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Job Locations US-Remote
Who are you?   As a Product Manager, you'll work closely with a highly dynamic, fast-paced, and growing team and passionate team of Product Managers, UX Designers (UX), Content Strategists, Researchers, Engineering Managers, and Tech Leads to shape a cohesive, creative, and innovative vision that business customers and end users find to be useful, easy-to-use, and delightful. You enjoy both the upstream part of the process--figuring out the "right product" or enhancement, and the "done right" part of how best to bring it to life for maximum lift and impact. You'll build relationships with other departments including product marketing, member services, customer success, and sales. You'll develop product requirements and roadmaps, incorporating feedback and input from customers, partners and in-house teams on product strategy and finding ways to expand product market reach. You possess a unique blend of business and technical savvy, strong agile and process skills, and the drive to make your product vision a reality.     In this role you will wear many hats, but your knowledge will be essential in the following:   - Collaborate with key stakeholders (ranging from management to marketing/ sales and customers) to define, develop, shape, and refine requirements. - Define, prioritize, and clarify user stories; working with other Product Managers and Product Owners to understand use cases, features, business & technical domain rules and overall product goals. - Define and communicate project goals, problem framing, major solution design scope decisions and target project timelines. - Work with UX Design to create User Stories based on design mockups. - Create detailed product documentation of User Stories to define end user functionality and enable commercialization. - Work with Engineering to estimate User Stories and continuously improve product ownership and other agile processes. - Build and groom product backlog(s). Create and groom short, medium, and long-term product roadmaps and get internal agreement with key stakeholders. - Conduct sprint planning with prioritized User Story requirements in time for sprint planning deadlines. - Identify cross-team dependencies during requirements creation and work to assure impacted team(s) have available capacity and velocity to hit target dates. - Keep abreast with Agile/Scrum best practices and new trends. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Product Management
ID
2024-3140
Job Locations US-Remote
Who are you?   As a Product Manager, you'll work closely with a highly dynamic, fast-paced, and growing team and passionate team of Product Managers, UX Designers (UX), Content Strategists, Researchers, Engineering Managers, and Tech Leads to shape a cohesive, creative, and innovative vision that business customers and end users find to be useful, easy-to-use, and delightful. You enjoy both the upstream part of the process--figuring out the "right product" or enhancement, and the "done right" part of how best to bring it to life for maximum lift and impact. You'll build relationships with other departments including product marketing, member services, customer success, and sales. You'll develop product requirements and roadmaps, incorporating feedback and input from customers, partners and in-house teams on product strategy and finding ways to expand product market reach. You possess a unique blend of business and technical savvy, strong agile and process skills, and the drive to make your product vision a reality.     In this role you will wear many hats, but your knowledge will be essential in the following:   - Collaborate with key stakeholders (ranging from management to marketing/ sales and customers) to define, develop, shape, and refine requirements. - Define, prioritize, and clarify user stories; working with other Product Managers and Product Owners to understand use cases, features, business & technical domain rules and overall product goals. - Define and communicate project goals, problem framing, major solution design scope decisions and target project timelines. - Work with UX Design to create User Stories based on design mockups. - Create detailed product documentation of User Stories to define end user functionality and enable commercialization. - Work with Engineering to estimate User Stories and continuously improve product ownership and other agile processes. - Build and groom product backlog(s). Create and groom short, medium, and long-term product roadmaps and get internal agreement with key stakeholders. - Conduct sprint planning with prioritized User Story requirements in time for sprint planning deadlines. - Identify cross-team dependencies during requirements creation and work to assure impacted team(s) have available capacity and velocity to hit target dates. - Keep abreast with Agile/Scrum best practices and new trends. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Product Management
ID
2024-3139
Job Locations US-Remote
