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<h3>Job Description</h3>
Job Description
Let’s do great things, together!
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
 Position Summary We are currently seeking a skilled and dedicated pharmacist to join our clinical pharmacy team. In this role, you will have the exciting opportunity to focus on the vital prior authorization functions of our work. Your primary responsibilities will involve making coverage determinations and completing appeal requests, using your clinical expertise to provide coverage decisions based on established criteria, guidelines, and specific plan design. By joining our team, you will be part of a dynamic environment where you can make a significant impact on patient care and contribute to the overall success of our healthcare organization. This is FT WFH position. 
Pay Range
$101,855.89 - $129,864.20 (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
 Please fill out an application on our company page, linked below, to be considered for this position.
<a href="https://j.brt.mv/jb.do?reqGK=27766012&amp;refresh=true" target="_blank">https://j.brt.mv/jb.do?reqGK=27766012&amp;refresh=true</a>
 Benefits:
<ul>
<li>Medical, Dental, Vision, Pharmacy, Life, &amp; Disability</li>
<li>401K- Matching</li>
<li>FSA</li>
<li>Employee Assistance Program</li>
<li>PTO and Company Paid Holidays</li>
</ul>
 Required Skills, Experience &amp; Education:
<ol>
<li>Current active and unrestricted Oregon Registered Pharmacist license, or eligible for Oregon licensure which is to be obtained within 60 days of hire date</li>
<li>Effective communication and interpersonal skills to interact with healthcare providers, internal teams, and external stakeholders</li>
<li>Commitment to service, organizational values, and professionalism through appropriate conduct and demeanor always</li>
<li>Works well under pressure with frequent interruptions and shifting priorities</li>
<li>Follow the company HR policies, Code of Conduct, and all department policies and procedures including protecting confidential company, employee, and customer information</li>
</ol>
Preferred Skills
<ol>
<li>Doctor of Pharmacy degree (Pharm.D.)</li>
<li>Experience in clinical therapeutics for specialty drugs </li>
<li>Two to three years of managed care experience</li>
</ol>
Primary Functions:
<ol>
<li>Evaluate medication requests for coverage (e.g., prior authorization reviews, non-formulary requests, step therapy exceptions), conducting thorough clinical reviews and assessing their compliance with established clinical guidelines, formularies, and policies</li>
<li>Provide prior authorization pharmacist coverage for rotating weekends and holidays</li>
<li>Provide ad hoc or on call support for urgent medication requests and provide internal pharmacist support to the pharmacy team, appeals unit, and customer services department</li>
<li>Perform coverage determination reviews for all lines of business (i.e., commercial, exchange, government) for pharmacy and medical (physician-administered or home infusion) medications</li>
<li>Participate in the appeals and grievances process by providing clinical expertise and reviewing medication-related appeals and complaints</li>
<li>Complete medical literature evaluation using primary, secondary, and tertiary drug resources to support coverage decision-making and recommendations </li>
<li>Perform peer-to-peer reviews with providers when requested </li>
<li>Make recommendations on medication edit improvements (e.g., programming) and coverage criteria, based on utilization and findings during coverage determination reviews</li>
<li>Provide clear, comprehensive, and timely responses to requests for drug information to members, clients, providers, and internal staff via detailed and thorough documentation within coverage determinations, appeal documentation, and email inquiries</li>
<li>Organize workload, set priorities, complete assignments in a timely manner and utilize resources appropriately while complying with department program standards</li>
<li>Participate in and support department quality assurance and ongoing improvement practices</li>
<li>Remain current on all communications and updated processes relayed through multiple team communication channels and apply to daily duties and responsibilities</li>
<li>Support staff training and development as required</li>
<li>Review, update, and maintain applicable policies and procedures related to clinical pharmacy services </li>
<li>Performs all other related duties as assigned by departmental managers</li>
</ol>
 Working Conditions &amp; Contact with Others
<ul>
<li>Remote, office environment, and/or hybrid with extensive close PC and keyboard work, and constant sitting. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business needs. May require occasional travel to conferences or offsite business meetings.</li>
<li>Internally with Clinical Pharmacy, Analytics, Marketing, Sales &amp; Account Services, Actuary &amp; Underwriting, Healthcare Services, Medicare and Medicaid Programs, Benefits, Legal, Regulatory Affairs, and Compliance. Externally with PBM, medical management vendor, pharmaceutical and biotechnology manufacturers, consultants and benefit managers, clients, providers, and pharmacists.</li>
</ul>
Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler &amp; Danielle Baker via our <a href="mailto:humanresources@modahealth.com" target="_blank">humanresources@modahealth.com</a> email.

