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The Appeals Nurse Consultant processes medical necessity appeals for Medicare Part C, ensuring compliance with clinical guidelines. The role involves navigating multiple computer systems to research and extrapolate clinical data while working in a fast-paced, remote environment.
The role involves developing and implementing clinical case management strategies to facilitate appropriate physical and behavioral healthcare for members. It requires conducting comprehensive assessments, performing crisis interventions, and collaborating with care teams to ensure cost-effective and quality outcomes.
The Staff Software Engineer will lead the design and implementation of complex Agentic AI and cloud-native software solutions to modernize claims adjudication. They will also provide technical leadership, mentor junior staff, and establish best practices for AI-driven development across the organization.
The Case Manager facilitates care coordination, assessment, and planning for dual-eligible members to optimize health outcomes and wellness. They act as a liaison between members, families, providers, and community resources while ensuring compliance with regulatory policies.
Develops profitable new business account relationships and increases profitability from existing accounts. Identifies business opportunities and makes sales presentations to prospective clients to meet their financial needs.
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The QA Automation Engineer will design, implement, and execute automated and manual test plans for enterprise applications. They will collaborate with developers and product owners to identify automation opportunities and ensure high-quality software delivery.
The Surgical Sales Executive drives revenue growth and clinical outcomes by managing a surgical product portfolio within an assigned territory. This role involves leading product evaluations, building relationships with OR decision-makers, and executing strategic account plans to increase market share.
The Neuroscience Specialist is responsible for driving sales and developing relationships with healthcare providers within an assigned territory. They must effectively implement engagement strategies using both in-person and virtual tools to educate providers on product value propositions.
Design, develop, and maintain scalable software solutions for chemical and biological threat data analysis using cloud-based architectures. Collaborate with cross-functional teams to implement AI/ML tools, automated data pipelines, and secure interfaces in compliance with DoD standards.
This analyst serves as the primary resource for MyChart initiatives, including branding, questionnaire maintenance, and online scheduling configuration. They also support system upgrades, testing, validation activities, and participate in on-call rotations.
The role involves managing project services and installations for the company. The individual will be responsible for coordinating project activities and ensuring successful installation outcomes.
The Dialer Administrator will create, maintain, and optimize dialer campaigns while overseeing omni-channel vendor platforms to ensure maximum performance. They will also monitor inbound queues, generate performance reports, and collaborate with workforce management to ensure staffing levels meet business standards.
The IT Support Specialist is responsible for analyzing, troubleshooting, and resolving support requests for company hardware, services, and applications. They also manage helpdesk incidents, maintain system knowledge, and provide technical assistance to associates and contractors.
You will lead, coach, and grow a team of software engineers while maintaining hands-on involvement in architecture and code reviews. You are responsible for defining team processes, managing performance, and ensuring the delivery of high-quality software.
The Account Lead will build relationships with public sector customers to implement Qualtrics solutions while serving as a strategic advisor. They will manage the full sales cycle and oversee client implementation activities to ensure successful adoption and revenue growth.
The Account Supervisor will lead client relationships and integrated B2B marketing engagements, ensuring strategic alignment and delivery across various digital channels. They are responsible for identifying organic growth opportunities, managing account profitability, and partnering with cross-functional teams to execute complex marketing programs.
The Account Partner Director is responsible for driving professional services strategy, originating deals, and managing customer relationships to ensure adoption and value realization. They act as a trusted advisor to C-suite stakeholders while orchestrating internal teams to align on execution and revenue goals.
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The Director of Applications Portfolio Management provides leadership for application support and service delivery, ensuring operational stability and performance. They manage vendor relationships, drive continuous improvement initiatives, and collaborate with stakeholders to align technology operations with business goals.
Responsible for processing health insurance claims by validating information, applying medical necessity guidelines, and determining benefit levels. The role involves reviewing claims for accuracy, managing pend and error reports, and responding to internal information requests.
The Senior Business Systems Analyst acts as a liaison between business stakeholders and the technical team to manage project lifecycles and enhancement requests. They are responsible for gathering requirements, creating technical specifications, and overseeing testing processes to ensure effective system performance.
The teacher is responsible for delivering synchronous and asynchronous course content in an online environment while managing the learning process. They must also maintain positive rapport with families, monitor student progress, and differentiate instruction to meet individual student needs.
The Operations Analyst will analyze AR, denial, and claims data to identify trends and provide actionable insights to improve revenue cycle performance. They will collaborate with cross-functional teams to develop dashboards and resolve operational issues to support Hospital and Professional Billing.
Provide one-on-one physical therapy to older adults in private residences and senior living communities. Develop individualized plans of care and collaborate with an interdisciplinary team to improve patient mobility and independence.
Provide one-on-one physical therapy to older adults in their homes or senior living communities using evidence-based treatment plans. Collaborate with an interdisciplinary team and utilize telehealth to support patient mobility, wellness, and functional independence.
Provide one-on-one occupational therapy to older adults in their homes or senior living communities to improve functional independence and quality of life. Collaborate with an interdisciplinary team and utilize telehealth tools to deliver evidence-based care and effective documentation.
The Engagement Lead will own the end-to-end delivery of Salesforce projects, managing timelines, budgets, and client expectations. They will serve as the primary point of contact, translating business needs into actionable tasks while fostering long-term client partnerships.
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The Territory Business Manager is responsible for driving product awareness and utilization by building relationships with physicians and healthcare professionals. They will execute sales strategies, manage accounts, and deliver clinically relevant information to meet and exceed territory goals.
The Account Executive is responsible for driving profitable revenue by managing a defined portfolio of accounts and closing complex, project-based sales. They must actively prospect for new business, maintain strong customer relationships, and coordinate with internal teams to deliver comprehensive workspace solutions.
This role manages the day-to-day operations of the credentialing function, ensuring compliance with health plan and NCQA requirements. It also involves providing leadership to the credentialing team and overseeing delegated credentialing processes for affiliated entities.
The Regional Sales Manager will manage a portfolio of SME clients, develop new business, and sell childcare solutions. They are responsible for managing contract renewals, participating in client events, and maintaining accurate reporting in Salesforce.
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