Information Technology Jobs in Estero Fl Remote
1,673 positions found — Page 6
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Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from the best and accelerate your career with Vi.
What We Offer:
- Competitive pay
- Exceptional benefits
- Generous Paid Time Off - start accruing on day one
- 401k with company match
- Paid maternity and paternity benefits
- Award-winning training and development
- Tuition Reimbursement
- Luxury work environment
- Meaningful and rewarding work
Vi at Bentley Village is located at 2315 Leisure Lane, Naples, FL 34110
Responsibilities:Clinical Reimbursement Manager - MDS RN
Full-Time Onsite Position
Collaborates with the DON, Clinical Reimbursement Specialist (where applicable) and various disciplines to complete the Minimum Data Set (MDS), Resident Assessment Instrument (RAI), and all associated processes. With guidance and oversight from the DON, the CRM ensures completion of the assessment within the timeframe as mandated by federal regulations and company policies. The CRM also manages the overall process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center. Responsibilities also include assisting with the coordination of the resident care planning processes. Performs other duties as assigned. This is a safety sensitive position.
Principal Accountabilities / Essential Job Functions:
• Reviews the clinical records, MD progress notes, therapy and nursing documentation in order to capture all care and services for optimal reimbursement.
• Ensures that participants in the assessment process complete an accurate and comprehensive assessment and collaborates with the Clinical Reimbursement Specialist (where applicable)or DON to address concerns.
• Tracks Medicare/Managed Care beneficiaries to determine continued and appropriate Medicare eligibility and benefit period by determining skilled level of need.
• Performs concurrent and ongoing MDS review to ensure appropriate PDPM category is achieved through the capture of appropriate clinical information.
• Manages the coordination of ICD-10 coding for Medicare and Managed Care billing.
• Directs the interdisciplinary team process to communicate opportunities to ensure capturing of all care, services, and diagnosis.
• Coordinates with rehabilitation services Program Director, Corporate Director of Clinical Reimbursement and Central Billing Office as needed to communicate case mix data required for accurate claim billing at month end.
• Reviews additional document requests by local Medicare Administrative Contractors, insurance carriers or auditors to ensure appropriate documentation is submitted timely for review.
• Encourages staff to report changes in the resident's status and involves the DON in addressing concerns.
• Confirms that residents and their families are actively involved in the information sharing and decision-making process.
• Completes resident assessment protocol documents within scope of practice.
• Assists with the completion of the resident care plan and the care plan conferences per requirements as requested by the DON.
• Provides resident and family education as needed.
• Identifies and reports deviations from safe practice to the DON. Adheres to policies and guidelines of regulatory agencies (i.e. OSHA, CMS).
• Manages emergency situations based on the Company’s safety and disaster policies.
• Communicates and collaborates with other members of the healthcare team to resolve resident care problems and to enhance care delivery.
• Participates in quality assessment/performance improvement activities and audits.
• Maintains minimum data set competencies and attends annual educational programs.
• Attends/participates in care center meetings, in-services and committee meetings.
• May perform CPR, use Automated External Defibrillator (AED), and render first aid in emergency situations.
Physical Requirements:
• Constant: Walking, must have the ability to operate in a constant state of alertness and in a safe manner.
• Frequent: Standing
• Occasional: Handling medical supplies and equipment, pushing up to 120 lbs.
• Seldom: Bending, crouching, pulling, reaching up to 36 in., lifting Residents (70 lbs. to 300 lbs.) with use of assistive device
Sensory Requirements:
• Balance, tactile, hearing, smelling, near, midrange, color and peripheral vision
Working Conditions:
• Regular on-site physical presence is required.
Qualifications:Key Competencies:
• Maintains a courteous and professional manner through interactions with others.
• Uses a resident and customer-focused approach to problem solving and goal setting.
• Uses discretion in handling confidential information, incorporating all Federal, State and local privacy and confidentiality requirements.
• Must possess knowledge of regulatory compliance and Continuing Care Retirement Community operations.
• Excellent knowledge of Case-Mix, and the Federal Medicare PPS process as required.
• Thorough understanding of the Quality Indicator Process, and OBRA regulations.
• Excellent oral and written communication skills and ability to interface and maintain effective relationships with all departments and employees in a team-oriented environment.
• Computer proficiency using Microsoft Office.
• Must be sensitive to the needs of older adults and enjoy working with a senior population.
Education and Experience:
• Education: Graduation from a School for Registered Nurses is required.
• Work Experience: Minimum 3 years of previous experience in an MDS/Clinical Reimbursement Nurse role is required.
• Licensure / Certification, where required: Current State Licensure as a Registered Nurse in the state where practicing is required. Current CPR and Automated External Defibrillator (AED) certifications are required. Current First Aid certification is required or must be willing and able to become First Aid certified. Food handlers certification, where required.
The application window is anticipated to close within 30 days of the date of the posting.
This position requires compliance with Florida’s Care Provider Background Screening process. Please see the Clearinghouse screening information here: Pay Range: USD $82,487.45 - USD $107,228.73 /Yr.
General Dentist - Estero, FL
Competitive Compensation Package to Include $20,000 Sign On Bonus!
2027 Grads Encouraged To Apply
Dental Care at The Mangroves, a brand new state of the art dental office located in Estero, FL, projected to open in March 2027 is seeking a passionate and driven General Dentist to join our office!
If you're a seasoned practitioner, this is your chance to lead a practice with clinical autonomy while being supported by the resources and expertise of Heartland Dental, the nation’s largest Dental Support Organization.
- Dynamic Team: Collaborate with a high-performing team that thrives on delivering exceptional patient care while fostering a supportive and communicative work culture.
- Cutting-Edge Technology: Utilize state-of-the-art tools, including an iTero Scanner, WaveOne Gold, and VideaHealth AI, to provide advanced and efficient care for your patients.
Compensation & Benefits Highlights:
Discretionary Personal Time Off (PTO): Maintain a healthy work-life balance with the freedom to take the time you need, ensuring you stay refreshed and energized.
Competitive Earnings: Guaranteed base salary with uncapped earning potential to match your expertise and commitment.
Wealth-Building Opportunities: Participate in Heartland Dental stock offerings and grow alongside our success.
Comprehensive Benefits Package: Enjoy competitive benefits including health insurance and retirement savings plans, ensuring your well-being and financial security.
Clinical Skills Development: Immerse yourself in world-class continuing education programs designed to hone your clinical skills and elevate your career.
Unmatched Mentorship: Connect 1:1 with experienced mentors and tap into the collective wisdom of an expansive network of dental professionals. Our commitment to your growth extends beyond the clinical realm, providing valuable networking opportunities to foster professional and personal relationships.
Advanced Professional Accreditation: Enroll in the Doctor Mastery Program to earn your Fellowship in the Academy of General Dentistry (FAGD), expanding your service offerings and enhancing your professional standing.
Why Choose Heartland Dental?
As the leader of your supported office, you'll enjoy unparalleled support to deliver exceptional lifetime patient care. Here is what sets us apart:
Full Clinical Autonomy: Enjoy a work environment that fosters full clinical autonomy. We believe in empowering our supported Doctors to make decisions that best serve their patients and contribute to their professional growth.
World-Class Growth Opportunities: Expand your skills with industry-leading CE programs, personalized mentorship, and access to a network of over 2,800 supported Dentists.
Top-Tier Technology & Support: Operate with the highest-quality technology, supplies, and administrative support to elevate your practice and focus on patient care.
Collective Strength of Heartland Dental: Being part of the largest network of doctors means you have unparalleled access to resources, technology, and collaboration opportunities. Experience the strength and support that comes with being part of Heartland Dental.
Founded by a Doctor, for Doctors: Heartland Dental, founded by a doctor for doctors, holds a mission to support dentists and their teams. Be part of a network that prioritizes delivering the highest quality dental care and experiences to the communities we serve.
What We’re Looking For:
DDS/DMD Degree: Possess a Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree, along with an active and unrestricted license in the state of Florida.
Dedication to Excellence: A passion for delivering comprehensive, patient-centered care with a commitment to fostering trust and comfort.
Commitment to Continuous Learning: Exhibit a strong desire to continue learning and expanding clinical skills to meet the evolving needs of patients. We foster an environment that encourages professional growth and development.
Credentialing with Dental Insurance Plans: Ability and willingness to become credentialed with various dental insurance plans, ensuring seamless and comprehensive coverage for our patients.
