At Berkley Medical Management Solutions (BMMS), we thrive when our people thrive. To put our products and solutions into the hands of consumers worldwide, we need a professional who knows how to connect and build alliances internally and externally. As the Business Development Manager, you will be a leading force that fuels our growing client relationships in our North American market. The ideal person will have proven experience building on existing relationships, and hands-on experience in a claim’s organization, managing program issue resolutions. You will ensure customer satisfaction across accounts. You’ll be a proactive and curious member of our growing team, identifying and resolving issues for operating units before they identify a need or gap for themselves. Maintains open communication with management to help identify potential opportunities on topics that affect our business.  This level of foresight and meticulous analysis is what will take our company confidently into the future. To be a successful Business Development Manager at BMMS, you’ll need to navigate the needs of clients methodically, taking extreme ownership to resolve issues while constantly aligning to maintain managed care savings opportunities. You will represent BMMS and its products to partner companies and vendors knowledgeably and effectively, enabling BMMS to clearly identify the benefits of its products relative to its competitors. It is also important to have a high level of intellectual curiosity to identify gaps and growth potential where others miss them.   Account Management - Building and maintaining relationships with existing clients to ensure long-term satisfaction and retention - Collaborating with internal teams to identify areas where technology solutions can help address client needs and improve operational efficiency - Acting as a liaison between clients and internal teams to ensure the smooth delivery of products and services - Providing excellent customer service and support to clients, including responding to inquiries and resolving any issues or concerns - Monitoring client accounts to track usage patterns, identify potential issues, and proactively address any problems that may arise. - Developing and implementing strategies to increase the adoption of technology solutions among clients - Creating and delivering training and education programs to help clients get the most out of their technology solutions - Staying up-to-date on industry trends and best practices to inform business decisions and identify opportunities for growth   Network Management and Growth Responsibilities include recruitment, retention, and management for a preferred provider network for BMMS in the Workers' Compensation space. In addition, they will work closely with the executive team to develop and execute recruitment strategies that meet network goals, including increasing the number and diversity of participating providers, improving quality metrics, and maximizing cost savings. Key responsibilities include:   - Developing and executing recruitment strategies to attract new providers to the network, including identifying target markets, developing marketing materials, and building relationships with key stakeholders. - Managing the recruitment process from initial outreach to contract negotiation, including conducting interviews, negotiating terms, and ensuring the timely execution of contracts. - Building and maintaining strong relationships with existing providers to improve retention rates and ensure high satisfaction levels. - Overseeing the development and execution of training and educational programs for providers to ensure compliance with network standards, optimize clinical outcomes, and improve cost efficiencies. - Serving as the primary point of contact for providers and managing any issues that arise, including facilitating dispute resolution and coordinating with other departments as needed.   Other Core Responsibilities - Establish, build and maintain strong relationships with key stakeholders and partners within each operating unit by understanding their business focus and needs, and anticipating them in advance - Serves as the key managed care liaison for operating unit claims leadership - Support and solve problems for operating units by understanding and exceeding their expectations - Provide leadership, direction, coaching and feedback for the network management team - Ability to diplomatically set expectations with operating units and manage differing priorities - Coordinate internal and external resources to expedite workflow - Deliver and manage communication between senior management and staff members - Stay current with company offerings and industry trends - Oversee and achieve organizational goals while upholding best practices - Illustrate the value of products and services to create growth opportunities - Continuously strives to improve our products and services through innovation - Compile and analyze data to identify trends - Complete industry research and assist with program development for existing clients and new prospects - Perform prospecting activities such as networking - Maintain a contact database of operating units, prospects, partners, and vendor

As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.   - Coordinate and implement medical case management to facilitate case closure - Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care - Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure - Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction - Acquire and maintain nursing licensure for all jurisdictions as business needs require - Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services - Document activities and case progress using appropriate methods and tools following best practices for quality improvement - Coordinate job analysis with employer to facilitate return to work - Engage and participate in special projects as assigned by case management manager - Occasionally attend on site meetings and professional programs - Review job analysis with physicians - Foster a teamwork environment

As a Finance Intern, you will support the Finance Manager and Finance team to provide accurate financial results that follow GAAP principles including but not limited to assisting with the preparation of financial statements, review assistance with financial statements along with reconciliation and support schedule assistance. You will assist serving as a liaison between Berkley affiliated operating units providing them with support as needed via preparation of ad-hoc reports and analyzing of claims data for trend analysis. In addition, you will work with the organization’s IT departments to onboard new internal and external clients, including meeting with other teams across the organization to obtain the necessary data that is needed to provide financial results that will help the organization reach their KPI’s.   • Preparation of journal entries including but not limited to revenue and expense accruals. • Assist finance team with research variance analysis preparation and explanations including but not limited to ad-hoc reporting for clients and departmental income statements.  • Develop and utilize spreadsheets used for ad-hoc reporting including but not limited to aging reports for clients. • Assist with inputting of financial data in budgeting software to assist with budgeting and forecasting process and other ad-hoc reporting as it relates to the budgeting process.  • Assist management with the preparation of KPI’s monthly, quarterly and annually to determine company targets for revenue, profitability, savings etc. for Berkley Medical Management Solutions consolidated and operating units individually.  

As a Software Developer, 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 developers to achieve software development results. - Participates in requirements analysis - 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 Clinical Product Development Manager,you will be an essential member of the workers’ comp managed care and cost containment team. You’ll be responsible for daily operations of clinical medical bill review services, developing and implementing new productsand programs to improve patient outcomes and drive business success. The ideal candidate for this position will have strong clinical nursing acumen, managed care operations, as well as a managed care product development background, excellent communication skills, leadership experience, and a strategic mindset. The candidate will have comprehensive understanding of workers’ comp regulatory compliance and medical billing procedures, and they will be able to work closely with the IT team, claims professionals, patients, and other stakeholders to ensure the proper execution of necessary protocols. They will also possess excellent organizational skills, attention to detail, and strong analytical abilities to review medical bills, identify discrepancies, and provide feedback to the billing department. - Management and coordination of clinical medical bill review operations, ensuring proper documentation, coding, and program effectiveness - Develop and document clinical protocols, conduct clinical studies, and ensure compliance with regulatory requirements - Management and coordination of clinical medical bill review operations, ensuring proper documentation, coding, and program effectiveness - Develop and document clinical protocols, conduct clinical studies, and ensure compliance with regulatory requirements