17 director health benefits jobs found in Remote, remote

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Director, Benefit Design & Requirements (PBM) will be responsible for building and leading this function by establishing the strategic direction, operating model, and standards from the ground up. This role will initially operate as a hands-on leader while building the foundation for a scalable team and capability. As the function matures, the Director will hire, develop, and lead a team of analysts responsible for...

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Director, Finance and Business Intelligence leads financial and analytical oversight of pharmacy benefit performance, with a focus on managing Net PMPM cost, rebate processes, and overall operational effectiveness. This role is responsible for monitoring network pricing, pharmacy claims trends, and customer-level performance to drive data-informed decision-making. The Director designs and maintains robust analytics and...

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all! We promise to do what’s right, always. Position Summary: The AVP, Patient Experience is a senior leader responsible for setting the vision, strategy, and standards for how AffirmedRx serves and advocates for patients across the pharmacy benefits journey. Reporting to the SVP, this role owns the Patient Experience function end to end, with Directors of Patient Care Advocacy leading Managers and Patient Care Advocates who deliver day-to-day care. The AVP defines what excellence looks like by...

At Swyfft, we're reshaping the way home insurance and commercial package products are priced and bound. We've created an insurance experience that's smart, instant, and designed to deliver unparalleled customer service. Our focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge technology and an Agent and Customer-centric approach that sets us apart in the industry. Joining Swyfft means becoming part of a dynamic team of forward-thinkers who thrive on moving fast and delivering exceptional products. We pride ourselves on fostering an environment where creativity and positive energy thrive. As we continue to grow and expand, we're on the lookout for experienced professionals like you to join us in transforming the insurance landscape. If you're passionate about leveraging technology to provide the best customer service experience and are ready to be a part of our journey, we welcome you to explore opportunities at Swyfft!...

We are seeking a dynamic and results-driven Vice President of Sales to lead our national sales organization for a digitally-enabled wholesale commercial insurance brokerage. This executive will own the full sales strategy and execution across a multi-region field team and a high-velocity agent prospecting operation, driving adoption of our real-time rate, quote, and bind platform among retail agents and brokers nationwide. Key Responsibilities Sales Leadership & Strategy Develop and execute a national sales strategy to grow wholesale commercial insurance premium volume across all product lines. Own revenue targets and hold regional teams accountable to pipeline, conversion, and retention metrics. Partner with executive leadership to align sales initiatives with platform capabilities and carrier relationships. Drive market penetration by identifying and prioritizing high-value retail agent and broker segments. Regional Team Management (4–6 Regions)...

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Director of Clinical Modeling leads the strategy and execution of health economics and outcomes research (HEOR) and population health initiatives to identify variation in clinical and economic outcomes and drive enterprise-wide, evidence-based improvements. This role leverages a strong understanding of pharmacy data, health economics, and financial analytics to design and apply real-world evidence and advanced modeling that...

CANDIDATES MUST HAVE NY CLAIMS EXPERIENCE The Claim Specialist I - IV investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. Principal Duties and Responsibilities 1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed. 2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. 3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and...

CANDIDATES MUST HAVE PA CLAIMS EXPERIENCE, DE CLAIMS EXPERIENCE A PLUS. The Claim Specialist I or II investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. Principal Duties and Responsibilities 1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed. 2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. 3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense...

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Manager, Benefit Design & Requirements (PBM) will be the founding individual contributor of this function, establishing the processes, standards, and institutional knowledge from the ground up. As the function matures, this Manager will have the opportunity to scale the team, hiring and developing analysts beneath them who will carry out the work they defined. In the near term, this person serves as AffirmedRx’s resident...

About the Position Location: Fully remote within the continental United States. This position works in close partnership with colleagues across the U.S. West Coast and Australia. The role does require occasional evening availability to support cross-timezone collaboration - something our team actively works to keep reasonable and well-balanced.  Join our People & Culture team as a Senior Compensation Partner and shape the future of how we reward talent! As a growing company of 700+ people across the US, Australia, and Poland, we're at an inflection point. You'll have the opportunity to shape our global compensation philosophy and enhance the programs already in motion, ensuring we stay competitive, equitable, and ahead of the curve. This isn't about maintaining the status quo; it's about evolving what works and building what's next. We need that rare blend of strategic vision and hands-on execution. You're someone who can dive into the details and zoom out to...

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care outcomes for all!  We promise to do what’s right, always. Position Summary: The Vice President, Client Management provides executive leadership for AffirmedRx’s Client Management organization, responsible for defining and executing the strategic vision, operating model, and performance strategy for client relationship management across the book of business. Reporting to the SVP, Operations, this role leads the Client Management function in delivering best-in-class client experience, driving client...

About Us  We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn’t just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.  RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar — a testament to our culture and validation of our reputation as an excellent underwriting company....

About Us  We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn’t just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.  RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar — a testament to our culture and validation of our reputation as an excellent underwriting company....

Customer Success Manager Insurance underwriting runs on human judgment, manual workflows, and knowledge locked in someone's head. It breaks when that person leaves and doesn't scale when the book doubles. Sixfold is building AI agents that understand risk the way a 20-year veteran underwriter does. Not summaries or flags, but systems that make real decisions on billions in premium for some of the world's largest carriers. AI is the product and the workflow. The Customer Success Manager is the person carriers trust to make sure it all delivers. If you live and breathe AI tools, understand how models work under the hood, and can translate that into business outcomes for a room full of skeptical underwriters, this role was written for you. Who We Are 🏔 Product: Sixfold is the AI brain for underwriting. Our platform handles submissions at scale, assessing risk against appetite, surfacing cited insights, and deploying AI agents to handle research, referrals, and triage so...

About Us  We’re not like other insurance companies. From our specialty products to our business model, our culture to our results — we’re different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn’t just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us.  RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar — a testament to our culture and validation of our reputation as an excellent underwriting company....

Service Representative – Licensed in Life & Health Location: Work From Home SISCO is seeking remote candidates who are licensed in Life and Health. We pride ourselves on putting the customer first and finding ways to improve our business. Above all else, we are committed to fostering an open-door culture where the opinions and suggestions of our team members are valued and appreciated. Our Service Center is open Monday –Thursday 7 am to 7 pm and Friday 7 am to 5 pm.  Essential Functions: Answer customer inquiries on benefits plans Process Medical/Dental Claims Ability to learn/retain large amounts of technical information Navigate multiple record keeping systems What We're Looking For: Licensed in Life and Health is required. Strong communication (verbal and written) skills The ability to multi-task and have great attention to detail Ability to work with customers of diverse background and dispositions Experience...

Location: United States (California Preferred, Remote OK) Type: Full-Time | Senior Executive | Competitive Salary + Equity About COVU COVU is on the mission of reimagining insurance through building the AI-native infrastructure for the insurance industry —transforming how agencies, carriers, and customers interact with risk. With $30M+ raised and six agencies already acquired, we are rolling out a new operating system for insurance distribution, combining intelligent customer management, embedded product access, and scalable partnerships. We’re scaling fast—and we need a proven insurance operator and strategic builder to help us expand our external ecosystem of carriers, aggregators, brokerages, and agency partners. The Role We’re seeking a Head of Strategic Relations —a senior insurance leader who knows how to build , not just manage. You’ll lead our national partnership efforts, launching and scaling initiatives that sit...