Benefits Operations Specialist in United States

About the Team The Intelligence & Investigations Engineering team builds systems that detect, analyze, and disrupt abuse across OpenAI’s products. We partner closely with the Child Safety team and cross-functional groups to protect users while advancing OpenAI’s goal of developing AI that benefits everyone. About the Role As a Fullstack Engineer focused on child safety, you’ll build data-intensive, AI-powered applications and infrastructure that enable operators and investigators to work effectively and responsibly. You’ll adapt quickly in ambiguous, fast-moving environments to deliver well-crafted, reliable tooling for high-severity safety work. *Candidates should understand this role involves exposure to sensitive and egregious content. In this role, you will: 4+ years of experience as a software engineer Prototype, build, and maintain intelligence systems that detect, triage, and enable efficient human review of possible high severity harm Work hand in hand with operators and investigators, designing and delivering systems that enable them to do their work faster, more accurately, and more safely. Develop across the stack: UIs, services, pipelines, and anything else required to solve the problems we face. Interact with partners across Product Policy, Platform Integrity, Safety Systems, and Research Contribute to the team’s technical strategy, especially for child safety related tools and systems Report on impact in a data-driven fashion You might thrive in this role if you: Have a strong software engineering foundation and enjoy owning systems end-to-end—from infrastructure and data ingestion to frontend tooling Are energized by working at the frontier of AI capabilities, integrating new models and APIs into practical systems Have experience building and operating large-scale data pipelines or search/retrieval systems Are proficient in Python and/or TypeScript, and familiar with tools like Spark, Kafka, Flink, data warehouses, and SQL Take a product-minded ap

Become a part of our caring community The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Inbound Contacts Representative serves as a primary point of contact for customers, providing support through phone, digital, and written channels. This role handles a variety of customer inquiries, resolves issues, and delivers accurate information while ensuring a positive customer experience. The position performs moderately complex customer service, administrative, and operational support activities, manages semi-routine assignments with minimal guidance, and exercises sound judgment to support quality service and customer satisfaction. As an Inbound Contacts Representative, you will: Respond to customer inquiries by phone, digital, or written channels, including benefits questions, issue resolution, and member education. Accurately document customer interactions, requests, concerns, and resolutions in applicable systems. Research and resolve customer issues, escalating complex or unresolved matters as appropriate. Apply established policies, procedures, and resources to deliver accurate and timely support. Use critical thinking and sound judgment to address customer needs and recommend solutions. Manage workload effectively, prioritize tasks, and meet quality and service expectations. Work independently within established guidelines while supporting customer satisfaction and business objectives. Use your skills to make an impact Required Qualifications 3

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. If you're looking to make a global difference in your next role, this opportunity is for you. Aetna International is seeking an Analyst, Account Manager who is passionate about delivering an exceptional customer experience and supporting the ongoing success of our Access U.S. customers. In this role, you will partner with Account Managers, customers, brokers, and internal business partners to provide day-to-day operational and service support throughout the customer lifecycle. You will help drive customer satisfaction and membership retention through proactive coordination, accurate execution, consultative problem-solving, and timely issue resolution. The Access U.S. business provides comprehensive health benefit solutions for U.S.-based employees of multinational organizations. Through a range of medical plans, wellness programs, digital health tools, global support services, and dedicated account management, Access U.S. helps employers offer competitive benefits while providing members with access to high-quality care and a personalized health care experience. Position Summar y Supports the Account Management team in delivering a consistent, high-quality experience for Access U.S. customers, brokers, and members. Provides operational and administrative support across eligibility, enrollment, benefit documentation, customer service activities, and issue resolution. Collaborat

Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Director, Customer Performance Who is Mastercard? Mastercard is a global technology company in the payments industry, operating as the world’s fastest payment processing network. Our mission is to connect and power an inclusive, digital economy that benefits consumers, financial institutions, merchants, governments and businesses in more than 210 countries and territories. Safety and security are top priorities and we continually find opportunities to make transactions safe, simple, smart, and accessible. Overview: Franchise is core to all Mastercard business. Franchise enables business growth and value, fostering interactions with customers which provides ongoing trust and confidence in the evolving payments and data driven ecosystem. This role enables high-risk acquirers to participate in the Mastercard global ecosystem by engaging directly with customers to improve ecosystem performance and strengthen participants’ understanding of business requirements. About the Role: With the growth of merchant fraud, acquirers must strengthen their screening of new merchants, as well as closely monitor new risk signals in transaction data, while ensuring their merchants remain compliant with local laws and Mastercard standards. To help acquirers achieve this, the Franchise team is looking for a fraud

