by twochickswithasidehustle | Nov 5, 2024 | Uncategorized
Pie’s mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.
Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make.
Pie is building a Claims Department where data, analytics, and technology will play a key role in achieving our goal of making small business insurance as easy as Pie. The ideal candidate will have a combination of strong technical skills in data analysis, data visualization, and predictive modeling and a strong understanding of Workers’ Compensation insurance claims. Initially, the successful candidate will focus on working with Claims business team to create repeatable ad hoc reports to measure key performance indicators for high level objectives as well as basic operational metrics. Concurrently, this role will collaborate with our data engineering team to build the data infrastructure necessary for data warehouse reporting and analysis. This is a rare opportunity for an analyst to strongly influence data collection, storage, and organization from the ground up and ensure that data documentation is accurate and complete to facilitate their future analyses. Predictive Modeling, decision management, and claims process automation will become a growing part of this role as more data is accumulated and the claims department matures. The successful candidate must be a quick learner, and be comfortable with ambiguity and working in a “build” environment.
How You’ll Do It
- Data Visualization and Reporting
- Mines data, performs quantitative analysis and creates clear and actionable narratives about the business.
- Turn data into visualizations to create a comprehensive picture of results and trends.
- Extract data from Pie’s data warehouse or other sources, such as claims software and enterprise dashboards, for ad hoc reporting requests and larger projects
- Create dashboards, ad hoc reports, and data visualizations for high level analysis as well as basic operational reporting needs
- Work with Claims leadership to develop reporting for key performance metrics
- Data Analysis
- Analyze complex business problems and issues using data from internal and external sources to provide insight to decision-makers.
- Develop new data analysis processes, including data collection and data governance.
- Perform predictive analytics by reviewing large data sets of historical data, including market trends, financial data and operational metrics. This data will then be used in the future to build predictive models that can generate forecasts and risk assessments to reduce exposures.
- Create models and tools that produce relevant insights to identify inefficiencies and generate insights to improve workflow processes
- Analyze data to identify drivers of claim outcomes, investigate ways to reduce claim severity and improve the operational efficiency of the claims department.
- Benchmark claim department results against external data sources
- Business Acumen
- Understanding of the insurance industry’s key metrics, challenges and what drives success.
- Ability to align data and analytics with overall business goals
- Proficiency in communicating complex data insights in a clear and actionable manner to stakeholders across the organization.
- Collaboration
- Offers recommendations for new data analytic techniques and methodologies
- Support other strategic projects as assigned to meet business needs
- Serve as the subject matter expert on claims data
- Collaborate with Claims leadership, as well as Data Science, Data Engineering, and Enterprise Engineering, to create data warehouse reporting capabilities, predictive models, automation, and data mapping for vendor integrations.
The Right Stuff
- SQL Programming, preferably in a Cloud environment
- Statistical Programming Language- experience with at least one – Python (Pandas and data analysis packages), R, SAS, SPSS, Stata
- Extracting and manipulating large data sets using Snowflake, Looker, and Montecarlo platforms.
- Understanding of data capture, data mapping, and data cleansing.
- Strong understanding of workers’ compensation claims process, terminology, and metrics.
- Ability to draw meaningful insights from data. Ability to perform basic statistical analysis.
- Experience using Looker, Tableau, or similar data visualization tools
- Comfortable using Excel and Google sheets for interim reporting needs
- Self-motivated, flexible, organized who is interested in performing exploratory data analysis with complex data sets with minimal direction
Seeking innovative solutions through data and analytics while being adaptable to new tools and technologies
Base Compensation Range
$125,000 – $160,000 USD
Compensation & Benefits
- Competitive cash compensation
- A piece of the pie (in the form of equity)
- Comprehensive health plans
- Generous PTO
- Future focused 401k match
- Generous parental and caregiver leave
- Our core values are more than just a poster on the wall; they’re tangibly reflected in our work
Our goal is to make all aspects of working with us as easy as pie. That includes our offer process. When we’ve identified a talented individual who we’d like to be a Pie-oneer , we work hard to present an equitable and fair offer. We look at the candidate’s knowledge, skills, and experience, along with their compensation expectations and align that with our company equity processes to determine our offer ranges.
Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members.
