly follow-up calls with billing administrators to ensure accuracy Customize the provider inbound/outbound EDI transactions based on specific payer edits/requirements received in responses. Make recommendation on additional resources and feature that adds leverage to EDI product and provides efficient solutions to the practice business operations. Devise solutions and provide status to revenue cycle leadership throughout the EDI implementation process on a bi-weekly basis. Serve as liaison between provider and healthcare trading partners regarding EDI inquiries including rejections with enrollment, claims, payments, and/or clearinghouse interfacing. Setup new payer/ connection setup, testing, and launch. Research and analyze new payer requests and submit to EDI QA/Development team to program accordingly. Maintains and update remit address changes with government and commercial payers weekly, monthly or quarterly Manage payer website logins, grant new access, deactivate access and provide password resets for revenue cycle management teams. Formal testing methodology, test plan development and execution, and documentation of test results All other assigned duties. Qualifications REQUIRED: Minimum five (5) years experience in Healthcare revenue cycle management (Payment Posting, Patient Access). A minimum of 2-3 years experience with hands-on involvement relative to ANSI X12 Healthcare EDI transaction sets (837, 999, 277CA, 276/277, 835) Experience with ERA/EFT enrollments from a hands-on analyst or role perspective. Prior EDI or System implementation and Transaction Mapping experience Experience in NextGen EHR system, or other healthcare EHR software. Proficient in Microsoft Office, specific but not limited to Excel (advanced formulas, pivot table use), PowerPoint, Word, Outlook, and SmartSheet navigation. High school diploma or GED required. BA/BS in Information Technology, Computer Science, Computer Engineering, equivalent is preferred. Previous experience in clearinghouse platform use and navigation, e.g. Waystar, Change Healthcare.
09/16/2026
Full time
Job Description Job Description Overview This role is seeking candidates who specialize in EDI analytics and ERA/EFT Enrollments, we are not seeking developers and/or designers, thank you! As an EDI Analyst, you will be responsible for the development, implementation and ongoing maintenance of the Electronic Data Interchange (EDI) transactions including HIPAA 270/271 eligibility inquiry and response, 276/277 claims status inquiry and response, and 278 referral/prior authorization transactions. The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835-Health Care Claim Payment/Advice. The EDI Specialist will work collaboratively with information systems staff, government and third-party payers, clearinghouses, and Nextgen technical support personnel to implement these transactions in an integrated, efficient, and cost-effective manner. This position will have responsibility for planning, implementing and managing HIPPA EDI projects relating to these transactions, including end-user contact, analysis, design, mapping, programming, training and documentation. Ideal candidates will require a certain level of revenue cycle management experience in order to successfully fulfill the job responsibilities. This position has the potential to be remote in the following states: Arizona, Nevada, California, New Mexico and Texas. Responsibilities Setup and Complete EDI registration for all EDI products, including facilitating payer-specific enrollments, until payer grant approval. Install and Configure healthcare electronic data interchange applications on provider's network and/or billing stations. Research and analyze providers' billing requirements to ensure all data fields are mapped and converted correctly in X12 ANSI inbound/outbound file. Initiates test EDI transaction prior initial implementation live environment. Conduct post-live support for 6 to 8 weeks by monitoring and assessing the overall usage of EDI products, and conducting weekly follow-up calls with billing administrators to ensure accuracy Customize the provider inbound/outbound EDI transactions based on specific payer edits/requirements received in responses. Make recommendation on additional resources and feature that adds leverage to EDI product and provides efficient solutions to the practice business operations. Devise solutions and provide status to revenue cycle leadership throughout the EDI implementation process on a bi-weekly basis. Serve as liaison between provider and healthcare trading partners regarding EDI inquiries including rejections with enrollment, claims, payments, and/or clearinghouse interfacing. Setup new payer/ connection setup, testing, and launch. Research and analyze new payer requests and submit to EDI QA/Development team to program accordingly. Maintains and update remit address changes with government and commercial payers weekly, monthly or quarterly Manage payer website logins, grant new access, deactivate access and provide password resets for revenue cycle management teams. Formal testing methodology, test plan development and execution, and documentation of test results All other assigned duties. Qualifications REQUIRED: Minimum five (5) years experience in Healthcare revenue cycle management (Payment Posting, Patient Access). A minimum of 2-3 years experience with hands-on involvement relative to ANSI X12 Healthcare EDI transaction sets (837, 999, 277CA, 276/277, 835) Experience with ERA/EFT enrollments from a hands-on analyst or role perspective. Prior EDI or System implementation and Transaction Mapping experience Experience in NextGen EHR system, or other healthcare EHR software. Proficient in Microsoft Office, specific but not limited to Excel (advanced formulas, pivot table use), PowerPoint, Word, Outlook, and SmartSheet navigation. High school diploma or GED required. BA/BS in Information Technology, Computer Science, Computer Engineering, equivalent is preferred. Previous experience in clearinghouse platform use and navigation, e.g. Waystar, Change Healthcare.