Who are you?   Under the supervision of the Director, Operations Enablement, the Trainer will be responsible for delivering product, process, and related trainings with approaches for operational and commercial staff, clients, and members, operations staff on-boarding and product release operational readiness process management. This role will focus on our Health Plan Administration suite of products and services.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Partner cross functionality with internal business partners and subject matter experts to translate processes, products, and related business priorities into learn centric designs. - Ensure that internal audiences are engaged and able to develop critical skills and knowledge for the Health Plan Administration suite of products and services. - Create and facilitate on-boarding & professional development programs for roles across Client Operations, Client Solutions and Client Success departments, including: multi-modal learning, measuring effectiveness, and continuous improvement. - Pathways to growth and promotion within and across functional areas. - Measure against key performance indicators and metrics for each functional area. - Collaborate with the Technical Documentation team to ensure training includes related documentation - from technical interface to user experience – and is clearly outlined and defined. - Manage the creation, execution, and hosting of external/ client-facing operational enablement sessions, as needed. - Lead training sessions as assigned. - Perform all other duties as assigned. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Professional Services
ID
2024-3133
Job Locations US-TX-Plano
Who are you?   The Health & Wellbeing Program Manager is a client-dedicated member of the Virgin Pulse account team, focused on designing and delivering a comprehensive strategic wellbeing plan, aimed at building a culture of health, enhancing health and wellbeing engagement, and driving health behavior change through awareness and activation. The Health & Wellbeing Program Manager works side by side with the Virgin Pulse account leadership and the client’s HR, benefits, and/or stakeholder teams. This individual will provide advocacy for Virgin Pulse products and demonstrate Virgin Pulse’s mission of Changing Lives for Good. This position will include approximately 10% to 15% travel.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Provide direction and subject matter expertise in defining, designing, developing, communicating, and executing a comprehensive health and wellbeing strategy - Utilize project management skills to develop and execute health and wellbeing programs according to timeline and budget - Monitor, evaluate, and respond to program measurements and participant feedback, including operations and quality, to drive continuous quality improvement initiatives and goals - Serve as an integrated partner and the face of wellbeing to the client population, guiding members to appropriate resources and offerings - Engage and partner with client leadership, stakeholders and internal groups (Diversity & Inclusion, Employee Resource Groups, etc…) to build and support a culture of health - Leverage community partnerships to support client goals including initiatives related to social determinants of health, diversity and inclusion, health, and holistic wellbeing (mental, physical, social, community, financial, and safety wellbeing) - Collaborate with the client’s health plan and vendor partners to identify opportunities for health awareness and engagement, and to drive utilization of the client’s suite of health, benefits, and wellbeing offerings - Launch and lead a Wellness Champion Network across key client locations - Support Virgin Pulse platform enrollment and ongoing engagement to associated solutions, resources, and partners - Lead implementation of health promotion programs including health screenings, flu shots, and open enrollment events - Lead regular data assessment and reporting to internal and external stakeholders and leadership, while defining opportunities, tracking impact, and determining next best steps - Collaborate with Virgin Pulse and client support teams including Marketing, Product, Business Operations, and Customer Service - Partner with Virgin Pulse peers to share best practices and opportunities to drive best-in-class services to our clients - Provide support for renewal and expansion planning as appropriate - Perform other related duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Professional Services
ID
2024-3132
Job Locations US-Remote
Who are you?   The Process Manager will be responsible for overseeing cross-functional coordination of operationalizing incremental product iterations and major product releases involving, but not limited to, Product Management, Commercial Enablement, Client Operations, DSR, Finance, Member Services and Live Services   In this role you will wear many hats, but your knowledge will be essential in the following:   - Facilitate relationship building and communication with primary stakeholders involved in operational readiness for releases and on-going process improvement. - Coordinate considerations across product streams, where applicable. - Manage bi-weekly review of Sprint Release notes with primary stakeholders. - Manage processes and communications for any beta testing efforts. - Facilitate internal client-impacting projects on an as-requested basis - Establish and measure against key performance indicators and metrics - Identify gaps in process knowledge and help develop standard operating procedures - Document existing process knowledge - Implement process management best practices, preferably informed by a certification in or related experience with a recognized program (such as, but not limited to, Six Sigma) You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Professional Services
ID
2024-3131
