Food & Beverage

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: As the Vice President of Underwriting Administration, will be responsible for the selection of acceptable underwriting risks and insuring that prospective and renewal business is maintained at adequate and competitive rate levels. In this role, you will direct all activities associated with underwriting and policy processing for the company. The Vice President has additional responsibility for the strategic and tactical management of the underwriting staff as well as maximizing premium production while minimizing financial risk, and underwriting of new/renewal contracts. Decisions made in this position have the opportunity to produce income and/or prevent loss. Description Location: This position is full-time (40-hours/week) Monday-Friday working ONSITE at our 4101 Percival Road, Columbia, SC location. What You’ll Do: Manages the Underwriting department. Oversees the fully insured and self insured underwriting activities. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, reinsurance, and policy processing. Develops and updates underwriting rules and regulations applicable to regional underwriting, ensuring compliance with appropriate state and federal regulations. Develops and maintains external agency relationship strategies to foster long term relationships, consistent growth, and knowledge of competitive underwriting practices. Works closely with internal functional areas to achieve company goals. To Qualify for This Position, You'll Need the Following: Required Education: Bachelor's degree Required Experience: 10+ years Underwriting experience. 3 years Management experience or equivalent military experience in grade E5 or above (may be concurrent). We Prefer That You Have the Following: Strong insurance industry knowledge and experience, national in scope Exceptional understanding of risk and health delivery systems. Microsoft Office, with proficiency in Excel Excellent communication, decision-making and analytical skills. Demonstrated problem-solving skills, understanding of key health care financial and operational metrics. Strong financial acumen. Strong grasp on all aspects of the funding arrangements to include pharmacy and stop loss. Understanding of the Blue system and Blue Card Leadership experience with a diverse team, to include remote workers Our comprehensive benefits package includes the following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will be conducting interviews with those candidates who are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .

Summary Responsible for providing oversight and guidance to the benefits and retirement staff. Handles escalated issues and provides accurate, prompt response to management inquiries. Ensures accurate data entry, maintenance and file transfer to vendors for all benefit programs. Assists data collection and response for government audits. Prepares, reviews and submits government mandated reporting. Monitors processes to evaluate and implement process improvements and efficiencies. Description Location: : This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is onsite at 51 Clemson Rd. Columbia, SC. Position Purpose: Oversees benefits and retirement staff, handles escalated issues, ensures accurate data entry and vendor file transfers, assists with government audits, prepares mandated reports, and monitors process improvements. What You’ll Do: Supervises benefits staff to include coaching employees, approval of time, leave, performance reviews, training, etc. Verifies the accuracy and timeliness of work and customer service. Handles any escalated issues that may arise. Leads/guides staff in providing excellent customer service to all customers, employees, former employees, vendors and other external agencies. Facilitate enhancements to systems and processes. Performs quality control functions, runs/reviews reports to ensure accuracy. Researches and resolves any discrepancies found. Makes recommendations on benefits communication, processes, and plans. Processes more sensitive, complicated changes/issues. Researches and resolves questions from management and human resources staff. To Qualify For This Position, You’ll Need The Following: Required Education: Bachelor's Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience Required Work Experience: 4 years HR experience. 2 year-lead or supervisory experience, OR equivalent military experience in grade E4 or above. Required Skills and Abilities: Knowledge of government regulations pertaining to retirement/benefit administration. Ability to work independently, prioritize effectively, make sound decisions. Good judgment. Ability to analyze trends and make recommendations to management. Effective organizational, customer service, presentation skills. Demonstrated written and verbal communication skills. Knowledge of mathematical or statistical concepts. Ability to persuade, negotiate, or influence others. Ability to handle confidential or sensitive information with discretion. Ability to lead, motivate, and assess performance of staff. Required Software and Other Tools: Microsoft Office. We Prefer That You Have The Following: Preferred Work Experience: 2 years of direct Benefit Administration Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers, and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .

Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description 60% Researches and responds to telephone inquiries according to desk procedures, ensuring that contract standards and objectives for timeliness, productivity, and quality are met. 20% Research and respond to written inquiries and identify incorrectly processed claims and completes the adjustment and/or reprocessing action according to department guidelines. This may include initiating, documenting, and processing the request to completion. Initiate recoupments as necessary. 10% Identifies complaints and inquiries of a complexity level that cannot be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential fraud and abuse situations. 10% Completes projects and/or assignments related to claims processing and customer service functions in the department. Required Education: High School Diploma or equivalent Required Skills and Abilities: Good verbal and written communication skills. Strong customer service skills. Good spelling, punctuation and grammar skills. Basic business math proficiency. Ability to handle confidential or sensitive information with discretion. Required Software and Other Tools: Microsoft Office. Preferred Work Experience: 2 years of customer service experience OR 1 year of claims or appeals processing experience and 1 year of customer service experience OR Bachelor's Degree in lieu of work experience. Work Environment: Typical office environment. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Responsible for moderately complex accounting activities relating to the maintenance of a complete and accurate general ledger and/or the resultant managerial reports and/or financial statements. Location: This is a full-time position working (40-hours/week) Monday-Friday 8:00am – 4:30pm working on-site at 4101 Percival Rd. Columbia SC, in an office environment. There is a possibility of a hybrid schedule to work from home after the training period. This is not a guarantee. What You’ll Do: Reconciles assigned general ledger accounts of routine to moderate complexity. Initiates and/or processes journal entries into various accounts. Performs reviews of various systems activities for Financial and/or Operational reporting, which may include upper level review of co-workers or next level review. Prepares financial reports for financial analysis, forecasting, trending, budgeting, and/or results analysis to ensure transactions in the ledger tie to statistical files and/or various financial reports. Performs analyses of financial data to identify problem areas and/or report to management. Prepares supporting reports and/or spreadsheets required to prepare financial reports. Prepares spreadsheets for daily and/or monthly balancing and/or reconciling. Researches and/or completes account reconciliations to maintain accurate general ledger accounts. Resolves out of balance situations and/or ensures outstanding items do not exceed standard timeframe. Maintains documentation of work papers including costing, invoicing, allocation and/or other required auditable documents. Assists with all audit preparation and/or review. Assists internal and/or external auditors. Assists supervisor with special projects. May assist in directing activities of staff or a function. To Qualify for This Position, You'll Need the Following: Required Education: Bachelor's in a job-related field with 24 semester hours in accounting. (Anyone hired prior to August 1, 2008 in an accounting position only requires 21 semester hours of accounting.) Required Work Experience: 2 years of accounting experience. Required Skills and Abilities: Knows fundamental accounting concepts, practices and procedures. Possesses good communication, organizational and analytical skills. Ability to work independently. Required Software and Tools: Microsoft Office. Ability to use data retrieval applications. We Prefer that You Have the Following: Preferred Work Experience: 3 years-of accounting experience. Preferred Software and Other Tools: Able to write queries using database software. Work Environment: Typical office environment. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .

Summary Serves as an advisor and liaison between Human Resources, area management, and employees. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is onsite at 51 Clemson Rd. Columbia, SC. Position Purpose: Acts as an advisor and liaison between Human Resources, area management, and employees. Consults with management and employees on high-level HR issues. What You’ll Do: Serves as consultant to management and employees on various high-level HR related issues. These include but are not limited to corrective action, terminations, complaints, grievances, investigations, hotline calls, compliance issues, ADA, FMLA, unemployment claims, workers' compensation, performance reviews, compensation, and career counseling. Completes special projects as assigned by HR management. Leads and assists co-workers on projects as needed. Serves in lead capacity for other HR Generalists. Assists management with questions regarding incentive programs, reductions in force, reorganizations, payroll, and benefits. Trains employees, management, and other HR staff on various HR related topics. To Qualify For This Position, You’ll Need The Following: Required Education: Bachelor's Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience Required Work Experience: 5 years HR generalist and/or progressively responsible HR experience to include compensation, employee relations, recruiting, etc.. Preferred Education: Bachelor's degree - Human Resources, Education/Training, or Business Administration. Required Skills and Abilities: Working knowledge of word processing, spreadsheet software. Good judgment. Effective customer service, presentation, organizational skills. Demonstrated verbal and written communication skills. Demonstrated proficiency in spelling, punctuation, grammar. Ability to persuade, negotiate, or influence others. Ability to handle confidential or sensitive information with discretion. Knowledge of labor regulations involving wage and hour, employment practices, EEO, related areas. Must be able to remain in a stationary position for long periods of time. We Prefer That You Have The Following: Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software. Preferred Licenses and Certificates: SHRM-CP, SHRM-SCP, PHR or SPHR Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers, and contribute their unique abilities to the growth of our company. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information . Some states have required notifications. Here's more information .

