As a Data Scientist, you will focus on leveraging the company’s substantial data assets to deliver actionable and meaningful business insights using analytics, predictive models, machine learning, and artificial intelligence. The ideal candidate will possess a strong technology background with entry-to-mid-level expertise in data analysis and building (and deploying) predictive models. We are looking for a highly motivated individual with the ability to help us deliver next-generation analytical products to our internal and external business partners.   This position requires supporting our application infrastructure, writing code, analyzing data, creating models, creating ad hoc apps/reports/dashboards, working with both internal and external customers, and participating in project management and execution. The ideal candidate is passionate about continuous learning and turning that knowledge into cutting-edge analytical solutions. We strive to deliver innovative analytical tools that generate tangible business results.   - Support the timely execution of high-value data science projects by delivering high-quality code, data analysis, and data visualizations following team standards under guidance of senior team members - Assist with development, testing, and deployment of analytics products and predictive models including data engineering, data analysis, and AI/ML/NLP tasks - Monitor core analytical models and processes to ensure proper performance. Actively work to identify opportunities for improvement - Service the analytical needs of internal and external customers by providing valuable analysis, reports, dashboards, and/or electronic files as needed - Execute well-documented experiments to identify novel uses of internal and external data to deliver business value - Actively assist with project management and project execution - Execute assigned experiments, project, and tasks within agreed-to deadlines with appropriate documentation - Actively share ideas and participate in team meetings and brainstorming sessions - Work on cross functional teams within MEC and across the rest of the corporation - Master core data science and business skills required to support team initiatives - Create and deliver presentation to internal stakeholders as needed

The Director of Case Management is responsible for achieving operational excellence in the areas of nurse case management.  This includes co-creating with the AVP of Operations and BMMS leadership team a vision for success, performance measurements, managing BMMS team toward these goals, and identifying opportunities for and driving to optimal injury rehabilitation outcomes, increased savings, reduced cost, and enhanced customer service.  These efforts will support the organization’s strategic mission to improve and expand business and financial results. - Provide leadership and executive guidance in the areas of nurse case management - Direct all aspects of the nursing department - Oversight of operations and business integration between BMMS nurses and clients (Berkley Operating Units) including SME contribution to the development of business requirements that drive technical solutions; - Direct the nurse case management team to identify, generate and collect vital measurements and plans to maximize customer satisfaction, quality, and productivity/efficiency - Drive process changes across the nursing department to improve Key Performance Indicators - Oversee nurse case management projects as lead business/operational business SME - Decision-making responsibility consistent with directing daily nurse case management operations consistent with leadership vision - Lead the interview, hire and orientation processes for new members of the nurse case management team - Collaborate with senior leadership team in developing vision & mission for nurse case management - Work with product development team to create new tangents of the nursing team - Serves as the primary point of contact for escalated nurse case management service issues - Manages staff responsible for monitoring and resolving daily nurse case management service issues - Ensures a heightened level of customer satisfaction by overseeing and directing staff management and resolution of client service issues - Develop and implement best practices across BMMS to provide visibility to nurse case management and analyze sustainable improvements to performance - Build and sustain effective communications with all stakeholders, partner vendors, clients/Berkley Operating Units, BMMS leadership, and cross-functional analytical and IT teams to maximize the customer experience and drive efficiencies - Mentor & coach staff as a hands-on leader to develop and retain key talent and ensure the quality selection of candidates to build out teams with top talent - Establish and manage staff to performance goals and objectives  

