The Utilization Manager assesses member needs and manages medical service requests to ensure high-quality, cost-effective care. They perform clinical determinations, conduct prior authorizations, and coordinate with multidisciplinary teams to facilitate safe discharges and transitions.
The Manager will lead consulting engagements, manage project budgets, and oversee contract deliverables while fostering client relationships. They are also responsible for driving business development, mentoring team members, and contributing to internal organizational initiatives.
The engineer will build and maintain Azure infrastructure using Bicep while managing AKS environments and CI/CD pipelines. They are also responsible for implementing monitoring, ensuring security compliance, and participating in an on-call rotation for production support.
The Technical Customer Success Manager leads technical implementation and data integration for clients while serving as a strategic advisor to ensure platform adoption and value-based care outcomes. They collaborate with cross-functional teams to troubleshoot integration challenges and develop technical workflows that support clinical and financial goals.
Design and execute manual and automated tests for .NET and React web applications to ensure quality and reliability. Collaborate with cross-functional teams to test healthcare workflows and maintain traceable test documentation within a CI/CD pipeline.
Lead complex internal and external healthcare projects to implement innovative care models and improve health outcomes. Provide project management support, develop analytic models, and assist in business development initiatives.