We're a growing company known for our exceptional culture and commitment to excellence. Seeking a high achiever to join our team, someone who can excel individually and help develop our sales team. With seven consecutive years of double-digit sales growth, we're eager to find someone aligned with our values of Ownership, Growth, and Service. This role is in outside territory sales, offering flexibility in scheduling and autonomy in planning your work week. You'll engage with small to medium-sized businesses, presenting our top-tier supplemental insurance products. Training includes both classroom sessions and hands-on experience with our top performers, supplemented by self-paced learning modules. While experience in athletics, military, law enforcement, or a proven track record of success is preferred, it's not required. We're looking for driven individuals ready to make an impact. Core Responsibilities: Utilize our customized Salesforce CRM to curate leads and generate clients while expanding your professional network within your territory and neighboring communities Respond to client inquiries via phone, email, or text as needed Schedule meetings with potential and existing clients to understand their insurance needs Attend scheduled calls and meetings with your sales manager and team Personally visit new businesses, develop relationships with local business owners, follow up on referral leads, and reservice existing clients Build and nurture your own client portfolio Collaborate with your sales team manager to set monthly and quarterly sales targets for yourself Plan and adhere to your weekly schedule and working hours; submit your schedule to your sales team manager each week Record daily work stats and sales activity updates at the end of each work day QUALIFICATIONS & DESIRED SOFT SKILLS: Strong interpersonal skills with the ability to build genuine connections quickly. A strong passion for assisting others, resilience in challenging situations, and a track record of exceeding expectations in sales, athletics, or leadership roles. Clearly-defined personal goals, a positive attitude, and optimistic outlook. Quick-thinking with exceptional situational awareness and critical thinking skills. Hunger for learning and growth, strong time management abilities, and the capability to work independently. Individuals with a background in competitive sports, coaching, athletics, or competitive leagues are among our top performers ADDITIONAL QUALIFICATIONS: Pass a high-level pre-employment background check Active Drivers License and reliable transportation Active Health & Life Insurance Producer license in your resident state (or willing to obtain - study course provided and state licensing fees reimbursement available) Bachelor's degree or minimum of 4 years post-high school work experience (candidates within 6 months of degree completion or less than 4 years of professional work experience with relevant sales or athletic background will be considered) COMPENSATION & BENEFITS: Comprehensive classroom and field training program Weekly draw pay option plus commissions (no caps and short sales cycle-3 business days) as well as monthly cash sales bonuses, quarterly stock share bonuses, incentive trips, and vested renewal commissions Health, dental and vision benefits offered after 60-days of employment Performance-based promotions Control of your schedule based on results achieved rather than time worked Continuing professional development classes, advanced sales trainings, and leadership development classes Culture of camaraderie, friendly competition, and success mindset Apply now to be part of a team that embraces challenges and rewards effort! www.alvtn.com

The Specialist meets with key clients to maintain relationships, make presentations to introduce products, provide service and solve problems, negotiate and…