Prior Authorization Pharmacist

<h3>Job Description</h3>
Job Description
Let’s do great things, together!
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
 Position Summary We are seeking a Manager of Pharmacy Business Development with a focus on industry relations. The domain expertise to be successful in this role requires foundational clinical pharmacy experience, accompanied by a high degree of business acumen, and an interest and passion for partnering closely with pharmaceutical and biotechnology companies, and other vendor partners who engage in contracting opportunities such as rebate management, and clinical programs. Overall, this position is responsible for development of strategic formulary approaches for the management of medications across the medical and pharmacy benefits, driving to low net cost medication utilization. This position includes reviewing rebate initiatives for medications covered under the pharmacy and medical benefits, across various lines of business including commercial, Exchange, Medicare and Managed Medicaid. The role includes facilitating or supporting the implementation of projects or activities with both external and internal stakeholders and articulating this value as necessary. The ideal candidate resides near or within commuting distance of our Portland, Oregon office to support a hybrid work arrangement, however, remote status will also be considered. 
 Pay Range $134,104.74 - $170,987.17 annually (depending on experience) *This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
 Please fill out an application on our company page, linked below, to be considered for this position.
<a href="https://j.brt.mv/jb.do?reqGK=27766011&amp;refresh=true" target="_blank">https://j.brt.mv/jb.do?reqGK=27766011&amp;refresh=true</a>
 Benefits:
<ul>
<li>Medical, Dental, Vision, Pharmacy, Life, &amp; Disability</li>
<li>401K- Matching</li>
<li>FSA</li>
<li>Employee Assistance Program</li>
<li>PTO and Company Paid Holidays</li>
</ul>
 Required Skills, Experience &amp; Education:
<ol>
<li>Doctor of Pharmacy degree (Pharm.D.) preferred, or Bachelors of Pharmacy degree.</li>
<li>Current active and unrestricted Oregon Registered Pharmacist license, or eligible for Oregon licensure which is to be obtained within 60 days of employment. </li>
<li>Past supervisory experience managing a team.</li>
<li>Three to five years of managed care experience, time can be inclusive of training from an accredited managed care residency program.</li>
<li>Experience with Commercial, Medicare, and/or Medicaid lines of business.</li>
<li>Experience managing contracts, particularly with biopharmaceutical manufacturers and other pharmacy vendors.</li>
<li>Technical understanding of pharmacy claims processing information and systems.</li>
<li>Strong analytical skills and business acumen.</li>
<li>Ability to communicate and present technical information appropriate for the audience.</li>
<li>Ability to work independently and collaborate cross-functionally with various stakeholders.</li>
<li>Project management skills and the ability to plan and execute projects as assigned.</li>
<li>Commitment to service, organization values, and professionalism.</li>
<li>Ability to maintain confidentiality and project a professional business image.</li>
<li>Works well under pressure with frequent interruptions and shifting priorities.</li>
<li>Ability to work independently.</li>
<li>Proficient with Microsoft Office applications such as Word, Excel, Outlook, and PowerPoint.</li>
</ol>
Primary Functions:
<ol>
<li>Lead industry relations and rebate strategies for medical and pharmacy benefit medications, and new and emerging therapies, across all lines of business.</li>
<li>Oversee all rebate partners and lead evaluations of new potential partners.</li>
<li>Identify and negotiate direct contracts with biopharmaceutical partners.</li>
<li>Identify, manage, and assess the value of unique vendor partnerships to advance pharmacy programs, including drug information resources, medical management organizations, digital therapeutics, and point of service solutions.</li>
<li>Responsible for ensuring compliance with rebate contracts, rebate terms within client contracts, and contracts held with other vendor partners.</li>
<li>Lead rebate modeling and optimize rebate scenarios and bid selections based on client specific goals and strategies.</li>
<li>Oversee pipeline developments, including market events and material changes to therapeutic categories, for new and emerging therapies, specialty, and traditional medications, and keeps internal and external stakeholders apprised of such events. Develops educational materials as needed.</li>
<li>Leads custom formulary rebate offerings and recommendations for downstream clients.</li>
<li>In collaboration with other pharmacy leaders, develop enterprise-wide industry relations strategy.</li>
<li>Oversee, develop and manage Moda’s Industry Relations team.</li>
<li>Lead rebate offerings for existing therapeutic strategies which support ongoing formulary performance, but also identify new opportunities either as contracting changes or new market entrants are FDA-approved.</li>
<li>Work closely with vendor partners (PBM, medical management companies, others) on policy or formulary changes driven by cost analysis, including rebate considerations or contracting.</li>
<li>Support and/or lead client facing presentations within industry relations as necessary.</li>
<li>Responsible for information gathering with legal and/or regulatory teams to understand impact to current formulary strategies, with financial implications, to anticipate or plan for any potential compliance driven update due to changes in existing, or new and emerging states of business. </li>
<li>Monitor, anticipate changes, and prepare for pipeline and market events.</li>
<li>Develop concise, applicable, comprehensive, and timely communiques as assigned for members, providers, internal, or external stakeholders.</li>
<li>Provide clinical support services that intersect industry relations or business development, including but not limited to benefit design, formulary analysis, drug information, P&amp;T participation, client support, and drug utilization management.</li>
<li>Contribute, update, and maintain policies and procedures related to industry relations. </li>
<li>Complete significant projects and performs all other related duties as assigned.</li>
<li>Follow the company HR policies, Code of Conduct, and all department policies and procedures including protecting confidential company, employee, and customer information. </li>
</ol>
 Working Conditions &amp; Contact with Others
<ul>
<li>Remote, office environment, and/or hybrid with extensive close PC and keyboard work, and constant sitting. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business needs. May require occasional travel to conferences or offsite business meetings.</li>
<li>Internally with Clinical Pharmacy, Analytics, Marketing, Sales &amp; Account Services, Actuary &amp; Underwriting, Healthcare Services, Medicare and Medicaid Programs, Benefits, Legal, Regulatory Affairs, and Compliance. Externally with PBM, medical management vendor, pharmaceutical and biotechnology manufacturers, consultants and benefit managers, clients, providers, and pharmacists.</li>
</ul>
Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler &amp; Danielle Baker via our <a href="mailto:humanresources@modahealth.com" target="_blank">humanresources@modahealth.com</a> email.

