Claim Benefit Specialist Jobs

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary A Shift Supervisor is a key leader supporting the CVS Store Management team in driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. When there is no manager or Operations Supervisor onsite, the Shift Supervisor leads the store staff, ensures that store operations run smoothly, and is responsible for ensuring the completion of all opening and closing procedures. Essential Functions: 1. Management Work effectively with store management and store crews Supervise the store’s crew through assigning, directing and following up of all activities Effectively communicate information both to and from store management and crews 2. Customer Service Assist customers with their questions, problems and complaints Promote CVS customer service culture. (Greet, offer help, and thank) Handle all customer relations issues in accordance with company policy and promote a positive shopping experience for all CVS customers Maintain customer/patient confidentiality 3. Merchandise/Presentation Price merchandise Stock shelves Execute the displays, sign and inventory of weekly, promotional, and seasonal merchandise</

Store Associate — MI - Saint Clair Shores. Apply via Workday.

Pharmacy Technician — MI - Saint Clair. Apply via Workday.

Store Associate — MI - Saint Clair Shores. Apply via Workday.

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Vendor Management & Sourcing Specialist is the operational backbone of Pie’s Claims Vendor Management and Procurement function, owning end-to-end work across both sourcing/procurement execution and vendor relationship and performance management. In this senior individual contributor role, you will lead the full sourcing lifecycle by translating business needs into RFx processes, conducting market research, spend analysis, benchmarking, and competitive bid evaluations, and delivering data-backed vendor selection recommendations. You will also manage the Claims vendor portfolio by coordinating stewardship meetings, monitoring scorecard performance, handling day-to-day vendor communications, and driving issues through the escalation log from identification to resolution. This role operates within a lean team and requires independent judgment, strong follow-through, and proactive delivery of leadership-ready outputs with minimal oversight. How You’ll Do It Sourcing & Procurement Execution Lead end-to-end sourcing activities: needs intake, market research, RFx development and management, bid evaluation, and vendor selection recommendation packages. Conduct spend analysis and competitive benchmarking across the active vendor portfolio to identify cost optimization, consolidation, and renegotiation opportunities. Prepare comparison matrices, commercial term analyses, and leadership-ready recommendation summaries that enable vendor decisions based on data, not assumptions. Support contract negotiations by conducting pre-negotiation research: identi

Responsibilities: Manage the preparation and submission of new product registrations, post approval submission, and follow-up closely on queries and through approval Responsible for reviewing and writing CMC modules 2 and 3 Exposure to EU and CIS region in regulatory filings Herbal product development background Manage and coordinate product life cycle management Ensure regulatory compliance with local regulatory requirements Foster and maintain professional relationships with the health authorities Provide regulatory support including timely registration of new product and line extensions to support new product launches and tender applications when necessary Maintain regulatory work processes and tracking tools that improve performance levels and transparency Exposure in writing of Product Quality Review Promote regulatory intelligence in both local and regional initiatives Develop regulatory strategies, prepare regulatory applications, and support maintenance activities within relevant therapy areas Execution of regulatory strategies (local and regional) that are in line with the business plan Complete regulatory activities for a defined number of products to ensure all regulatory obligations and business objectives are met Ensure adherence to timelines and quality set parameters R eview of formulation, generation of ingredient list, and claims per set standards Compilation and review of labeling components per SOP Deliverables: CMC modules 2 and 3 Management of the preparation and submission of new product registrations, post approval submissions, and follow-up on queries through approval Review of CMC modules Execution of regulatory strategies (local and regional) that are in line with the business plan Compilation of PQR as per SOP – Summary report of variations submitted as per the specified period. Review of formulation, generation of ingredient list, and claims per set standards Compilation and review of labeling components per SOP Experien

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The growing DSNP business has created an opportunity for an individual with claims experience, who is familiar with the 837 standard claims format. This individual will own 837 file transmissions to the states, manage and act on state response files, ensuring that all transactions transmitted are complete and error free. Manage and complete error corrections to meet state requirements. Required Qualifications 1&#43; year of experience with encounter data, medical claims, or Medicare/Medicaid. 1&#43; year of experience using FTP and data transfer software. 1&#43; year of data management experience. Preferred Qualifications Experience with Microsoft Access Databases. Analytical skills with the ability to identify and resolve data discrepancies. Working knowledge of the 837 claims files. Education Bachelors degree or equivalent work experience Anticipated Weekly Hours 40 Time Type Full time Pay Range <p s

Who we are About Stripe Stripe's mission is to increase the GDP of the internet. We build the most powerful and flexible tools for running an internet business — handling billions of dollars each year and enabling millions of businesses worldwide to scale faster by building on Stripe. That means you have an unprecedented opportunity to put the global economy within everyone’s reach while doing the most important work of your career. About the team Our tax team works with Stripes across the company to develop an efficient operating model as our international business scales and expands into new markets and launches new products. EMEA Tax supports Stripe’s growth across the region by helping the company meet its tax obligations, manage tax risk, and make well-supported decisions as Stripe’s products, systems, and operations evolve. You will be based in Dublin and report to the EMEA Tax lead, who is located in Dublin. This role will develop and lead a best-in-class global R&D incentives programme. What you’ll do You will be Stripe’s European R&D incentives lead, responsible for developing and leading Stripe’s R&D incentives programmes in Ireland and the UK. You will support Stripe’s US federal and state research-credit programme and will explore new opportunities as Stripe continues to expand globally. You will build trusted relationships with engineering and product teams, establish repeatable processes for identifying and documenting qualifying work, and ensure Stripe can support its global R&D incentives claims with contemporaneous evidence. You must be able to work effectively with cross-functional teams and independently lead complex, high-impact work. You will translate complex technical activity into clear documentation, and help Stripe enhance its global R&D incentives processes. Responsibilities Act as Stripe’s European lead and technical expert for R&D incentive and grant claims. Support the annual US fed

Become a part of our caring community The Product Manager, Workflow Solutions is responsible for the strategy, roadmap, and performance of provider-facing workflow products delivered through EHR platforms. This role owns the Claims Status and Happy Together with Health Plans products, ensuring capabilities align to provider needs, enterprise priorities, and EHR partner opportunities. The Product Manager drives adoption, product growth, and business outcomes by identifying market opportunities, defining product direction, and partnering with technology, implementation, operations, and vendor teams to deliver scalable solutions. This role serves as the business owner for assigned products and is accountable for product vision, roadmap development, performance measurement, and ongoing product evolution. The Product Manager, Workflow Solutions leads the planning, development, and optimization of workflow-based capabilities delivered through Humana's EHR Channel. The role is responsible for defining product strategy, developing multi-year roadmaps, establishing success metrics, and prioritizing investments that create value for providers and enterprise stakeholders. The Product Manager collaborates closely with Product Owners, implementation teams, vendor partners, technology teams, and business stakeholders to ensure solutions are aligned with provider workflows and organizational priorities. The position evaluates market trends, customer feedback, vendor capabilities, and performance data to identify opportunities for growth and product enhancement. The role exercises significant independent judgment in balancing competing priorities, recommending investments, managing product performance, and driving achievement of business objectives. Key Responsibilities Own product strategy and roadmap for Claims Status, Happy Together with Health Pla

Why Jencap? We are one of the largest wholesale insurance intermediaries in the United States with expertise in wholesale brokerage, binding authority, and program management. The common thread woven throughout our success story is our collaborative and driven team of people. Our teams are empowered and work together to find solutions. We have a passion culture – with teamwork, collaboration and a focus on growing individuals and giving them the tools & development opportunities to have a successful career. MiniCo has nearly 50 years of experience in program management, underwriting, binding authority, and claims, offering a portfolio of exclusive programs to address even the most unique risk exposures. Our dedicated program teams provide niche underwriting process and flexibility, industry specialization, and unparalleled customer service. Today, MiniCo is a member of the Jencap Program Administrators division, offering multiple specialty property and casualty insurance products for a variety of unique industries and exposures. The Team Lead Underwriting Operations will work a hybrid schedule from our Phoenix AZ office Lead MiniCo’s Underwriting Support Team and operational workflows, with responsibility for team development, ConceptOne (C1) subject-matter expertise, New Business and Renewal support processes, agency-operations coordination, vendor/BPO governance, system testing, and cross-functional process improvement. Responsibilities : People Leadership & Service Management Lead, coach, and develop the Underwriting Support team, including cross-training, workload management, and performance expectations. Monitor team capacity, address bottlenecks, and recommend staffing or workflow improvements. Conduct regular team meetings, coaching, goal setting, and performance reviews. Systems & Process Ownership Serve as the primary ConceptOne SME and liaison across Underwriting, IT, Accounting, and vendors. Troubles