Job Description Job Description Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It's our promise to you. Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that's aligned to our targeted customer groups. Intact's Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following opportunity is for our U.S. team. The opportunity We currently have an opportunity for an Associate Operations Business Analyst to join our Surety team based in our Southfield, MI office on a hybrid schedule. The Surety Associate Ops Business Analyst serves a support role in the administration of the surety-backed letters of credit product, working closely with Surety leaders, Legal, Underwriting, and Intact's banking partners to facilitate execution of the required instruments. This position is also responsible for the associated billing, reporting, and compliance tasks, and will further support the Surety Solutions team in performing various operational tasks, including those related to accounting, finance, and financial reporting. This position will support the Surety Solutions team in performing various operational tasks, specifically those related to account and finance, billing and financial reporting. This position is responsible for working closely with Surety leaders, stakeholders, and other team members to understand the business requirements that drive the development of the design and functional specifications for moderately complex, quality technical solutions. Provides technical information and expertise as well as coordination of workflow processes and automation projects. The business analyst utilizes their comprehensive knowledge of systems and processes to provide instructions, training, second tier support, knowledge-based systems maintenance, business specification development, and acceptance testing. Conducts research, performs analysis, and assists with projects of varying size and magnitude. Provides business expertise and coordinates or assists with the development of business requirements. Develops understanding of interdependencies between various systems (policy administration, claims, portal, etc.) necessary to ensure compatibility of programing and data between systems. Provides status reports to management. Assists with special projects that require system expertise, business knowledge and workflow familiarity. Conducts necessary analysis and develops recommendations for actions as requested by management or business units. Involved at some level throughout the entire life cycle of projects assigned. Offers alternatives through the process. Participates in business review of such items as rating quality, procedures, system releases, knowledge-based systems, recording, and other back-end processing to ensure accuracy and participates in developing recommended solutions for improvement. Participates in development of automation/project request and works with management to ensure compliance with operations procedures. Scrutinizes internal information from project meetings such as project status reports and meetings notes as well as external sources. As a result of this analysis, assists with the development of system or process requirements. Assists in the development and execution of QA test plans. Works with department management and training specialist(s) to coordinate training. Develops, maintains, and distributes reference guides and training material for new features and enhancements, as needed. Distribution may be in the following forms: training programs, paper manuals, electronic mail, discussion databases, and on-line material. This may include virtual training. If assigned, provides support for lines of businesses, policy writing, billing and/or other applications. Knowledgeable of the different Business Units and Lines of Business under their area of responsibility. Requirements: Strong attention to detail. Knowledge of business strategies and bank relationship management. Ability to demonstrate independent analytical, decision making, problem solving, and organizational skills. Must be a proven self-starter with strong communication, listening and time management skills. Must have the ability to analyze and interpret data, systems and workflows. Must be able to work both independently and as a highly collaborative member of a team. Must be able to work in a fast-paced and rapidly changing environment. Must be proficient with Microsoft Office suite as well as electronic underwriting systems and processes. Strong experience with running queries, reports, and analytics, with a strong understanding of relational databases. Education and Experience: Bachelor's degree or related experience 1-3 years of related experience in Production or Operations is required, preferably in a Property and Casualty carrier. Our salary ranges are determined by many factors including location, role, experience and skillset of the candidate. The following ranges displayed reflect the target base salary for new hires; however, your recruiter will