Physical Requirements:
Essential Duties Performance: Demonstrate the ability to perform essential duties satisfactorily, with or without reasonable accommodation. We are committed to providing accommodations that enable individuals with disabilities to excel in their roles.
Versatility in Sitting and Standing: Expect prolonged periods of sitting and standing, adapting to the dynamic nature of dental practice.
Physical Stamina: Capable of lifting and carrying up to 45 pounds when necessary, ensuring your physical stamina aligns with the demands of the role.
Virtual and In-Person Training: Availability to attend periodic virtual training sessions (or in-person when required) throughout the year. We prioritize ongoing education to enhance your skills and keep you at the forefront of industry advancements.
As part of our commitment to maintaining a safe and healthy environment for both team members and patients, a tuberculosis (TB) test is required for all new hires in dental office positions. This is a standard requirement for dental office roles and must be completed prior to starting employment. The test will be arranged during the pre-employment process, and any necessary guidance or paperwork will be provided. Not applicable in the state of FL & TN.
At Heartland Dental, we’re committed to living our core values which promote diversity and inclusion. We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.
By applying, you consent to your information being transmitted to the Employer by SonicJobs.
See Heartland Dental Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
Are you a results-driven sales professional ready to take full control of your income, schedule, and success?At Wholesale Payments, we're empowering ambitious Outside B2B Sales Executives to own their territory, dominate their market, and build lasting wealth in the rapidly growing fintech and merchant services industry.
What You'll Do
- Engage and consult with small and mid-sized business owners, offering best-in-class payment processing, POS, and business technology solutions
- Execute a proven B2B sales process — prospect, present, and close new accounts face-to-face
- Manage your own pipeline with full autonomy, supported by elite tools and a winning culture
- Build a residual income stream that grows month after month — every account you sign keeps paying you
- Become a trusted advisor to your clients — delivering value, savings, and partnership
What You'll Get
- Uncapped Commission Structure — earn what you're worth
- Lifetime Residuals — ongoing passive income on every account
- $15,000+ Fast-Start Bonus potential in your first 90 days
- Daily Qualified Leads so you can focus on closing, not chasing
- Exclusive Fintech Tools & CRM — built to help you win faster
- 45X Portfolio Buyout Option — turn your book into real equity
- Comprehensive Training, Mentorship & Closer Support
- 3-6 preset appointments each day!
What We're Looking For
- Proven B2B or outside sales track record (merchant services or fintech experience preferred)
- A fearless hunter mentality — you love prospecting and closing deals
- A "CLOSER" - Hybrid role with appointments that need to be closed!
- Entrepreneurial spirit with discipline and self-motivation
- Confident communicator who builds instant trust with business owners
- A go-getter who thrives in a performance-based environment
Why Wholesale Payments?
This isn't your typical sales gig — it's a career path toward true financial freedom. You'll be backed by one of the most respected names in the industry, equipped with world-class tools, and surrounded by a winning culture that rewards performance.
Job Type: Full-time
Pay: $85,000.00 - $185,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Outside sales: 2 years (Preferred)
- Direct sales: 1 year (Preferred)
- Sales: 4 years (Required)
- B2B sales: 2 years (Required)
Ability to Commute:
- Arizona (Required)
Work Location: Remote
Remote working/work at home options are available for this role.
Are you a results-driven sales professional ready to take full control of your income, schedule, and success?At Wholesale Payments, we're empowering ambitious Outside B2B Sales Executives to own their territory, dominate their market, and build lasting wealth in the rapidly growing fintech and merchant services industry.
What You'll Do
- Engage and consult with small and mid-sized business owners, offering best-in-class payment processing, POS, and business technology solutions
- Execute a proven B2B sales process — prospect, present, and close new accounts face-to-face
- Manage your own pipeline with full autonomy, supported by elite tools and a winning culture
- Build a residual income stream that grows month after month — every account you sign keeps paying you
- Become a trusted advisor to your clients — delivering value, savings, and partnership
What You'll Get
- Uncapped Commission Structure — earn what you're worth
- Lifetime Residuals — ongoing passive income on every account
- $15,000+ Fast-Start Bonus potential in your first 90 days
- Daily Qualified Leads so you can focus on closing, not chasing
- Exclusive Fintech Tools & CRM — built to help you win faster
- 45X Portfolio Buyout Option — turn your book into real equity
- Comprehensive Training, Mentorship & Closer Support
- 3-6 preset appointments each day!
