Senior Claim Benefit Specialist Jobs

About the Team The Product Marketing team shapes how OpenAI brings its research, models, and products to market. We work across Research, Product, Engineering, Sales, Communications, and Marketing to translate technical advances into clear customer value, compelling market narratives, and go-to-market strategies that drive meaningful adoption. About the Role We’re looking for a senior product marketing leader to shape how OpenAI’s models and research are understood and adopted around the world. You’ll work directly with frontier research teams to understand emerging capabilities and translate them into compelling product strategies, market narratives, and customer experiences. Your scope will span frontier models, specialized models for cybersecurity and life sciences, multimodal capabilities, and the API portfolio that makes these systems accessible to developers and businesses. You’ll build and lead the team responsible for helping customers understand what our models can do, how they’re evolving, and how to deploy them responsibly. In this role, you will: Define the product marketing strategy for OpenAI’s models, research advances, and API portfolio. Embed with Research, Product, and Engineering to understand model capabilities, evaluations, limitations, and technical tradeoffs. Shape how OpenAI explains advances in AI to developers, business leaders, and the broader market. Lead positioning, launches, demonstrations, and adoption strategies across frontier, specialized, and multimodal models. Help customers navigate model selection, API access, privacy, security, and responsible deployment. Bring customer and market insights into research and product decisions. Partner with Sales, Solutions, Partnerships, and regional teams to develop customer narratives, use cases, and enablement. Work with Communications, Safety, Policy, and Legal to ensure technical claims are accurate and grounded. Build and lead a high-performing product marketing team and define success ac

Who are we? Cohere is the leading security-first enterprise AI company. We build cutting-edge foundation AI models and end-to-end products that are designed to solve real-world business problems. We’re training and deploying frontier models for enterprises who are building AI systems. We believe that our work is instrumental to the widespread adoption of AI and we are looking for folks that want to be part of that. We obsess over what we build. Each one of us is responsible for contributing to increasing the capabilities of our models and the value they drive for our customers. Cohere is a team of researchers, engineers, designers, and more, who are all passionate about their craft. We are a global technology company headquartered in Toronto with key offices in London, New York City, San Francisco, Montreal, Paris, Berlin and Seoul. Join us! About the Role Are you passionate about secure-by-design software engineering? Do you want to be at the forefront of AI innovation and enterprise security? Cohere's North team is seeking a Software Engineer with a focus on security to join our mission and make a significant impact. This isn't a review-and-advise role, you'll own and ship production security features that customers rely on every day. Your Role: As a Senior Software Engineer with a security focus, you'll play a pivotal role in building and securing North's architecture. Your responsibilities will include: Software Development: Contributing to the core development of security features such as OIDC/OAuth flows and session management, ensuring North's AI agents are secure Secure Coding: Writing secure code to handle OIDC tokens, user claims, and sensitive data, adhering to best practices for JWT validation and encryption Authentication and Data Protection: Implementing authentication mechanisms including user login, token management, and authorization checks to maintain data integrity Tool Integration: Pulling in new tools to enhance North's security capabilities Dev

ABOUT BASETEN Baseten powers mission-critical inference for the world's most dynamic AI companies, like Cursor, Notion, OpenEvidence, Abridge, Clay, Gamma, and Writer. By uniting applied AI research, flexible infrastructure, and seamless developer tooling, we enable companies operating at the frontier of AI to bring cutting-edge models into production. We're growing quickly and recently raised our $1.5B Series F , led by Altimeter Capital, Conviction Partners, and Spark Capital. Join us and help build the platform engineers turn to ship AI products. THE ROLE This role owns Baseten's relationships and market intelligence across hyperscalers and strategic neoclouds, including NVIDIA cloud partners. This is a technical and commercial role in equal measure: you'll evaluate capacity from the GPU to the data center, negotiate cost and terms with suppliers, and stay close enough to the market to develop and defend a real point of view on where it's heading. Given current market conditions, Baseten needs a much stronger pulse on this part of the market so we can track pricing, stay close to the right relationships, and move fast the moment more capacity is needed. This is a senior, experienced hire who will also help pair with and develop 1-2 junior to mid-level teammates covering the same space. WHAT YOU'LL DO Build and maintain deep relationships across hyperscalers and strategic neoclouds (including NVIDIA cloud partners), working each organization from top to bottom rather than a single point of contact Maintain a consistent, "top of mind" presence with key accounts so Baseten is positioned to move quickly when capacity needs arise Evaluate capacity from the GPU to the data center — hardware generation, rack and node configuration, interconnect, power density, and cooling — so you know what a configuration will actually deliver, not just what the spec sheet claims Live in compute pricing daily: track rates by GPU generation, region, and contract term to keep Baseten inf

