The Sr. Associate, Quality Operations manages payor and vendor relationships while driving HEDIS/Stars performance through cross-functional collaboration. They provide centralized support to clinical teams and develop workflows to ensure organizational quality objectives are met.
The specialist identifies and resolves payment discrepancies, including overpayments and improper payments, while ensuring compliance with value-based contracts. They also perform root-cause analysis to implement process improvements and prevent future billing errors.
The Principal, Workforce Innovation leads the enterprise's future of work and talent AI optimization by designing evolving roles and building AI-powered tools. They act as a strategic advisor to senior leadership to orchestrate workforce changes, manage roadmaps, and measure ROI across the organization.
The Outreach Specialist provides telephonic and virtual engagement services to connect eligible members with care teams. They are responsible for managing the intake process, collecting member data, and serving as the primary point of contact until a long-term care relationship is established.
You will architect scalable analytics platforms integrated with healthcare data and develop predictive models to deliver actionable insights. Additionally, you will ensure compliance with HIPAA regulations while managing real-time data pipelines and monitoring systems.
The manager oversees daily operational workflows to drive value-based care results, including member outreach and provider scheduling. They are responsible for P&L analysis, monitoring team performance against KPIs, and coordinating between frontline staff and leadership.
You will build and maintain the AI agent platform, including sandboxing, permissions, and observability to ensure safe automated actions. Additionally, you will manage cloud infrastructure and collaborate with engineering teams to scale the platform securely.
The Director of Data Analytics will design and build analytic solutions to inform business decisions and drive operational performance. They will lead a team of analysts to deliver high-impact insights while partnering with clinical and operational leaders to implement system-wide improvements.
The Member Safety RN oversees the development and implementation of safety programs, policies, and protocols to ensure the well-being of patients. They are responsible for conducting risk assessments, managing incident investigations, and ensuring organizational compliance with safety standards.
Design and build analytic solutions to inform business decisions and measure clinical and financial outcomes. Partner with stakeholders to implement reporting technologies and evaluation frameworks using the Google tech stack and DBT.