What We're Looking For
- Proven B2B or outside sales track record (merchant services or fintech experience preferred)
- A fearless hunter mentality — you love prospecting and closing deals
- A "CLOSER" - Hybrid role with appointments that need to be closed!
- Entrepreneurial spirit with discipline and self-motivation
- Confident communicator who builds instant trust with business owners
- A go-getter who thrives in a performance-based environment
Why Wholesale Payments?
This isn't your typical sales gig — it's a career path toward true financial freedom. You'll be backed by one of the most respected names in the industry, equipped with world-class tools, and surrounded by a winning culture that rewards performance.
Job Type: Full-time
Pay: $85,000.00 - $185,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Outside sales: 2 years (Preferred)
- Direct sales: 1 year (Preferred)
- Sales: 4 years (Required)
- B2B sales: 2 years (Required)
Ability to Commute:
- Arizona (Required)
Work Location: Remote
Remote working/work at home options are available for this role.
Manhattan Active WMS Tech Analyst Direct Hire Remote
Tier4 Group is seeking a driven IT MAWM Technology Analyst to support and evolve enterprise‑wide IT initiatives centered on Manhattan Active Warehouse Management (MAWM). In this role, you’ll be a key contributor to system configuration, integrations, extensions, and advanced support—helping ensure our technology ecosystem scales with current and future business needs.
You’ll collaborate closely with IT, business partners, vendors, and QA teams while owning complex configurations, integrations, and L2/L3 troubleshooting in a fast‑paced warehouse and supply chain environment.
What You’ll Do
- Configure and support MAWM solutions using Manhattan Configuration Tools, Config Director, and APIs
- Design, develop, and maintain RESTful API integrations (JSON/XML) between MAWM and third‑party systems such as ERP and TMS
- Create, deploy, monitor, and manage MAWM extension packs using ProActive
- Provide L2/L3 production support, including deep technical troubleshooting, root‑cause analysis, and issue resolution
- Partner with IT, business stakeholders, and vendors to understand, document, and enhance business and technical requirements
- Participate in the design, build, testing, validation, implementation, and ongoing support of application and infrastructure solutions
- Collaborate with IT, QA, and business teams on test planning and execution
- Produce and maintain technical documentation, including:
- Configuration and extension specifications
- System architecture diagrams
- Integration mappings and API documentation
- Support enterprise initiatives by ensuring MAWM aligns with evolving operational and strategic goals
What You Bring
- Bachelor’s degree in Computer Science, Information Technology, Supply Chain, or a related field
- 2+ years of hands‑on experience with Manhattan Active WMS (MAWM)
- Proven experience deploying and managing MAWM extensions using ProActive
- Strong expertise in:
- Manhattan Configuration Tools & Config Director
- API development and integration (REST, JSON/XML)
- Postman scripting and testing
- Experience integrating MAWM via MIF with external systems (ERP, TMS)
- Solid understanding of warehouse operations and supply chain processes
- Excellent analytical, problem‑solving, and troubleshooting skills
- Strong communication skills with the ability to work calmly and effectively under pressure
Nice to Have
- Experience supporting distribution centers or warehouse environments, especially in:
- Food & Beverage
- Pharmaceuticals or other regulated industries
Why This Role
- 100% remote opportunity (within select states)
- Direct impact on enterprise‑level warehouse technology
- Collaborative, cross‑functional environment
- Opportunity to work deeply with a modern Manhattan Active platform
Remote working/work at home options are available for this role.
PLEASE NOTE: ONLY APPLICANTS WITH INDIVIDUAL LIFE UNDERWRITING EXPERIENCE WILL BE CONSIDERED FOR THIS ROLE.
Job Summary Builds relationships with Financial Advisors and internal partners.
Develops the skills necessary to successfully underwrite Life, Disability, and/or Long-term Care insurance policies in an inclusive and fast-paced environment ensuring all quality, service and production goals are met.
Primary Duties & Responsibilities Field & Client Experience.​Responsible for credible and effective relations and communication with field and customer to include responding to case appeals/inquiries and assists with placing business.Provides guidance and assistance to the Northwestern Mutual Financial Network and Financial Representatives regarding case underwriting and risk appraisal.Responsible for prescreen inquiries.