Who are we? Cohere is the leading security-first enterprise AI company. We build cutting-edge foundation AI models and end-to-end products that are designed to solve real-world business problems. We’re training and deploying frontier models for enterprises who are building AI systems. We believe that our work is instrumental to the widespread adoption of AI and we are looking for folks that want to be part of that. We obsess over what we build. Each one of us is responsible for contributing to increasing the capabilities of our models and the value they drive for our customers. Cohere is a team of researchers, engineers, designers, and more, who are all passionate about their craft. We are a global technology company headquartered in Toronto with key offices in London, New York City, San Francisco, Montreal, Paris, Berlin and Seoul. Join us! About the Role Are you passionate about secure-by-design software engineering? Do you want to be at the forefront of AI innovation and enterprise security? Cohere's North team is seeking a Software Engineer with a focus on security to join our mission and make a significant impact. This isn't a review-and-advise role, you'll own and ship production security features that customers rely on every day. Your Role: As a Senior Software Engineer with a security focus, you'll play a pivotal role in building and securing North's architecture. Your responsibilities will include: Software Development: Contributing to the core development of security features such as OIDC/OAuth flows and session management, ensuring North's AI agents are secure Secure Coding: Writing secure code to handle OIDC tokens, user claims, and sensitive data, adhering to best practices for JWT validation and encryption Authentication and Data Protection: Implementing authentication mechanisms including user login, token management, and authorization checks to maintain data integrity Tool Integration: Pulling in new tools to enhance North's security capabilities Dev

We believe that the way people interact with their finances will drastically improve in the next few years. We’re dedicated to empowering this transformation by building the tools and experiences that thousands of developers use to create their own products. Plaid powers the tools millions of people rely on to live a healthier financial life. We work with thousands of companies like Venmo, SoFi, several of the Fortune 500, and many of the largest banks to make it easy for people to connect their financial accounts to the apps and services they want to use. Plaid’s network covers 12,000 financial institutions across the US, Canada, UK and Europe. Founded in 2013, the company is headquartered in San Francisco with offices in New York, Washington D.C., London and Amsterdam. We are the first line of defense against fraud and abuse on the Plaid platform. Our mission is to ensure the safety and integrity of our platform for consumers and customers. As a Fraud and Abuse Operations Analyst , you will be responsible for responding to fraud and abuse events, investigating claims, and triaging incidents. We also partner with product and engineering teams to inform and improve fraud mitigation strategies. Responsibilities: Safeguard Plaid's Platform: Participate in the abuse on-call rotation, directly protecting our users and customers by responding to and resolving fraud and abuse events. Your timely actions will be instrumental in maintaining trust and security. Drive Investigations and Mitigate Risks: Investigate fraud and abuse claims from diverse sources, partnering with senior teammates on complex cases. Your findings will inform decisions and strategies, directly impacting Plaid's ability to prevent future incidents and minimize financial losses. Proactively perform threat modeling of abuse surfaces and continuously survey external fraud trends, adversary techniques, tooling, and emerging threat vectors Support Incident Response: Help triage and manage fraud and abuse ev

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 As a Senior Data Insights Specialist, you will be responsible for using SQL, MS Excel, Dataiku, Python, and related applications to determine disruption to existing and potential clients when network changes take place to retain and win business. This position involves making high-level decisions, managing multiple requests/priorities, developing new solutions to simplify the reporting process, and producing both standard and custom reports for multiple lines of business and specific clients regarding retail pharmacy network accessibility. Required Qualifications Experience in SQL, Microsoft Excel, and other relevant applications. Experience with data cleaning, transformation, and/or ETL. Strong analytical and problem-solving skills with the ability to interpret complex data sets. Preferred Qualifications 2&#43; years' of professional analytical experience. Proficiency in Dataiku, Alteryx, or other related ETL applications. Experience with Python. Experience with Salesforce. Working experience in the Pharmacy Benefits Management (PBM) or related healthcare industry. Excellent verbal and written communication skills to effectively interact with internal teams and external clients. Ability to manage multiple requests and priorities in a fast-paced environment.</li

