Overview At Community Financial System, Inc. (CFSI), we are dedicated to providing our customers with friendly, personalized, high-quality financial services and products. Our retail division, Community Bank, N.A., operates more than 200 customer facilities across Upstate New York, Northeastern Pennsylvania, Vermont and Western Massachusetts. Beyond retail banking, we also offer commercial banking, wealth management, investment management, insurance and risk management, and benefit plan administration. Just as our employees are committed to helping our customers manage their finances, we’re committed to our employees. After all, they make it happen for our customers every day. To ensure our people can enjoy long and successful careers here at CFSI, we offer competitive compensation, great benefits, and professional development and advancement opportunities. As an equal-opportunity workplace and affirmative-action employer, we celebrate and support a diverse workplace for the benefit of all: our employees, customers and communities. Responsibilities The CDHP Plan Consultant is responsible for managing client relationships; the setup of new clients; preparing and maintaining documents; preparing the 5500, enrollment materials, and other duties applicable to the clients’ accounts. Essential Duties: - Responsible for the setup of new clients - Comprehension in Sections 105, 125, and 129 regulations and administration - Responsible for preparing and maintaining documents - Preparation of the 5500 - Run non-discrimination testing - Responsible for loading payroll/eligibility files - Preparation of enrollment material - Manage client relationships - Banking backup and support - Report preparation and analysis - Assist with software release testing, including banking functions - Assist with other projects as needed - Ability to learn and work in a remote setting - Available for at minimum quarterly training with supervisor and other members of team - Maintain proficient knowledge of, and demonstrate ongoing compliance with, all laws and regulations applicable to this position, ensure ongoing adherence to pertinent policies, procedures, and internal controls, and meet all job-specific training requirements in a timely fashion Ancillary Duties: As an integral member of the organization, this position is also responsible to provide assistance wherever necessary to help the department and the Company in achieving their goals. Qualifications Education, Training and Requirements: - Minimum High School Diploma or equivalent, college degree in related field preferred. - All applicants must be 18 years of age or older. Competencies: - Well-developed written and oral communication skills - Assist with problem resolutions - Ability to be highly organized and show an attention to detail - Ability to prioritize work assignments and multitask - Display an intermediate level competency with Microsoft Word, Powerpoint and Excel, as well as personal computer skills Experience: - Three to five years of consumer driven health plan administration preferred Other Job Information Compensation: Commensurate with experience plus potential for annual merit increase. In addition to your competitive salary, you will be rewarded benefits including: 11 paid holidays, paid vacation, Medical, Vision & Dental insurance, 401K with generous match, Pension, Tuition Reimbursement, Banking discounts and the list goes on! Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may be required to stand, walk or sit. Use hands and fingers, handle or feel, reach with hands or arms, and speak and hear. The employee may occasionally be required to lift and or move up to 25 pounds. Specific vision abilities required by this job include close vision, and the ability to focus. The Company is an Affirmative Action, Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation and gender identity), national origin, citizenship status, age, disability, genetic information, veteran status, or any other characteristic protected by applicable federal, state or local law. The Company will make reasonable accommodations for qualified individuals with a disability. If you have a physical or mental impairment and would like to request an accommodation with respect to the application process, please contact the Human Resources Department. Minimum USD $66,000.00/Yr. Maximum USD $108,804.00/Yr.

• Provides complete claim loss services for policyholders • Investigates, evaluates, and disposes of MPL and General Liability claims • Interviews insureds, claimants, witnesses, and other parties to obtain information • Documents file regarding results of investigation and negotiations • Prepares reports for timely file documentation • Secures records for investigation and evaluation of cases • Determines and implements negotiation strategy • Adjusts reserves and makes recommendations to Manager/Director • Evaluates cases for appropriate disposition • Monitors activities of defense counsel • Analyzes losses to determine if insurance coverage applies • Maintains working knowledge of policy forms • Performs other duties as assigned

