The Clinical Support Specialist provides administrative support to clinical teams by managing medical records, authorizations, and referrals. They also conduct outreach to members and providers while ensuring compliance with regulatory standards and internal policies.
The Care Manager coordinates services for members by assessing needs, developing care plans, and monitoring progress to ensure quality and cost-effective outcomes. They serve as a liaison between patients, families, and healthcare providers while managing a caseload of complex medical and behavioral health needs.
The Senior Solutions Architect leads enterprise architecture activities to guide the development and management of a portfolio of technology solutions. They translate business needs into architectural plans and provide technical leadership to ensure solutions align with business goals and governance standards.
The Care Manager coordinates services for members with complex medical and behavioral needs, focusing on education, self-management, and quality care outcomes. They act as a liaison between patients, families, and healthcare providers to develop and implement individualized care plans.
The Value Delivery Manager leads Agile product teams to drive business value, optimize delivery performance, and support the transition to a product-centric operating model. They partner with business and technology leaders to manage dependencies, facilitate planning, and coach teams on Agile and Lean practices.