Underwriting Responsible for the analysis and appraisal of a broad range of insurance applications; approves, classifies, or declines applications for various ages and policy amounts with occasional guidance, as needed.​Uses advanced UW knowledge and expertise to provide the appropriate level of underwriting skill and mentoring to UWs​.Uses advanced skills to review applications and adheres to underwriting standards.​Solves complex problems and escalations.Advanced level of experience with NM product types and changesModels change agility while maintaining mortality and morbidity expectations.Demonstrates continuous learning through the early adoption of new ways of underwriting.Proficient with Reinsurance programs and able to determine where to best place a case.Underwrites applications, maintaining industry-leading mortality and morbidity giving the best possible offer that can be made.Provides active case and requirement management and provides customized service with guidance.Demonstrates advanced ability to communicate & negotiate with Field Partners to explain modified or declined decisions & assist in policy placement.Provides advanced financial, medical, and lay underwriting assessments and offers innovative solutions to keep Northwestern Mutual as the choice of our customers.Actively utilizes the most effective means to obtain the necessary information, including Internet searches, direct contact with the insured, and communication with third party advisors (Accountants, Attorneys, etc.)Collaborates with medical directors and technical staff.Responsible for adherence to procedures and regulatory processes​.Understands and meets all quality, service, and production goals​.Partners with Underwriting Support for case management.Cross-Functional leadership.Subject matter expert in product process w/collaboration w/functional partners and participates in projects and department initiatives.Collaborates and designs P3 curriculum with L&D/Tech Team​.
Qualifications A bachelor's degree preferred or demonstrated consistent success in prior Underwriting role as evidence by satisfactory case management and quality review.Minimum of 5 years of underwriting experience.Analytical skills with an established record to make independent decisions on complex cases and apply sound judgment in the application of rules.Excellent written and oral communication skills with the ability to handle confidential information, exercise tact, diplomacy, and resourcefulness.Proficient in computer skills and using various software packages.Ability to work accurately while maintaining speed and flexibility in a team and independent production environment.A high degree of organization and the ability to establish priorities and meet deadlines.Demonstrated strong leadership skills and a high degree of self-motivation and initiative to lead projects or committees.Displays agility to manage multiple tasks​ and adapt in a changing work environment.
#LI-Remote or LI-Hybrid Compensation Range: Pay Range
- Start: $76,650.00 Pay Range
- End: $142,350.00 Geographic Specific Pay Structure: Structure 110: $84,350.00 USD
- $156,650.00 USD Structure 115: $88,130.00 USD
- $163,670.00 USD We believe in fairness and transparency.
It’s why we share the salary range for most of our roles.
However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process.
The standard pay structure is listed but if you’re living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more.
Grow your career with a best-in-class company that puts our clients' interests at the center of all we do.
Get started now! Northwestern Mutual is an equal opportunity employer who welcomes and encourages diversity in the workforce.
We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.
Skills Change Adaptability (NM)
- Advanced, Information Optimization (NM)
- Advanced, Customer Support (NM)
- Advanced, Underwriting Ecosystem (NM)
- Advanced, Customer Centricity (NM)
- Intermediate, Insurance Acumen (NM)
- Advanced, Technology Adaptation (NM)
- Advanced (Inactive), Information Gathering (NM)
- Advanced, Attention to Detail (NM)
- Advanced, Training, Educating & Awareness (NM)
- Intermediate, Adaptive Communication (NM)
- Advanced, Consulting (NM)
- Advanced, Data Application (NM)
- Advanced, Decision Making (NM)
- Advanced, Negotiation & Managing Objection (NM)
- Advanced, Mortality, Morbidity, & Risk Analysis (NM)
- Advanced, Learning Agility (NM)
- Advanced (Inactive), Underwriting Practices (NM)
- Advanced, Reasoning (NM)
- Advanced FIND YOUR FUTURE We’re excited about the potential people bring to Northwestern Mutual.
You can grow your career here while enjoying first-class perks, benefits, and our commitment to a culture of belonging.
Flexible work schedulesConcierge serviceComprehensive benefitsEmployee resource groupsPandoLogic.
Keywords: Underwriting Consultant, Location: Franklin, WI
- 53132
Remote working/work at home options are available for this role.
