The developer will lead the design, development, testing, and deployment of features for Casualty Solutions Group products. They are responsible for building backend services and APIs while contributing to frontend development using modern frameworks.
Enlyte
40 Remote Job Openings at Enlyte
The Senior Business Intelligence Analyst will collaborate with cross-functional teams to conduct in-depth casualty data analysis and generate actionable business insights. They are responsible for designing intuitive dashboards and visualizations to communicate complex findings to senior leadership.
The Telephonic Case Manager collaborates with physicians, employers, and injured individuals to develop and implement effective treatment plans. They are responsible for managing caseloads to ensure cost-effective healthcare services and facilitating a timely return to work for the injured party.
The consultant analyzes medical records and bills to determine causality and relatedness for workplace injuries or auto accidents. They are also responsible for conducting medical research, preparing case summaries, and organizing medical evidence for clients.
The Senior Business Systems Analyst serves as the primary liaison between Finance, Billing Operations, and Technology teams to ensure accurate billing data processing. They are responsible for investigating billing issues, identifying process improvements, and validating system enhancements to meet service-level agreements.
The Field Case Manager will collaborate with physicians, employers, and patients to develop and implement effective treatment plans. They are responsible for managing cases to ensure cost-effective healthcare services and facilitating a successful return to work for injured individuals.
The specialist will manage the intake, tracking, and coordination of subpoenas and legal requests while ensuring compliance with deadlines and privacy regulations. They will also maintain accurate records, analyze volume trends, and collaborate with internal departments to gather responsive information.
The Telephonic Case Manager collaborates with physicians, employers, and injured individuals to develop and implement effective treatment plans. They are responsible for managing caseloads to ensure cost-effective healthcare services and facilitating a timely return to work for the injured party.
The Telephonic Case Manager collaborates with physicians, employers, and patients to develop and implement effective treatment plans that facilitate recovery and return to work. They are responsible for managing a caseload, evaluating treatment effectiveness, and ensuring cost-effective healthcare services.
The engineer is responsible for performing manual functional, regression, and system integration testing to ensure software meets business requirements. They will collaborate with development teams to document defects, track project progress, and provide status updates throughout the SDLC.
The SDET will design, execute, and analyze load testing strategies to ensure application reliability and performance under various user loads. They will also collaborate with development and DevOps teams to identify performance bottlenecks and maintain robust automated test environments.
The Vice President serves as a strategic advisor to clients to improve workers' compensation claims performance, operational effectiveness, and financial outcomes. This involves analyzing claims data, optimizing workflows, and leading multidisciplinary teams to implement sustainable program improvements.
Establish product management practices for the Technology Engineering & Platforms organization by driving demand management and roadmap development. Lead the transition from project-based delivery to a product-led operating model for infrastructure and cloud engineering.
Provide inbound telephone triage services to injured workers following state Worker Compensation rules. Use clinical expertise and evidence-based protocols to make safe care recommendations for emergent and non-emergent situations.
Provide inbound telephone triage services to injured workers following state Worker Compensation rules. Use clinical expertise and evidence-based protocols to make safe care recommendations for emergent and non-emergent situations.
The role acts as a strategic partner transforming data into actionable insights through root-cause analysis and KPI monitoring. Responsibilities include defining reporting requirements and developing executive narratives to guide leadership decision-making.
The role serves as a strategic account manager and trusted advisor for existing post-sale customers within Managed Care Solutions. Key duties include managing multi-stakeholder relationships, analyzing customer data trends, and facilitating partnership reviews to drive revenue growth.
The Telephonic Case Manager creates and implements treatment plans to help injured persons return to work and achieve maximum medical recovery. This involves collaborating with physicians, employers, and legal representatives to ensure cost-effective healthcare services.
The Telephonic Case Manager creates and implements treatment plans to help injured individuals return to work and achieve maximum medical recovery. They collaborate with physicians, employers, and legal representatives to ensure cost-effective and appropriate healthcare services.
The role involves discovering AI/ML opportunities across the product portfolio and guiding their implementation, specifically focusing on generative AI and LLMs. Responsibilities include building, deploying, and monitoring machine learning models while collaborating with cross-functional teams to solve business problems.
