Luminare Health

• Developing and operationalizing the formal Data Governance Program, including stewardship, quality, classification, lifecycle management, and security controls. • Supporting the build‑out of the Data Organization, including identification of required roles and staffing needs, aligned with multi‑year investments, governance capabilities, and business needs. • Maturing and evolving the Data Lake and Unified Data Platform, consistent with strategic platform modernization goals. • Improving the usability, availability, and security of data across the enterprise. • Ensuring that Luminare Health’s data delivers maximum value to the business and customers. • Translate multi‑year data strategy into actionable roadmaps, operating models, and implementation plans. • Define and maintain the enterprise data governance framework, including policies, processes, and standards. • Drive enterprise adoption of governance practices across business and technical teams. • Establish and operationalize data governance structures, including stewardship models, data quality processes, and lifecycle management. • Lead the development of enterprise data definitions, metadata standards, classification frameworks, and data quality controls. • Ensure governance practices support organizational objectives, regulatory needs, and data‑driven decision‑making. • Partner with technology and analytics teams to evolve the Data Lake and Unified Data Platform. • Define architectural patterns, data product standards, and integration frameworks supporting scalable, secure, and accessible data. • Support platform initiatives that improve data usability, reliability, and availability across the organization. • Integrate governance and platform practices with enterprise security and privacy programs. • Ensure data classification, protection, and access controls are consistently applied and maintained. • Support readiness for regulatory audits, compliance assessments, and enterprise risk management activities. • Support definition and hiring of roles within the emerging Data Organization, including architects, stewards, engineers, and analysts. • Contribute to the development of data literacy programs, training materials, and documentation repositories. • Promote a data‑driven culture across the enterprise through collaboration and change management. • Serve as the CISO’s primary partner in driving communication, alignment, and reporting for the Data Program. • Facilitate cross‑functional collaboration with business leaders, IT, analytics teams, security, compliance, and operations. • Translate technical concepts into clear, business‑focused insights and recommendations.

• responsible for the overall relationship with the client • work directly with sales executives on small groups that are sold • maintain senior management level contact with Benefits, Human Resources, and financial staff of the client • work on internal projects that benefit clients • charged with retaining and growing assigned book of business

• Success will be determined by the ability to retain and grow revenue for the assigned book of business and exceed client expectations surrounding service excellence. • Being a champion for your clients, your ability to influence others to deliver results for your clients will also be a key factor in your success. • The Senior Client Manager is responsible for providing high-level consultative and strategic oversight for new or existing complex accounts to meet retention, service, and revenue targets. • Cultivates relationships with clients and brokers, identifies sales opportunities, and services accounts to expand the business and meet corporate and divisional sales/renewal objectives. • The Senior Client Manager and their client coordinators will be expected to support and service between 5 – 7 complex groups of clients. • The Senior Client Manager will maintain senior management-level contact with key client stakeholders and brokers. • Senior Client Managers may be designated as Coach/Mentors. Senior Client Managers with Coach/Mentor designations will have fewer clients assigned to them to allow for Coach/Mentor responsibilities.

• Responsible for the day-to-day supervision and management of a remote team of designated inbound and outbound customer service representatives • Enable the team to deliver exceptional service • Responsible for successful achievement of client service expectations and Health Benefits’ service objectives • Staff development