provide more specific compensation details during the hiring process. The typical base salary range for this position is: $62,000 - $72,000, based on the factors aforementioned. In addition to base salary, full time Intact employees are also eligible for bonus potential and a full range of benefits to include but not limited to: Comprehensive medical, dental and vision insurance with no waiting period Competitive paid time off programs 401(k) savings and annual contributions of up to 12% of annual salary Mental health support programs, life and disability insurance, paid parental leave and a variety of additional voluntary benefits This position will remain posted until a final candidate is selected. Once the role is filled, this job posting will be removed. Why choose Intact We live our Values: We are committed to acting with the highest of ethical standards through our five core values: integrity, respect, customer driven, excellence and social responsibility. Our commitment to Diversity: Founded in our values, we see diversity as a strength and aspire to create an environment where everyone can be themselves, grow and succeed. Together, we will stand up for what's right to build an inclusive society. Manage your Time: What you accomplish matters more than hours in the office. We are committed to creating a positive and supportive environment in which you perform your best. Our Time-Off and Flexible Work Arrangement options help foster a healthy work-life balance. Check out our Glassdoor reviews to see why people love working for Intact! Our promise to you Our Values are foundational to our success at Intact. You'll make a difference every day when you live our Values, do your best work, are open to change, and invest in yourself. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society. Win as a team: Collaborate with inspiring people to do your best work every day and together, stand up for what is right. Grow with us: Refresh and reinvent your skills, learn from our diverse teams, lift others up, and grow. About Intact At Intact Insurance Specialty Solutions we are experts at what we do. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that's aligned to our targeted customer groups. Today, we help protect over a dozen industries with tailored coverages and services.
09/16/2026
Full time
Job Description Job Description Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered to learn and grow while being valued for who you are. At Intact, we commit to supporting you in reaching your goals with tools, opportunities, and flexibility. It's our promise to you. Who we are At Intact Insurance Specialty Solutions, we are experts at what we do in protecting what makes businesses unique. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that's aligned to our targeted customer groups. Intact's Global Specialty Lines business spans across more than 20 verticals in four distinct markets: U.S., Canada, UK and Europe. The following opportunity is for our U.S. team. The opportunity We currently have an opportunity for an Associate Operations Business Analyst to join our Surety team based in our Southfield, MI office on a hybrid schedule. The Surety Associate Ops Business Analyst serves a support role in the administration of the surety-backed letters of credit product, working closely with Surety leaders, Legal, Underwriting, and Intact's banking partners to facilitate execution of the required instruments. This position is also responsible for the associated billing, reporting, and compliance tasks, and will further support the Surety Solutions team in performing various operational tasks, including those related to accounting, finance, and financial reporting. This position will support the Surety Solutions team in performing various operational tasks, specifically those related to account and finance, billing and financial reporting. This position is responsible for working closely with Surety leaders, stakeholders, and other team members to understand the business requirements that drive the development of the design and functional specifications for moderately complex, quality technical solutions. Provides technical information and expertise as well as coordination of workflow processes and automation projects. The business analyst utilizes their comprehensive knowledge of systems and processes to provide instructions, training, second tier support, knowledge-based systems maintenance, business specification development, and acceptance testing. Conducts research, performs analysis, and assists with projects of varying size and magnitude. Provides business expertise and coordinates or assists with the development of business requirements. Develops understanding of interdependencies between various systems (policy administration, claims, portal, etc.) necessary to ensure compatibility of programing and data between systems. Provides status reports to management. Assists with special projects that require system expertise, business