Imagine360

Role Description Imagine360 is seeking a Manager, Sales Engineering, to join the team! The Manager, Sales Engineering, is responsible for supporting the strategy, execution, and continuous improvement of key sales enablement, program, and process initiatives that help remove friction from the sales process and improve commercial effectiveness. This role serves as a cross-functional partner across Sales, Product, Marketing, Pricing, Operations, Implementation, and vendor partners to ensure the field has the tools, knowledge, processes, and support needed to sell effectively. The Manager will coordinate initiatives that improve sales productivity, support complex opportunities, strengthen handoffs across teams, and translate field feedback into scalable solutions that support growth and operational excellence. Position Location: 100% remote - Manage the development, maintenance, and continuous improvement of internal sales enablement resources, including sales guides, product pages, internal resource hubs, and process documentation that improve field effectiveness and consistency. - Partner with Product and other stakeholders to support communication of product, process, and organizational updates, ensuring Sales has timely access to relevant information and resources. - Support complex and strategic sales opportunities by helping clarify solution positioning, coordinating internal expertise, and facilitating collaboration across teams. - Serve as a key cross-functional partner connecting Sales with Product, Marketing, Pricing, Operations, Implementation, vendor partners, and other stakeholders to improve alignment and execution across the commercial process. - Assist in sales process optimization efforts, including identifying workflow inefficiencies, standardization opportunities, intake improvements, and process enhancement initiatives related to the New Business Quoting Process and other critical commercial workflows. - Facilitate communication and feedback loops between Sales and internal partners to ensure field insights help inform product positioning, operational planning, process priorities, and rollout execution. - Support product launches, process changes, and strategic initiatives by coordinating communications, training materials, stakeholder readiness activities, and implementation efforts. - Coordinate the sales process for custom programs and unique solution configurations, ensuring business needs are clearly defined and communicated to appropriate stakeholders. - Monitor recurring sales questions, friction points, and field trends; summarize findings and partner with stakeholders to implement improvements that enhance sales effectiveness. - Support onboarding, ongoing training, and field engagement efforts that improve sales confidence, reinforce solution knowledge, and promote consistent sales experience across teams and regions. - Manage multiple projects and priorities simultaneously, ensuring strong organization, stakeholder communication, accountability, and timely execution. Qualifications - Bachelor's degree in business, Healthcare Administration, Information Systems, Communications, Marketing, or a related field, or equivalent relevant work experience. - Minimum of 3 years of experience in sales enablement, sales operations, program management, business operations, commercial strategy, product support, or a related function. - Experience supporting cross-functional initiatives that improve process effectiveness, commercial execution, or field readiness. Requirements - Experience in the health insurance, benefits administration, third-party administration (TPA), stop-loss, or healthcare solutions industry. - Experience supporting sales enablement initiatives, quoting process improvements, product launches, or cross-functional commercial programs. - Familiarity with Salesforce, Showpad, content management systems, project management tools, or similar platforms supporting sales effectiveness. - Experience working in a matrixed organization requiring collaboration across sales, product, operations, implementation, and client-facing teams. Skills and Abilities - Strong communication and presentation skills, with the ability to translate complex information into clear recommendations and practical guidance. - Demonstrated ability to influence and collaborate across teams without direct authority. - Experience identifying workflow inefficiencies and supporting implementation of scalable process improvements. - Strong analytical, organizational, and problem-solving skills, with the ability to manage multiple priorities while maintaining attention to detail and execution quality. - Ability to thrive in a fast-paced, evolving environment with changing priorities and business needs. Benefits - Multiple Health plan options - Company paid employee premiums for disability and life insurance - Parental Leave Policy - 20 days PTO to start / 10 Paid Holidays - Tuition reimbursement - 401k Company contribution - Company paid Short & Long term Disability plus Life Insurance - Professional development initiatives / continuous learning opportunities - Opportunities to participate in and support the company's diversity and inclusion initiatives