Manager, Pharmacy Business Development

<h3>Job Description</h3>
Job Description
*Position coming up in November*
 
Customer service order processing experience in a call center or supplier/office. Call center environment or&nbsp;in home improvement industry order processing, special order desk, or similar experience in a telephone customer service role. 
 
18months or more experience, Competent using MS Outlook, Excel, and Word. Touch typing at 35wpm and above. Ability to multi-task is essential.
 
Excellent phone skills to handle inbound/outbound calls. Assist customers with order status, delivery assistance, special orders, and troubleshooting. 
 
Company trains for this position for a few weeks, and regular, punctual attendance is needed. M-F 8a-5p with 1 hour overtime on Wednesday mornings (7am start each Wednesday) May be asked to work occasional Saturdays.
 
<ul>
<li>Quote processing &amp; follow-up</li>
<li>Order input</li>
<li>Shipment tracking and updating</li>
<li>Outbound update calls to customers</li>
<li>Proficient using spreadsheets</li>
</ul>
Temporary-to-hire position.
 
$19.25/hr to start, up to $20 once hired w/benefits. After 90 days, you will have the opportunity to learn products lines with pay increases to your hourly wage, between .25c-$1.25/hour upon passing a written and actuary test.
 
High diploma/GED or equivalent, background check when being hired as a regular employee

Call Center Rep/Customer Service Quotes & Order Processing

<h3>Job Description</h3>
Job Description
Job Information
Job Title
Insurance Product Technical Manager
Home Department:
Insurance Product
Employment Status:
Exempt; Full-time
Schedule:
40 hours/week with Flexible Scheduling Opportunities&nbsp;
Position Location:
Corporate office, Hybrid, or Remote Worker

This position offers flexible remote/hybrid work scheduling and we are targeting candidates who are located within the 9 states which Society conducts business in. Visit us at&nbsp;<a href="https://societyinsurance.com/" target="_blank">https://societyinsurance.com/</a> to learn more.