Become a part of our caring community The Talent Programs Coordinator-Variable Staffing Pool (VSP) supports the successful delivery of leadership development programs through exceptional coordination, logistics management, stakeholder support, and operational execution. You will ensure a seamless experience for participants, facilitators, and partners by managing program logistics, materials, technology, communications, and onsite execution. This is a growth-oriented, individual contributor role and is designed for someone who thrives in a fast-paced environment. You will have operational ownership and will design, deliver, and scale enterprise talent programs to learn and share how they work. While execution is core to the role, you will provide exposure to program strategy, data driven decision making, and process innovation. This role is part of the Variable Staffing Pool( VSP), which pays at an hourly rate. VSP Humana associates work part to full time hours based on business need. VSPs are not eligible for associate bonuses and receive limited benefits, which are effective upon hire. The hours for this role are generally aligned based on the associate and business task at hand. Key Responsibilities Program Coordination and Execution Coordinate logistics and operational activities for leadership development, talent, and early in career learning programs. Manage multiple programs, cohorts, timelines, and deliverables simultaneously. Develop and maintain project plans, checklists, schedules, and run-of-show documents to ensure flawless execution. Logistics, Materials & Vendor Management Coordinate program materials, printing, inventory, shipping, and supply management. Manage relationships and logistics with facilities, catering, venues, AV teams, and other partners. Ensure meeti

About the Team OpenAI's Compensation team plays a crucial role in rewarding and retaining world-class talent who will ensure that artificial general intelligence benefits all of humanity. By crafting and implementing innovative compensation strategies, we ensure our compensation offerings are competitive, equitable, and aligned with OpenAI's mission to scale intelligently and ethically. About the Role We are expanding our Compensation team and seeking a Compensation Business Partner to help build the compensation pillar for our go-to-market organization. This is a hands-on individual-contributor role for someone who brings deep GTM compensation expertise and enjoys turning evolving business needs into practical, scalable programs. As a member of the total rewards team, you will partner closely with GTM leaders, HR Business Partners, Recruiting, Finance, and other cross-functional teams. You will spearhead compensation work across benchmarking, offer review, program design, and job architecture, with particular focus on the needs of a rapidly growing commercial organization. The shape of the work will evolve as the business grows. At times, you may independently lead key initiatives from strategy through execution. At other times, you will work alongside additional compensation partners and cross-functional resources. Success in this role requires comfort operating with ambiguity, strong judgment, and a willingness to stay close to the details while building for scale. This is an individual contributor role, designed for a subject-matter expert and hands-on builder. In this role, you will: Build and evolve compensation programs that support OpenAI’s growing GTM organization. Serve as a trusted compensation advisor to GTM leaders, HR Business Partners, Recruiting, and Finance. Lead compensation analysis and approval for offers, balancing market context, internal consistency, and OpenAI’s compensation philosophy. Own benchmarking and market analysis for GTM roles, tran

About the Team The Intelligence and Investigations team seeks to rapidly identify and mitigate abuse and strategic risks to ensure a safe online ecosystem. We are dedicated to identifying emerging abuse trends, analyzing risks, and working with our internal and external partners to implement effective mitigation strategies to protect against misuse. Our efforts contribute to OpenAI's overarching goal of developing AI that benefits humanity. The Strategic Intelligence & Analysis (SIA) team provides safety intelligence for OpenAI’s products by monitoring, analyzing, and forecasting real-world abuse, geopolitical risks, and strategic threats. Our work informs safety mitigations, product decisions, and partnerships, ensuring OpenAI’s tools are deployed securely and responsibly across critical sectors. About the Role As an Agentic Risk Analyst, you will shape OpenAI’s operating picture for current agentic risk across products and platforms. You will bring a strategic, system-level perspective to current risks, connecting individual incidents, technical findings, abuse patterns, and external developments to relevant workstreams, mitigations, owners, dependencies, and residual gaps. You will analyze how risks emerge through autonomy, multi-step task execution, tool use, memory, retrieval, connectors, computer-use capabilities, and multi-agent workflows, with a particular focus on both adversarial misuse and unintended system behavior. By synthesizing signals from investigations, evaluations, red teaming, security reviews, product launches, external research, and real-world incidents, you will maintain a current view of material risks and evolving threat patterns. Your work will help turn complex and often ambiguous signals into coordinated decisions and measurable follow-through across product, safety, security, policy, and governance teams. You will work closely with investigators, engineers, product, policy, safety, and security teams, and measurement and forecasting

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. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond the bedside? Join our team and use your clinical expertise to ensure members receive the right care at the right time. What You’ll Do Review clinical cases and make coverage determinations using evidence-based guidelines Collaborate with providers and care teams to coordinate appropriate treatment Apply clinical judgment to support utilization and benefit management decisions Identify opportunities to improve care quality and member outcomes Serve as a clinical resource across internal and external stakeholders What You Bring - REQUIRED Active, unrestricted RN license in the state of residence. 3&#43; years of RN experience, including 1&#43; year in Med/Surg Strong clinical assessment and decision-making skills Experience with Microsoft Office (Outlook, Teams, Excel) Ability to work Monday–Friday, 9:00 AM–6:00 PM in your time zone. Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours Associate Degree in Nursing Nice to Have Utilization Management or Prior Authorization experience Managed care background</l

Become a part of our caring community The Dental Recontracting Professional initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides dental insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This is a VSP role - work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. The Dental Recontracting Professional - VSP will recontract Humana contracted dentists to our new agreement and as needed will communicates contract terms, payment structures, and reimbursement rates to providers. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures and work special projects as needed. This role is Variable Staffing Pool (VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. This role is also eligible for limited benefits. Use your skills to make an impact Required Qualifications 2 - 5 years of experience negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a dental office Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures a

Become a part of our caring community Humana is seeking a Lead Product Manager, Medication Experience & Pharmacy Solutions to lead the strategy, discovery, delivery, and optimization of digital experiences that help members understand, manage, and maximize the value of their prescription benefits. This highly visible role sits at the intersection of pharmacy, health insurance, member experience, and digital product innovation. The Lead Product Manager will own the product lifecycle end-to-end, from identifying customer and business opportunities through defining features and stories, partnering across Design and Engineering, driving delivery, and measuring outcomes. Success requires strong strategic thinking, customer obsession, analytical rigor, and the ability to influence cross-functional stakeholders in a highly matrixed environment. The role directly supports Humana's goals of improving member experience, increasing digital engagement, reducing friction in medication-related journeys, and helping members make informed healthcare decisions. Why Join This Team This role offers a unique opportunity to solve meaningful healthcare problems at scale. You will help millions of members better understand their benefits, manage medications, reduce prescription costs, and make more informed healthcare decisions. Unlike many product organizations, our Product Managers own the entire product lifecycle, providing an uncommon level of ownership, accountability, and impact from strategy through implementation and measurement. Responsibilities Define and execute product strategy, vision, and roadmap for Medication Experience and Pharmacy Solutions Identify member, business, and operational opportunities through research, analytics, VOC, and stakeholder insights Lead product discovery efforts to validate problems, oppor

Become a part of our caring community Are you ready for a great job? The Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Analyst work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action The Value-Based Programs Analyst understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas to include, but not limited to: the Value-Based organization, Enrollment, Product Development, Market Finance, Corporate Finance, Actuarial, Network Contracting, and National Contracting. Analyzes provider financial patterns and trends utilizing excel and/or SQL Updates, maintains, and reviews fee scheduling and pricing structures Thoroughly reviews provider contracts and ensure rates are priced and applied accurately Identifies process recommendations and ensures compliance with government regulations Collaborates and communicates with internal partners of all professional levels within various departments The ideal applicant will have the following skills: Problem Solving Provider Management Relationship management Consumer Experiences Confidentiality Data Analysis Detail-Oriented Written Communication In addition to being a great place to work, Humana also offers industry-leading benefits for all employees, starting your FIRST day of employment. Benefits include: Medical Benefits Dental Benefits Vision Benefits Health Savings Accounts Flex Spending Accounts Life Insurance 401(k) PTO including

About the Team The Real Estate & Workplace (REW) team creates and operates the workplaces and services that help OpenAI employees do their best work. Within Workplace Experience, Transportation connects our global office network through programs designed around employee needs, local conditions, and operational excellence. About the Role As Global Transportation Program Sr. Manager, you will own the strategy, expansion, and day-to-day performance of OpenAI’s employee transportation programs. You will make it easier for employees to get to and between our workplaces through reliable, accessible, and cost-effective commuting options. We’re looking for a builder who has launched and scaled employee transportation programs across countries in a fast-growing organization. You will translate our global workplace expansion plans into a transportation roadmap, establishing the systems, vendor partnerships, and operating practices needed to support new markets and growing offices. You’ll balance global consistency with local needs, creating repeatable approaches that enable local teams to deliver reliable service as the company scales. Location and work model : San Francisco, CA based, with required travel up to 10% to our global offices. This role will be in office Monday - Wednesday, with the option to work from home Thursdays and Fridays. In this role, you will: Own a global transportation expansion roadmap aligned with office openings, headcount growth, and changing commute demand. Prioritize investments, forecast capacity and costs, and lead launches from market assessment through operational readiness and ongoing service delivery. Manage the global employee transportation portfolio across shuttles, parking, micromobility, transit and commuter benefits, and EV charging. Determine the right service mix for each market based on employee needs, local infrastructure, accessibility, and cost. Build a scalable operating model across regions, including repeatable launch pla

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. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. This position is focused on assisting members in: Kankakee, Iroquois, Livingston, Ford, Champaign and surrounding counties. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Fundamental Components • Evaluation of Members: Through the use of care management tools and information/data

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. Requisition Job Description Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources Required Qualifications • Must reside in the state of Illinois •Must possess reliable transportation and be willing and able to travel up to 50-75% of the tim

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. Schedule: Monday-Friday 8AM - 5PM Travel: Up to 55-75% travel in and around Yale New Haven, CT. Position Summary Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Family Summary/Mission Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, and supports Health Strategies, tactics, policies, and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strateg