Job Locations US-Remote
In this role you will wear many hats, but your knowledge will be essential in the following:   - Telephonically manage cases on a long- or short-term basis per established Company guidelines, policies, and procedures, as well as other standardized criteria in the healthcare industry. - Contact patient and complete a thorough assessment, including physical, psychosocial, emotional, spiritual, environmental, and financial needs. - Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs. - Develop treatment plan for standard and catastrophic cases in collaboration with the patient, caregivers or family, community resources and multi-disciplinary healthcare providers that include obtainable short- and long-term goals. - Monitor interventions and evaluate the effectiveness of the treatment plan in a timely manner; report measurable outcomes that record effectiveness of interventions. - Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care. - Advocate for the patient by facilitating the delivery of quality patient care, and by assisting in reducing overall costs; provide patient/family with emotional support and guidance. - Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis. - Negotiate and implement cost management strategies to affect quality outcomes and reflect this data in monthly case management reviews and cost avoidance reports. - Establish and maintain working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance, and information. - Evaluate and make referral for wellness programs. - Maintain complete and detailed documentation of case managed patients in Eldorado and UM Web; maintain site specific files ensuring confidentiality; prepare reports and updates at 30-day intervals for high-risk cases and 90 days interval for low-risk cases ensuring confidentiality according to Company policy and HIPAA - Perform Utilization Review for assigned members. - Serve as mentors to LVNs and provide guidance on complicated cases as it relates to clinical issues. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
HealthComp
ID
2024-3130
Job Locations US-Remote
Who are you?   Reporting to the Manager, Service Desk, the IT Service Desk Technician will work with the global Service Desk team, supporting 2000 users across 12 countries, and ensuring users are receiving appropriate assistance and service.   Core responsibilities will include ensuring efficient servicing of support tickets from internal users and will focus on Tier 1 support including ownership/stewardship of Office 365, Active Directory, Azure, Intune, and other cloud-based applications.  Additionally, the IT Service Desk Technician is responsible for ensuring meeting rooms, corporate technology, and audio-visual services are operational across all offices.   This is a hands-on role involving servicing tickets while ensuring high levels of customer service quality and availability.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Reports directly to the Manager, Service Desk - Provide first level support to corporate users via phone and email to diagnose and resolve issues; escalating to senior team members proactively where required to ensure efficient closure of tickets. - Respond promptly to support requests and maintain the 4-hour response and 24-hour fix / escalation SLA. - Responsible for office deployments and the maintenance of technologies in that region. - Assist in resolving hardware problems, system upgrades, networking setup and diagnosis, software problems, backup issues and file recovery. - Assist in management of file transfer platform, creating and testing new connections, perform updates and changes to existing connections, review automation rules and workflows to aid in issue resolution. - Triaging tickets effectively - Assisting with SOC/HITRUST evidence and audit requirements - Ensure tickets are closed with correct resolution to avoid tickets being reopened. - Manage end-user expectations and following up on end-user feedback. - Create and maintain a functioning Service Catalog within the ticketing system. - Ensure secure configuration of all user machines and systems to make sure OS and Anti-Virus patching is up to date. - Assist in maintenance of Active Directory and related accounts and services, including mail and file services through standard tools to ensure settings and accounts created / removed in a timely fashion. - Create process and user documentation relating to laptop / PC setup and review configurations before delivery to user, ensuring issues are fed back and corrected before deployment. - Assist in the procurement of hardware and software and manage configuration and deployment throughout the organization. - Track licensing statistics and manage IT asset list, ensuring all records are kept up to date. Help to maintain software licensing requirements. - Delivery of assigned projects within a timely manner. - Test applications and systems to ensure functionality before production deployment. - Assist with special projects as requested. - Perform other duties as assigned. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Compliance/Security
ID
2024-3126
Job Locations BA-Tuzla