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary: Sales Executives are professionals who help us build our Aetna’s Specialty Division business via the broker distribution channels for Dental/Vision products covering for the small group segment (employer groups with 2-100 employees). Their goal is to understand and meet customer needs using Aetna’s and CVS’ combined products and services. This position is eligible to participate in our sales incentive compensation program. Fundamental Components: Builds strategic partnerships with assigned producers and customers to achieve profitable growth and cross sell/standalone objectives for assigned business or customer segments, products, and assigned geographies. Strong understanding of customer needs and expectations across multiple market segments. Moderate influence on the sale and retention of business. Oversees targeted business prospects to develop new opportunities and cross sell business to ensure profitable customers and help grow the business through consultative consulting, issue resolution, and superior service. Manages and builds producer relations as needed depending on book of business or market segment(s) being supported. Identifies opportunities to partner with the client by drawing from the entire spectrum of product lines, illustrating a keen understanding of clients' multifaceted needs and benefits utilizing Aetna's full product array (e.g., fully vs. self-insured, product combinations and/or product specializations by industry). Develops, executes, and communicates company objectives that are aligned with prospect’s objectives, financial position, and employee benefits strategy. Coordinates sales materials, testimonials, and support from SME’s to put together presentations for clients. Delivers organized polished presentations of solutions with benefits tied to constituents’ needs. Collaborates with underwriting to prepare competitive quotes for targeted prospects. Creates open enrollment plan with producer and plan sponsor to maximize enrollment. Monitors industry information and competitive environment of the marketplace to position Aetna’s strength accordingly. Ensures product, pricing and services meet client's needs while meeting Aetna revenue growth and profit objectives. Collaborates with internal and external partners to uncover profitable growth and cross-sell opportunities within new or existing customers and to support post-sale activities. Coordinates sales materials, testimonials, and subject matter expert involvement in support of the successful delivery of constituent presentations. May participate in constituent meetings including finalist presentations, educational presentations, and capabilities presentations. Manages/coordinates the integration of client’s and Aetna’s internal organizations and partners cross-functionally to complete sales, installation, and servicing. Required Qualifications: 3+ years of relevant industry experience (Sales experience within employee health benefits). Must be willing to travel within the Market. Must reside in commuting distance of the Market. Health & Life Insurance license. Proficiency in Microsoft Office, Excel and PowerPoint. Strong business acumen, presentation skills and ability to work independently. Preferred Qualifications Established relationships with Broker Channel. Carrier Sales experience. Salesforce experience. Prior Dental/Vision Sales Experience. Education: Bachelor’s degree or equivalent experience (HS diploma + 4 years relevant experience). Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $56,855.00 - $111,414.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/25/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary: Sales Executives are professionals who help us build our Aetna’s Specialty Division business via the broker distribution channels for Dental/Vision products covering for the Individual segment. Their goal is to understand and meet customer needs using Aetna’s and CVS’ combined products and services. This position is eligible to participate in our sales incentive compensation program. Fundamental Components: Builds strategic partnerships with assigned producers and customers to achieve profitable growth and cross sell/standalone objectives for assigned business or customer segments, products, and assigned geographies. Strong understanding of customer needs and expectations across multiple market segments. Moderate influence on the sale and retention of business. Oversees targeted business prospects to develop new opportunities and cross sell business to ensure profitable customers and help grow the business through consultative consulting, issue resolution, and superior service. Manages and builds producer relations as needed depending on book of business or market segment(s) being supported. Identifies opportunities to partner with the client by drawing from the entire spectrum of product lines, illustrating a keen understanding of clients' multifaceted needs and benefits utilizing Aetna's full product array. Develops, executes, and communicates company objectives that are aligned with prospect’s objectives, financial position, and employee benefits strategy. Coordinates sales materials, testimonials, and support from SME’s to put together presentations for clients. Delivers organized polished presentations of solutions with benefits tied to constituents’ needs. Collaborates with underwriting to prepare competitive quotes for targeted prospects. Creates open enrollment plan with producer and plan sponsor to maximize enrollment. Monitors industry information and competitive environment of the marketplace to position Aetna’s strength accordingly. Ensures product, pricing and services meet client's needs while meeting Aetna revenue growth and profit objectives. Collaborates with internal and external partners to uncover profitable growth and cross-sell opportunities within new or existing customers and to support post-sale activities. Coordinates sales materials, testimonials, and subject matter expert involvement in support of the successful delivery of constituent presentations. May participate in constituent meetings including finalist presentations, educational presentations, and capabilities presentations. Manages/coordinates the integration of client’s and Aetna’s internal organizations and partners cross-functionally to complete sales, installation, and servicing. Required Qualifications: 3+ years of relevant industry experience (Sales experience within employee health benefits). Must be willing to travel within the Market. Must reside in commuting distance of the Market. Health & Life Insurance license. Proficiency in Microsoft Office, Excel and PowerPoint. Strong business acumen, presentation skills and ability to work independently. Preferred Qualifications Established relationships with Broker Channel. Carrier Sales experience. Salesforce experience. Prior Dental/Vision Sales Experience. Education: Bachelor’s degree or equivalent experience (HS diploma + 4 years relevant experience). Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $91,014.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/25/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices. What you will do - Routinely handles complex cases involving behavioral health or multi-disciplinary provider groups in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in case tracking system. - Prepares and presents referrals, both internal and external, in the required timeframe. - Facilitates the recovery of company lost as a result of fraud matters. - Assists team in identifying resources and best course of action on investigations. - Cooperates with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. - Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings. - Gives presentations to internal and external customers regarding healthcare fraud matters and Aetna's approach to fighting fraud. - Provides input regarding controls for monitoring fraud related issues within the business units. - Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required. Knowledge of CPT/HCPCS/ICD coding Knowledge and understanding of clinical issues. Experience and proficiency in Microsoft Word, Excel, and Outlook, Database search tools, and use in the Intranet/Internet to research information. Ability to effectively interact with different groups of people at different levels in any situation. Ability to utilize company systems to obtain relevant electronic documentation. Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. Preferred Qualifications Credentials such as a certification from the Association of Certified Fraud Examiners (CFE), an accreditation from the National Health Care Anti-Fraud Association (AHFI), or have a minimum of three years Medicaid Fraud, Waste and Abuse investigatory experience. Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) Knowledge of Behavioral Health policies and procedures. Experience working Behavioral Health fraud cases. Strong analytical and research skills using health care data. Strong communication and customer service skills. Proficient in researching information and identifying information resources. Education Bachelor's degree, or an Associate's degree, with an additional three years (3 years total) working on health care fraud, waste, and abuse investigations and audits required. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/08/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.