knowledge and workflow familiarity. Conducts necessary analysis and develops recommendations for actions as requested by management or business units. Involved at some level throughout the entire life cycle of projects assigned. Offers alternatives through the process. Participates in business review of such items as rating quality, procedures, system releases, knowledge-based systems, recording, and other back-end processing to ensure accuracy and participates in developing recommended solutions for improvement. Participates in development of automation/project request and works with management to ensure compliance with operations procedures. Scrutinizes internal information from project meetings such as project status reports and meetings notes as well as external sources. As a result of this analysis, assists with the development of system or process requirements. Assists in the development and execution of QA test plans. Works with department management and training specialist(s) to coordinate training. Develops, maintains, and distributes reference guides and training material for new features and enhancements, as needed. Distribution may be in the following forms: training programs, paper manuals, electronic mail, discussion databases, and on-line material. This may include virtual training. If assigned, provides support for lines of businesses, policy writing, billing and/or other applications. Knowledgeable of the different Business Units and Lines of Business under their area of responsibility. Requirements: Strong attention to detail. Knowledge of business strategies and bank relationship management. Ability to demonstrate independent analytical, decision making, problem solving, and organizational skills. Must be a proven self-starter with strong communication, listening and time management skills. Must have the ability to analyze and interpret data, systems and workflows. Must be able to work both independently and as a highly collaborative member of a team. Must be able to work in a fast-paced and rapidly changing environment. Must be proficient with Microsoft Office suite as well as electronic underwriting systems and processes. Strong experience with running queries, reports, and analytics, with a strong understanding of relational databases. Education and Experience: Bachelor's degree or related experience 1-3 years of related experience in Production or Operations is required, preferably in a Property and Casualty carrier. Our salary ranges are determined by many factors including location, role, experience and skillset of the candidate. The following ranges displayed reflect the target base salary for new hires; however, your recruiter will provide more specific compensation details during the hiring process. The typical base salary range for this position is: $62,000 - $72,000, based on the factors aforementioned. In addition to base salary, full time Intact employees are also eligible for bonus potential and a full range of benefits to include but not limited to: Comprehensive medical, dental and vision insurance with no waiting period Competitive paid time off programs 401(k) savings and annual contributions of up to 12% of annual salary Mental health support programs, life and disability insurance, paid parental leave and a variety of additional voluntary benefits This position will remain posted until a final candidate is selected. Once the role is filled, this job posting will be removed. Why choose Intact We live our Values: We are committed to acting with the highest of ethical standards through our five core values: integrity, respect, customer driven, excellence and social responsibility. Our commitment to Diversity: Founded in our values, we see diversity as a strength and aspire to create an environment where everyone can be themselves, grow and succeed. Together, we will stand up for what's right to build an inclusive society. Manage your Time: What you accomplish matters more than hours in the office. We are committed to creating a positive and supportive environment in which you perform your best. Our Time-Off and Flexible Work Arrangement options help foster a healthy work-life balance. Check out our Glassdoor reviews to see why people love working for Intact! Our promise to you Our Values are foundational to our success at Intact. You'll make a difference every day when you live our Values, do your best work, are open to change, and invest in yourself. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society. Win as a team: Collaborate with inspiring people to do your best work every day and together, stand up for what is right. Grow with us: Refresh and reinvent your skills, learn from our diverse teams, lift others up, and grow. About Intact At Intact Insurance Specialty Solutions we are experts at what we do. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that's aligned to our targeted customer groups. Today, we help protect over a dozen industries with tailored coverages and services.
