• Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP) • Conduct regular health assessments • Coordinate with acute and primary care providers • Educate members on disease processes and related risks, nutrition, exercise and lifestyle modifications • Document in member files within required DHS contract timeframes • Participate in member monthly phone contacts and travel to attend in person visits in members setting • Work remotely from your home and travel approximately 40% of the time

• Manage and develop a team of benefits analysts, providing coaching, performance feedback, and professional development • Oversee day-to-day administration of health and welfare plans, retirement programs, leave management, wellness initiatives, and voluntary benefits across global regions • Lead annual benefits planning cycles, including plan design reviews, vendor evaluations, contract negotiations, and open enrollment execution • Ensure compliance with federal, state, and local benefits regulations (ERISA, ACA, COBRA, HIPAA, FMLA) as well as applicable global regulatory requirements • Manage relationships with benefits vendors, brokers, and consultants to ensure service delivery meets organizational standards and requirements across regions • Develop and execute benefits communication strategies to educate employees and drive engagement throughout the employee lifecycle • Analyze benefits data, utilization trends, and costs to provide insights and recommendations • Partner with Payroll, HRIS, and Finance teams to ensure accurate benefits administration, billing reconciliation, and system integration • Serve as escalation point for complex employee benefits inquiries and resolve issues in a timely and compliant manner • Monitor market trends and competitive practices to recommend program improvements and innovations that support talent attraction and retention

Role Description We are seeking a Full-time Case Manager Supervisor to join our National Catastrophic team. This is a fully remote position, with a preference for candidates located in the Eastern or Central time zones to support collaboration with our field teams. In this role, you’ll lead and support field case managers while overseeing complex catastrophic cases. You’ll play a critical role in ensuring high-quality outcomes, delivering a strong customer and candidate experience, and driving consistency across care management practices. - Provide day-to-day support, guidance, and coaching to field case managers - Oversee catastrophic referral intake and case assignment processes - Monitor complex catastrophic cases to ensure quality, progress, and adherence to guidelines - Serve as a clinical and operational resource, helping navigate high-acuity situations - Partner closely with internal teams and stakeholders to ensure coordinated care - Maintain proactive, clear communication with customers and care teams - Support adherence to account-specific requirements and best practices - Coach and mentor field case managers to strengthen performance and development - Facilitate effective transitions of care for complex patients Qualifications - Associates Degree or Bachelor’s Degree in Nursing or related field - 3+ years clinical practice required - Workers’ compensation-related experience preferred - Expertise managing catastrophic claims preferred - Prior leadership and mentoring skills required - Ability to advocate recommendations effectively with physicians/providers, employers, and customers - Ability to work independently - Knowledge of basic computer skills including Excel, Word, and Outlook Email - Proficient grammar, sentence structure, and written communication skills Requirements - Active RN License Required - URAC-recognized certification in case management (CCM) preferred - Must have reliable internet Benefits - Medical, Dental, Vision - Health Savings Accounts / Flexible Spending Accounts - Life and AD&D Insurance - 401(k) - Tuition Reimbursement - Array of resources that encourage a lifetime of healthier living - Compensation ranges from $70,000 - $94,000 annually - Eligibility to participate in a performance-based bonus program

• Analyze client claim processing systems to ensure accurate data mapping, integration, and processing. • Own end-to-end analysis, testing, and documentation of business requirements, particularly for fields and logic requiring custom programming. • Interpret and document complex claim scenarios, including adjustments, readmissions, and replacement claims. • Maintain functional expertise in one or more claims platforms such as QNXT, Health Rules (HRP), TOPS, COSMOS, Facets, Amisys Advance, NASCO, or WGS. • Design, build, and optimize ETL/ELT pipelines to support large-scale healthcare data processing (e.g., EMR, claims, lab data). • Perform data cleansing, transformation, and validation to ensure accuracy, consistency, and usability. • Monitor and troubleshoot ETL workflows to identify and resolve data quality and processing issues. • Ensure timely and accurate execution of data loads based on predefined schedules for each client. • Develop, maintain, and document ETL processes, including data lineage, transformation rules, and technical specifications. • Participate in the design and implementation of data warehouse solutions. • Collaborate with business stakeholders to gather requirements and translate them into technical solutions. • Enforce data security, governance, and compliance standards, including adherence to HIPAA and healthcare regulations. • Ensure strict alignment with documented procedures and guidelines for data loading, layout changes, and system updates. • Perform layout modifications and mapping adjustments based on client or system requirements. • Conduct thorough quality checks to validate loaded data and resolve inconsistencies. • Stay updated on evolving technologies and best practices in ETL, data warehousing, and healthcare data management.