43 health benefits jobs found in 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...

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 AVP, Formulary Strategy is a senior clinical and strategic leader responsible for the vision, architecture, and long-term integrity of AffirmedRx’s formulary program. Reporting to the VP of Clinical & Specialty Strategies, this role serves as the enterprise-level owner of formulary design, governance, and market positioning, translating clinical evidence, rebate dynamics, and client financial goals into a coherent,...

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 Vice President of Finance is a strategic leader responsible for driving AffirmedRx’s financial vision, with a strong preference for experience in healthcare or pharmacy benefit management (PBM). This role oversees financial strategy, planning, reporting, budgeting, forecasting, and analysis to ensure alignment with organizational goals. The VP ensures compliance with industry regulations, manages financial risk, and maintains...

About Integrated Specialty Coverages Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market.   Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and “Main Street USA”, we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we’re building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners. Job Summary We are looking for an experienced underwriter to help develop our A&H...

About Integrated Specialty Coverages Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market.   Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and “Main Street USA”, we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we’re building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners. We are seeking a skilled and detail-oriented Commercial Trucking Insurance Underwriter/Broker...

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...

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...

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!...

About Integrated Specialty Coverages Integrated Specialty Coverages, LLC (ISC) is a growth stage technology and data-driven commercial MGA and insurance wholesaler leading innovation in the market.   Backed by one of the leading private equity firms, Onex Partners, and led by a forward-thinking management team, ISC is combining the worlds of insurance and technology to create an Insurtech powerhouse. As a leading online distributor of insurance products for a range of industries and “Main Street USA”, we are looking for the right people to help us in our mission of achieving exponential growth. We strive to be the number one place to go for brokers and agents to source insurance. To accomplish this, we’re building a digitally focused team that deeply understands the intersection between user experience, data, and AI/ML to optimize the way we engage with our customers and partners. Job Summary Our Mid-Market team is looking for a collaborative underwriter with...

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)...

The CareIQ Service Coordinator provides administrative customer service and file management assistance to claimants, providers, claims professionals, and case managers regarding new and ongoing ancillary healthcare services. Utilizing proprietary systems and knowledge from training, a CareIQ Service Coordinator will provide excellent telephonic and written customer service to both inbound and outbound customers. This role operates with a high focus on accuracy, urgency and communication to ensure that services are completed on schedule and without interruption. This is a remote role. The shift for this position is Monday - Friday: 10:30 AM - 7:00 PM EST. A wired connection to your modem from a broadband internet network with a minimum bandwidth of at least 3 Mbps is required for this position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide telephonic customer service in an inbound and outbound high-volume call-center environment Complete accurate data review...

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....