Role Description Imagine360 is seeking an Oncology Case Manager RN to join the team! This RN provides excellence in care through empowering patients, maintaining open communication, coordinating sequence of care, aiding in avoidance of complications, arranging alternative facilities, coordinating appropriate treatment with cost containment strategies, educating and supporting not only the member but the support systems. The Oncology Case Manager RN facilitates coordination of both inpatient and outpatient patients with active oncology diagnoses or in the family of diagnoses. Position Location: 100% remote Responsibilities include but are not limited to: - Identify, collect, process, and manage data to perform the Case Management process by utilization of Imagine360 approved clinical guidelines and following Medical Management Policy and Procedures. - Completes clinical assessments per P&P to identify and deliver indicated medical service coordination. - Manage the transplant cases, cases that may lead toward organ transplant, and complex disease cases. - Utilize clinical knowledge, expertise, and educational resources to provide verbal and/or written educational resources to members regarding diagnosis, procedures and/or treatment. - Assess the need for and collaborate with community resources for members in case management. - Uses assigned software accurately to document to complete and document all steps of review of medical necessity and case management process, including time slips. - Facilitate the Patient Satisfaction Surveys. - Assess for cost savings and document the cost saving in assigned software. - Appropriately refer complex cases to Supervisor, Case Management, or designee. - Performs essential activities of case management while maintaining members' confidentiality, safety, advocacy, adherence to ethical, legal and accreditation and regulatory standards. - Performs assessments of each member to identify CM needs. - Consistently exercises discretion and judgment to analyze, interpret, make deductions, and then decide what actions are necessary based on the varying facts and circumstances of each individual case. - Determines measurable goals utilizing motivational interviewing and behavior change model and coaches' clients while monitoring self-care practices. - Utilizes industry standard tools to guide individuals with chronic/ongoing health conditions through coaching, assessments, listening, and other techniques as appropriate. - Executes activities or interventions to achieve the goals in the plan. - Organizes, integrates, and modifies the resources needed to reach the goals in the plan. - Monitors all information from all relevant sources in the plan and its activities and services to determine the plan's effectiveness. - At repeated intervals, evaluates to determine ultimate effectiveness of plan and modifies plan appropriately to meet the goals. - Research medical procedures, treatments, and coding when necessary. - Measures the outcomes of interventions. - Adheres to practicing the care management core components throughout the continuum of care: - Case Management Concepts - Case Management Principles and Strategies - Psychosocial and Support Systems - Healthcare Management and Delivery - Healthcare Reimbursement - Vocational Concepts and Strategies - Customer Service - Acts as a role model in demonstrating the core values in customer service delivery. - Provides timely and thorough follow up with internal and external customers. - Appropriately escalates difficult issues up the chain of command. - Quality Assurance: - Serves on committees, work groups, and/or process improvement teams, as assigned, to assist in improving quality/customer satisfaction. - Recognizes and alerts appropriate supervisor of trends within their scope of responsibility that fall outside of quality parameters. - Performs self-quality monitoring to develop and execute plans to meet established goals. - Provides ongoing feedback to help optimize quality performance. - Collaborates with others and cross-departmentally to improve or streamline procedures. - Develop new or improves current internal processes to improve quality. - Attend and participate in team meetings, trainings, and other job specific events as required. - Communicates (in compliance with HIPAA) with brokers, vendors, Relationship Managers, HR representatives and stop loss as needed. - Communicates professionally and effectively. - Adhere to established internal regulations regarding Department of Labor, HIPAA, ERISA and department and company policies and Procedures. - Participate in the Quality Management Program via collecting and adhering to performance metrics per Case Management Policy. - Complete HIPAA Training Annually. - Perform all tasks in accordance with HIPAA/PHI guidelines. - Appropriately escalate difficult issues. - Complete duties in accordance with scope of licensure and certifications held or requested. - Perform other duties and projects, as assigned. Qualifications - A nursing degree from an accredited college, university, or school of nursing. - Minimum of two years in Oncology experience required. - Minimum of one year experience in Utilization Management, Case Management, or transferable skills. Requirements - Ability to work independently in a home office environment. - Computer skills which include proficiency in Microsoft Outlook, Word, Excel, and PowerPoint, as well as navigation utilizing the internet. - Ability to resolve problems independently and demonstrate ability to multi-task. - Strong written, oral, and telephonic communication skills. - Strong presentation skills. - Ability to demonstrate a commitment to building new skills and fostering a positive work environment. - Demonstrated organizational skills, problem-solving, analytical skills, and detail oriented. - Demonstrated ability to prioritize workloads, multi-task, and manage priorities to meet deadlines. - Ability to maintain the confidentiality of protected health information in compliance with HIPAA regulations. License and Certifications - Current, active, and unrestricted compact Registered Nurse license. Must maintain CEUs as required by the State Board of Nursing. - Must be willing to obtain and maintain additional license(s) as required to perform the job functions of the organization. - Must be a Certified Case Manager or eligible to sit for the Certified Case Management Exam within 3 years of starting employment with i360. Benefits - Multiple Health plan options. - Company paid employee premiums for disability and life insurance. - Parental Leave Policy. - 20 days PTO to start / 10 Paid Holidays. - Tuition reimbursement. - 401k Company contribution. - Company paid Short & Long term Disability plus Life Insurance. - Professional development initiatives / continuous learning opportunities. - Opportunities to participate in and support the company's diversity and inclusion initiatives.

Role Description Imagine360 is seeking an Implementation Specialist to join the team! Complete and provide TPA implementation services for all new groups following conclusion of the initial sale. This includes: - Completion of all internal documentation with applicable required data gathered from the Implementation meeting. - Determining how enrollment and eligibility information will be provided for new clients. - Verifying and clarifying all information leading to preparation of new plan administration and benefits design. Position Location: 100% remote Responsibilities include but are not limited to: - Schedule and lead Implementation meetings with new clients. - Coordinate with internal departments to verify products/vendors sold. - Coordinate with Administration Department and Pharmacy vendors for eligibility and ID cards. - Provide internal documentation of client's plan design/administrative plan to all internal parties. - Coordinate client funding/billing with Accounting Department by obtaining bank worksheet, ACH Agreements from Client or banking representative for new clients. - Schedule and chair internal departmental meetings to review new client plan design. - Coordinate with internal parties to confirm correct loading of client benefits. - Coordinate with Plan Document Analyst for completion of Plan Document for new clients. - Coordinate with outside enrollment vendors and IT Department to communicate the information required to get enrollment transmitted to Imagine360 electronically for new clients. - Coordinate the setup of any external vendors that are being implemented by the client. - Periodic travel for internal team meetings as well as implementation meetings with brokers and clients. - Perform other duties as assigned. - Perform all tasks in accordance with HIPAA/PHI guidelines. Qualifications - High School Diploma or GED - 5 or more years of healthcare insurance related experience Requirements - Maintain a high level of accuracy and attention to detail. - Speak effectively with other employees of Imagine360, brokers, clients, and vendors. - Deal with problems and exercise sound judgment involving several competing priorities and variables within the parameters of department policy and guidelines. Benefits - Multiple Health plan options - Company paid employee premiums for disability and life insurance - Parental Leave Policy - 20 days PTO to start / 10 Paid Holidays - Tuition reimbursement - 401k Company contribution - Company paid Short & Long term Disability plus Life Insurance - Professional development initiatives / continuous learning opportunities - Opportunities to participate in and support the company's diversity and inclusion initiatives

Role Description Imagine360 is currently seeking a Director, Stop Loss Underwriting to join our team. The Director, Stop Loss Underwriting is responsible for executing the underwriting and risk strategies for the organization. The Director will help establish underwriting strategy and direct underwriting staff to generate quotes compliant with that strategy. The director supervises the Manager of Stop Loss Administration to ensure our clients experience a well-coordinated, streamlined stop loss quote and binding process. As stop loss subject matter expert, this person will serve as a resource for sales and other departments. The role will analyze stop loss quotes to understand how Imagine360's cost containment solutions, including, but not limited to metric-based pricing and contracting strategies, influence rates. Position Location: 100% Remote - Create meaningful relationships with Broker partners, that support company and client growth and cost containment objectives. - Develop and maintain processes and guidelines for underwriting. - Recommend plan and insurance changes to improve our clients' self funding experience. - Manage staff of underwriters. - Underwrite risks and issue proposals directly as needed. - Support the sales process by contributing subject matter expertise and related education to team members in Sales