You will develop, maintain, and support critical provider-facing applications and services using .NET Core and modern web technologies. The role involves troubleshooting complex system integrations, managing production environments, and participating in on-call rotations.
The Clinical Pharmacy Specialist supports coverage review activities by managing cases and ensuring timely access to pharmacy benefits. Responsibilities include entering authorizations, processing claims, and communicating with providers and members to resolve inquiries.
The Clinical Pharmacy Specialist supports coverage review activities by managing cases and ensuring timely access to pharmacy benefits. They handle provider and member inquiries, process authorizations, and monitor pharmacy reports to ensure accurate claims adjudication.
The Care Coordinator will conduct face-to-face visits to assess member needs and collaborate with clinical teams to support health and independent living goals. They are responsible for authorizing appropriate home and community-based services while managing stakeholder demands.
The intern will perform rotational work across financial accounting and reporting teams to gain professional experience. They will contribute to meaningful projects while building real-world skills within the division.
The role involves supporting pharmacy platforms, applications, and operational data feeds while collaborating with internal teams and vendors on system enhancements. You will also be responsible for documenting requirements, maintaining technical documentation, and ensuring compliance with regulatory standards.
The Pharmacy Technology Analyst I supports pharmacy platforms, system connectivity, and operational data feeds while collaborating with internal teams and vendors. They are responsible for documenting requirements, maintaining technical documentation, and ensuring compliance with regulatory standards.
The Business Analyst will design and implement organizational management projects while identifying opportunities for business process improvement. They will collaborate with cross-functional teams to define requirements and translate complex business needs into actionable strategies.
The Enterprise Architect II will define and implement architecture strategies to support corporate business goals, specifically within the provider domain. They will provide technical direction, manage stakeholder relationships, and oversee the development of roadmaps and system security management.
The Business Analyst will support operational oversight and compliance initiatives through data analysis, reporting, and process improvement. They will monitor compliance standards, assist with audits, and identify potential issues to enhance operational efficiency.
Support compliance and operational oversight through data analysis, Excel-based reporting, audit assistance, and monitoring activities for TennCare ECF CHOICES and LTSS. Investigate issues, recommend process improvements, and contribute to business projects and evaluations that improve operational effectiveness and resource utilization.
Develop and continuously improve governance processes, decision frameworks, tools, and oversight for enterprise technology, AI, and vendor evaluations. Facilitate cross-functional reviews and governance forums, manage demand and priorities, support adoption, and report on performance, value, and risk.
Lead the design, development, and productionalization of AI solutions and enterprise integrations for healthcare payer applications. Partner with stakeholders to architect scalable AI models and mentor junior engineers on best practices.
The manager will lead the strategy, engineering, and operational maturity of enterprise platforms protecting identities, secrets, and digital trust. They will oversee the design and implementation of security technologies while driving automation and platform modernization across the organization.
The Manager of Enterprise Architecture leads the evolution and execution of enterprise-wide architecture strategy while guiding long-term technology roadmaps. This role manages a team of architects, defines governance frameworks, and influences technology investment decisions to ensure alignment with business goals.
The IAM Administrator supports daily identity and access operations, including ticket triage, user access administration, and Active Directory management. They also participate in on-call rotations and ensure compliance with security standards through process documentation and periodic access reviews.
The Nurse Care Manager will manage a caseload of complex pediatric members, conducting home visits and developing person-centered support plans. They will also serve as a liaison between members, providers, and payors to ensure effective implementation of interventions and efficient utilization of benefits.
The role involves providing technical leadership for cloud software deployment and automating infrastructure to support enterprise value. You will design cloud services, manage operational tasks, and collaborate with teams to migrate and optimize workloads.
The AI Workflow Engineer will partner with business leaders to identify, design, and implement AI-driven automation solutions within Treasury and Internal Audit divisions. They are responsible for integrating AI components with internal systems while ensuring compliance with healthcare regulations and data governance standards.
The RPA Team Lead manages daily operations, system maintenance, and development for the automation team while supervising staff performance and professional growth. They also track project details, serve as a technical subject matter expert, and ensure adherence to organizational policies and budgets.
You will design, build, and maintain customer-facing enterprise mobile applications across iOS and Android platforms using React Native. Additionally, you will troubleshoot complex system issues, integrate APIs, and contribute to engineering best practices through code reviews.
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.
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.