As a Data Engineer, you’ll have the opportunity to be on the forefront of driving a major transformation within our organization. You will be responsible for expanding and optimizing data, the data pipeline architecture, the data flow and collection for cross functional teams. As a crucial part of the business, you will guide and support our software developers, data analysts on business initiatives while ensuring optimal data delivery architecture is consistent. Whether it’s working on a solo project or with the team, you are self-directed and comfortable supporting the data needs of multiple teams, systems, and products.   - Participates in requirements analysis - Create and maintain optimal data pipeline architecture - Assemble large, complex data sets that meet functional/non-functional business requirements - Identify, design, and implement internal process improvements: automating manual processes, optimizing data delivery/ dataOps - Build the infrastructure required for optimal extraction, transformation, and loading of data from a wide variety of data sources using SQL - Build analytics tools that utilize the data pipeline to provide actionable insights into customer acquisition, operational efficiency, and other key business performance metrics - Collaborates with internal teams to produce software design and architecture - Write clean, scalable code using C# and JavaScript - Revise, update, refactor and debug code - Code enhancements to existing software applications and provide technical support - Develop documentation throughout the software development life cycle (SDLC) - Demonstrate the use of tact and discretion in all communications and provide a positive contribution to the morale of the department - Establish and maintain effective working relationships with unit staff, clients, providers, and other departments

As a Software Development Engineer (SDE), you will participate in the entire software development life cycle, debugging applications and configuring existing systems. We will look to you to implement robust and reliable solutions and work within a team of SDE’s to achieve software development results.   - Participates in requirements analysis, open to new ideas, stay up-to-date with latest tools and technologies - Collaborates with internal teams to produce software design, architecture, design documentation (High & low) - Write clean, scalable code using C#, SQL, .NET technologies and other Web and Middleware technologies - Implement and integrate APIs for data exchange between different components or systems. - Revise, update, refactor, debug code and participate in code reviews and applying best practices - Code enhancements to existing software applications and provide technical support - Develop documentation throughout the software development life cycle (SDLC) - Demonstrate the use of tact and discretion in all communications and provide a positive contribution to the morale of the department - Establish and maintain effective working relationships with unit staff, clients, providers, and other departments

The Nurse Case Management Supervisor provides coaching, leadership and acts as a resource to a team of Nurse Case Managers and unlicensed clinical professionals. You are responsible for timely case assignments, quality reviews, and supporting staff members to maximize caseloads with high clinical value. You’ll also be responsible for assisting in budget preparation and adhering to budget parameters. This is a working leadership role and the supervisor will manage a modified caseload.  #LI remote   Key functions include but are not limited to the following:   - Lead by example to support a highly functioning synergistic managed care team - Provides Service Recovery using the BMMS Cultural Values and per BMMS Policy and Procedures as a foundation - Assists in the development of nursing competencies, manages competencies to ensure proficiency, and assesses each team member annually - Assume case management responsibilities to assist staff in maintaining timely case management services and to provide vacation coverage - Interview and facilitate hiring of new nurse case managers and BMMS team members - Orient all new hires - Oversees and ensures proper timekeeping and payroll timecard entries - Prepare performance evaluations; provide counseling and goal setting - Establish and maintain positive working relationships with co-workers, team members, leadership, vendors and the Berkley operating units to further BMMS’ mission and reputation in the managed care community - Timely reports any trends, changes, or suggested enhancements to senior leadership - Maintains a professional presence, at all times, and the ability to communicate effectively with all levels of staff and clients - Culturally competent with a focus on creating a culture of psychological safety - Completes assigned tasks and projects timely, efficiently, and with accuracy - Must be flexible and adaptable to an evolving work environment - Other duties as assigned

As a Clinical Business & Product Analyst,you will be an essential member of the workers’ comp managed care and cost containment team. As a vital part of our workers’ comp managed care team, you’ll oversee clinical medical bill review operations, innovate new products for better patient outcomes, and drive business growth. Ideal candidates should have a strong background in clinical nursing, managed care operations, product development, and workers’ comp regulations. Excellent communication, leadership, analytical, and organizational skills are a must.   - Oversee clinical medical bill review operations, ensuring accuracy and compliance. - Design and document clinical protocols; conduct studies and ensure regulatory adherence. - Educate and train teams; be the go-to expert on nurse and code review products. - Collaborate with cross-functional teams, especially IT, for product launches and technical automations. - Engage with healthcare professionals for clinical knowledge integration in product development. - Monitor healthcare trends and suggest product innovations based on data and market analysis. - Coach and manage performance of third-party vendor off-shore and/or on-shore support teams. - Lead market research for new managed care product opportunities. - Work with HR and leadership to enhance employee engagement and foster a positive work environment.