The job profile for this position is Enrollment/Billing Lead Representative, which is a Band 2 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. POSITION SUMMARY The Revenue Account Lead Representative is responsible for managing all billing aspects for a medium complexity or larger volume book of business of 250- including non-standard Broker, Third Party Administrator, Client Driven Remittance, and Self-billing accounts. This role is accountable to collect all premium/fees billed on an invoice, resolve all billing inquires, and partner with internal and external partners to create a positive client experience. Key responsibilities of this role include: 1) Owning the end-to-end billing relationship at the Exchange or TPA level for multiple clients; 2) Identify opportunities for process improvements to enhance client satisfaction, the Global Service Partner Relationship, and reduce financial risk; 3) Act as a subject matter expert on 2+ Revenue Management processes; and 4) Successful implementation of new and renewing clients. Primary Functions - Manage the end-to-end billing relationship at the broker, client, or TPA level for all items related to the medical, dental, vision, and pharmacy invoice - Work with client/third party vendors on the billing installation and ongoing processes to improve the client experience and reduce financial risk - Identify and solve for areas of opportunity/trends at the client, broker, or TPA level - Conduct and lead client, TPA walkthrough calls to explain standard process and discuss any non-standards - Utilize problem solving skills and financial knowledge to identify root cause of client issues (related to incorrect rates, eligibility errors, commission’s errors, etc.) - Allocate premiums in the CARBS webtool system for onshore and medium complexity accounts. - Identify process improvement opportunities for billing utilizing strong knowledge of the financial process and internal partner relationships (Commissions, Underwriting, Sales, Implementation) - Partner with offshore Global Service Partner to improve the client experience and reduce financial risk. - Communicate via telephone and email to delinquent clients in order to drive collection of outstanding premiums following the standard delinquency process - Recommend reserve amounts/accruals to finance on a monthly basis - Develop and create custom reporting for clients per PBAB approval - Updates reporting timely and accurately - Drives changes in client behavior to achieve Cigna's financial results Key Qualifications - High School Diploma or GED required. - 3+ years’ relevant experience in billing, collections, A/R preferred. - Strong customer-centric focus and ability to work directly with point of contact in a client-facing role. - Analytical skills and ability to effectively problem-solve issues to resolution. - Strong customer-centric focus and ability to work directly with point of contact in a client-facing role. - Ability to establish strong matrix partner relationships and follow through on expectations. - Demonstrated time management capabilities and ability to manage competing demands. - Strong communication (oral and written) and organizational skills to effectively interact with all levels and functions within the organization. - Proficient using MS Office; specifically, Excel (i.e., pivot tables, v-lookups, various formulas). If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly rate of 22 - 34 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

• Maintain and further develop existing customer relationships through regular communication and tailored consulting • Acquire new customers and identify new business opportunities • Prepare offers, conduct negotiations, and close contracts • Analyze customer needs and develop customized solutions • Monitor sales processes and ensure smooth execution • Collaborate with marketing, product management, and other departments to optimize the sales strategy • Participate in trade fairs, events, and presentations to represent the company

• Drive and orchestrate large complex sales cycles and work with internal partners and teams to best serve the customer • Your consultative selling experience will identify business challenges and create solutions for prospects and our customers • Understand the competitive landscape and customer needs so you can effectively position the portfolio of Palo Alto Networks solutions • Create clear goals and complete accurate forecasting through developing a detailed territory plan • Leverage prospect stories to create a compelling value proposition with insights into value for that specific account • Stay updated on industry news and trends, and how they affect Palo Alto Networks products and services • Travel as necessary within your territory, and to company-wide meetings

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The WellSense Health Plan Senior Contract Manager is responsible for the development, implementation and management of a cost-effective New Hampshire provider network, maintaining complex and geographically diverse contracts. Serves as mentor to Contract Managers, assisting in the development of network-wide strategies to improve efficiencies and access. Under the direction of the Director of Contracting & Provider Engagement, s/he performs all critical functions necessary to assess, develop, maintain and/or improve provider network adequacy and performance. Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key Functions/Responsibilities: · Interprets environmental (policy, contract, landscape, organizational) changes with contracting and provider impact · Guides internal response strategies · Gathers and analyzes data and other relevant intelligence in assessing provider network adequacy against required standards and business expectations · Identifies, assesses and develops strategies for improving provider and network cost, utilization and quality performance · Leads negotiations of financial and other contractual terms, including risk sharing terms · Ensures all contract terms and conditions comply with financial and legal requirements of Well Sense Health Plan and its regulatory entities (e.g., NH DHHS · Develops and maintains business relationships with high-level representatives of key contracting hospitals, physicians and ancillary service providers · Participates in the development, implementation & continuous improvement of departmental policies, procedures, workflows, and tools as they relate to network development and provider contracting · Represents the department and organization supporting internal and external initiatives · Performs other duties as required to accomplish departmental and corporate goals & objectives Qualifications: Experience: · 5-10 years’ experience, some in senior position · Medicaid managed care experience preferred Competencies, Skills, and Attributes: · Interpersonal and leadership style necessary to serve as ‘go-to’ resource for colleagues · Proven analytical skill in assessing and projecting financial, utilization and quality performance on an individual provider and network basis · In-depth knowledge and understanding of contract finance and provider reimbursement methodologies, including risk, shared savings, pay-for-performance and other financial incentive strategies · In-depth knowledge and understanding of current healthcare industry issues and trends, including national and state-level payment reform landscape and strategy (e.g., accountable care and patient centered medical home) · Proven negotiation skills with hospitals, Integrated Delivery Networks, physicians and ancillary service providers · Proven skill in critical thinking and strategic planning and implementation · Knowledge of federal and state Medicare, Medicaid, and relevant guidelines, regulations and standards · Effective communication (verbal and written) and relationship building skills · Position will interact with internal and external executive teams · Expertise in Microsoft Office programs and industry-standard financial applications as appropriate Compensation Range $96,000- $139,500 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Note: This range is based on Boston-area data, and is subject to modification based on geographic location. About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees