The Nurse Care Manager coordinates care for patients with acute and chronic conditions across the care continuum to achieve positive health outcomes. They collaborate with clinical teams to develop individualized care plans, perform case management, and facilitate safe transitions of care.
The Nurse Care Manager coordinates care for patients with acute and chronic conditions to ensure positive health outcomes across the care continuum. They collaborate with the clinical team to develop individualized care plans, facilitate transitions of care, and provide patient education.
The analyst will support operations, clinical, and finance teams by analyzing claims and membership data to identify medical cost trends and drivers. They will partner with market leaders to develop benchmarks and actionable insights to improve financial performance and strategic decision-making.
The Senior Analyst is responsible for designing and executing enterprise-wide colleague engagement strategies, culture initiatives, and recognition programs. They will also manage internal communications, town halls, and analyze engagement data to drive continuous improvement across the organization.
The Provider Credentialing Analyst is responsible for managing the end-to-end credentialing process for new and existing providers, including application submission and data maintenance. They act as a liaison between payors, external firms, and medical staff to ensure all licensing and certification requirements are met.
The Member Financial Counselor supports members by assisting with enrollment in state and federal assistance programs and resolving medical billing inquiries. This role involves managing inbound and outbound calls, documenting financial histories, and ensuring compliance with healthcare regulations.
The Colleague Relations Analyst provides expert consultation on workplace issues, conducts thorough investigations, and ensures consistent application of company policies. They also support HRBPs in managing leaves of absence, ADA accommodations, and resolving workplace conflicts to foster a high-performing environment.
The Analyst will manage incentive compensation programs, verify payout calculations, and collaborate with Medical Economics to analyze business KPIs. They will also support the design of compensation structures, conduct market benchmarking, and provide data-driven insights to HR leadership.
Lead and mentor a team of application and data engineers while providing hands-on technical direction for application platforms, APIs, integrations, and data solutions. Partner with business and technology stakeholders to deliver secure, scalable systems that support analytics, operational excellence, and compliant data-driven decision-making.
The Accounting Manager will oversee the medical margin financial close process and manage the daily operations of the medical margin accounting function. They will also lead a team of professionals and collaborate cross-functionally to ensure accurate financial reporting and data integrity.
The Member Financial Counselor supports members by assisting with enrollment in state and federal assistance programs and resolving medical billing inquiries. This role involves managing inbound and outbound calls, documenting financial histories, and maintaining compliance with privacy regulations.
The Senior Accounting Analyst will manage general accounting functions, including recording transactions, preparing reconciliations, and ensuring compliance with GAAP. The role also involves developing internal controls, maintaining expense policies, and supporting financial reporting and audit deliverables.
The Digital Marketing Specialist will manage digital marketing systems, assets, and campaign execution to support member engagement and acquisition. They will also monitor data quality, perform website content updates, and provide performance reporting to optimize marketing initiatives.
The Network Engineer will remotely maintain and troubleshoot data and voice network infrastructure across clinical centers and cloud environments. Responsibilities include diagnosing network issues, deploying new hardware, and reconfiguring network devices to meet established standards.
Lead a team of Pharmacy Technicians in a virtual environment to optimize pharmaceutical care access and medication adherence for members. Oversee daily operations, conduct staff training, and collaborate with healthcare providers to resolve medication-related issues.
The Nurse Care Manager coordinates and evaluates care for patients with acute and chronic conditions across the care continuum to achieve positive health outcomes. They develop individualized care plans, perform case management, and facilitate safe transitions of care through collaboration with the clinical team and external providers.
The Nurse Care Manager coordinates and evaluates care for patients with acute and chronic conditions across the care continuum to ensure positive outcomes. They collaborate with the care team to develop individualized care plans, facilitate transitions of care, and provide patient education.
The Strategic Finance Analyst will monitor key performance indicators and operational metrics to drive profitability and business performance. They will provide decision support to senior management by synthesizing complex financial and clinical data into actionable insights.