Location Information
Unless otherwise specified, this role has the option to be hybrid or remote. Hybrid work locations provide team members with the flexibility of working partially from our Denver office and from home. Remote team members must live and work in the United States* (*territories excluded), and have access to reliable, high-speed internet.
by twochickswithasidehustle | Oct 28, 2024 | Uncategorized
Job Description
Posted Wednesday, October 16, 2024 at 11:00 PM | Expires Tuesday, December 17, 2024 at 10:59 PM
Dayforce is a global human capital management (HCM) company headquartered in Toronto, Ontario, and Minneapolis, Minnesota, with operations across North America, Europe, Middle East, Africa (EMEA), and the Asia Pacific Japan (APJ) region. Our award-winning Cloud HCM platform offers a unified solution database and continuous calculation engine, driving efficiency, productivity and compliance for the global workforce. Our brand promise – Makes Work Life Better TM– Reflects our commitment to employees, customers, partners and communities globally.
Location: Work is what you do, not where you go. For this role, we are open to remote work and can hire anywhere in the United States. This candidate will be required to work PST hours.
About the opportunity
Dayforce is currently seeking a Payroll Specialist III to join our Dayforce Managed Team. We service our US Large Enterprise clients (multiple thousands of employees) by supporting the complete employee life cycle including payroll, workforce management, benefits, and contact center; allowing the client to focus on their core business.
The ideal candidate will have significant experience in the area of payroll and a strong working knowledge of benefits, workforce management and tax. They will also have the ability to interface with clients and to use critical thinking skills to resolve complex problems.
What you’ll get to do
- Responsible for ensuring all aspects of the payroll cycle, including tax, benefits, garnishments, etc. are processed, reconciled, audited and transmitted accurately and timely
- Ensure accurate and timely processing of payroll impacting changes, tax forms, payments and payroll processing for assigned clients
- Responsible for quality control and auditing to ensure accuracy and low error or defect percentage
- Work with cross-functional internal partners to resolve client payroll matters and employee inquiries
- Provide Payroll support services to clients according to Dayforce contract, legislative requirements and business needs
- Establish and maintain a deep understanding of customer’s requirements and their changing needs to ensure services delivered are as per contractual obligations and in accordance with customer SLAs.
- Create, update and review standard operating procedures and performs quarterly document reviews
- Have an “I own it” attitude about deliverables and projects from start to finish
- Manage client and consumer related tasks within the case management system ensuring all documentation is complete, accurate, and timely
- Proactively manage quarter, and year-end payroll auditing and processing
- Think and act ahead, spot opportunities and act accordingly and proactively contribute to process improvements
Skills and experience we value
- Must be available to accommodate shifts within operating hours (between 8 a.m. and 9 p.m.)
- Must be available to stay later or adjust shift based on client assignment
- Hours will usually be 9a-6p PST but require schedule flexibility to work within above listed hours
- 2+ years of End to End payroll processing experience in a high-volume payroll operation (1,500-6,000+ employees)
- Experience in the payroll outsourcing or consulting industry preferred
- Experience and a clear understanding of payroll, benefits and taxation and an understanding of applicable legislative requirements
- Ability to resolve client’s issues and provide superior customer service to internal and external partners
- Excellent verbal and written communication skills with the ability to communicate clearly, technically, and effectively with customers and internal partners
- Good analytical, organizational, and problem-solving skills
- Proficiency in Microsoft Word, intermediate Excel, and PowerPoint
What would make you really stand out
- Experience with Dayforce HCM or similar cloud payroll technology
- Multi-client payroll processing experience
- 2k+ employee payroll processing experience (working with Enterprise sized customers)
- Industry related certifications or desire to obtain within two years of employment
- Strong working knowledge of quality control and auditing standards
by twochickswithasidehustle | Oct 28, 2024 | Uncategorized
Description
From Intake to Outcomes, CareMetx is dedicated to supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.
Job Title: Reimbursement Specialist
POSITION SUMMARY:
Under the general supervision of the operational program leadership, the Reimbursement Specialist is responsible for various reimbursement functions, including but not limited to benefit investigations, prior authorization support, and call triage. The Reimbursement Specialist responds to all provider account inquiries, appropriately documents all provider, payer and client interactions into the CareMetx Connect system and ensures that the necessary data for prior authorization request are obtained.
PRIMARY DUTIES AND RESPONSIBILITIES:
Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.
Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
Completes and submits all necessary insurance forms in a timely manner as required by all third party payors for prior authorizations. Tracks and follow up on prior authorization request.
Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
Maintains frequent phone contact with provider representatives, third party customer service representatives, and pharmacy staff.
Reports any reimbursement trends/delays to supervisor.
Processes any necessary insurance/patient correspondence.
Provides all necessary documentation required to expedite prior authorization request. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.
Coordinates with inter-departmental associates as necessary.
Communicates effectively to payors to ensure accurate and timely benefit investigations.
Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.
Reports all Adverse Events (AE) disclosed in alignment with training and Standard Operational Procedures (SOP)
Typically receives little instruction on day-to-day work, general instructions on new assignments.
Other duties as assigned – Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
Qualifications
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
- High School, Diploma, or GED required
- Previous 1+ years of experience in a specialty pharmacy, medical insurance, physician’s office, healthcare setting, and/or related experience.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
- Ability to communicate effectively both orally and in writing.
- Ability to build productive internal/external working relationships.
- Strong interpersonal skills.
- Strong negotiating skills.
- Strong organizational skills; attention to detail.
- General knowledge of pharmacy benefits, and medical benefits.
- Global understanding of commercial and government payers preferred.
- Ability to proficiently use Microsoft Excel, Outlook and Word.
- Ability and initiative to work independently or as a team member.
- Ability to problem solve.
- Strong time management skills.
- Customer satisfaction focused.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is regularly required to sit.
- The employee must occasionally lift and/or move up to 10 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Schedule
- Must be flexible on schedule and hours
- Overtime may be required from time to time
- Must be willing to work weekends if required to meet company demands
CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply. At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services. CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.
Salary Description
$30,490.45 – $38,960.02
by twochickswithasidehustle | Oct 28, 2024 | Uncategorized
About Nabis
Nabis is the #1 Licensed Cannabis Wholesale Platform in the world with the largest portfolio of cannabis brands, supplying hundreds of brands to retailers across California, New York, and Nevada. Our mission is to empower the world to discover cannabis by providing choice, access, and innovation.
We’re at the forefront of this movement and are building an innovative technology-first platform to scale the entirety of the cannabis industry. Through dedication to enhancing efficiency, transparency, and customer satisfaction, Nabis is paving the way for sweeping legalization.
Our team, backed by Y Combinator and from a celebrity roster of tech luminaries and celebrities, including Doordash co-founder Stanley Tang, NFL Hall of Famer Joe Montana, Gmail creator Paul Buchheit, and Twitch cofounder Justin Kan, is scaling the cannabis supply chain with technology and our ultimate goal is to become the largest distributor of cannabis products in the world.
About the Role
The Accounts Receivable Associate is responsible for managing daily accounts receivable processes and credit operations for a diverse range of retailers, ensuring timely collections from delinquent accounts on behalf of leading cannabis brands.
Responsibilities
- Collaborate effectively with the invoicing and operations departments, as well as with retailers and brands.
- Provide real-time delivery support if payment issues arise
- Manage tasks and workflows assigned through Asana and ZenDesk platforms.
- Maintain a portfolio of retailers and provide consistent and detailed updates.
- Coordinate closely with the accounting and invoicing teams to address issues related to retailer credit, discounts, and bounced checks.
- Engage with retailers regarding overdue invoices, swiftly resolving any related issues.
- Streamline communication between multiple parties (internal and external)
- Triage delegated tasks and self-prioritize outreach to account portfolio
- Escalate delinquent account matters appropriately.
- Keep management and brands informed of potential collection issues early in the process.
- Generate weekly reports on credit and accounts receivable data at the account level, and support the accounting team with information necessary for managing allowances for doubtful accounts.
- Identify invoices that are likely uncollectible and communicate effectively with all concerned parties.
- Cultivate and enhance relationships with retailers to facilitate streamlined payment processes.
Requirements:
- Bachelor’s degree in a relevant field or equivalent professional experience.
- 1-3 years of experience in lending, customer service, or collections, preferably within the retail or distribution sectors.
- Experience in B2B sectors preferred
- Proficient understanding of accounts receivable and collections procedures.
- High energy, motivated, and committed with a professional demeanor.
- Exceptional communication skills, both written and verbal.
- Skilled in managing challenging conversations and situations with a high level of judgment, professionalism, and empathy.
- Strong negotiation and problem-solving abilities.
- Highly organized with meticulous attention to detail and excellent record-keeping skills. Ability to create and maintain procedural documentation.
- Thrives in a fast-paced startup environment, adaptable to constant change and comfortable with ambiguity.
- Proficient with Google Suite and Microsoft Office, especially Excel.
- Enthusiastic about the opportunity to work in the cannabis industry.
NABIS IS AN EQUAL OPPORTUNITY EMPLOYER
Nabis is seeking to create a diverse work environment because all teams are stronger with different perspectives and life experiences. We strongly encourage women, people of color, LGBTQIA individuals, people with disabilities, members of ethnic minorities, foreign-born residents, older members of society, and others from minority groups and diverse backgrounds to apply. We do not discriminate on the basis of race, gender, religion, color, national origin, sexual orientation, age, marital status, veteran status, or disability status. All employees and contractors of Nabis are responsible for maintaining a work culture free from discrimination and harassment by treating others with kindness and respect.
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