**This position is open to remote anywhere in the US, however, must be able to work Central Time Zone hours
** What You'll Do Make fair, accurate, timely and quality claims decisions on life insurance claims up to allowable signature limit.
May work on cases exceeding this limit with prior approval and second signatures.
Examines claim information obtained, including, but not limited to, beneficiary data, policy values, and policy status; and analyzes information received during the claim review process, including but not limited to, death certificates, claim forms, assignment forms, divorce decree, estate, and trust documentation.
With empathy, deliver personalized experience for beneficiaries and field members by assisting with educating on settlement options available, which varies by policy type.
Communicate verbally and construct letters and emails to beneficiaries, field members, and third parties in response to inquiries and/or regarding outstanding requirements, claim status updates, and claims decisions as part of the overall claim handling process.
Manage phone and transactional responsibilities while adhering to strict confidentiality and privacy standards.
Research and evaluate solutions to situations that arise and resolve concerns on an “as-needed†basis which oftentimes includes deviating from procedures.
Maintain organization, accuracy, and timeliness in individual case management system; capture and document claim related information accurately and/or refer tasks as appropriate.
Maintain production and claims quality standards.
Embrace new technology and serve as an advocate by educating beneficiaries and field representatives.
Supports digital savvy capabilities in self and others and adapts to changing environments and new situations effectively and positively.
Work effectively with unstructured teams, situations, or environment.
Participate in team meetings, projects and committee work as appropriate, including development of process improvements.
Assist with special projects and initiatives, as needed to support the business.
What You Will Bring to the Role Bachelor’s degree or equivalent combination of education and work experience.
Previous experience with life insurance desirable.
Must be technically savvy with the ability to toggle between multiple applications and/or computer monitors simultaneously.
Exhibits empathy and strong client focus and customer service skills.
Able to analyze complex information and asks thoughtful questions to understand the situation.
Demonstrated ability to work with a high degree of accuracy in handling detailed technical work.
High degree of self-motivation with proven initiative in accepting responsibility for work results and in contributing cooperatively to group goals.
Skilled at developing and maintaining effective working relationships with a positive, confident attitude; exhibits objectivity and openness to others’ views.
Strong organizational skills, with demonstrated ability to independently set priorities and to meet deadlines.
Proven ability to maintain strict confidentiality and exercise tact and diplomacy with field/clients and beneficiaries.
Skills You Have Analytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes.
Attention to Detail: Focuses on specific details to spot and correct errors in advance of them being found and surpass quality expectations.
Performs work with thorough proofreading for presentation, content, accuracy, and overall quality.
Change Adaptability: Becomes adaptable in response to continual changes; shows an openness to new ways of working, new methods, work-in-progress improvements and changes and seamlessly navigates the changing business environment and adjusts behavior as appropriate to the situation.
Claims Acumen: Applies the knowledge of claims philosophy, contracts, and policies and procedures for filing claims, assessing claims for accuracy and completeness, verifying eligibility, and adjudicating claims based on established criteria to handle complex, contestable, sensitive, and large benefit amount claims.
Evaluates medical, financial, and occupational information and reviews to determine if insured meets contractual provisions while taking the state regulations or other relevant contractual information into consideration to make informed decisions.
Analyzes insurance claims to determine the validity/risk of the claim, and the extent of coverage.
Customer Centricity: Applies a customer first mindset to design and continuously improve solutions, systems, processes, and services that support enterprise strategy, impact critical business outcomes, and drive organizational success.
Decision Making: Makes timely, data-driven decisions by understanding the probability of success, identifying risks, gathering business requirements, and developing value statements.
Insurance Acumen: Applies knowledge of insurance concepts, policies, regulations, and industry practices to solution challenges.
Understands insurance principles, such as underwriting, claims philosophy, and risk.
#LI
- Remote This position has been classified as an Associated Person under NMIS guidelines and requires fingerprinting and completion of required form.Non-Registered Fingerprinted
- FINRA Compensation Range: Pay Range
- Start: $49,560.00 Pay Range
- End: $92,040.00 Geographic Specific Pay Structure: Structure 110: $54,530.00 USD
- $101,270.00 USD Structure 115: $56,980.00 USD
- $105,820.00 USD We believe in fairness and transparency.
It’s why we share the salary range for most of our roles.