Role Description The overall purpose of the Documentation Specialist is to analyze, document, organize, and publish policies, procedures, and guidelines for internal Operations Divisions. Key responsibilities include: - Work with internal and external customers to gain acceptance and consensus. - Support efforts to improve content taxonomies and content organization. - Stage and publish new and revised records on approval applications. - Secure cooperation of appropriate levels of authority. - Consult with local content owners to ensure standards, templates, and publishing protocol are followed. - Support content organization and standardization efforts that lead to improved search efficiency and improved usability. Qualifications - One or more years experience with corporate content management, knowledge management, and policy and procedural research, writing, and storage. - Experience with documenting software projects. - Proven ability to be effective in a position requiring a high degree of self-direction, initiative, sound decision-making, and good organizational skills. - Strong customer service focus. - Clear and concise verbal and written communication skills. - Consulting and analytical skills. - Sound inductive and deductive reasoning. - Work with others to analyze information and evaluate results to identify appropriate solutions. - Develop solutions to meet individual and departmental goals. - Strong presentation, interpersonal, organizational, and analytical skills. - Strong technical writing and content skills with the ability to relay complex information. - PC proficiency to include Word, Excel, PowerPoint, or other document and web-based application or tools. Requirements - Bachelor’s degree or equivalent work experience required. - Familiarity with Content Management Systems or Knowledge Management Systems. - One (1) year content management/knowledge management experience in a corporate or business setting. - One (1) year healthcare insurance operations experience. - Aptitude to learn Luminare Health operations and technical terminology. - Ability to work with multiple internal and external customers, senior management, subject matter experts (SME). - Familiarity with emerging content/knowledge organization models and practices in the industry. Benefits - Health and wellness benefits. - 401(k) savings plan. - Pension plan. - Paid time off. - Paid parental leave. - Disability insurance. - Supplemental life insurance. - Employee assistance program. - Paid holidays. - Tuition reimbursement. - Other incentives. Company Description We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Min to Max Range: $49,500.00 - $92,800.00. Exact compensation may vary based on skills, experience, and location.

Role Description The Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times. Qualifications - High School diploma or GED equivalent - Ability to work in a fast-paced, customer centric and production driven environment - Effective verbal and written communication skills - Ability to work effectively with team members, employees/members, providers, and clients - Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form - Flexible; open to continued process improvement - Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word Requirements - 1 year Health Insurance experience - Self-Funded Insurance/Benefits and/or TPA experience - Knowledge of medical procedure and diagnosis coding - Knowledge of medical terminology - Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools Benefits - Health and wellness benefits - 401(k) savings plan - Pension plan - Paid time off - Paid parental leave - Disability insurance - Supplemental life insurance - Employee assistance program - Paid holidays - Tuition reimbursement - Other incentives Company Description At Luminare Health, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

• Responsible for requesting claim funds • Daily ECHO balancing • Claims account maintenance for each client in their assigned libraries

• Responsible for hands-on training of regional staff using corporate curriculum, procedures and documentation • Training areas include any Operations function, industry and compliance topics, system releases, new products or clients, and other regional or corporate initiatives • Responsible for reviewing and integrating all information produced and distributed by Luminare Health Corporate Training

• The Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. • Review, analyze and interpret claim forms and related documents. • Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports. • Appropriately investigate, pend and refer claims based on claim procedures and guidelines. • Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees. • Support the Claims reinsurance team, in the research and resolution of claims as assigned. • Support internal departments in the research and resolution of claims. • Communicate via telephone, email, electronic messaging, fax, or written letter with employees/members, providers of service, clients and/or other insurance carriers to ensure proper claim processing. • Provide responsive and caring customer service. • Resolve issues through effective oral and written communication and by involving appropriate people within, or outside, the department or Company. • Effectively and professionally represent the Company in all interactions.

Role Description Responsible for the day-to-day supervision and management of a remote team of designated inbound and outbound customer service representatives enabling the team to deliver exceptional service. Responsible for successful achievement of client service expectations, Luminare Health’s service objectives and staff development. Qualifications - High School Diploma or GED equivalent - Minimum of one year supervisory or lead experience in a call center - Minimum 3 – 5 years customer service experience in a call center - Minimum 3 years healthcare/health insurance, claims processing or provider billing experience - Demonstrated experience with managing client advocacy cases that require one or multiple interactions with the client, providers, insurer and community resources - Demonstrated Health Care Reform Knowledge/experience and Medicare/Medicaid benefit knowledge - Demonstrated ability to work in a fast paced, constantly changing environment independently with minimal supervision - Strong organizational skills - Proficient with Microsoft Office Suite - Excellent written and verbal communication skills, including the ability to adapt communication style to persons representing diverse personal, professional, cultural and socio-economic backgrounds - Possess excellent customer service skills including proper grammar, tonalities and clear diction Requirements - Associates Degree (preferred) - Bilingual English/Spanish preferred Benefits - Health and wellness benefits - 401(k) savings plan - Pension plan - Paid time off - Paid parental leave - Disability insurance - Supplemental life insurance - Employee assistance program - Paid holidays - Tuition reimbursement - Other incentives Company Description We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Min to Max Range: $42,200.00 - $79,300.00 Exact compensation may vary based on skills, experience, and location.