HealthPartners is hiring a Member Rights and Benefits Consultant. This position is responsible for understanding, investigating, presenting, resolving and effectuating the timely resolution of member grievances, dispute resolution process and/or appeals. The consultant may focus on thoroughly investigating member requests, supporting the formal complaint and appeal resolution process, mitigating risk by identifying compliance concerns and/or providing customer service and member education. The consultant makes sure that the outcome is fair, equitable and in alignment with all federal and state regulations and accreditation standards. Develop relationships with internal and external departments in order to effectively resolve member concerns. Each complaint must be documented clearly, thoroughly, timely and accurately on HealthPartners Customer Service System in order to ensure accurate tracking, reporting and outcomes. ACCOUNTABILITIES: The consultant may be responsible for any of the following responsibilities: - Investigate member concern and ensure that all necessary documents are compiled, reviewed and presented to appropriate decision maker. - Research, understand and ensure compliance with all federal, state, Medicare and Medicaid regulatory requirements and accreditation standards. Responsibilities also include ensuring HealthPartners policies match those of the appropriate regulatory agency. - Develop partnership with other areas such as legal, medical directors, medical policy, pharmacy, behavior health, government programs, etc., in order to work efficiently and effectively to resolve member concerns. - Communicate response to member or their authorized representatives and physician within internal and regulatory timeframes. Letter must include member friendly language (service recovery) and meet all federal and state requirements. Must use appropriate laws (federal, state) to support decision. - Advise and assist members in pursuing their appeal options. - Document complete complaint file. Each file must include accurate documentation of the complaint, timeliness and outcome. All files must comply with regulatory and organizational rules. Files are subject to subpoena and are used for reporting, audits and 2nd level appeals etc. - Prepare case file, support and present case for each complaint that involves a second level complaint. Second level review may include, Member Appeals Committee, State fair hearings, MAXIMUS, External Review etc. - Provide data for the quality assurance process to assist in identifying trends and areas where quality improvement strategies should be focused. - Accurately record complaint in HealthPartners Customer Service System. Provide necessary documentation for data collection effort used to analyze member concerns and to report on them to the Board of Directors, Minnesota Department of Health CMS, DHS, Medical Directors, Government Programs and other interested departments/agencies. - Provide information regarding the actions taken on specific cases to various departments. - Provide technical expertise to legal staff on actions taken in response to cases that are the subject of litigation or regulatory dispute. - Investigate and respond to regulatory agency inquiries, including the Minnesota Department of Health, Attorney General’s Office, Department of Human Services, Centers for Medicare and Medicaid, StratisHealth and the Minnesota Department of Commerce. Provide accurate and detailed information that represents HealthPartners’ policies, procedures and actions taken in response to specific member complaints. - Consultants work with various internal departments to develop and implement benefit changes, contract provisions and policies to ensure regulatory compliance and improved member satisfaction. Resource for member advocates such as Legal Aid, regulators and Ombudsman’s office. The consultant may perform any of the following duties: - Investigate and respond to written or oral member complaints. Complaints may be standard or expedited. Investigate information necessary to make a decision. Review information with the appropriate medical administrative department head and other concerned parties. - Provide customer service to members, their representatives, and providers on the Medical Appeal Line. - Assess Appeal Line calls and written complaints and appeals to determine the most appropriate process for handling and resolution to improve the member experience. - In cases where the answer provided by Member Services is partially or wholly adverse to the member’s request, inform the member of options for further consideration. This may include the Board of Director’s Member Appeals Committee, written reconsideration, Minnesota Department of Health, Minnesota Department of Commerce, MAXIMUS, State fair hearing and Plan Administrator. Options vary depending on the contract. - In cases where the complaint decision is in the member’s favor, ensure the decision is quickly and appropriately effectuated within regulatory timeframes. - Participate with Member Services Supervisors in an internal complaint review committee. - Consult with Member Services Representatives to provide advice concerning problem-solving specific issues and information regarding the complaint process. - Participate in business continuity planning and implementation. - Other duties as assigned by management. REQUIRED QUALIFICATIONS: - BA/BS or similar experience in a related field plus 2 years experience in a customer service position in a health related industry involving customer contract, problem resolution and written communication with customers. - Excellent oral and written communication skills. Ability to express ideas clearly. Ability to communicate HealthPartners policy and procedures. - Ability to understand and explain complex medical policies and services. This must include proficiency with medial terminology and ability to summarize medical records and reports. - Advanced problem solving and investigative skills, with the ability to develop creative solutions for complex problems. Willingness and ability to model outstanding customer service and service recovery. - Ability to identify problems, to do in-depth investigation, develop and assess alternative courses of action, and make sound and timely decisions. Ability to develop working relationships with a number of internal departments in order to resolve issues. - Ability to negotiate with members, internal departments or providers in difficult situations. - Proficient at a number of computer software programs. PREFERRED QUALIFICATIONS: - Work experience in a managed-care setting involving significant contact with members and providers. - Professional writing experience beyond an educational setting. - Experience interpreting regulatory/statutory guidelines. At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world. At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change. Benefits Designed to Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care. Join us in our mission to improve the health and well-being of our patients, members, and communities. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

• Provide ongoing support and maintenance of Oracle EPBCS applications, ensuring system stability, data integrity, and alignment with business needs. • Manage issue resolution, enhancements, integrations, end-user support, and performance optimization. • Partner with clients to deliver continuous improvements, optimize financial models, and ensure effective planning and forecasting processes. • Lead and support Oracle EPM Planning and EPBCS application development and maintenance, including configuration, enhancements, and troubleshooting. • Administer and configure EPBCS modules, including Financials and Workforce Planning. • Collaborate directly with client users to gather requirements, analyze issues, and deliver scalable, high-quality solutions. • Provide both functional and technical support to end users and stakeholders. • Design, develop, and optimize planning models, metadata hierarchies, business rules, calculations, forms, dashboards, reports, and data integrations. • Maintain and manage Enterprise Data Management (EDM) artifacts such as hierarchies, approvals, and data governance processes. • Configure EDM applications, including views, node types, properties, imports, exports, and subscriptions. • Maintain and support integrations between EDM and connected systems (e.g., EPBCS, FCC, ARCS). • Perform root cause analysis and implement effective corrective actions for system issues.