However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process.
The standard pay structure is listed but if you’re living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more.
Grow your career with a best-in-class company that puts our clients' interests at the center of all we do.
Get started now! Northwestern Mutual is an equal opportunity employer who welcomes and encourages diversity in the workforce.
We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.
Skills Information Gathering (NM)
- Intermediate, Problem Management (NM)
- Intermediate, Prioritization (NM)
- Intermediate, Statutes & Regulation (NM)
- Beginner, Insurance Contract Management (NM)
- Intermediate, Empathetic Communication (NM)
- Intermediate, Insurance Acumen (NM)
- Beginner, Annuity Acumen (NM)
- Beginner, Customer Centricity (NM)
- Intermediate, Analytical Thinking (NM)
- Intermediate, Learning Agility (NM)
- Intermediate (Inactive), Adaptive Communication (NM)
- Intermediate, Decision Making (NM)
- Intermediate, Attention to Detail (NM)
- Intermediate, Claims Acumen (NM)
- Intermediate, Change Adaptability (NM)
- Intermediate, Data Application (NM)
- Intermediate FIND YOUR FUTURE We’re excited about the potential people bring to Northwestern Mutual.
You can grow your career here while enjoying first-class perks, benefits, and our commitment to a culture of belonging.
Flexible work schedulesConcierge serviceComprehensive benefitsEmployee resource groupsPandoLogic.
Keywords: Insurance Examiner, Location: Franklin, WI
- 53132
Remote working/work at home options are available for this role.
Minimum of five years experience working in analytics with hospitals and health plans.
Advanced proficiency required with VBA, SQL, Salesforce, Excel and Access.
High-level skills using web applications and all browsers; ability to teach others how to use web-based database functions.
Demonstrated experience using Microsoft Office computer applications, including Word, Access, Outlook and SharePoint.
Advanced knowledge of Excel required.
Detail-oriented with strong follow-through and ability to work independently given standard guidelines and checklists.
Good writing and communication skills.
Able to draft grammatically correct and professional email messages.
Demonstrated experience in working successfully with minimal supervision.
Must have knowledge of medical and health care terminology.
Ability to complete HIPAA training and implement high-level protections on patient information and confidentiality.
Must work effectively independently and in a team setting.
Ability to relate well with internal and external customers.
Quality/Metrics: Gather and perform analysis on data from Salesforce, Loopback, Excel, and other databases as required.
Perform data cleaning as needed to ensure data are consistent and analyzable.
Create data reports, charts, graphs and tables for regular reporting to program leads and external partners.
Export data from software systems and program tracking logs for agency reporting.
Assemble reports, papers and presentation materials as directed.
Collect data through phone and in-person interviews.
Record or transcribe data in accordance with project and funding source guidelines.
Perform literature reviews (locating, listing &/or abstracting articles).
Enter literature references into shared database (such as EndNote) Responsibilities: Data cleaning, formatting, and maintenance as needed.
Data visualization and analysis of program metrics.
Data Entry for the program(s) assigned.
Program reporting/billing/invoicing support.
Administrative duties as needed (Mailing and other assigned work) Establish and maintain systems for program accountability – reports track performance.
Attend and ensure follow up after all meetings and presentations – minutes, reports, action plans, assignments, and etc.
Monitors performance, responsibilities of field staff with respect to database management, metrics, and documents.
Reports all errors in systems, workflows, and both internal and external individuals.
Completes reporting (both internal and contractual requirements) with thorough knowledge and understanding of what is being reported.
Develops and maintains a current understanding of the Department’s Contractual Agreements.
Must have professional verbal and written skills, computer/software skills.
Assists with both internal and external customer service calls, emails, and requests.
Other Miscellaneous tasks assigned, as needed.
SQL Server database design, implementation, troubleshooting Develop, optimize, and maintain complex T-SQL queries, stored procedures, indexes, constraints; resolve performance issues, deadlocks, and contentions using traces, execution plans, and profiling.
Design, develop, test, and implement ETL/ELT processes using Talend for data extraction, transformation, and loading from diverse sources, including Salesforce CRM data.
Administer and optimize Talend environment, including job scheduling, dependencies, monitoring, automation, patches, upgrades, and performance tuning.