Global Channel Management, Inc
Indianapolis, Indiana
IT Business Analyst requires: Basic Requirements Bachelor's degree in business, marketing, healthcare administration, data science, or a related discipline Proficiency in SQL, Excel, and at least one statistical programming language (Python/R) Familiarity with healthcare, pharmacy, or claims/dispensing operational data 1 3 years of work experience in a HIPAA covered entity Ability to complete and maintain all required data privacy, HIPAA, and covered-entity compliance training, and to handle protected health information (PHI) per established policies Strong analytical skills with attention to detail and business acumen Excellent communication skills with the ability to simplify complex concepts Ability to work cross-functionally and influence without direct authority High learning agility and adaptability in ambiguous environments Working understanding of HIPAA/PHI handling and data-governance constraints, including manufacturer vs. covered-entity data separation Duties: Execute and Maintain Dispensing & Operational Data Support recreation, validation, and maintenance of operational metrics from platform usage and pharmacy fulfillment data to improve automation, accuracy, and quality Ensure data availability, quality, and compliance across dispensing data workstreams
09/15/2026
IT Business Analyst requires: Basic Requirements Bachelor's degree in business, marketing, healthcare administration, data science, or a related discipline Proficiency in SQL, Excel, and at least one statistical programming language (Python/R) Familiarity with healthcare, pharmacy, or claims/dispensing operational data 1 3 years of work experience in a HIPAA covered entity Ability to complete and maintain all required data privacy, HIPAA, and covered-entity compliance training, and to handle protected health information (PHI) per established policies Strong analytical skills with attention to detail and business acumen Excellent communication skills with the ability to simplify complex concepts Ability to work cross-functionally and influence without direct authority High learning agility and adaptability in ambiguous environments Working understanding of HIPAA/PHI handling and data-governance constraints, including manufacturer vs. covered-entity data separation Duties: Execute and Maintain Dispensing & Operational Data Support recreation, validation, and maintenance of operational metrics from platform usage and pharmacy fulfillment data to improve automation, accuracy, and quality Ensure data availability, quality, and compliance across dispensing data workstreams
This recruitment will remain open until September 23, 2026. The agency reserves the right to make a hiring decision at any time after the initial screening date on September 16, 2026. It is in the applicant's best interest to submit materials as soon as possible. Make a Difference: Protect Consumers & Join Our Dynamic Team! The Office of the Insurance Commissioner (OIC) seeks a qualified individual for the Functional Program Analyst 3 (FPA3) position. This role is within the Consumer Protection (Consumer Advocacy) Division and is based out of our Tumwater Office. We are an employer of choice! Here's why: Meaningful work: Ensure a healthy insurance market & protect Washington consumers. Impactful career: Make a daily difference in the lives of countless Washingtonians. Small agency, big opportunities: Gain a holistic understanding of our mission and build strong relationships with colleagues. Diversity, equity, and inclusion: OIC is committed to ensuring that all employees enjoy a respectful, safe, and supportive working environment - by fostering the inclusion of people from all backgrounds, cultures, and attributes. About the Position Every day, Washington consumers count on property and casualty insurance to protect their homes, vehicles, businesses, and financial security. When a claim is denied, coverage is unclear, or an insurance company isn't treating a consumer fairly, they need someone who understands insurance and knows how to help. That's where you come in. The Washington State Office of the Insurance Commissioner (OIC) is looking for an experienced insurance professional with property and casualty expertise to join our Consumer Advocacy Program as a Functional Program Analyst 3. This is an opportunity to put your knowledge of P&C insurance, claims, coverage, underwriting, compliance, and insurance regulations to work on behalf of Washington consumers. In this role, you'll independently investigate and resolve consumer complaints involving insurance companies. You'll review policies and carrier responses, analyze coverage and claims issues, research applicable insurance laws and regulations, and determine whether insurers have met their obligations. When concerns are identified, you'll advocate for consumers and take appropriate action to help ensure insurers are held accountable. You'll also serve as a trusted resource for consumers through our Consumer Hotline and outreach efforts-explaining complex insurance issues in clear, understandable