Who are you? The Senior Screening Coordinator oversees the planning, scheduling, staffing, preparation, delivery, and follow-up of health screening services to clients of Virgin Pulse. Working closely with the Team Lead, Screening Services, the Senior Screening Coordinator ensures all client deliverables meet and/or exceed the expectations of both the client and Virgin Pulse. In addition to planning, staffing, and scheduling events, the Senior Screening Coordinator is also responsible for ensuring monthly screenings goals are met. Screening team members are expected to model healthy lifestyles and have high integrity.  The Senior Screening Coordinator will work with many cross-functional teams across the organization, as well as directly with our partners and vendors.  In addition to creative abilities and strong written and verbal communication skills, the individual must be self-motivated, organized, detail-oriented, flexible, and able to apply constructive feedback.    In this role you will wear many hats, but your knowledge will be essential in the following:   - Be the primary point of contact for onsite screening events for the clients. - Coordinate logistics of biometric health screening events with the Client Success Managers, Project Management team, and Screening partners. - Work side by side with colleagues on the Screening Services team. - Provide strategic recommendations to client teams based on client requests and population demographics. - Participate in sales calls and assist with RFP responses. - Communicate screening updates and feedback to Client Success. - Participate in client calls to provide guidance and best practices around onsite screenings to clients of Virgin Pulse; taking notes, provide feedback, and assist with follow ups - Develop client biometric screening plans; including screening date, time, location, expected participation, site contact information, and other screening components. - Distribute screening communication materials including but not limited to; flyers, screening room layout, and client checklist. - Build screening events in internal management application (Salesforce mostly). - Communicate internally to support all services including but not limited to Data Systems and Reporting, Integrations, Implementation, Client Success, and Member Services. - Assist client with any modification to screening plan or questions related to wellness program. - Availability outside of standard office hours and weekends via phone and email is preferred. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Client Operations
ID
2024-3125
Job Locations US-LA-Covington
Who are you?   This position is responsible for supporting the coordination and filing of Specs, Advance Funding, and Plan Year End Closeout’s. Having a firm knowledge and understanding of Gilsbar LLC’s suite of software is necessary to perform informational research. The incumbent is expected to communicate professionally with peers, supervisors, subordinates, market, customers, and the public, and be respectful and courteous in the conduct of this position.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Prepare Stop Loss claims and applicable documents to determine Stop Loss filing eligibility applicable to the Excess Loss Policy. - Files submissions of spec claimants (running reports, gathering necessary documents and email correspondence), processing all submissions within established internal timeframes. - Coordinate Advanced Funding Requests, with the client and the Stop Loss carrier. - Maintains database of all specific reimbursement requests. - Creates initial Specific File for each claimant, files all submissions in our EDOCS platform. - Coordinates the release of Over Specific, System Hold “on hold” claims. - Acts as the liaison between the PBM’s and internal clients, as it pertains to our Stop Loss claimants. - Keeps immediate supervisor apprised of open or disputed items. - Contributes to daily workflow with regular and punctual attendance. - Performs related or other assigned duties as required or directed. - Monitors all reinsurance requests to ensure receipt of reimbursement. - Generates weekly outstanding reimbursement report and follows up with the Stop Loss carrier. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
HealthComp
ID
2024-3124
Job Locations US-PA-Philadelphia
Who are you?   This is a full-time, 32 hour per week onsite/hybrid position supporting Main Line Health, in Philadelphia, PA. In accordance with the client’s policy, employees working onsite will be required to show proof of current flu and Covid-19 vaccinations, per CDC guidelines, on or before the first day of employment. The Health & Wellbeing Specialist is a client-dedicated member of the Virgin Pulse account team, focused on building a culture of health, enhancing health and wellbeing engagement, and driving health behavior change through awareness and activation. The Health & Wellbeing Specialist collaborates with Virgin Pulse account leadership and the client’s HR, benefits, and/or stakeholder teams. This individual will provide advocacy for Virgin Pulse products and demonstrate Virgin Pulse’s mission of Changing Lives for Good. This position will include approximately 20% of local travel.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Design, develop, communicate, and execute an annual health and wellbeing programming plan, in alignment with client’s strategic goals and priorities - Monitor, evaluate, and respond to program measurements and participant feedback, including operations and quality, to drive continuous quality improvement initiatives and goals - Serve as an integrated partner and the face of wellbeing to the client population, guiding members to appropriate resources and offerings - Engage and partner with client stakeholders and internal groups (Diversity & Inclusion, Employee Resource Groups, etc…) to build and support a culture of health - Leverage community partnerships to support client goals including initiatives related to social determinants of health, diversity and inclusion, health, and holistic wellbeing (mental, physical, social, community, financial, and safety wellbeing) - Collaborate with the client’s health plan and vendor partners to identify opportunities for health awareness and engagement, and to drive utilization of the client’s suite of health, benefits, and wellbeing offerings - Build, nurture, and drive engagement through a Wellness Champion Network across key client locations - Support Virgin Pulse platform enrollment and ongoing engagement to associated solutions, resources, and partners - Support implementation of health promotion programs including health screenings, flu shots, and open enrollment events - Drive localized health engagement and awareness through educational opportunities and creative programming - Conduct regular data assessment and reporting to internal and external stakeholders, to define opportunities, track impact, and determine next best steps - Collaborate with Virgin Pulse and client support teams including Marketing, Product, Business Operations, and Customer Service - Partner with Virgin Pulse peers to share best practices and opportunities to drive best-in-class services to our clients - Perform other related duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Professional Services
ID
2024-3123
Job Locations BA-Tuzla
Who are you? This role will work closely with the Trust team and other members of the general accounting team. This person should have effective verbal and written communication skills. Proficiency with technology including an ability to quickly adapt to new technologies and operate in a fast-paced environment is critical.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Responsible for completion of monthly bank reconciliations. - Standard monthly reporting (client remittances/client special reports) using accounting / billing data. - Perform monthly reconciliations for PPO (Anthem/BlueShield) network claims. Evaluate potential to automate. - Responsible for annual escheatment process / tracking and updating throughout the year. - Assist with client banking and funding. - Pull funds from bank accounts as needed for provider claim payments and premium payments. - Setting up of carrier payments. - Completion of funding control to validate receipt of cash prior to claims funding. - Billing invoice uploads including reconciliation of files to final upload. - Standard monthly reporting specific to the billing function. - Cash application. - Other duties as assigned. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
G&A (General Administration & Finance)
ID
2024-3121
Job Locations BA-Tuzla
Who are you?   The role of Associate Cloud Systems Engineer is responsible for maintaining server infrastructure and providing first point of escalation support for corporate service desk team. This role will support cyber security investigations and deploy OS and third party patches to remediate vulnerabilities.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Maintain server infrastructure according to security and uptime standards. - Maintain network infrastructure, including WAN links, VPNs, and LAN/WLAN. - Track all changes and work through tickets and document steps followed. - Provide first point of escalation support for Corporate Service Desk team. - Deploy OS and 3rd party patches to remediate vulnerabilities. - Maintain systems integrations and data syncing tools and processes. - Assist security teams with information requests to support audits and questionnaires. - Support cyber security investigations. - Maintain automation workflows and scheduled scripts. - Configure and maintain SSO applications for cloud applications. - Research and implement new technologies and services. - Continually evaluate systems to identify and implement improvement projects and tasks. - Open and manage support tickets with vendors. - Participate in roadmap projects to support company-wide initiatives. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Compliance/Security
ID
2024-3119
Job Locations US-RI-Providence | US
Who are you?   In the role of Sales Development Representative (SDR), you identify sales opportunities, create interest and drive brand and solution awareness and preference. A SDR is primarily responsible for generating new business by following up on inbound marketing leads, sourcing outbound leads, qualifying interested prospects, and setting up meetings for the Regional Sales Directors that adhere to the qualification guidelines. To be successful in this role, the representative will nurture relationships, build value, handle objections, create urgency, open the sales cycle, and collaborate strategically with the field and marketing to create a sales pipeline that exceeds quota expectations.    In this role you will wear many hats, but your knowledge will be essential in the following:   - Qualify all incoming inquiries generated through web and marketing campaign leads  - Source new leads through cold calling and online research  - Successfully cold call and set up meetings for the enterprise sales team (via phone and email)  - Strategic sales capabilities that include a high comfort level communicating with all levels of prospects within an organization, balanced with tactical skills for a fast-paced, high volume lead follow-up and qualification environment  - You will also have a primary responsibility to educate leads/contacts regarding:  - Virgin Pulse’s value and key positioning pillars  - Solution differentiation from alternatives  - Key features and capabilities that map to contact needs and interests  - Purchase process steps and guidance  - Initial demonstration of solution capabilities as required  - Prospect into target accounts to find new revenue opportunities  - Provide feedback to Marketing regarding campaign development and execution  - Develop and articulate high-impact messaging that resonates with prospects, captures a value prop, and embodies Virgin Pulse values  - Consistently logging lead, contact, account, and qualification data in Salesforce.com  Report weekly metrics  - Work with Account Executives to gain insight into individual territory and key account plans and establish lead generation priorities and methods.  - Achieve quarterly objectives  You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Sales
ID
2024-3115
Job Locations US-Remote
Who are you?   The RBP Member Advocacy Manager is responsible for structuring, developing and providing leadership  to a team specialists who are tasked with delivering industry leading concierge level member services to our RBP plan members. This team consisting of member services specialists will look to this leader to empower and embolden through maintaining a culture of knowledge building and process training. Working closely with internal stakeholders (peers and leadership) as well as external RBP vendors, clients and partners to continuously strengthen our offerings to its current and future membership through enhancements and efficiencies.    In this role you will wear many hats, but your knowledge will be essential in the following:   - Responsible for the day to day and overall performance of the RBP Advocacy Team and results of assigned metrics/KPIs/SLAs/CSAT - Continuous training and development of RBP plan offerings for new and existing team members - Provides coaching through feedback management and performance  adherence - Maintains clear channels of communication with Account Management, Member Service leadership and Clinical staff in regard to escalations and client/broker sediment - Partners with the Account Management and Implementation Team to ensure seamless implementation of plan requirements - Represents Personify Health by regularly attending client reviews and vendor meetings - Partners with functional leaders to provide direct input into RBP product assessment and solutions to ensure alignment with organizational goals and vendor capabilities - Simplify and reimagine processes and procedures to improve Personify Health offerings You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Other
ID
2024-3114
Job Locations US-IL-Mokena
Who are you?   As a Benefit Plan Builder you will be responsible for the build and maintenance of plan benefits for new and existing groups upon implementation, renewal, and changes. If you have experience in health benefits or claims management with excellent organizational skills and a strong attention to detail, this is the perfect opportunity to grow your career with a progressive leader in healthcare!    In this role you will wear many hats, but your knowledge will be essential in the following:   - Support Implementation and Account Management teams by consolidating information during new client implementation and/or renewal to ensure the accuracy of benefits - Create benefit SMART sheets - Translate benefits from ICD10, HCPCS, CPT, CDT and other insurance billing codes - Audit plan build work of other teammates   - Build out groups and upload benefit summary to website for members and faxback system for providers - Ensure compliance with applicable government regulations - Process Group terminations - Correspond with account managers, account coordinators, claims department, and other technical areas - Troubleshoot claims errors and refer escalated issues to team lead You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Other
ID
2024-3112
Job Locations US-Remote
Who are you?   As a Senior Benefit Plan Builder you will be responsible for the build and maintenance of plan benefits for new and existing groups upon implementation, renewal, and changes. If you have experience in health benefits or claims management with excellent organizational skills and a strong attention to detail, this is the perfect opportunity to grow your career with a progressive leader in healthcare!   In this role you will wear many hats, but your knowledge will be essential in the following:   - Support Implementation and Account Management teams by consolidating information during new client implementation and/or renewal to ensure the accuracy of benefits - Create benefit SMART sheets - Translate benefits from ICD10, HCPCS, CPT, CDT and other insurance billing codes - Audit plan build work of other teammates - Build out groups and upload benefit summary to website for members and faxback system for providers - Ensure compliance with applicable government regulations - Process Group terminations - Correspond with account managers, account coordinators, claims department, and other technical areas - Troubleshoot claims errors and refer escalated issues to team lead You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Other
ID
2024-3111
Job Locations US-Remote
Who are you?   You are a time-tested Payroll processing professional with solid, current experience managing and processing payroll, for companies of 500-1000 or more, utilizing ADP Workforce Now.  You are knowledgeable in the coordination of all aspects of a company’s bi-weekly payroll and know how to administer all of the company’s benefit offerings within the payroll.   As our Payroll Administrator you attend to the day-to-day operations of our payroll department (specifically within Workforce Now, Essential Time and Enterprise Enhanced Time) to ensure timely and accurate payroll process deadlines are met and that internal guidelines are followed while managing all phases of benefits administration and maintenance of employee programs.  You take care in the interaction with employees to address, assist, and resolve all employee payroll related issues.    In addition to the above, you are knowledgeable in payment of sales commissions on a monthly basis and skillfully able to assist with management of the Company’s bonus program, while assisting with other HR compliance initiatives, projects and events.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Processes payroll, reconciliations, payroll taxes, year-end procedures and W-2′s for multi-state employees - Prepares reports from ADP WFN for employee benefit and payroll audits - Ensures the accurate processing of all mandatory and voluntary deductions as well as garnishments, liens, direct deposit requests, 401K loans, etc. - Ensures legal compliance in completing all paperwork including all Federal, State and Local laws regarding payroll administration. Sets up and maintains state and local tax filing status with ADP’s tax filing service - Fully comply with all statutory payroll legislation and handle any inquiries from government agencies - Administer information flow and employee data in ADP suite of products including: Workforce Now (preferably 14.0 or higher) as well as Enterprise eTime.  Identifies, troubleshoots and resolves issues as appropriate - Coordinates the time and attendance system for hourly employees; understands time reporting rules and requirements; monitors the system for proper functioning; troubleshoots and resolves issues - Processes all special compensation, incentives / commissions, and bonus checks with the highest standard of accuracy and timeliness and in accordance with SOX requirements - Prepare year-end incentive accrual and reconcile to accrual to actuals as incentives are paid - Analyze current payroll policies and procedures and recommend best practices for efficiency and accuracy. Keeps current in trends and regulations as they relate to the payroll function - Complies with internal audit controls, ACA, FLSA, COBRA, SOX compliance, tax and other payroll and benefits related legislation - Ability to create and analyze reports on an as needed basis. Prepares and maintains standard and ad hoc reports, queries, and conduct appropriate audits to endure data integrity - Responds to inquiries and verifications for unemployment and other payroll-related data - Perform other duties and or special projects as necessary You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
People
ID
2024-3109
Job Locations US-Remote
In this role you will wear many hats, but your knowledge will be essential in the following:   - Manage cases on a short- and long-term basis over the phone - Perform basic questionnaires and assessments to determine a patient’s diagnosis, treatments, barriers to care, and healthcare needs - Works with RN Case Manager to create and implement individualized plans - Educate patients on treatment and services options, navigating their health plan, benefits utilization, coordinating referrals, etc. - Initiate and maintain contact with the patient/family, provider, employer, and multidisciplinary team as needed throughout the continuum of care - Monitor interventions, evaluate the effectiveness of the treatment plan, report measurable outcomes - Establish working relationships with healthcare providers, client/group, and patients to provide emotional support, guidance, and information - Use claims processing tools to review and research paid claim data to develop a clinical picture of a member’s health and identify for participation in appropriate programs - Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
HealthComp
ID
2024-3107
Job Locations US-NY-Albany/Schnectady | US-PA-Pittsburgh
Who are you?   This is a full-time hybrid position supporting a government contractor in the Pittsburgh/West Mifflin, PA or Albany/Schenectady, NY area. The Health & Wellbeing Specialist is a client-dedicated member of the Virgin Pulse account team, focused on building a culture of health, enhancing health and wellbeing engagement, and driving health behavior change through awareness and activation. The Health & Wellbeing Specialist collaborates with Virgin Pulse account leadership and the client’s HR, benefits, and/or stakeholder teams. This individual will provide advocacy for Virgin Pulse products and demonstrate Virgin Pulse’s mission of Changing Lives for Good. This position will include approximately 10% travel for the first year and may increase to up to 25% for subsequent years.