Deliver technical sales presentations and product demonstrations to executive audiences while leading discovery sessions and proof-of-concept implementations. Collaborate with cross-functional teams to develop technical proposals and provide pre-sales support throughout the sales cycle.
Collaborate with physicians, employers, and injured persons to create and implement cost-effective treatment plans for recovery and return-to-work. Manage a caseload independently, assessing recovery progress and modifying goals to ensure optimal medical recovery.
Collaborate with physicians, employers, and injured persons to create and implement cost-effective treatment plans for return-to-work goals. Manage a caseload independently, assessing recovery progress and modifying goals based on treatment effectiveness.
The Telephonic Case Manager collaborates with physicians, employers, and patients to create and implement cost-effective treatment plans for injured workers. The role focuses on facilitating a safe and timely return to work while monitoring medical recovery and adjusting case goals.
The role involves developing, negotiating, and maintaining complex provider contracts with hospitals and physician groups to support network strategy and cost management. It also requires analyzing financial data and guiding junior team members to optimize network adequacy and access.
Serve as the technical authority for financial systems and data solutions, designing scalable, secure, and resilient distributed systems. Lead the adoption of AI technologies and drive engineering excellence through mentorship and architectural standards.
Establish and mature the enterprise AI governance framework and portfolio management to ensure responsible and scalable AI adoption. Partner with cross-functional stakeholders to align AI investments with business outcomes and regulatory requirements.
The Telephonic Case Manager creates and implements treatment plans to return injured persons to work while ensuring cost-effective healthcare services. They collaborate with physicians, employers, and legal representatives to monitor recovery and modify case goals.
Collaborate with physicians, employers, and injured persons to create and implement cost-effective treatment plans for recovery. Manage a caseload independently to facilitate an optimal return to work and maximum medical recovery.
Perform utilization reviews on workers' compensation treatment referrals to ensure medical necessity and appropriateness. Collaborate with healthcare providers and claims adjusters to gather information and communicate findings through reports.
Design, develop, and implement advanced contact center solutions using the NICE CXone ecosystem with a focus on scripting and automation. Build integrations between NICE CXone and enterprise systems while optimizing agent workflows and AI-driven customer interactions.
Lead claims performance consulting engagements for Tier-1 insurance carriers by transforming complex data into strategic roadmaps. Orchestrate multidisciplinary teams to design success scorecards and provide high-level advisory on program design and operational shifts.
Lead the evolution of customer intelligence by developing AI-driven predictive models for retention and churn risk. Unify customer data across platforms to provide actionable insights for customer success, sales, and executive teams.
Collaborate with physicians, employers, and injured persons to create and implement cost-effective treatment plans for recovery and return-to-work. Manage a caseload independently, assessing recovery progress and modifying goals to ensure optimal medical recovery.
Lead the vision and execution of a centralized billing and invoicing platform that supports multiple product lines. Translate product usage and business events into scalable billing constructs to ensure accurate revenue realization.
Independently analyze incoming medical bills for fee schedule and usual and customary application across multiple states and lines of business. Handle provider disputes and provide quality review and training for co-workers.
The role involves researching and reviewing complex medical bills and operative reports to ensure proper provider reimbursement based on state fee schedules. It also includes performing bill re-evaluations and verifying the accuracy of assigned codes against patient charts.
Coordinate with physicians, employers, and injured persons to create and implement cost-effective treatment plans for recovery and return-to-work. Manage a caseload independently, assessing recovery progress and modifying goals to ensure optimal medical outcomes.
This role is responsible for defining the strategic vision and technical execution of AI, including Generative AI and machine learning, across the Payment Integrity Suite to automate adjudication and enhance fraud detection. Key duties involve developing a multi-year AI product strategy, governing technical architecture, overseeing data pipelines, and leading the transition of AI capabilities into enterprise-scale production.
The role involves designing, analyzing, developing, coding, debugging, testing, and documenting programming solutions to meet business requirements for both small and complex projects. Responsibilities also include providing development estimates, adhering to architecture standards, and assisting with third-level production support.