Imagine360

Sr. Plan Document Specialist

Imagine360 · Full Time · 3 hours ago

Imagine360

🌎 United States ⭐ 5-10 yrs exp 💼 Data Entry

Responsible for drafting, reviewing, and maintaining employee benefit plan documents and Summary Plan Descriptions for self-funded health plans. Ensures all documents comply with federal regulations like ERISA and ACA while collaborating with internal stakeholders and clients.

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Plan Analyst

Imagine360 · Full Time · 10 hours ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Plan Analyst is responsible for constructing and implementing new plan documents within the claims system and ensuring system setups align with plan descriptions. They also interpret plan language for internal departments and resolve inquiries regarding plan design.

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Supervisor, Member Benefits

Imagine360 · Full Time · a day ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Supervisor, Member Benefits leads the Member Experience team by providing coaching, mentoring, and performance evaluations to ensure high-quality service. They manage call queues, handle escalated member issues, and oversee departmental productivity to maintain a seamless member experience.

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Hematology/Oncology Case Manager, RN

Imagine360 · Full Time · a day ago

Imagine360

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The RN Case Manager coordinates care for hematology-oncology patients, focusing on medical necessity reviews and utilization management. They provide patient education, collaborate with community resources, and ensure adherence to clinical guidelines and regulatory policies.

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Eligibility Administrator

Imagine360 · Full Time · 5 days ago

Imagine360

🌎 United States 💵 $22 - $24 per hour ⭐ 2-5 yrs exp 💼 Software Development

The Eligibility Administrator is responsible for processing enrollments, changes, and terminations for assigned client groups in a timely and accurate manner. They must ensure all transactions align with plan documents and HIPAA guidelines while meeting production and quality metrics.

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Client Implementation & Contracts Specialist

Imagine360 · Full Time · 5 days ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Lead the onboarding and implementation process for reference-based pricing clients, including system setup and contract maintenance. Serve as the primary point of contact for TPAs, brokers, and internal stakeholders to ensure timely plan execution.

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Stop Loss Representative

Imagine360 · Full Time · 6 days ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Coordinates the tracking, documentation, and submission of stop loss claims to carriers for reimbursement. Manages large case notifications and maintains detailed internal records to ensure regulatory compliance and quality assurance.

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Client and Member Success Associate

Imagine360 · Full Time · 7 days ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Client and Member Success Associate is responsible for building relationships between clients, their members, and internal and external stakeholders. This includes responding to client communications, guiding members through processes, and managing escalations to ensure a positive experience.

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Senior Stop Loss Specialist

Imagine360 · Full Time · 7 days ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The role involves coordinating the tracking, submission, and monitoring of stop loss claims while resolving carrier inquiries. Additionally, the specialist manages large case notifications and collaborates cross-departmentally to improve quality and internal processes.

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Dispute Selection Specialist

Imagine360 · Full Time · 8 days ago

Imagine360

🌎 United States ⭐ 0-2 yrs exp 💼 Recruitment

The specialist is responsible for handling No Surprises Act claims by researching eligibility and analyzing data to respond to Independent Dispute Resolution notices. They will also triage inquiries, report system issues, and meet daily production goals.

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Dispute Resolution Specialist

Imagine360 · Full Time · 8 days ago

Imagine360

🌎 United States ⭐ 0-2 yrs exp 💼 Others

The specialist is responsible for researching and strategizing Independent Dispute Resolution (IDR) matters to achieve successful outcomes. This includes preparing written analyses, documenting arbitration packages, and ensuring compliance with federal and state laws.

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Regional Sales Coordinator

Imagine360 · Full Time · 8 days ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Sales

The Regional Sales Coordinator provides administrative and coordination support to the Sales and Sales Operations Team, managing logistics and documentation. They act as a conduit between sales teams and the back office while liaising with external brokers to facilitate information exchange.

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Client Reimbursement Advocate

Imagine360 · Full Time · 9 days ago

Imagine360

🌎 United States ⭐ 0-2 yrs exp 💼 Others

The Client Reimbursement Advocate manages and resolves medical claim disputes with providers to ensure fair agreements and member access to care. They act as a liaison between members, providers, and internal stakeholders to minimize balance billing and denials.

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Junior Plan Document Analyst

Imagine360 · Full Time · 9 days ago

Imagine360

🌎 United States ⭐ 0-2 yrs exp 💼 Others

Supports Plan Document Specialists in preparing and auditing plan documents while acting as a liaison between departments, vendors, and clients. Responsible for generating reports, troubleshooting technical issues, and providing high-level customer service and quality assurance.

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Support Specialist, Client Experience

Imagine360 · Full Time · 13 days ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Support

Provide analytical, relationship management, and administrative support to the Client Experience team, including preparing performance reviews and ad hoc reports. Coordinate with internal and external experts to resolve issues related to claims, benefits, and PBM prescription benefits.

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Product Support Specialist

Imagine360 · Full Time · 13 days ago

Imagine360

🌎 United States 💵 $55000 - $60000 per year ⭐ 2-5 yrs exp 💼 Support

The role focuses on maintaining accurate product, vendor, and pricing documentation across operational systems like Salesforce and PriceBooks. It involves coordinating approvals for pricing changes and creating training materials for vendor processes.

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Product Implementation Specialist

Imagine360 · Full Time · 13 days ago

Imagine360

🌎 United States 💵 $55000 - $60000 per year ⭐ 2-5 yrs exp 💼 Others

Maintain and update vendor grids, hierarchy documentation, and network routing information to ensure accuracy across the organization. Coordinate with cross-functional SMEs to support client implementations and communicate updates to downstream teams.

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Manager, Communications and Public Relations

Imagine360 · Full Time · 15 days ago

Imagine360

🌎 United States ⭐ 5-10 yrs exp 💼 Marketing

The role is responsible for improving brand awareness and managing the company's reputation through external communications and storytelling. Key duties include developing communication plans, managing media relationships, and supporting executive social media strategies.

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Manager, Stop Loss Strategy

Imagine360 · Full Time · 16 days ago

Imagine360

🌎 United States ⭐ 5-10 yrs exp 💼 Others

Manage strategic relationships with stop loss carriers and brokers to drive revenue growth and expand Risk Operations capabilities. Facilitate the solicitation and evaluation of stop loss insurance while serving as a subject matter expert for clients and internal stakeholders.

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Proposal Pricing Coordinator

Imagine360 · Full Time · 16 days ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Manage the end-to-end pricing development process for new business quotes, ensuring accuracy and adherence to customer requirements. Coordinate with internal stakeholders and use Salesforce to generate proposals and track pricing milestones.

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Stop Loss Specialist

Imagine360 · Full Time · 19 days ago

Imagine360

🌎 United States 💵 $40000 - $50000 per year ⭐ 0-2 yrs exp 💼 Others

The specialist coordinates the tracking, documentation, and submission of stop loss claims for reimbursement. They are also responsible for maintaining plan documents, resolving carrier inquiries, and improving internal quality processes.

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Contract Configuration Specialist

Imagine360 · Full Time · 20 days ago

Imagine360

🌎 United States 💵 $18 - $20 per hour ⭐ 2-5 yrs exp 💼 Others

The specialist is responsible for implementing, loading, and testing provider direct contracts within claims and contract systems. They ensure adherence to physician and health system contracts while handling pricing inquiries and maintaining provider rosters.

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Member Benefit Specialist

Imagine360 · Full Time · a month ago

Imagine360

🌎 United States 💵 $20 - $23 per hour ⭐ 2-5 yrs exp 💼 Others

Act as a single point of contact for members to resolve inquiries regarding benefit plans and healthcare navigation. Responsibilities include educating members on FSAs, HSAs, and HRAs while ensuring compliance with HIPAA guidelines.

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Billing Advocate

Imagine360 · Full Time · a month ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

The Billing Advocate manages a caseload of members to guide them through the balance bill defense process. They coordinate with legal teams, medical providers, and clients to resolve billing issues and ensure a positive member experience.

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Operations Specialist (EDI Implementation Support)

Imagine360 · Full Time · a month ago

Imagine360

🌎 United States ⭐ 0-2 yrs exp 💼 Support

Support EDI implementations and post-implementation production for 834 and 837 transactions with third-party administrators. Act as the primary operational liaison to ensure smooth onboarding, resolve processing discrepancies, and maintain detailed SOPs.

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Provider Benefits, Assist Line Support

Imagine360 · Full Time · a month ago

Imagine360

🌎 United States 💵 $20 - $23 per hour ⭐ 2-5 yrs exp 💼 Support

The role involves assisting Conduent Staff with inquiries about plan language, benefits, and claims while accurately recording interactions. Additionally, the position requires providing support for escalated calls and delivering real-time coaching to ensure provider satisfaction.

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Health Plan Relationship Manager

Imagine360 · Full Time · a month ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Manage a portfolio of clients and brokers to ensure satisfaction, retention, and growth through effective communication and program analytics. Act as a liaison between internal staff, clients, and vendors to oversee the administration of healthcare benefit plans.

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Invoice Fee Specialist

Imagine360 · Full Time · 2 months ago

Imagine360

🌎 United States 💵 $20 - $22 per hour ⭐ 2-5 yrs exp 💼 Others

The specialist is responsible for reviewing and validating PBM vendor invoices to ensure accuracy and compliance with contractual agreements. They reconcile billed fees against claims data and coordinate with vendors and internal managers to resolve billing discrepancies.

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Supervisor, Digital Resolution Team

Imagine360 · Full Time · 4 months ago

Imagine360

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Supervisor oversees escalated member issues and supervises staff managing written benefit-related inquiries, ensuring timely, accurate, and high-quality responses while maintaining service standards. This role involves providing daily guidance, coaching, quality oversight, and operational support to ensure team efficiency and adherence to service expectations.

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