• Promote development of new insurance product concepts and health solutions (e.g., lifestyle-based, multicultural, condition-specific health plans) • Translate strategy into early-stage designs, value propositions, and use cases • Identify opportunities based on member needs, health disparities, and market trends to differentiate and win • Contribute to development of culturally-aligned and population-specific offerings • Support design of condition-focused solutions (e.g., chronic condition or disease-specific concepts) • Help shape offerings that improve engagement, outcomes, and provider/member experience • Analyze market, competitive, and member analysis to inform innovation priorities • Support opportunity sizing and business case inputs for new concepts • Partner with product design, clinical, network, actuarial, corporate strategy, and growth teams • Coordinate inputs and timelines to move concepts from brainstorming to pilot and launch • Support execution of pilots and early-stage programs • Track performance, gather insights, and summarize insights • Recommend whether to refine, pivot, or discontinue product concepts • Lead different teams to develop requirements and support implementation. • Compliance with all applicable laws and regulations • Other duties as assigned

• Manage insurance product execution calendar from design translation through filing, implementation, and ongoing optimization; operate as the hub of the department PMO activities • Ensure agreement between product intent, regulatory requirements, and operational outputs in partnership with the Strategic Programs Organization • Partner with insurance product leadership to translate strategy into relevant execution plans • Promote performance tracking and process improvement • Implement insurance product-specific ACA filing components across Oscar's markets • Oversee development of important artifacts (e.g., PBT, SOB, SBC, and benefit documentation) through internal systems • Coordinate inputs to ensure filing readiness and timeline adherence • Manage responses to regulatory objections and escalations • Manage QA frameworks, validation processes, and quality standards for product execution and filing outputs • Establish execution rhythms, milestones, and governance across the lifecycle • Promote process standardization and continuous improvement • Resolve risks, dependencies, and data inconsistencies • Implement reporting to track progress, risks, and performance • Oversee production readiness and release schedules for filing outputs • Enforce controls (e.g., freeze windows, change governance) during critical periods • Manage version control standards to ensure outputs are accurate and traceable • Be an escalation point for vendors supporting product execution and QA, managing performance and delivery • Be the central execution hub across Insurance product and other leaders • Improve agreement on priorities and timelines; lead implementation forums and issue resolution • Lead team members responsible for product execution and QA • Set priorities, performance expectations, and staffing / developmental plans • Build team capabilities in product execution, regulatory understanding, and operational excellence • Lead end to end regulatory QHP filing execution and ensure accurate, compliant, and submissions • Establish execution rhythms, track milestones, surface risks, and lead issue resolution • Support leadership decision-making with clear updates and recommendations • Mentor and lead associate level execution staff • Compliance with all applicable laws and regulations • Other duties as assigned