and Marketing. - Support the development of new solutions that include stop loss with industry experience and subject matter expertise. - Develop team members to ensure the successful execution of their role responsibilities and professional development. Qualifications - Minimum of 8 years of experience in medical stop loss underwriting for an insurance carrier. - Experience managing staff strongly preferred. - Highly developed knowledge and understanding of healthcare payers, health plan administration and medical service providers. - In-depth knowledge of medical stop loss products. - Bachelor's Degree from an accredited institution; Master's or other advanced degree preferred. - Life & Health Insurance License required, or obtain within 1 year of employment. Requirements - Motivating leader with comfort directing staff. - Ability to develop strong relationships with team members and influence work product and outcomes without direct management responsibility. - Strong analytical and business case analysis skills. - Ability to multitask and prioritize amongst multiple priorities. - Exemplary communication skills, including written, verbal and presentation. - Proficiency in Microsoft Office Suite; Demonstrated competency in learning computer-based tools. - Ability to explain complex proposals to both technical and non-technical audiences. - Entrepreneurial, with creative thinking skills. Benefits - Multiple Health Plan Options, including a 100% Employer Paid Benefit Options. - 100% Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance. - Parental Leave Policy. - 20 days PTO to start / 10 Paid Holidays. - Tuition reimbursement. - 401k Company contribution. - Professional development initiatives / continuous learning opportunities. - Opportunities to participate in and support the company's diversity and inclusion initiatives. Company Description Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited, and no fee will be payable. Thank you for your cooperation.

Role Description Imagine360 is seeking a Client Banking Specialist - Check Registers to join the team! This position is responsible for compiling, calculating, reconciling and posting financial data for use in maintaining Client Banking records and producing financial reports for GPA clients. This position also assists the Director of Client Banking in performing daily activities to support successful team outcomes and achieves quality and production metrics. Position Location: 100% remote Responsibilities include but are not limited to: - Produce check run reports - Update tracking of all client check runs - Distribute client notifications for check runs daily and timely - Release check runs as client authorizations are received timely and accurately - Adheres to department policies and procedures - Back-up and other duties, as assigned Customer Service - Acts as a role model in demonstrating the core values in customer service delivery - Provides timely and thorough follow up with internal and external customers - Appropriately escalates difficult issues up the chain of command Quality Assurance - Perform review and/or audit of other employees' work to ensure quality and procedural measures are being met - Actively participate in Client Banking staff meetings and cross-departmental meetings, ensuring client financial standards are met - Serves on committees, work groups, and/or process improvement teams, as assigned, to assist in improving quality/customer satisfaction - Recognizes and alerts appropriate supervisor of trends within their scope of responsibility that fall outside of quality parameters - Performs self-quality monitoring in order to develop and execute plans to meet established goals - Provides ongoing feedback to help optimize quality performance - Develops new or improves current internal processes to improve quality This job description in no way states or implies that these are the only duties to be performed by this employee. The employee will be required to follow any other instructions and to perform any other duties requested by his/her supervisor. Qualifications - High School Diploma required - 2+ years related work experience required - Prior bank reconciliation experience strongly preferred (i.e. Business Banking, Treasury Management, Funds movement process, etc.) Requirements - Ability to reconcile funding accounts and transactions - Working knowledge of Excel, Word and Access - Basic bookkeeping knowledge - Proficient in 10-key and typing skills - Ability to follow-up on work assigned and obtain proper review and approval - Ability to gather and analyze information for problem resolution - Proficient in communication and interpersonal skills - Strong attention to detail - Positive attitude and above average customer service skills - Ability to meet deadlines, handle stress, and interact professionally with others Benefits - Multiple Health plan options - Company paid employee premiums for disability and life insurance - Parental Leave Policy - 20 days PTO to start / 10 Paid Holidays - Tuition reimbursement - 401k Company contribution - Company paid Short & Long term Disability plus Life Insurance - Professional development initiatives / continuous learning opportunities - Opportunities to participate in and support the company's diversity and inclusion initiatives Company Description Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation.