Overview
Protecting our policyholders’ dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.
We’re excited to share the creation of a brand-new position at Society Insurance – Insurance Product Technical Manager – a role designed to bridge the gap between product development, underwriting, operations, and technology. &nbsp;The Insurance Product Technical Manager plays a pivotal role in the product management lifecycle by overseeing the technical integrity, regulatory compliance, and operational efficiency of insurance products across the organization. &nbsp;This position leads three specialized teams – Product Maintenance, User Acceptance Testing (UAT), and Regulatory &amp; Statistical Reporting – to ensure products are accurately maintained, thoroughly tested, and fully compliant with industry standards and government regulations. &nbsp;In short – this position is at the heart of how we connect insurance expertise with technology execution, helping us serve our agents, partners, and policyholders more effectively.&nbsp;
About the Role&nbsp;
<ul>
<li>Uses a strong understanding of underwriting, claims, actuary, and sales that enables them to effectively contribute to decision making and execution.</li>
<li>Navigates ISO (Insurance Services Office), NCCI (National Council on Compensation Insurance) and works with maintaining currency, leveraging ISO / NCCI base, circulars, ERC (Electronic Rating Content), etc.</li>
<li>Demonstrates a holistic view of the systems, processes, and applications they support.</li>
<li>Product Maintenance Team Leadership:
<ul>
<li>Oversees ongoing updates and configurations of insurance products within internal systems.</li>
<li>Ensures product definitions, rates, rules, and forms are accurately implemented and maintained.</li>
<li>Collaborates with actuarial, underwriting, and IT teams to support product lifecycle changes.</li>
</ul>
</li>
<li>User Acceptance Testing (UAT) Team Leadership:
<ul>
<li>Leads the planning, execution, and documentation of UAT for new and updated insurance products.</li>
<li>Develops test strategies and scripts to validate system functionality and business requirements.</li>
<li>Coordinates cross-functional testing efforts and ensure timely resolution of defects.</li>
</ul>
</li>
<li>Regulatory &amp; Statistical Reporting Team Leadership:
<ul>
<li>Ensures timely and accurate submission of regulatory filings and statistical reports.</li>
<li>Monitors changes in state and federal insurance regulations and implement necessary updates.</li>
<li>Liaise with product, compliance and legal teams to interpret reporting requirements and maintain audit readiness.</li>
<li>Completes necessary administrative work by (including but not limited to) approving timecards; approving PTO and flextime requests, and completing yearly salary administration.&nbsp;</li>
</ul>
</li>
</ul>
About You&nbsp;
<ul>
<li>You enjoy coaching and developing others.</li>
<li>You are decisive and make rational fact-based decisions.&nbsp;</li>
<li>You motive others to achieve and exceed business goals.</li>
<li>You clearly communicate expectations and empowers others to take responsibility.</li>
<li>You inspire commitment and foster an alignment with organizational goals and values.</li>
<li>You take a systematic approach in streamlining workflows to improve efficiency, effectiveness, and adaptability.&nbsp;</li>
</ul>
What it Will Take
<ul>
<li>Bachelor’s degree in a business-related field or an associate’s degree in insurance, business, or related field, or equivalent experience holding positions with increasing responsibilities.</li>
<li>7-10 years of Property and Casualty insurance industry experience.</li>
<li>Experience in a leadership role, such as a team lead or similar position demonstrating the ability to inspire and motivate others, provide mentorship, and guide teams toward achieving common goals. &nbsp;</li>
<li>Expertise in commercial P&amp;C insurance products and policy construction, including coverage structure and rating/pricing plans.&nbsp;</li>
<li>Experience with ISO, NCCI, and working with maintaining currency, leveraging ISO / NCCI base, circulars, ERC, etc.</li>
<li>Experience working within a SAFe agile environment to deliver and manage products.</li>
<li>Strong analytical skills to conduct results reviews on the performance of existing and new products.</li>
<li>3+&nbsp;years of management or supervisory experience highly desirable.</li>
<li>Strong understanding of insurance systems, product configuration, and compliance frameworks highly desirable.</li>
<li>Additional insurance education and designation work (CPCU or other related insurance designations) are highly desirable.</li>
</ul>
What Society Can Offer&nbsp;
<ul>
<li>Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance</li>
<li>Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan</li>
<li>Work-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options</li>
<li>Education: Career Coaching; company-paid courses; student loan and tuition reimbursement</li>
<li>Community: Charitable Match; paid volunteer time; team sponsorships</li>
<li>Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more</li>
</ul>
Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws.
 
PIf3a144d4553d-25405-38859167

Insurance Product Technical Manager

<h3>Job Description</h3>
Job Description
ACTUARIAL ASSOCIATE - REMOTE POSITION
K2 Insurance Services, LLC is seeking a full-time ACTUARIAL ASSOCIATEto join its actuarial team. 
K2 Insurance, through its affiliated insurance companies and agencies, continues to expand its product offerings and distribution by developing new insurance programs and increasing the number and geographic diversity of its marketing, sales, underwriting, and support staff. 
The Actuarial Associate will report to the Chief Actuary and play a key role in performing and communicating actuarial analyses across a wide range of K2’s insurance products. This position offers the opportunity to not only execute technical work but also to interpret results, provide insights, and collaborate across teams to drive data-informed decisions. Key functions will include the implementation of sound actuarial policies and practices for the purposes of pricing, underwriting, statistics, reserving, forecasting, and other actuarial functions in order help K2 meet its financial objectives.
 Responsibilities include:
<ul>
<li>Perform profitability analyses and develop indications for a wide variety of insurance lines of business: Property, Workers Comp, General Liability, Commercial Auto, Professional Liability, etc.</li>
<li>Assist with analysis and implementation of changes to existing insurance products as well as the development of new products.</li>
<li>Translate analytical findings into actionable insights and clearly communicate results and recommendations to actuarial and non-actuarial stakeholders.</li>
<li>Demonstrate curiosity and ownership when analyzing data by proactively identifying trends, anomalies, or data quality issues and raising thoughtful questions or recommendations.</li>
<li>Support decision-making by researching new business opportunities and analyzing data to advise senior management on profitable business segments.</li>
<li>Monitor financial and underwriting results to identify emerging trends and risks.</li>
<li>Create forecasts and estimates, summarizing them in analyses and reports.</li>
</ul>
<ul>
<li>Use best practices and traditional statistical/modeling techniques to develop and maintain rating, economic, and other models as necessary and in consideration of the business goals of the model.</li>
<li>Collaborate closely with peers to share learnings, review work for accuracy, and continuously improve team processes.</li>
<li>Take ownership for completing analyses and deliverables in a timely, accurate, and organized manner.</li>
<li>Contribute to market share growth and profitability by recommending changes to products, pricing, and risk management.</li>
<li>Understand and follow internal and external compliance requirements/standards.</li>
</ul>
Ideally, the Actuarial Associate will have: 
<ul>
<li>Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, or related field required.</li>
<li>4 to 7 years of P&amp;C actuarial experience, preferably with a focus on commercial lines pricing.</li>
<li>Progress toward ACAS designation with a minimum of 5 exams passed.</li>
<li>Experience with insurance rate making methodologies and pricing techniques.</li>
</ul>
<ul>
<li>Solid understanding of financial concepts related to P&amp;C insurance.</li>
<li>Proficiency in SQL for data extraction and manipulation. Experience with R/Python is a plus.</li>
<li>Familiarity with data visualization tools (Power BI, Qlik, Tableau) is helpful.</li>
<li>Excellent analytical/problem solving and data analysis skills.</li>
<li>Excellent presentation and verbal/written communication skills, including the ability to clearly present findings and engage in collaborative discussions.</li>
<li>Self-starter with a proactive mindset who takes initiative in identifying next steps and driving work to completion.</li>
</ul>
Salary: $125,000 - $155,000 per year, commensurate with experience.
K2 Insurance offers the opportunity to join an established company in growth mode. Our pay and benefits program includes competitive salary; bonus plan; medical, dental, and vision insurance with no waiting period; paid time-off in year of hire; and 401(k) with employer match. 
Learn more about K2 Insurance Services at <a href="http://www.k2ins.com" target="_blank">www.k2ins.com</a>. If K2’s Actuarial Associate opportunity seems like a good fit for you, please send your resume with cover letter and salary requirements to <a href="mailto:careers@aegisfirst.com" target="_blank">careers@aegisfirst.com</a> as soon as possible.

Actuarial Associate - REMOTE

<h3>Job Description</h3>
Job Description
Company continues to grow!
Customer service order processing experience in a call center or supplier/office.
 
18months or more experience in a call center environment or&nbsp;in home improvement industry, remodeling, etc.&nbsp;Special order desk or similar experience may fit, too.
 
Excellent phone skills to handle inbound/outbound calls. Assist customers with order status, delivery assistance, special orders, and troubleshooting. Company trains for this position for a few weeks, and regular, punctual attendance is needed. M-F 8a-5p with 1 hour overtime on Wednesday mornings (7am start each Wednesday) May be asked to work occasional Saturdays.
 
Competent using MS Outlook, Excel, and Word. Touch typing at 35wpm and above. Ability to multi-task is essential.
<ul>
<li>Quote processing &amp; follow-up</li>
<li>Order input</li>
<li>Shipment tracking and updating</li>
<li>Outbound update calls to customers</li>
<li>Proficient using spreadsheets</li>
</ul>
Temporary-to-hire position.
 
$19.25/hr to start, up to $20 once hired w/benefits. After 90 days, you will have the opportunity to learn products lines with pay increases to your hourly wage, between .25c-$1.25/hour upon passing a written and actuary test.
**Company will begin reviewing resumes and starting interviews soon.
 
High diploma/GED or equivalent, background check when being hired as a regular employee