Title: Remote Insurance Collector Location: Orlando, FL Job Description: Full-time REMOTE POSITION - Actively Hiring LIFE IS SHORT, DO WORK THAT MAKES A DIFFERENCE Summary/Objective: Work with insurance companies where available for creditor’s customers to determine the cause of denial or non-payment of a claim, initiate appropriate action required to prepare and submit documentation needed to resolve the denial or non-payment, follow up to the point of payment or exhaustion of recourse and maintain records in accordance with company policies and procedures. Continuously strive to provide a seamless interface for the consumer between BCA Financial Services, Inc. (BCA) and the creditor client BCA Financial Services, Inc. is seeking detail-oriented full-time Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: - Monday through Friday schedule - Medical, Dental, Vision, and Voluntary Life insurance - 401k with a company match - Paid time off and paid holidays The Medical Insurance Collector will: - Work with insurance companies to determine the cause of denial or non-payment of a claim. - Initiate appropriate action required to prepare and submit documentation needed to resolve the denial or non-payment of a claim. - Follow up to the point of payment or exhaustion of recourse and maintain records in accordance with company policies and procedures. Essential Functions: - Receive inbound and make outbound calls regarding insurance related matters and maintain clear and concise documentation of all attempts and/or contacts directly on the computerized collection system - Research and analyze accounts by gathering records and examining historical data, using intuition and experience to compliment data with the goal of resolving obstacles to payment - Verify insurance through a variety of mediums such as outbound phone calls and insurance websites to verify benefits - Review assigned claims working within the established productivity standards for timely follow-up, maintain and update all accounts to reflect current information - Perform appropriate account activity by contacting managed care, governmental and commercial insurance carriers to affect payment on claims - Identify payor trends in payment delays and escalates issues to appropriate personnel - Answer all inquiries from consumers promptly; attempt to resolve consumer concerns by inquiring as to specific issues and clarifying those issues - Use relevant information and individual judgment to determine whether events or processes comply with company and client expectations as well as all relevant local, state and federal regulations - Maintain established productivity standards and meet performance standards on a consistent basis - Demonstrate a strong working knowledge of, and comply with, the Health Insurance Portability and Accountability Act (HIPAA) and all other statutes, laws and regulations pertinent to the collection industry as well as industries served Requirements Qualifications: - High school diploma or equivalent - Minimum of 2 years working in a healthcare revenue cycle environment with a concentration in the areas of insurance billing and collections - Advanced knowledge of the healthcare insurance environment to include managed care, governmental and commercial insurance carriers as well as a myriad of reimbursement methodologies specific to provider contracts (fee schedule, per diems, percentage of total charges, etc.) - Advanced awareness of the various codes used when filing health insurance claims. This position will not affect coding changes to claims but rather will understand coding requirements and communicate need for amendment of codes to creditor clients - Knowledge of medical terminology and basic anatomy - Effective interpersonal and human relations skills - Effective verbal and written communication skills Work from home requirements: - Have a quiet and private workspace - High speed internet with the ability to hardwire via 50 ft. ethernet cable from modem to your PC. Must be a sufficient speed to support video/web/audio and voice-over-IP (VoIP) (at least 20mbs download and 10mbs upload). Wi-Fi and hotspots are not supported. - You must meet all the technical requirements prior to the first day of training - You must live in one of the following states: FL, GA, MO, NE, NC, SC, TN, TX, or VA. - We will provide you with the equipment needed to be successful BCA Financial Services, Inc. is an Equal Opportunity Employer and values diversity at all levels of the organization. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other legally protected status. Keyword Search: Medi-Cal, Cerner, Soarian, MS4, PBAR, insurance collections, accounts receivable, patient accounts, insurance, revenue cycle, patient financial, insurance verification, insurance follow up, medical billing, insurance billing, medical insurance billing, medical insurance claims, insurance claims resolution, insurance collector, claims follow up, revenue cycle specialist, revenue cycle representative Salary Description $18.00 - $23.00 Per Hour

Role Description Are you a RIBO and/or AMF licensed Insurance Broker or Agent? Come build the future of insurance with us. What will you be responsible for? - Client Engagement: Assist clients with their home and auto insurance needs. Answer coverage questions and offer personalized advice. Set up new policies or complete policy modifications. - Client Follow-Up: Proactively reach out to clients to ensure we are continuously offering a policy that best suits their needs at a competitive price. - Communication: Communicate effectively via phone, email, and SMS with clients to build trust. Deliver outstanding customer service. - Performance Review: Monitor personal performance and meet daily/weekly/monthly targets. - Documentation: Maintain accurate records of client interactions and add follow-up activities in our CRM system. - Collaboration: Work closely with the customer service and sales team to achieve team objectives. Participate in developing strategies to boost sales, client retention and overall satisfaction. - Continuous Learning: Stay updated on product knowledge and industry trends. Participate in training sessions and professional development activities. - Career Growth: Move towards a senior position in our insurance team or a team lead role after your first 2 years with us. Qualifications - You have a valid RIBO and/or AMF certification. - You have at least 2 years of experience as an insurance broker or agent. - You have at least 5 years of relevant experience in customer service or sales. - You're proactive and have strong problem-solving skills. - You have strong oral and written communication skills in French and English. - You're a quick learner with an interest in technology. Requirements - This opportunity is for a full-time position in a high-growth company, with increasing responsibilities. Benefits - Competitive compensation with monthly bonus. - Up to 5 weeks of vacation per year. - 100% remote work or downtown Montreal office space. - Work internationally for up to 90 days per year. - Top-tier health benefits (health, dental, vision, etc.) & life insurance. - Unlimited sick and mental health days. - Paid parental leave (4 months top up). - Flexible start date (but the sooner the better!).