Role Description Imagine360 is seeking a Billing Specialist to join our team! This role is responsible for accurate and timely billing of administration charges to clients. The Billing Specialist works closely with configuration, finance, client banking, client experience, and eligibility teams to ensure all bills are sent out in accordance with company standards and client expectations. Position Location: 100% remote - Examine, troubleshoot and create monthly bills by the required due date for groups assigned. - Maintain assigned group workload, ensuring all monthly bills are sent to clients timely and without error. - Review billing inconsistencies, errors or problems and make applicable corrections to the bill prior to releasing to the client. - Follow established team processes for generating or updating client billing distribution lists, billing templates and/or bill styles. - Review rates via required team process to ensure all charges are billed at an accurate rate, including mid-year rate changes, annual renewals and new groups. - Utilize an approved company storage system and naming convention to file monthly bills and related documents. - Review production metrics provided by leadership on a consistent basis throughout the month. - Meet assigned goals and metrics surrounding monthly billing. - Review incoming quality audits within the required turnaround time. - Meet assigned quality audit monthly goal. - Review and reply to billing inquiries in a professional and timely manner. - Correspond with clients, Client Experience, Member Experience or other departments and teams to resolve billing questions and issues. - Participate in required training and meetings, one on one coaching sessions, and team huddles. - Perform other duties and projects assigned. - Perform all tasks in accordance with HIPAA guidelines. Qualifications - High School Diploma or GED - 2-3 years of client billing or accounts receivable required, or equivalent combination of education and experience. Requirements - High level of accuracy and attention to detail. - Strong technology skills (Microsoft products). - Ability to interpret large amounts of data, making sense of transactions. - Strong verbal and written communication skills with the ability to resonate with others to impact positive outcomes. - Team player able to collaborate with other departments. Benefits - Multiple Health Plan Options - Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance - Parental Leave Policy - 20 days PTO to start / 10 Paid Holidays - Tuition reimbursement - 401k Company contribution - Professional development initiatives / continuous learning opportunities - Opportunities to participate in and support the company's diversity and inclusion initiatives Company Description Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation.

Role Description Imagine360 is currently seeking a Case Manager RN to join the team! The RN is responsible for providing case management for individuals under the group health plans administered by Imagine360 by utilizing nursing education, clinical and professional experience. Position Location: 100% Remote - Identify, collect, process and manage data to perform the Case Management process by utilizing Imagine360 approved clinical guidelines and following Medical Management Policy and Procedures. - Completes clinical assessments per P&P to identify and deliver indicated medical service coordination. - Completes medical necessity, utilization management reviews, and review of benefits as part of the pre-determination process. - Identify and refer cases for Physician Advisor reviews. - Utilize clinical knowledge, expertise and educational resources to provide verbal and/or written educational resources to members regarding diagnosis, procedures and/or treatment. - Assess the need for and collaborate with community resources for members in case management. - Perform negotiations with providers. - Uses assigned software accurately to document all steps of review of medical necessity and case management process, including time slips. - Facilitate the Patient Satisfaction Surveys. - Assess for cost savings and document the cost saving in assigned software platform. - Appropriately refer complex cases to Manager, Case Management. - Attend scheduled and periodic meetings, training and other job specific events as required either by teleconference or onsite. - Adhere to established internal regulations regarding Department of Labor, HIPAA, ERISA and Medical Management Policy and Procedure. - Participate in the Quality Management Program via collecting and adhering to performance metrics per Case Management Policy. Qualifications - Nursing degree from an accredited college, university, or nursing school. - Must maintain active, current, and unrestricted Registered Nurse license and CEUs as required by the State Board of Nursing. Must be willing to obtain and maintain additional license(s) as required to perform the job functions of the organization. - 1+ year in Utilization Management, Case Management or transferable skills. - Pediatrics and or NICU experience is a plus. - Must be a Certified Case Manager or eligible to sit for the Certified Case Management Exam within 3 years of starting employment with i360. - Must have intermediate knowledge and skills using Microsoft Office including Word, Excel, and PowerPoint software; Internet software; Database software. Requirements - Must maintain active, current, and unrestricted Registered Nurse license and CEUs as required by the State Board of Nursing. Must be willing to obtain and maintain additional license(s) as required to perform the job functions of the organization. Benefits - Multiple Health plan options. - Company paid employee premiums for disability and life insurance. - Parental Leave Policy. - 20 days PTO to start / 10 Paid Holidays. - Tuition reimbursement. - 401k Company contribution. - Company paid Short & Long term Disability plus Life Insurance. - Professional development initiatives / continuous learning opportunities. - Opportunities to participate in and support the company's diversity and inclusion initiatives. Company Description Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation.

Role Description Imagine360 is seeking a Pharmacy Benefit Management Project Manager to join our team! The Project Manager will be responsible for managing and directing key projects supporting our PBM operations. Core responsibilities include: - Understanding complex healthcare administration business processes and project objectives. - Developing detailed project requirements. - Managing interdependencies between business operations and technology needs. - Gathering, documenting, and presenting business requirements and obtaining sign off. - Preparing detailed project plans and materials based on business requirements gathered to drive all phases of the project. - Identifying all internal/external resources required to complete projects successfully. - Assigning roles and responsibilities, deadlines, and preparing estimates. - Providing leadership and guidance to project team enabling team members to understand their tasks fully and act on them efficiently. - Facilitating communication and interaction between teams and across departments as needed. - Collaborating with project teams to re-assess project requirements and re-define timelines, as appropriate. - Managing project scope and changes. - Ensuring risks and issues are identified as soon as possible and taking steps to prevent and resolve them. - Ensuring quality assurance is part of every phase of the project. - Monitoring and summarizing progress of the project. - Preparing status reporting regarding project milestones, deliverables, dependencies, risks, and issues, communicating across key stakeholders. - Ensuring documentation is created and remains current to promote appropriate use of processes and ongoing training needs. Qualifications - Bachelor's degree in Business or Healthcare Administration preferred or related field. - 5+ years of experience in pharmacy benefit management operations or support. Requirements - Experience with PBM operations and vendor partner coordination and management. - Experience with specialty pharmacy carve out vendors including implementations and operations including copay assistance programs, mail order and MERP programs. - Experience coordinating technical discussions and implementations including eligibility and accumulator file management and validation. - Excellent written and verbal communication skills. - Proficiency in Microsoft Suite. Benefits - Multiple Health Plan Options. - Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance. - Parental Leave Policy. - 20 days PTO to start / 10 Paid Holidays. - Tuition reimbursement. - 401k Company contribution. - Professional development initiatives / continuous learning opportunities. - Opportunities to participate in and support the company's diversity and inclusion initiatives.