Call Center Rep/Customer Service Team

<h3>Job Description</h3>
Job DescriptionAccompany Health is on a mission to give low-income patients with complex needs the dignified, high-quality care they deserve but rarely receive. A primary, behavioral, and social care provider, Accompany Health walks alongside patients for their entire care journey, offering at-home and virtual care, as well as 24/7 support. Partnering with innovative payors, Accompany Health is powered by remarkable care teams, elegant technology, and a commitment to evidence-based practice.&nbsp; We build long-term relationships with our patients so they know, without question, that our team is here for them day or night, year after year. We focus on the health outcomes most important to our patients to make it clear that they lead the way. To achieve our mission, we collaborate with community-based organizations, local providers, and health plans. Led by our empathetic care teams, guided by proven care models, and powered by our own technology, we deliver a level of service that our communities rightfully deserve but rarely receive.&nbsp; While our headquarters is in Bethesda, MD, our teams are distributed across the country.&nbsp; If you’re eager to make a tangible difference in people’s lives, to help correct long-standing disparities in health care, join us.&nbsp; About the role: As an Actuarial Manager, Medical Economics, you will report directly to the Chief Actuary and play a key role in shaping how Accompany Health designs, measures, and optimizes its care model. This is a hybrid role at the intersection of actuarial science, health economics, and clinical operations strategy — applying quantitative rigor to understand how our care delivery model creates value and improves patient outcomes. You will partner closely with Clinical, Operations, and Finance leadership to design new programs, forecast their expected impact, and evaluate actual performance against expectations. Your work will help quantify how clinical and operational decisions influence medical costs, risk adjustment revenue, and patient outcomes — providing the analytic foundation for strategic decisions across the organization. This position is ideal for an actuary who wants to go beyond trend measurement and reserves — someone eager to help design and evaluate interventions that improve health outcomes and lower costs while building the analytic frameworks that define the next generation of accountable care. Desired skills and experience:
<ul>
<li>Required:</li>
<li>Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, or related field.</li>
<li>ASA or near-ASA</li>
<li>5+ years of actuarial, healthcare analytics, or related professional experience.</li>
<li>Strong analytical and technical skills, with proficiency in Excel and exposure to SQL, Python, R, or similar tools.</li>
<li>Ability to work with large healthcare datasets and synthesize findings into actionable insights.</li>
<li>Strong attention to detail, organizational skills, and ability to manage multiple priorities in a fast-paced environment.</li>
<li>Preferred</li>
<li>Experience working with government healthcare programs, such as Medicare, Medicare Advantage, and Medicaid</li>
<li>Prior experience in Value-Based Care</li>
<li>Prior experience with analytic and modeling tools and software (SAS, SQL, Python, R, etc)</li>
</ul>
 What makes you a fit for the team:
<ul>
<li>You want to take your actuarial career to the next level by tackling some of healthcare’s toughest problems</li>
<li>You thrive in a startup environment, comfortable with ambiguity and shifting priorities</li>
<li>You excel at aligning diverse, cross-functional stakeholders - both technical and non-technical - around data-driven insights</li>
</ul>
The base salary range for this full-time position is $120,000 - $185,000 + equity + benefits.&nbsp; Our salary ranges are determined by role, level, and location.&nbsp; The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position.&nbsp; Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training.&nbsp; Our talent team can share more about the specific salary range for your preferred location during the hiring process.#LI-Remote#LI-LB1 For Patient Facing RolesTo keep our patients, communities and each other safe, you'll be required to comply with Accompany Health’s medical clearance requirements, including completing a TB screen and providing proof of immunity or vaccination for certain conditions. This is a condition of employment, and we make exceptions as required by law. Accommodation for religious and medical beliefs will be provided on a case by case basis. We embrace diversity and believe it creates a healthier atmosphere:&nbsp; Accompany Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Actuarial Manager

<h3>Job Description</h3>
The Opportunity
We’re seeking a Talent Acquisition Consultant with experience recruiting for actuarial, Quantitative, and Risk talent for mid-career and management roles. You’ll bring deep expertise in full-cycle recruitment, from intake and sourcing to offer negotiation, with a strong focus on building high-performing talent pipelines. You’ll partner closely with business leaders to understand workforce needs, shape hiring strategies, and deliver a best-in-class candidate experience.
The Team
Our Talent Acquisition team is a dynamic group of collaborative problem solvers committed to delivering exceptional experiences for candidates and hiring managers. We embrace innovation, leverage modern recruiting tools, and foster a culture of inclusion, agility, and continuous learning. The Corporate Functions Talent Acquisition team supports hiring across business units such as Corporate Finance, Investment Management, Enterprise Risk, HR/Communications, Law, and our Credit Union.
The Impact
In this role, you will leverage advanced sourcing techniques to engage passive talent, utilize data-driven insights to inform decision-making, and serve as a trusted advisor to hiring managers. Your ability to navigate complex hiring scenarios, influence stakeholders, and align recruiting outcomes with business goals will be key to your success. You will also contribute to continuous improvement initiatives, mentor junior recruiters, and help elevate the overall talent acquisition function.
This role is hands-on and proactive—leveraging data-driven sourcing strategies and delivering a high-touch candidate experience. You’ll be expected to go beyond traditional recruiting methods and actively engage passive talent in competitive markets. Your responsibilities will include but not be limited to the following:
<ul>
<li>
Serve as a strategic recruiting advisor to the leaders in actuary, quantitative and risk, among other business units, delivering consultative guidance on hiring needs, market trends, and sourcing strategies.
</li>
<li>
Own the full recruitment lifecycle: intake, job posting optimization, sourcing, screening, interviewing, selection, and offer negotiation.
</li>
<li>
Build and maintain robust talent pipelines for recurring and high-volume roles.
</li>
<li>
Partner with hiring managers to define role requirements and ensure job descriptions reflect current market language and expectations.
</li>
<li>
Facilitate client engagement meetings to align on recruitment strategy, timelines, and candidate profiles.
</li>
<li>
Represent MassMutual at recruiting events and career fairs as needed.
</li>
<li>
Collaborate with Compensation and HR partners to ensure alignment on job leveling, salary ranges, and offer strategy.
</li>
<li>
Contribute to process improvement initiatives and share best practices across the TA team.
</li>
</ul>
Minimum Qualifications
<ul>
<li>
High School diploma or equivalent
</li>
<li>
8+ years of experience in talent acquisition
</li>
<li>
6+ years of full cycle recruiting experience&nbsp;
</li>
<li>
6+ years of experience sourcing passive candidates to deliver niche skill sets and a diverse talent pool &nbsp;
</li>
<li>
3+ years of experience in actuarial recruiting
</li>
</ul>
Ideal Qualifications
<ul>
<li>
Proficiency with applicant tracking systems (Workday preferred) and CRM tools
</li>
<li>
Strong business acumen and ability to influence stakeholders at all levels.
</li>
<li>
Exceptional communication, organizational, and problem-solving skills.
</li>
<li>
Familiarity with employment law and compliance in a regulated environment.
</li>
</ul>
What to Expect at MassMutual
<ul>
<li>
Regular meetings with the Mid-Career Talent Acquisition Team
</li>
<li>
Focused one-on-one meetings with your manager&nbsp;
</li>
<li>
Networking opportunities including access to Asian, Hispanic/Latinx, African American, Women, LGBTQIA+, Veteran and disability-focused Business Resource Groups&nbsp;
</li>
<li>
Access to learning content on Degreed and other informational platforms&nbsp;
</li>
<li>
Your ethics and integrity will be valued by a company with a strong and stable ethical business with industry leading pay and benefits&nbsp;
</li>
</ul>
#LI-ST1
MassMutual is an equal employment opportunity employer. We welcome all persons to apply. If you need an accommodation to complete the application process, please contact us and share the specifics of the assistance you need.