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Design, develop, communicate, and execute an annual health and wellbeing programming plan, in alignment with client’s strategic goals and priorities - Monitor, evaluate, and respond to program measurements and participant feedback, including operations and quality, to drive continuous quality improvement initiatives and goals - Serve as an integrated partner and the face of wellbeing to the client population, guiding members to appropriate resources and offerings - Engage and partner with client stakeholders and internal groups (Diversity & Inclusion, Employee Resource Groups, etc…) to build and support a culture of health - Leverage community partnerships to support client goals including initiatives related to social determinants of health, diversity and inclusion, health, and holistic wellbeing (mental, physical, social, community, financial, and safety wellbeing) - Collaborate with the client’s health plan and vendor partners to identify opportunities for health awareness and engagement, and to drive utilization of the client’s suite of health, benefits, and wellbeing offerings - Build, nurture, and drive engagement through a Wellness Champion Network across key client locations - Support Virgin Pulse platform enrollment and ongoing engagement to associated solutions, resources, and partners - Support implementation of health promotion programs including health screenings, flu shots, and open enrollment events - Drive localized health engagement and awareness through educational opportunities and creative programming - Conduct regular data assessment and reporting to internal and external stakeholders, to define opportunities, track impact, and determine next best steps - Collaborate with Virgin Pulse and client support teams including Marketing, Product, Business Operations, and Customer Service - Partner with Virgin Pulse peers to share best practices and opportunities to drive best-in-class services to our clients - Perform other related duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
Professional Services
ID
2024-3106
Job Locations US-Remote
Who are you?   As the Payroll Manager at Virgin Pulse, your role will involve overseeing and executing  the payroll processes for an organization with a global footprint. Your responsibilities will include a variety of tasks to ensure accurate and timely compensation for our colleagues across several countries. These day-to-day tasks include:   - Payroll processing in compliance with local tax laws, - Data verification across multiple systems to ensure accurate allocation of funds and reconciliation. - Cross functional collaboration to manage monthly and quarterly processes such as generating W-2, 1099 and other regulatory forms - Identifying opportunities for continuous improvement of global processes to enhance efficiency and reduce payroll operation errors.   In this role you will wear many hats, but your knowledge will be essential in the following:   - Manage global payroll team and processes according to the established deadlines with internal and partners. - Maintain full calendar of global payroll regulatory and operational deadlines. - Set internal control procedure in accordance with management and internal audit expectations to ensure continuous compliance. - Timely, accurate and complete payrolls with constant focus on process improvement - Manage all payroll and payroll tax accounting processes. - Completion of all global payroll and payroll tax journal entries - Balance sheet account reconciliations & review of both payroll and payroll accounts. Ensure all reconciling items are cleared timely and accurately. - Adjusting and ad hoc journal entries as needed to support fiscal close processes. - Manage the setup of payroll system including earning codes, deduction codes, memo codes and tax configurations. - Maintain regular KPIs of payroll processes internal and external. Utilize KPI metrics and results to drive process improvements across the organization. - Establish and maintain all standards of customer service within the payroll team providing best in class customer service. - Set goals and standards for the payroll process across all countries including US, Canada, Europe and other countries. - Maintain a full partnership with HR Shared Services driving agreed upon timelines and procedures where processes intersect. Continuously implement process improvements - Maintain documentation of all payroll SOPs ensuring consistent & repeatable processes - Provide continuous training to the payroll staff and set expectations of continued technical growth. - Global Payroll Tax - Manage tax requirements for each location - Provide continuous review of all taxes and coordinate with finance & accounting - Complete registrations for all necessary locations - Maintain payment schedules for all taxes not directly processed by ADP - Establish tax configuration standards for the HR Shared Services team, ensuring accurate application of all Federal, State and local tax requirements - Legal Compliance and Internal Controls - Facilitate complete, accurate and timely filing of annual tax returns including W2s, Canadian T4s/Releves, and other global tax statements - Maintain standards for all garnishment processing - Act as the key liaison for internal and external payroll related audits - Implement controls where needed to ensure accuracy of processes and financial statement - Partnership with international payroll team and HR teams setting and maintaining standards. Provide assistance to establishing payroll in each country as necessary - Budget/variance salary analysis upon request. Maintain budget for payroll vendor fees You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Category
People
ID
2024-3104