The Commercial Operations Manager leads cross-functional initiatives from discovery through implementation, managing project plans, business requirements, and operational readiness. This role also drives process improvement and change enablement across Sales, Client Success, and other commercial functions.
The Director of Claims Management Ancillary Services oversees the strategy, performance, and regulatory compliance of claims ancillary functions and plan document administration. This role manages key teams, establishes operational KPIs, and serves as the primary authority for clients and partners regarding claims and plan document standards.
The VP of Data Architecture & Integration is responsible for defining the enterprise data strategy, governance, and integration services to support operational and analytical business needs. This leader oversees the delivery of secure, scalable data platforms and ensures consistent data modeling across the organization.
The Senior Plan Documents Specialist facilitates client onboarding and manages the drafting, maintenance, and compliance of complex benefit plan documents. They work cross-functionally with internal teams and external vendors to ensure accurate plan administration and client satisfaction.
The Client Success Executive will serve as the primary point of contact for Middle Market employer clients, managing relationships and ensuring the successful delivery of health plan products. They are responsible for driving client retention, leading the renewal process, and collaborating cross-functionally to resolve issues and improve service delivery.
The Client Success Manager provides operational support for client relationships, including resolving claims, benefit, and enrollment issues. They also coordinate client projects, support open enrollment sessions, and maintain accurate client data in systems like Salesforce.
Conduct pre-payment and post-payment claims audits to ensure financial accuracy and adherence to processing standards. Identify quality trends and collaborate with leadership to implement corrective actions and performance improvement plans.
Own and grow strategic relationships with large enterprise employer clients, serving as a trusted advisor to senior HR and Finance leaders. Lead the end-to-end renewal strategy and orchestrate cross-functional teams to ensure a high-touch, white-glove client experience.
The Director of Product Management owns the stop loss and captive product portfolio, defining how risk is structured, priced, and transferred. They lead the full product lifecycle from design and underwriting alignment to reinsurance structure and performance management.
