Role Description We are seeking an experienced Insurance Subject Matter Expert (Insurance) with advanced skills in Chinese, Arabic, or German language to join our multidisciplinary team supporting the development, evaluation, and improvement of AI models used across insurance processes. The ideal candidate will bridge domain expertise and data-driven insights to ensure our AI systems are accurate, compliant, and aligned with industry standards and business objectives. - Collaborate with AI, data science, and product teams to evaluate AI models used in underwriting, claims processing, risk assessment, and pricing. - Identify gaps, biases, and limitations in existing models and contribute domain insights for improvement. - Validate AI outputs against real-world insurance practices, regulatory requirements, and customer experience standards. - Define key metrics and success criteria to measure model performance and business relevance. - Support data labeling and annotation by providing insurance-specific context and expertise. - Assist in designing explainable AI frameworks to enhance model transparency and trustworthiness. - Stay current with insurance regulations, compliance standards, and emerging AI applications in the sector. Qualifications - Advanced skills in Chinese, Arabic, or German language. - Bachelor’s or Master’s degree in Insurance, Risk Management, Actuarial Science, Business, or a related field. - 7+ years of experience in the insurance industry (underwriting, claims, risk modeling, or product management). - Strong understanding of insurance operations, policy structures, and regulatory frameworks. - Experience collaborating with cross-functional teams. Requirements - Successful completion of a role-specific written assessment and a background check. Company Description DataForce by TransPerfect is part of the TransPerfect family of companies, the world’s largest provider of language and technology solutions for global business, with offices in more than 100 cities worldwide. We offer high-quality data for Human-Machine Interaction to some of the most prestigious technology companies in the world. Our department focuses on gathering, enriching, and processing data for Machine Learning in different AI domains.

Enrollment and Eligibility Team Leader Location: Remote United States Working time: Full-time Job Description: Description & Requirements Maximus is currently hiring Enrollment and Eligibility Team Leaders to support the Missouri Surge Support Project. This is a remote opportunity and open to candidates with previous Arkansas Eligibility Support (AR ES) experience. The Team Lead will be responsible for assisting Supervisors in multiple areas, addressing system related issues, coaching and development of Enrollment Specialist, Quality Control task monitoring, addressing questions verbally and in written form, pulling reports and attendance tracking. The six‑month in role eligibility requirement has been waived for this position. Essential Duties and Responsibilities: - Support the supervisor by overseeing the performance of assigned staff and offering input as needed. - Conduct training sessions and evaluate staff performance as directed by the supervisor. - Contribute to the development and upkeep of processes and procedures within the team. - Foster effective relationships across departments for seamless collaboration. - Facilitate meetings when necessary to ensure productive communication within the team. - Ensure staff members maintain up-to-date knowledge of the program. - Provide the supervisor with comprehensive updates on various operational aspects including quality, training, policies, procedures, staff issues, case determinations, and appeals activity. - Act as the subject matter expert in verifying and researching documentation. - Draft or revise training materials and procedural documentation. - Serve as a facilitator and team leader, delegating tasks and providing guidance and training in specialized areas. - Manage difficult communications with external contacts for escalated matters. - Demonstrate autonomy in determining methods and procedures for new assignments. - Conduct quality assurance checks on team members' work to maintain high standards. - Trouble shoot system issues for Maximus and Department of Social Services systems. - Answer inquiries through Microsoft Teams. Minimum Requirements - High school diploma or GED required and 6+ years of relevant professional experience required, or equivalent combination of education and experience. - 2 years of Arkansas Eligibility Support (AR ES) program experience. - Must be willing and able to work 8:00am-5:00pm CST, Monday - Friday. - The six month time in position policy has been waived for this posting. Home Office Requirements - Desktop or Laptop that runs Windows, Mac, or Linux (no Chromebooks or tablets) . - OS for Windows - Current release of Windows 10 or newer - OS for Mac - Big Sur (11.0.1+); MacOS (10.14) or newer - OS for Linux - Ubuntu (18.04) - Connectivity to the internet via either Wi-Fi or RJ-45 connection for wired network connection to home router (no mobile hotspots). - Internet speed of 25mbps or higher required (you can test this by going to www.speedtest.net). - USB plug and play wired headset with a microphone (no Bluetooth, AirPods or wireless gaming headsets). - Must currently and permanently reside in the Continental US. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Minimum Salary $ 19.00 Maximum Salary $ 23.00

Role Description We are seeking experienced and historically successful Contact Center BPO Sales Hunter for our Agentic AI Customer Service business. Successful candidates will be domain subject matter experts in one or more industries, with a proven track record of originating relationships and closing large, complex BPO and BPaaS deals. These senior-level sales professionals will create a market of buyer relationships with decision makers at or proximal to the C-level and will position AI-first BPO/BPaaS transformative service solutions that enable their businesses to achieve their Board-level and Executive level strategic outcome goals. - Market-maker who originates deals proactively. - Subject Matter Expert in the Insurance (P&C, L&A) industry. - Utilize a consultative approach to understand unique challenges, dynamics, constraints, and goals of the prospect organization. - Develop a customized transformative BPO/BPaaS proposition leveraging AI and technology automation. - Lead the end-to-end sales cycle, collaborating with solution architects, pricing teams, legal, operations, etc. - Develop and execute a strategic go-to-market plan to create market awareness and demand. - Build strong executive-level relationships with prospective decision makers and stakeholder influencers. - Stay current on industry and AI/technology trends, competitive positioning, and emerging technologies relevant to BPO and digital operations. - Serve as a thought leader in the market and contribute to brand elevation via participation in industry forums, panels, and client advisory boards. Qualifications - 10+ years of experience in BPO/Business Process Services sales with a deep understanding of transformative outsourcing models. - 7+ years of experience of demonstrated success having sold large, complex, global BPO deals (>$20M TCV). - 5+ years of recent industry experience selling Transformative Customer Experience/Customer Service and Industry Specific Core value chain deals. Requirements - Ability to bridge business value with enabling technologies such as AI (agentic & generative), analytics, core industry specific administrative platforms, and automation. - Entrepreneurial mindset with the ability to navigate matrixed environments and influence cross-functional teams. - Track record of exceeding sales targets and contributing to revenue growth. - Strong financial acumen and ability to structure complex deal constructs. - Exceptional executive presence, communication, and relationship-building skills. Benefits - Starting pay range for this remote role is $155,290 - $287,574. - Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. - This position may also be eligible for incentive compensation based on individual and/or company performance.

Role Description As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers. Every day you will: - Review denials - Initiate follow-up with insurers - Rectify billing errors - Submit appeals - Negotiate for maximum reimbursement To be successful, you will understand billing regulations, possess strong problem-solving skills, and communicate effectively to optimize revenue recovery. - Follow up with insurance payers to research and resolve unpaid insurance accounts receivable; make necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers. - Apply a thorough understanding/interpretation of Explanation of Benefits (EOBs) and remittance advices, including when and how to ensure that correct and appropriate payment has been received. - Communicate effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. - Resubmit claims with necessary information when requested through paper or electronic methods. - Anticipate potential areas of concern within the follow-up function; identify issues/trends and conduct staff training to address and rectify. - Recognize when additional assistance is needed to resolve insurance balances and escalate appropriately and timely through defined communication and escalation channels. Qualifications - High School Graduate or High School GED - Graduation from a post-high school program in medical billing or other business-related field (preferred) - Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities (preferred) Company Description CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.