Hive Health

Human Resources

• The HMO Benefits Specialist serves as the key interface between members, healthcare providers, and the HMO teams.
• The role is responsible for accurate processing of member availments, issuance of Letters of Authorization (LOAs), timely call handling, and efficient coordination of inquiries and cases to ensure high-quality service delivery.

HMO Benefits Specialist

Actuary

• Lead the design, development, and implementation of actuarial models to support pricing strategies and new product initiatives
• Analyze healthcare trends, claims experience, and demographic data to inform business decisions and pricing assumptions
• Oversee and mentor the Pricing Specialist, providing guidance on methodologies, models, and reporting
• Collaborate closely with cross-functional teams including Finance, Underwriting, Operations, and Sales to ensure alignment of actuarial insights with business strategies
• Prepare and present clear, actionable actuarial reports and presentations for senior leadership and external stakeholders
• Ensure compliance with local regulatory requirements, actuarial standards, and reporting obligations
• Monitor emerging healthcare and insurance trends to proactively adapt pricing models and risk assessments
• Drive continuous improvement in actuarial processes, tools, and methodologies

Senior Actuary

Business Development Rep

• Own HubSpot CRM: build workflows, create dashboards, launch automations, ensure data hygiene, organize email templates, and maintain CRM playbooks
• Research and implement sales operations best practices, evaluate new CRM features and AI tools, and canvass software/vendors to optimize the BD sales cycle
• Collaborate with Business Development and Marketing teams on CRM initiatives such as refining lead scoring and reactivating cold leads
• Work cross-functionally to carry out CRM enhancements and lead generation initiatives
• Update and improve business reports and dashboards with macro and granular data and provide data-driven support to the Growth team

Business Development Operations Associate

Account Manager

• Own execution of account operations (managing lifestyle discount partners and life insurance partners)
• Plan and spearhead ad hoc and quarterly wellness webinars for members
• Supervise Membership Assistants; ensure accurate and timely printing/distribution of cards
• Track inventory and supply management; prevent stock outs and fulfillment delays
• Design, document, and improve workflows for AM Ops (partner coordination, event logistics, inventory)
• Maintain dashboards on card distribution, webinar attendance, and partner utilization; provide weekly reports to AM Leads
• Serve as point person between AMs, Membership Assistants, vendors, and internal functions (Marketing, Finance, Product)

HMO Benefits Specialist

Senior Actuary

Business Development Operations Associate

Account Management Operations Associate