The cardiologist will provide high-quality interpretation of echocardiograms and deliver cardiovascular care in a remote, outpatient setting. They are also responsible for participating in quarterly quality improvement sessions and communicating results to primary care providers.
The Quality Specialist monitors and pursues CMS STARS and HEDIS measures while conducting central patient outreach. They collaborate with market leaders and operations teams to strategize and implement initiatives for closing quality gaps.
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 Accounting Manager will oversee the medical margin financial close process and manage the day-to-day accounting operations. They will also lead a team of professionals and collaborate cross-functionally to ensure accurate financial reporting and process efficiency.
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.
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 and execute individualized care plans, manage transitions of care, and facilitate safe discharge planning.
The IT Security Analyst II supports the cybersecurity program through continuous monitoring, incident response, and vulnerability management. They also administer security technologies and collaborate with cross-functional teams to implement security controls and improve the organization's security posture.
The Team Lead will oversee the Centralized Medication Adherence Program, managing daily operations and training for a team of Pharmacy Technicians. They will also collaborate with clinical staff to optimize pharmaceutical care access and ensure compliance with regulatory standards.
The Pharmacy Technician will conduct telephonic patient outreaches to support medication adherence and navigate plan benefits in a virtual environment. They will also process refill requests and collaborate with clinical staff to resolve medication-related issues.
The Senior Accounting Analyst will manage operating expense accounting, including recording transactions, performing reconciliations, and ensuring GAAP compliance. They will also collaborate with department leaders to analyze financial data and support month-end close processes.
The Nurse Care Manager coordinates and evaluates the care of patients with acute and chronic conditions across the care continuum to ensure positive health outcomes. They work closely with the care team to develop individualized care plans, facilitate safe transitions, and provide ongoing patient education and support.
The Nurse Care Manager coordinates and evaluates care for patients with acute and chronic conditions across the care continuum to ensure positive health outcomes. They collaborate with the care team to develop individualized care plans, manage 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, monitor KPIs, and present actionable insights to improve financial performance.
The Member Services Representative conducts outreach to members and insurance partners to verify eligibility and coordinate care assignments. They are also responsible for scheduling appointments, maintaining accurate documentation, and assisting members with healthcare system navigation.
The Nurse Care Manager coordinates care for patients with acute and chronic conditions across the care continuum to improve outcomes. This includes developing individualized care plans, managing transitions of care, and collaborating with clinical teams and families.
The Nurse Care Manager coordinates care for patients with acute and chronic conditions across the care continuum to improve health outcomes. This includes developing individualized care plans, managing transitions of care, and collaborating with multidisciplinary teams.
The Senior Actuarial Analyst develops models to forecast risk-adjusted revenue and medical costs while supporting monthly closing and IBNR processes. They analyze healthcare data to identify trends and collaborate cross-functionally to optimize financial performance and strategic business decisions.
The Nurse Care Manager coordinates care for patients with acute and chronic conditions across the care continuum to improve health outcomes. This includes developing individualized care plans, managing transitions of care, and collaborating with multidisciplinary teams.