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 We are hiring a Senior Full Stack Software Development Engineer with strong React and Python (with .NET as a nice-to-have) experience to join our Data Engineering team. You will serve as a key senior contributor, driving the end-to-end development of a new, critical internal self-service application. Your work on this software solution will be instrumental in our initiative to modernize how data is accessed and managed, enabling teams across the company to more easily work with their own data through the user-friendly tools you build. This project involves a shift from traditional data handling processes, with your primary focus being on creating a robust application that empowers this new approach to data accessibility and decentralized ownership. About this Role: This is a high-impact, high-autonomy role suited for a detail-oriented and collaborative individual who thrives on ownership, knows how to apply best practices, and can independently design, build, and maintain production-grade software. While you'll be leveraging your core software engineering expertise, you'll also be at the forefront of our data modernization, gaining deep insights into modern data architectures and practices by building the tools that enable them. You will have access to AI tooling to assist in all aspects of the SDLC. Y

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 We are hiring a Senior Product Manager to help lead our Caremark advocacy portfolio, a new, high-priority initiative that sits within an established, well-resourced team. This role will drive the continued development and expansion of Pharmacy Navigator, which is currently in its pilot phase. Pharmacy Navigator offers proactive outreach to Caremark PBM members at potential friction points in their healthcare journey. The role will work on a variety of high-visibility priorities, including feature development, developing client and internal reporting, and expansion of the product into new markets. What you will do: Analyze customer and member needs, pain points, and preferences to guide product development and ensure customer-and-member-centric solutions. Partner with Caremark operations, clinical, and technology teams to define the product vision, set strategic goals, evaluate opportunities, assess member and business impact, and develop business cases and recommendations for scaling the product. Identify opportunities to expand Pharmacy Navigator, including new member pain points, therapeutic areas, formulary and prior authorization transitions, and new lines of business. Identify existing technologies across the organization and determine how they can be leveraged in new product builds. Lead discovery and solutioning effor

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 Senior Data Engineer will be responsible for delivering high quality modern data solutions through collaboration with our engineering, analysts, data scientist, and product teams in a fast-paced, agile environment leveraging cutting-edge technology to reimagine how Healthcare is provided. You will be instrumental in designing, integrating, and implementing solutions on-premise as well supporting migrations of existing workloads to the cloud. The Senior Data Engineer is expected to have extensive knowledge of modern programming languages, designing and developing data solutions. The position is open in a data engineering team that is responsible for processing payer files into our Data Warehouse. Required Qualifications 6&#43; years of experience working with SQL and relational database management systems 3&#43; years of experience in Cloud Data Engineering Platforms such as AWS, GCP, Azure, Databricks, Snowflake etc. 3&#43; years of experience in on-prem Data Engineering Platforms such as Microsoft SQL Server, Oracle, Teradata etc. Programming and modifying code in languages like SQL, Python, and PySpark to support and implement Cloud based and on-prem data warehousing services.</spa

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 Senior Manager, Medicare Product Operations (NCOD) is responsible for providing leadership, operational oversight, and people management for the Non-Clinical Organization Determination (NCOD) team. This leader is accountable for ensuring accurate, timely, compliant, and member-centered coverage determinations while maintaining adherence to CMS regulations, and internal policies. The role oversees a team of managers and analysts responsible for evaluating member requests, issuing organization determinations, maintaining documentation, and supporting appeals- and grievance-related activities. This position serves as a key operational leader, driving quality, compliance, performance, process optimization, workforce development, and cross-functional collaboration. The Senior Manager partners with Compliance, Product, Appeals, Grievances, Eligibility, Technology, and vendor partners to ensure operational excellence and a best-in-class member experience. Responsibilities Include: Strategic Leadership Provides oversight for the NCOD operation, ensuring alignment with organizational goals, regulatory requirements, and member experience objectives. Establishes operational strategies, and performance standards that support long-term scalability and sustainability. Leads implementation of new NCOD workflo