Role Description Imagine360 is seeking a highly analytical and detail oriented Lead Financial Analyst with strong FP&A expertise and advanced technical skills. This role will support strategic decision making by providing financial insights, developing models, analyzing claims volume trends, conducting customer level variance analysis, and building automated reporting solutions that deliver clear, actionable insights. Position Location: 100% remote Responsibilities include but are not limited to: - Financial Planning & Analysis - Develop and maintain advanced financial models for forecasting, budgeting, scenario analysis, and long‑range planning. - Perform variance analyses across revenue, cost, utilization, and operational drivers, with clear explanations of underlying trends and risks. - Analyze claims volume, utilization trends, and cost drivers to improve forecast accuracy and business performance. - Build scalable, flexible models that support rapid scenario and sensitivity analysis for leadership decision‑making. - Identify financial and operational risks and opportunities through quantitative analysis and modeling. - Partner cross‑functionally with Operations, Claims, and IT teams to align assumptions and ensure transparency into performance drivers. - Data, Reporting & KPIs - Design automated dashboards and self service reporting tools using Tableau and Power BI. - Build complex datasets using SQL and develop Python automation to streamline processes, enhance data accuracy, and improve forecasting models. - Develop standardized reporting packages and KPI metrics to measure financial and operational performance. - AdHoc Analysis - Conduct deep dive analyses to support strategic initiatives, pricing decisions, and investment opportunities. - Provide insights into market trends and business performance drivers. - Respond to urgent analytical requests with clear, actionable findings. - Build flexible models and tools to enable rapid scenario analysis as needed. Qualifications - 8+ years of experience in Accounting, Auditing, FP&A or related analytical finance roles - Bachelor's degree in Finance, Accounting, Economics, Data Analytics, or related field (MBA/CFA a plus) - Strong understanding of the healthcare industry Requirements - Proficiency in SQL, Python, Tableau, Power BI, and advanced Excel (including Power Query/PowerPivot) - Exceptional analytical thinking, communication, and presentation skills - Ability to manage multiple priorities in a fast‑paced environment with high attention to detail and data accuracy Benefits - Multiple Health plan options - Company paid employee premiums for disability and life insurance - Parental Leave Policy - 20 days PTO to start / 10 Paid Holidays - Tuition reimbursement - 401k Company contribution - Company paid Short & Long term Disability plus Life Insurance - Professional development initiatives / continuous learning opportunities - Opportunities to participate in and support the company's diversity and inclusion initiatives Company Description Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation.

Role Description Imagine360 is seeking a Stop Loss Specialist to join the team! This position coordinates the tracking, monitoring, documenting, and submission of stop loss claims. This position maintains a comprehensive understanding of the plan document(s) under their scope of responsibility. Position Location: 100% remote Responsibilities include but are not limited to: - Stop Loss Claims Management - Compiles and submits stop loss claims to the carrier for reimbursement. - Enters appropriate stop loss claims into designated database. - Identifies, researches, and resolves stop loss carrier questions. - Facilitates advancement funding with Finance Department. - Complies with reporting and documentation requirements. - Manages large case notifications process. - Customer Service - Acts as a role model in demonstrating the core values in customer service delivery. - Provides timely and thorough follow up with internal and external customers. - Appropriately escalates difficult issues up the chain of command. - Trains new employees as assigned. - Quality Assurance - Serves on committees, work groups, and/or process improvement teams, as assigned, to assist in improving customer satisfaction. - Recognizes, documents, and alerts appropriate supervisor of trends. - Performs self-quality monitoring in order to develop and execute plans to meet established goals. - Provides ongoing feedback to help optimize quality performance. - Collaborates with others and cross-departmentally to improve or streamline procedures. - Develops new or improves current internal processes to improve quality. Qualifications - High School Diploma or GED - 1+ years' experience in clerical and customer service - Knowledge of medical terminology Requirements - Working knowledge of computers and software including but not limited to Microsoft Office products - Proficient mathematical, 10-key and typing skills - Demonstrated organizational skills, problem-solving, analytical skills, and detail oriented - Demonstrated ability to remain neutral and maintain confidentiality - Strong written and oral communication skills - Demonstrated ability to work independently, prioritize workloads, multi-task, and manage priorities in order to meet deadlines Benefits - Multiple Health plan options - Company paid employee premiums for disability and life insurance - Parental Leave Policy - 20 days PTO to start / 10 Paid Holidays - Tuition reimbursement - 401k Company contribution - Company paid Short & Long term Disability plus Life Insurance - Professional development initiatives / continuous learning opportunities - Opportunities to participate in and support the company's diversity and inclusion initiatives Company Description Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation.