The Sr. Financial Systems Analyst acts as a liaison between Finance and IT to configure, develop, and support Workday Financials. They are responsible for translating business requirements into functional specifications and managing system enhancements to ensure operational efficiency.
You will design, develop, and deploy cutting-edge AI and automation solutions to support healthcare payer use cases. This involves collaborating with product teams to identify business opportunities and productionalizing scalable AI models.
The Pharmacy Specialist supports the Senior Care Outreach and Retention team by educating members on medication adherence and health plan benefits. Responsibilities include conducting inbound and outbound calls, documenting interactions, and collaborating with internal teams to improve member health outcomes.
The Business Systems Analyst Specialist serves as a bridge between business stakeholders and technical teams to define project scope and translate business needs into actionable requirements. They lead requirements analysis, facilitate discovery sessions, and drive project planning across various enterprise initiatives.
Direct day-to-day operations for pharmacy prior authorization and appeals programs while ensuring compliance with regulatory and accreditation standards. Lead cross-functional teams to optimize coverage review processes, monitor utilization metrics, and align operational strategies with enterprise goals.
The auditor will perform routine facility and medical record reviews to ensure compliance with quality standards and regulatory requirements. They will also analyze clinical data to identify trends and communicate audit results to support quality of care goals.
Lead the enterprise strategy, roadmap, and execution of AI-powered virtual assistants across chat, voice, and digital channels. Collaborate with cross-functional teams to embed intelligent AI solutions into member journeys while ensuring compliance, safety, and brand alignment.
The Care Coordinator will partner with members and families to identify and authorize necessary home and community-based services to meet health and independent living goals. They are responsible for conducting thorough face-to-face assessments to evaluate the physical, behavioral, and psycho-social needs of each member.
The Provider Network Service Representative serves as a primary point of contact for providers, handling inquiries regarding contracting, credentialing, and network participation. Responsibilities include answering inbound calls, performing entry-level troubleshooting, and resolving provider complaints while maintaining clear documentation.
The Care Coordinator partners with members and families to identify and authorize necessary home and community-based services to meet health and wellness goals. They conduct objective face-to-face visits to assess the physical, behavioral, and social needs of members while collaborating with a clinical support team.
The Instructional Design Consultant will assess training needs and develop engaging learning solutions using the ADDIE methodology across various formats including eLearning and instructor-led training. They will manage instructional development projects from analysis through implementation while leveraging generative AI to enhance content efficiency and learner engagement.
The manager will lead pharmacy business services by overseeing enterprise initiatives, managing vendor portfolios, and driving contract governance. They are also responsible for developing a high-performing team and ensuring operational alignment across clinical, finance, and IT departments.
You will design, develop, and maintain enterprise-grade browser-based applications while serving as the front-end subject matter expert. The role involves driving UI modernization efforts, mentoring developers, and integrating front-end components with RESTful APIs and backend services.
The Provider Quality Consultant serves as a liaison between provider groups and stakeholders to drive quality improvement initiatives and program implementation. They conduct site visits, analyze performance data, and provide education on best practices to achieve high-quality care outcomes.
The Quality Research Analyst supports population health initiatives by analyzing healthcare data to drive improvements in member outcomes and organizational effectiveness. They coordinate quality improvement studies, manage multidisciplinary workgroups, and ensure departmental activities meet regulatory and accreditation standards.
The role involves providing technical leadership for cloud software deployment, automating infrastructure, and managing CI/CD pipelines. You will also collaborate with architecture teams to design scalable, secure cloud environments and troubleshoot operational issues.
The role involves developing target-state architectures and defining enterprise platform strategies to deliver scalable cloud and AI solutions. You will collaborate with cross-functional teams to operationalize DevOps processes and provide subject matter expertise on infrastructure engineering.
The role involves building and supporting enterprise APIs to connect critical applications while managing the full API lifecycle. Responsibilities include designing integration solutions, responding to system failures, and ensuring the scalability and reliability of enterprise services.
Architect and deploy AI-enabled workflows and LLM agents to optimize operations within Commercial Finance. Partner with security and legal teams to ensure HIPAA compliance while leading AI adoption and training across the enterprise.
Design, build, and support customer-facing enterprise mobile applications for iOS and Android using React Native. Collaborate with cross-functional teams to deliver scalable solutions and maintain system performance through debugging and continuous improvement.
Lead a team of engineers in designing, building, and scaling enterprise authentication and federation solutions. Manage day-to-day operations, staff development, and technical direction to ensure secure and resilient identity services.
Build and support enterprise APIs to connect critical applications across the organization. Manage the full API lifecycle, including design, delivery, and production support through incident response and deployments.
Lead the design and implementation of enterprise-wide AI workflows to modernize clinical operations and improve member healthcare journeys. Act as a strategic advisor to executive leadership to identify automation opportunities and establish governance standards.
Lead the design, development, and delivery of enterprise-grade applications while ensuring compliance with quality standards. Manage vendors and contracts, and mentor developers to inspire high performance and teamwork.
