Supervises the intake, investigation and resolution of appeals and grievances/complaints, for members and providers, ensuring compliance with regulatory and contractual processes and timeframes for assigned commercial or government product line. Monitors workloads and workflow. Ensures grievances, appeals, and complaints are processed, prioritized, and resolved within reg

Training, mentoring, and motivating a team of independent sales agents. Sourcing, attracting, interviewing, and selecting quality individuals to join your sales team. Conducting field training and joint field work with your agency team. Leading sales meetings and orientations for new and tenured sales agents. Supporting health insurance prospecting and sales activity; inc

Translates overall IT roadmap into actionable processes. Supports the establishment of targeted architecture and develops standards for the organization covering all key domains (Application, Data, Engineering and Infrastructure). Defines the current and future state and the transitional plan. Focuses on streamlining environments and remove any redundancy. Collaborates wi

Maintains client records for assigned groups working directly with clients and/or through broker relationships. Responsible for completing a number of group onboarding tasks (new group implementation and benefit change) including gathering completed paperwork and required data elements to complete the account worksheet, ensuring enrollment is sent to Membership, deliverin

Provides consultation to non system administrators, the development team and infrastructure team with the design and support of host systems with client and internal applications by actively participating in client and internal project meetings. Creation and maintenance of end to end automation of deployment, monitoring, and infrastructure management. Build and configure

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

Learning & Development Specialist I Delivers, develops, and implements corporate or divisional training curriculum and/or development programs. Evaluates and administers training and development programs. Implements tools, practices, and approaches to facilitate learning that directly supports and effectively meets the needs of participants. Designs and develops training

Membership Billing Representative I TPA Processes routine and/or less complex member enrollment transactions such as address, name, etc. Prepares routine product invoices and reports. Reviews/updates open enrollment changes such as Coordination of Benefits (COB), dependent updates, etc. Reviews and approves enrollment information submitted by customers via the secured web

Develops and maintains new and existing applications by analyzing, designing and writing code of increasing complexity that satisfies a logical, efficient and optimal systems design. Leads program level and system level testing, implementation, and break fix tasks associated with business applications, including multiple platforms. Develops documentation of technical work

Data Engineer I Develop data pipelines to integrate and transform data for analysis Support other data users and enable applied use of data to solve business problems Business meetings to understand data and business needs, socialize knowledge of data products and insights, and generate consensus Data profiling, data documentation, measuring and enforcing data quality Dev

Proposal Specialist I Acts as project lead in responding to routine to moderately complex RFPs with support and/or general supervision including responding, preparing, coordinating and packaging to meet RFP specifications/requirements and department standards for accuracy and quality. Pre populates RFPs with standard database content with minimal supervision. Manages outr

Sourcing & Development Establish local networks and source prospective Independent Agent candidates and independent agencies to sell MedMutual Protect products Conduct informational seminars for prospective Independent Agents as needed Represent the Market at local job fairs or other hiring events Affiliate Independent Agent candidates Make recommendations for developing

The Director, Product Development will lead the development of new and existing products in MedMutual Protect's Individual business which are critical to our growth and continued industry leadership. Responsibilities Manage one or more of MedMutual Protect's Individual products. Analyze performance of products and execute on recommendations necessary to achieve financial

Develops and maintains new and existing applications by analyzing, designing and writing code of increasing complexity that satisfies a logical, efficient and optimal systems design. Leads program level and system level testing, implementation, and break fix tasks associated with business applications, including multiple platforms. Develops documentation of technical work

Provider Analyst II Provides analytical support during contract negotiation process. Assists contracting in building tools that model rate. Organizes and performs analytical review of opportunities with provider networks. Performs claims repricing, discount analyses, etc. to support group sales efforts and RFPs. Provides understanding of financial impact based on history.