terms and helping people better understand their rights, coverage, and options. You'll work directly with consumers, insurance companies, agency partners, and other stakeholders, using your judgment and analytical skills to bring challenging cases to resolution. This is more than a customer service position. It's an opportunity to use your P&C insurance experience to make a tangible difference in people's lives while helping strengthen fairness, accountability, and public confidence in Washington's insurance marketplace. If you have strong property and casualty insurance experience, enjoy digging into complex claims and coverage questions, and are motivated by the opportunity to advocate for consumers and apply insurance regulations in meaningful ways, we want to hear from you. Join the OIC and bring your insurance expertise to work where it matters most-protecting Washington consumers. This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 3 vacancies in the next sixty days. This is a Washington General Service position. The monthly salary range for this position is $5,240 - $7,044. Benefits & Perks Comprehensive benefits package: Health, dental, vision, retirement, paid leave (vacation, sick, etc.) and much more! Supportive work environment: We value diversity, professional growth, and collaborative atmosphere. Wellness programs: Invest in your well-being with on-site resources and initiatives. Work-life balance: Flexible schedules with telework opportunities. Public service fulfillment: Contribute to a cause that matters and feel the satisfaction of serving the public good. Training & Development: Continuously learn and grow with tuition reimbursement, Public Service Loan Forgiveness, and other programs. Free parking (Tumwater) & Public transportation pass (Thurston County): Save on commuting costs. And more! Explore our website for additional benefits: The duties of the position include but are not limited to: Independently investigate and resolve consumer complaints involving licensed insurance companies by researching facts, analyzing policies, and applying Washington insurance laws and regulations. Advocate on behalf of consumers by working with insurers to ensure fair treatment and appropriate resolution of insurance-related issues. Respond to consumer inquiries by phone, email, written correspondence, and in person, providing accurate information and education on insurance coverage, rights, and regulatory requirements. Prepare clear, thorough, and professional written correspondence to consumers and insurance companies explaining findings, decisions, and applicable laws or regulations. Maintain accurate and timely case documentation, coding, and data entry in agency databases while managing an active caseload and meeting established performance standards. Identify potential violations of insurance laws and regulations and prepare referrals for enforcement actions or Market Conduct review when appropriate. Staff the Consumer Hotline and assist walk-in consumers by providing high-quality customer service and resolving insurance-related questions and concerns. Deliver presentations and educational outreach to consumers, industry representatives, and community groups on insurance topics and consumer protections. Review, update, and edit consumer-facing web content using plain language and web accessibility standards. Collaborate with supervisors and colleagues to support agency initiatives, share expertise, and perform other duties as assigned in support of the Office of the Insurance Commissioner's mission. Contact Us: For inquiries about this position and its full duties, please contact us at and add the requisition number 1 and the job name to the subject line of your email. Required Qualifications: Six (6) years of professional work experience in areas such as regulatory examinations; insurance underwriting, compliance, rating, or claims; health care consumer issues; or health care benefit plan design, distribution, or administration. Preferred/Desired Qualifications: One (1) or more years of professional work experience involving the analysis and application of federal and/or state laws and regulations related to the insurance industry or closely aligned profession, including legislative analysis and implementation. Demonstrated experience collecting data, conducting quantitative and/or qualitative research and analyzing results to make an informed decision or conclusion. Intermediate-level experience using Microsoft Outlook and Word. Fluent verbal communication skills in Spanish, Korean, Russin, Vietnamese, Mandarin, or Cantonese, with the ability to score "Advanced Mid-skill level" on the oral proficiency assessment by the American Council for the Testing of Foreign languages. Academic Degree Equivalency Chart Degree Years of Relevant Experience Equivalency Associate's Degree 2 years of experience Bachelor's Degree 4 years of experience Master's Degree 5 years of experience A degree in public administration, social work, public health, business administration finance or related field from an accredited