Integrate Salesforce data (e.g., via APIs, connectors) into SQL Server databases and data warehouses, ensuring data quality, synchronization, and real-time/ batch processing.
Collaborate face-to-face/with business stakeholders to analyze requirements, gather specifications, evaluate data sources/targets, and design solutions that improve business performance.
Lead ETL development activities, ensure code quality, provide feedback on performance.
Support enterprise data warehouse, data marts, and business intelligence initiatives; perform source data analysis and dimensional modeling.
Develop and automate processes using scripting.
Provide tier 2/3 support, evaluate production issues, recommend improvements, and participate in project planning following Agile methodologies.
Perform proactive performance optimization, and data synchronization across environments Mentor staff, recommend process enhancements, and contribute specialized knowledge across IT and business operations.
Document data integration processes, workflows, ETL designs, data mappings, technical specifications, and system configurations Manage version control, deployments Collaborate on testing (unit, integration, UAT Translated business requirements into actionable data specifications, documentation, and code solutions using Salesforce Object Manager and official documentation Reviewed Salesforce release notes, verified production deployments, and conducted feature testing across sandbox and production environments with detailed feedback submission Developed and maintained complex SOQL queries to support data team operations, reporting, and analytics needs Designed and built custom Salesforce reports to support data operations and Enhanced Care Management (ECM) programs Developed and deployed end-to-end solutions for processing health plan MIF data, enabling efficient insert, update, and reporting workflows for Lead and Case objects Performed large-scale data inserts, updates, and migrations using Salesforce Data Loader in both sandbox and production environments Extracted, analyzed, and transformed backend Salesforce data using Talend and SQL to produce accurate reports for compliance, billing, and operational needs Identified and resolved reporting discrepancies and data quality issues through root-cause analysis and targeted corrections Cleaned, standardized, and transformed referral data for mass uploads into Salesforce while enforcing validation rules and workflow requirements Created Salesforce-based error reports that enabled program teams to quickly identify and correct data entry issues Conducted data gap analyses against vendor reporting requirements and designed field transformations and new data structures to meet compliance and reporting standards Integrated offshore datasets with Salesforce records to address missing or incomplete data, improving accuracy for reporting and billing Reduced manual data entry and correction efforts by automating large-scale updates, inserts, and fixes via Salesforce Data Loader Maintained vendor zip code records in Salesforce to ensure accurate service area tracking, correct billing rates, and reliable historical reference Partners in Care Foundation is an equal opportunity employer.
We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.
It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws.
All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.
Remote working/work at home options are available for this role.
The incumbent is responsible for all phases of the project and can analyze how the project affects and is affected by other areas of the company (i.e., programming, operations, etc.).
Position Responsibilities Develop and maintain a productive working relationship with client contacts and vendors, and communicate effectively with internal and external stakeholders across multiple levels.
Gather project requirements, document change requests, communicate with the team as needed, and take appropriate action.
Analyze client requirements and develop recommendations for solutions as needed.
Provide information to other internal departments regarding project scope and changes to current projects.
Assume responsibility for the timely completion of projects by developing a realistic project schedule using MS Project Monitor project milestones and critical dates to identify potential jeopardy of the project schedule and identify ways to resolve schedule issues.
Interact with team members to coordinate their activities, obtain or provide information regarding projects and changes to projects, assign tasks, and set priorities, including giving work direction to temporary staff.
Develop, update, and maintain materials such as manuals, publications, meeting agendas and minutes, and project documentation.
Manage project delivery to the client and contract specifications Participate in a formal review with the internal team and client at project completion to confirm acceptance and satisfaction.
Coach and mentor less experienced personnel on basic project management skills and responsibilities.
All other projects as assigned.
Qualifications Bachelor’s degree.
Two to four years of project management experience.
Proficiency in Microsoft Office software, including Word and Excel Proficient in MS Project Strong problem-solving skills Excellent written and verbal communication skills Strong proofreading skills Ability to exercise sound judgment Familiarity with and ability to apply conflict resolution with minimal guidance Minimum Expectations Report to work promptly when scheduled Be able to work under supervision and accept feedback Relate effectively and work respectfully with diverse work groups Ability to consistently perform well during times of increased workload Set and meet deadlines Manage multiple job tasks simultaneously Occasional travel may be required.
Reporting to this position: No direct reports
Remote working/work at home options are available for this role.