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 As a Digital Analytics Senior Analyst, you will work closely with product teams to evolve and improve our digital experiences for customers and patients. You will use your analytical and problem-solving skills to define success metrics and measurement approaches to ensure our digital experiences stay healthy. You will collaborate with other motivated teammates across UX, Customer Experience Management, IT, Site Optimization, Marketing and Merchandising. Required Qualifications 1&#43; years of relevant experience for those in a CVSH leadership program (such as DAP, Leadership development, GMDP, etc.) OR 2&#43; years of relevant experience for others Preferred Qualifications Knowledge of online analytics tools such as Adobe, Coremetrics, Localytics, Webtrends, etc Experience in Tableau/Power BI, SQL (Teradata, Hadoop, Google Cloud Platform, etc.) Experience with highly quantitative analytics Project oriented, pro-active, and self-motivated work style with proven ability to manage effectively multiple projects and changing priorities in an extremely fast paced environment and constantly deliver superior results within given deadlines Strengths in structured and logical thinking, problem solving, issue resolution, and attention to detail Education - Bachelor’

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 Workday Integration Senior Developer is a specialized technical role responsible for designing, developing, implementing, and maintaining integrations between Workday and other internal or external systems. This role requires deep technical expertise in Workday’s integration tools, integration methodologies, Workday Extend and best practices to ensure data flows smoothly and accurately between Workday and other enterprise and external system. Responsibilities include: Design Integration Solutions: Lead the design and development of integration solutions between Workday and external systems (such as payroll, benefits, HR, finance, or third-party applications). Writes code, develops software components, and implements complex functionalities according to project requirements. Workday Studio: Use Workday Studio to develop complex integrations involving multiple systems, including configuring web services (REST/SOAP), developing transformation logic, and handling data mappings. Workday Extend: Development and Configuration of Workday Extend Apps and Workday Orchestration. Pre-built Connectors: Leverage Workday Cloud Connect and other pre-built connectors to integrate Workday with third-party applications efficiently. Customization: Customize integrations to meet the unique busine

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 Collaborate with other Design, Product, and Development managers to ensure alignment across projects Collaborate with Design and cross functional teams to ensure Design team quality, efficiency and velocity meets team needs Develop deep understanding of customer journeys, personas and segmentation within your portfolio of projects Translate complex cognitive challenges across multiple projects into elegant user experiences delivered across multiple channels Gain stakeholder support for designs by clearly communicating design vision and rationale Conceptualize, design and define breakthrough user experiences, drawing inspiration from research, user goals, and the world around you Required Qualifications 7&#43; years of professional work experience Has a minimum of 5 years’ experience in Desktop, native app design, including XD and visual design Has proven experience in driving and delivering design from initial concepts to in-market experiences Has 3 ye

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 Senior Actuary - Network position within the network analytics team provides the financial tools and analytics to support network strategy in alignment with market/business growth priorities. The market-specific responsibilities will provide individuals with the opportunity to develop in-depth knowledge of market dynamics and to establish strong cross-functional relationships with key business partners, including network, MEU, and commercial actuarial teams. Additional core areas of focus include network discounts, emerging trend analytics, and pricing and contracting support. Key responsibilities will include: Discounts – Develop a quarterly, market-level discount review process to inform Regional Leads and Chief Network Officers of changes in benchmarking based on the latest view, identifying gaps and pressured areas to consider for future negotiations. Provide meaningful information to the field on the impact and expected timing of new negotiations beyond current consultant benchmarking. Emerging Trend Analytics – Engage cross-functionally with Network, MEU, and other teams to drive enhanced contract negotiation strategies using data-driven recommendations for MedRx and Behavioral Health. Pricing – provide support for Aetna Whole Health / APCN Plus (Performance Networks), joint ventures, and narrow network pricing across all

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 Workforce Optimization Manager plays a critical role in shaping and executing workforce strategies. This position leads the end-to-end lifecycle of workforce optimization initiatives. Acting as a trusted advisor, this role partners with leaders across all levels to align workforce plans with business objectives, proactively anticipate organizational needs, and mitigate risk through compliance with employment laws and sound governance. This role has no direct reports but manages an important process within the workforce optimization space. Key Responsibilities Drive end‑to‑end project management for high‑impact workforce optimization initiatives, operating effectively in grey areas where requirements, risks, and stakeholder inputs may be evolving. Partner closely with Government Affairs, Legal, Talent Acquisition, Communications, and HR to scope work, align resources, manage timelines, mitigate risk while managing the project plan. Serve as an enterprise‑wide strategic advisor to leaders at all levels, providing consultative guidance in complex, ambiguous, and high‑impact scenarios where solutions are not clearly defined and require strategic judgment, influence, and risk assessment to inform workforce strategy and future‑state design. Influence talent decisions by evaluating current capabilities against future organizational needs, iden