Talent Acquisition Consultant

<h3>Job Description</h3>
POSITION SUMMARY
MassMutual is seeking an enthusiastic, well-rounded and motivated leader as Head of Liability ALM Strategy, a key leader in the company’s Asset Liability Management (ALM) framework. This role will report directly to the Chief Actuary and will be a key member of the Corporate Actuarial Leadership Team. In concert with Investment Management (IM) and Enterprise Risk Management (ERM), this leader will be accountable for the ALM strategy and execution for all of MassMutual’s insurance products, with particular focus on liability risks, and will successfully partner with stakeholders to develop a clear vision and strategic plan driving ALM methodologies, reporting, and analytics in support of ALM processes and decisions. The leader will serve as model owner of the actuarial systems and tools utilized to provide liability projections and insights in support of ALM production deliverables and future enhancements to enterprise ALM strategies. This leader will be responsible for the recruitment, development and effective management of a team of talented actuarial and quantitative professionals.
This role will require strong leadership skills combined with superior modeling and analytical skills to: (1) collaborate on an integrated vision &amp; strategy, processes and tools that connect complex actuarial/liabilities, investment, and market risk concepts, (2) deliver on liability modeling capabilities and ALM solutions in collaboration with IM and ERM in a timely manner within a high quality and well-controlled environment, and (3) present and communicate progress on results, issues, and solutions with clarity and credibility to various stakeholders and senior management. &nbsp;This includes regularly presenting and reporting to the Investment Oversight Committee (IOC) and related subcommittees. In addition, this leader will be able to drive complex projects to completion and provide/implement industry thought leadership and best practices.
The Head of Liability ALM Strategy will need to demonstrate deep actuarial and financial knowledge across MassMutual’s portfolio of insurance products and is an expert in the modeling of liabilities, including how they relate with assets and capital risk in an insurance company context. This leader will possess excellent technical skills and actuarial modeling expertise necessary to direct the development and governance of complex ALM models and the associated data and infrastructure that span different product lines and frameworks (e.g., economic/statutory/GAAP and new business/inforce, pricing, valuation/cash flow testing or CFT, etc.). This role will also need to possess a deep understanding and partnership with reinsurance. The leader will partner with Investment Management to ensure the successful alignment of the duration, risk profile and cash flow characteristics of liabilities and assets, which is vital for mitigating balance sheet risks and ensuring financial stability. &nbsp;
In addition to outstanding analytical and problem-solving skills, the successful candidate will exhibit strong leadership, relationship management, and communication skills to be fully successful in this role.&nbsp; This leader is expected to:
<ul>
<li>Communicate effectively with the IOC and leaders in CFO, IM, ERM and business partners, including the translation of technical topics to different audiences and providing clarity of the business impact and insights to inform decisions</li>
<li>Innovate and implement practical solutions in the development of complex liability models used in ALM/CFT across MassMutual’s broad range of insurance products, including data issues/limitations</li>
<li>Lead/facilitate discussions in cross-functional work groups (e.g., VA Oversight Committee, VA Risk Committee, Asset Liability Work Group, etc.) on ALM issues and topics; Influence via thought leadership, drive alignment and implement best practices/processes</li>
<li>Collaborate across teams to ensure alignment of goals, effective execution of deliverables, and monitoring progress</li>
<li>Navigate issues that arise and/or competing priorities; Effectively, negotiate the right solutions and positive outcomes across stakeholders</li>
<li>Liaise with internal corporate and business departments and support a culture of service or proactive solutions and team support</li>
<li>Establish strong credibility and executive presence with leadership to effectively drive ideas forward, impact management decision-making, and influence strategies</li>
<li>Contribute to Corporate Actuarial thought leadership and positive team culture</li>
</ul>
OVERALL RESPONSIBILITY
The Head of Liability ALM Strategy will be accountable for these specific deliverables and responsibilities:
<ul>
<li>In collaboration with IM and ERM, evaluate the on-going fit and adequacy of existing ALM strategies as the environment changes and make strategy, budget and other related recommendations, as applicable, while taking into account costs, risks and benefits of alternatives</li>
<li>In collaboration with IM and ERM, evaluate existing ALM modeling and applicable metrics &amp; measures to improve existing processes and/or make suggested changes</li>
<li>Critically and logically build financial and/or non-financial analytical models that drive fact-based decision-making to support ALM decisions made by the leadership team</li>
<li>Participate as member of the Capital Market Assumptions Group accountable for the review, update, management and monitoring processes and policies for recommending asset assumptions used in valuation, pricing and financial projections</li>
<li>Provide thought leadership, technical expertise, and value-added support &amp; guidance related to ALM</li>
<li>Support enforcement of corporate guidelines and governance processes with respect to asset assumptions including sufficiency of documentation to meet CFT/VM-30, PBR/VM-31, VM-G, applicable SOPs and any other regulatory requirements</li>
<li>Closely collaborate with the Product Pricing Oversight and Reinsurance Strategy &amp; Management teams to ensure adequacy and appropriateness of investment assumptions and ALM strategies recommended as part of pricing exercises/financial reinsurance transactions</li>
<li>Stay abreast of emerging regulations as they impact applicable aspects of ALM, hedging, economic assumptions and related actuarial work</li>
<li>Team leadership, clear communication and solid partnership with the business and other departments</li>
<li>In concert with IM and ERM, implement effective model governance, standards, testing procedures, and controls in the development, manufacturing, and delivery of ALM related models and projections</li>
<li>Leverage expertise and industry insights in providing recommendations and driving decisions and actions to ensure delivery of leading-edge solutions</li>
<li>Have a proven track record for attracting, developing, and retaining strong talent</li>
</ul>
CANDIDATE QUALIFICATIONS
<ul>
<li>Bachelor's Degree or higher</li>
<li>Fellow of the Society of Actuaries (FSA); CFA is a plus</li>
<li>Minimum of 15 years of actuarial experience in ALM, hedging, capital management, actuarial/asset modeling, pricing, valuation/CFT, and/or in financial risk management</li>
<li>Strong knowledge of US life insurance, annuity, and health products and the underlying actuarial and risk management concepts and practices; experience with quantifying, analyzing and managing a range of product risks</li>
<li>Working knowledge and analysis of financial statements (Income Statements, Balance Sheet, Cash Flow Analysis) under different accounting frameworks</li>
<li>Expertise in actuarial &amp; financial modeling methodologies and techniques; Experience with actuarial projections software (Moody's AXIS, Prophet, etc.)</li>
<li>Self-motivated and independent with strong analytical, critical thinking, and problem-solving skills; comfortable dealing with both complexity and ambiguity, and able to explore multiple solutions to problems and challenges</li>
<li>Strong communication skills, both written and verbal, with experience in presenting to senior management; Able to convey complex materials to senior executives</li>
<li>Ability to build and maintain strong working relationships across cross-functional groups</li>
<li>Demonstrable experience with creative problem-solving and thought leadership</li>
<li>Ability to work well under pressure and manage multiple deliverables</li>
</ul>
MassMutual is an equal employment opportunity employer. We welcome all persons to apply. If you need an accommodation to complete the application process, please contact us and share the specifics of the assistance you need.

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