Why Jencap? We are one of the largest wholesale insurance intermediaries in the United States with expertise in wholesale brokerage, binding authority, and program management. The common thread woven throughout our success story is our collaborative and driven team of people. Our teams are empowered and work together to find solutions. We have a passion culture – with teamwork, collaboration and a focus on growing individuals and giving them the tools & development opportunities to have a successful career. MiniCo has nearly 50 years of experience in program management, underwriting, binding authority, and claims, offering a portfolio of exclusive programs to address even the most unique risk exposures. Our dedicated program teams provide niche underwriting process and flexibility, industry specialization, and unparalleled customer service. Today, MiniCo is a member of the Jencap Program Administrators division, offering multiple specialty property and casualty insurance products for a variety of unique industries and exposures. The Administrative and Operations Specialist will work from our Phoenix, Arizona office. Responsibilities : Serve as MiniCo’s primary day-to-day Phoenix office operations and admin resource, to handle front-office/reception duties, mail and shipping, facilities/vendor coordination, trade-show logistics, and general administrative support. Coordinate reception/phone coverage, messages, deliveries, and general correspondence; escalate insurance-specific questions appropriately. Own incoming/outgoing mail, post-office retrieval, UPS/FedEx/shipping, physical document routing, scanning, storage, and related record-handling procedures. Liaise with building management and external vendors for facilities, maintenance, access, service requests, and office needs. Manage office/kitchen supplies, deliveries, storage areas, shared office records, and general organization. Coordinate employee meetings, office events, celebr

Data Scientist II, Cohere Health, Inc., Boston, Massachusetts (Remote) Duties: Gather business requirements and apply trend analysis to identify actionable insights using analytic tools. Analyze healthcare claims and authorization data to identify outliers, interpret patterns, and assess trends and opportunities. Apply large language models (LLMs), stochastic optimization methods, and related technologies to support decision-making. Monitor industry trends, regulatory changes, and emerging fraud schemes to support detection strategy development, maintain methodology documentation, and present findings to leadership. Train, fine-tune, and implement LLMs and deep learning models for tasks such as anomaly detection, classification, and automated analysis of security-related or operational data. Analyze datasets to assess expected impacts and return on investment, including effects on medical expense, administrative cost, and clinical outcomes. Develop data models, algorithms, and simulations to support analytical objectives. Build visualizations and dashboards to communicate analytical findings and support business workflows. This is a fully remote position and may be performed from anywhere within the United States. Occasional travel to company headquarters in the U.S. for onboarding, team meetings, and company events may be required. Requirements: Must have a Master’s degree in Data Science, Statistics, Biostatistics or related field (willing to accept foreign education equivalent) and 36 months of experience as Analyst or related position analyzing datasets. Must possess three (3) years of experience (may be gained concurrently with above experience) in the following skills: Analyzing healthcare datasets, including EMR/EHR data, medical and pharmacy claims data, and Social Determinants of Health (SDoH) data; Performing data quality analysis to identify data quality issues, gaps, or inconsistencies; Building scalable AWS Airflow pipelines to ingest, integrate, and tr

End to end responsible for: • budget governance and cost predictability by driving planning, reforecasting and variance controls across SBUs/projects. • cost-to-complete and contingency discipline with early-warning insights to protect margins and cashflows. • financial impact assessment of changes, claims and VE decisions to enable faster approvals and risk control. • standardized MIS and corrective action tracking for leadership reviews. Source: Adani Group | Job ID: 59137

The Lead - Billing (MEP) will be responsible for end-to-end billing, quantity surveying, contract administration, and commercial management for Mechanical, Electrical, Plumbing (MEP), Fire Fighting, HVAC, ELV, and Utility works. The role involves preparation and certification of RA bills, contractor and subcontractor billing, client billing, variation management, claims administration, BOQ reconciliation, and cost monitoring for large-scale construction projects including high-rise buildings, industrial plants, data centers, commercial developments, and infrastructure projects. Source: Adani Group | Job ID: 59172

End to end responsible for: • project design integration under D&B by converting product intent into organization’s Requirements and coordinated deliverables. • stage-gate reviews and interface management across Arch–Str–MEP to ensure buildability, compliance and cost alignment. • design change governance with quantified impacts, protecting baselines and reducing claims and rework. • construction-stage design assurance via submittal reviews, mockups and deviation control without duplicating PMC. • Ensures transparent MIS, audit-ready records and SLA-driven closures across stakeholders. Source: Adani Group | Job ID: 54250