The Medical Director oversees utilization management policies, quality programs, and clinical network efficiency to ensure high-quality, cost-effective healthcare delivery. This role provides leadership to clinical teams, facilitates interdisciplinary care meetings, and acts as a liaison between physicians and health plans.
The Medical Director provides clinical oversight to advance quality outcomes, utilization management, and provider engagement across the network. They lead quality improvement initiatives, manage utilization review processes, and collaborate with operational leaders to ensure evidence-based care delivery.
The Senior Accountant is responsible for managing month-end close processes, including journal entries, reconciliations, and financial reporting. They also support internal audits, process improvements, and provide analytical insights to business partners.
The Data Analyst Lead acts as an internal consultant to develop complex healthcare, clinical, and financial data sets for reporting and decision support. They are responsible for mining data, identifying cost and utilization patterns, and training team members on analytical tools and processes.
The Accounting Manager oversees the financial accounting process, including general ledger maintenance, monthly closes, and financial reporting for all AHS entities. They are also responsible for establishing internal controls to prevent fraud and assisting the Controller with the annual budget process.
The Senior Actuarial Analyst will generate and distribute reports to support risk adjustment calculations and financial reporting, while also conducting complex revenue analysis. This role involves collaborating with various departments to provide business intelligence and analytics.