institution whose accreditation is recognized by the U.S. Department of Education or the Council of Higher Education Accreditation, or a foreign equivalent may be substituted for relevant experience. Proof of degree may be required prior to employment. If a degree was awarded outside of the United States, candidates must provide a credential evaluation report. Ready to join us? Learn more about the OIC by visiting our website. We encourage you to check out our video below and listen to what our employees have to say about working here! Welcome to the OIC Submit your application today and take the first step towards a rewarding career at the OIC! Cover Letter: Required Resume: Required This position is represented by the Washington Federation of State Employees (WFSE). Wage/salary depends on qualifications or state rules of compensation (if currently a state employee). State law (RCW 48.02.090 5 ) prohibits employees of the OIC from having any interest, directly or indirectly, in an insurance company other than as a policyholder. This prohibition includes the receipt of renewal commissions. If employment is accepted with this agency, you agree to abide by this state law. Prior to a new hire, a background check including criminal record history will be conducted . click apply for full job details
09/10/2026
Full time
This recruitment will remain open until September 23, 2026. The agency reserves the right to make a hiring decision at any time after the initial screening date on September 16, 2026. It is in the applicant's best interest to submit materials as soon as possible. Make a Difference: Protect Consumers & Join Our Dynamic Team! The Office of the Insurance Commissioner (OIC) seeks a qualified individual for the Functional Program Analyst 3 (FPA3) position. This role is within the Consumer Protection (Consumer Advocacy) Division and is based out of our Tumwater Office. We are an employer of choice! Here's why: Meaningful work: Ensure a healthy insurance market & protect Washington consumers. Impactful career: Make a daily difference in the lives of countless Washingtonians. Small agency, big opportunities: Gain a holistic understanding of our mission and build strong relationships with colleagues. Diversity, equity, and inclusion: OIC is committed to ensuring that all employees enjoy a respectful, safe, and supportive working environment - by fostering the inclusion of people from all backgrounds, cultures, and attributes. About the Position Every day, Washington consumers count on property and casualty insurance to protect their homes, vehicles, businesses, and financial security. When a claim is denied, coverage is unclear, or an insurance company isn't treating a consumer fairly, they need someone who understands insurance and knows how to help. That's where you come in. The Washington State Office of the Insurance Commissioner (OIC) is looking for an experienced insurance professional with property and casualty expertise to join our Consumer Advocacy Program as a Functional Program Analyst 3. This is an opportunity to put your knowledge of P&C insurance, claims, coverage, underwriting, compliance, and insurance regulations to work on behalf of Washington consumers. In this role, you'll independently investigate and resolve consumer complaints involving insurance companies. You'll review policies and carrier responses, analyze coverage and claims issues, research applicable insurance laws and regulations, and determine whether insurers have met their obligations. When concerns are identified, you'll advocate for consumers and take appropriate action to help ensure insurers are held accountable. You'll also serve as a trusted resource for consumers through our Consumer Hotline and outreach efforts-explaining complex insurance issues in clear, understandable terms and helping people better understand their rights, coverage, and options. You'll work directly with consumers, insurance companies, agency partners, and other stakeholders, using your judgment and analytical skills to bring challenging cases to resolution. This is more than a customer service position. It's an opportunity to use your P&C insurance experience to make a tangible difference in people's lives while helping strengthen fairness, accountability, and public confidence in Washington's insurance marketplace. If you have strong property and casualty insurance experience, enjoy digging into complex claims and coverage questions, and are motivated by the opportunity to advocate for consumers and apply insurance regulations in meaningful ways, we want to hear from you. Join the OIC and bring your insurance expertise to work where it matters most-protecting Washington consumers. This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 3 vacancies in the next sixty days. This is a Washington General Service position. The monthly salary range for this position is $5,240 - $7,044. Benefits & Perks Comprehensive benefits package: Health, dental, vision, retirement, paid leave (vacation, sick, etc.) and much more! Supportive work environment: We value diversity, professional growth, and collaborative atmosphere. Wellness programs: Invest in your well-being with on-site resources and initiatives. Work-life balance: Flexible schedules with telework opportunities. Public service fulfillment: Contribute to a cause that matters and feel the satisfaction of serving the public good. Training & Development: Continuously learn and grow with tuition reimbursement, Public Service Loan Forgiveness, and other programs. Free parking (Tumwater) & Public transportation pass (Thurston County): Save on commuting costs. And more! Explore our website for additional benefits: The duties of the position include but are not limited to: Independently investigate and resolve consumer complaints involving licensed insurance companies by researching facts, analyzing policies, and applying Washington insurance laws and regulations. Advocate on behalf of consumers by working with insurers to ensure fair treatment and appropriate resolution of insurance-related issues. Respond to consumer inquiries by phone, email, written correspondence, and in person, providing accurate information and education on insurance coverage, rights, and regulatory requirements. Prepare clear, thorough, and professional written correspondence to consumers and insurance companies explaining findings, decisions, and applicable laws or regulations. Maintain accurate and timely case documentation, coding, and data entry in agency databases while managing an active caseload and meeting established performance standards. Identify potential violations of insurance laws and regulations and prepare referrals for enforcement actions or Market Conduct review when appropriate. Staff the Consumer Hotline and assist walk-in consumers by providing high-quality customer service and resolving insurance-related questions and concerns. Deliver presentations and educational outreach to consumers, industry representatives, and community groups on insurance topics and consumer protections. Review, update, and edit consumer-facing web content using plain language and web accessibility standards. Collaborate with supervisors and colleagues to support agency initiatives, share expertise, and perform other duties as assigned in support of the Office of the Insurance Commissioner's mission. Contact Us: For inquiries about this position and its full duties, please contact us at and add the requisition number 1 and the job name to the subject line of your email. Required Qualifications: Six (6) years of professional work experience in areas such as regulatory examinations; insurance underwriting, compliance, rating, or claims; health care consumer issues; or health care benefit plan design, distribution, or administration. Preferred/Desired Qualifications: One (1) or more years of professional work experience involving the analysis and application of federal and/or state laws and regulations related to the insurance industry or closely aligned profession, including legislative analysis and implementation. Demonstrated experience collecting data, conducting quantitative and/or qualitative research and analyzing results to make an informed decision or conclusion. Intermediate-level experience using Microsoft Outlook and Word. Fluent verbal communication skills in Spanish, Korean, Russin, Vietnamese, Mandarin, or Cantonese, with the ability to score "Advanced Mid-skill level" on the oral proficiency assessment by the American Council for the Testing of Foreign languages. Academic Degree Equivalency Chart Degree Years of Relevant Experience Equivalency Associate's Degree 2 years of experience Bachelor's Degree 4 years of experience Master's Degree 5 years of experience A degree in public administration, social work, public health, business administration finance or related field from an accredited institution whose accreditation is recognized by the U.S. Department of Education or the Council of Higher Education Accreditation, or a foreign equivalent may be substituted for relevant experience. Proof of degree may be required prior to employment. If a degree was awarded outside of the United States, candidates must provide a credential evaluation report. Ready to join us? Learn more about the OIC by visiting our website. We encourage you to check out our video below and listen to what our employees have to say about working here! Welcome to the OIC Submit your application today and take the first step towards a rewarding career at the OIC! Cover Letter: Required Resume: Required This position is represented by the Washington Federation of State Employees (WFSE). Wage/salary depends on qualifications or state rules of compensation (if currently a state employee). State law (RCW 48.02.090 5 ) prohibits employees of the OIC from having any interest, directly or indirectly, in an insurance company other than as a policyholder. This prohibition includes the receipt of renewal commissions. If employment is accepted with this agency, you agree to abide by this state law. Prior to a new hire, a background check including criminal record history will be conducted . click apply for full job details