The Software Engineer will design and develop scalable backend services and data ingestion pipelines using Python and Azure cloud technologies. They will collaborate within an Agile team to modernize existing systems and ensure high-quality, maintainable code delivery.
You will design and build automated, secure infrastructure platforms using a builder mentality and agentic AI solutions. The role involves maintaining CI/CD pipelines, supporting containerized application delivery, and removing manual toil through automation.
The analyst will support medical cost management and underwriting of capitated risk proposals by performing complex healthcare claims and pharmacy data analysis. They will translate these findings into actionable insights and customer-ready deliverables using visualization tools.
The Lead HRIS Analyst will support the maintenance and enhancement of the Workday HCM system while collaborating with stakeholders to automate processes. This role involves designing custom reports, configuring security, and mentoring team members to ensure efficient system functionality.
Maintain and improve pricing models, produce recurring reports, and keep pricing documentation and templates current. Develop retrospective learning processes and support standardized pricing activities, while conducting ad hoc financial analyses for the Pricing team.
The Coordinator will process prior authorization requests by reviewing internal workflows and entering data into proprietary systems. They will also collaborate with clinical teams and physician offices to ensure all necessary information is obtained for case reviews.
The coordinator supports the Utilization Management team by managing the intake, review, and processing of clinical documents and faxes. They are responsible for calculating turnaround times, monitoring failed transmissions, and responding to inquiries in a shared inbox.
The Lead Software Engineer will design, develop, and maintain enterprise-grade healthcare applications while providing technical leadership to the team. They will also drive performance optimization, mentor junior engineers, and collaborate with stakeholders to deliver high-quality, scalable solutions.
The Senior Analyst will lead and optimize core ITSM processes including Incident, Problem, and Change management using Jira-based workflows. They will also drive data-driven decision-making and continuous service improvement initiatives to enhance IT service delivery and operational efficiency.
You will provision and manage infrastructure as code while designing agentic AI solutions to automate platform operations. Additionally, you will implement observability using OpenTelemetry and manage containerized environments on Azure.
You will design, provision, and automate infrastructure using code while building agentic AI solutions to optimize platform operations. Additionally, you will manage observability solutions and ensure system reliability through containerization and proactive troubleshooting.
You will design, build, and maintain automated infrastructure and platform features using a builder mentality. The role involves creating agentic AI solutions and ensuring reliable, secure, and documented platform operations.
Lead the end-to-end program delivery and strategy for a new AI-native platform, managing cross-functional teams across engineering, product, and data science. Establish governance, monitor KPIs, and ensure the successful migration and adoption of AI agents and applications onto the new platform.
The Field Medical Director serves as a subject matter expert to review Hip, Knee, and Shoulder surgery cases that do not meet initial medical necessity guidelines. They also conduct peer-to-peer discussions with providers and ensure clinical reviews adhere to URAC and NCQA standards.
The Database Administrator will lead the end-to-end performance, availability, security, and cloud modernization of critical enterprise database systems. They will also engineer high-availability architectures and integrate database operations into modern DevOps and Data Engineering workflows.
The Sr. Director of AI Platform Engineering will lead the development and scaling of enterprise AI platform initiatives, including document pipelines and agentic user interfaces. This role involves building and managing high-performing engineering teams while ensuring technical excellence and alignment with enterprise architecture standards.
The manager will perform financial analytics, including IBNR calculations and monthly financial close deliverables. They will also develop data models and dashboards to provide actionable insights for business decision-making.
The Director of Risk Analytics will lead a team in evaluating financial and quality performance for value-based care models. This role involves collaborating with internal and external stakeholders to provide strategic insights, manage financial reconciliations, and mentor team members.
Design and build the adaptor layer between AI service engines and the enterprise service bus while managing FHIR PAS payloads. Develop, deploy, and maintain LLM-based agents and synchronous service engines for real-time AI workloads.
The Director will lead the vision, strategy, and execution of healthcare AI solutions while aligning cross-functional teams including engineering, data science, and clinical experts. They are responsible for driving enterprise adoption of GenAI capabilities and establishing product roadmaps that improve operational efficiencies and user experiences.
The Sr Director will define and deliver the shared platform components for a new AI platform, aligning product vision with business objectives. They will lead cross-functional teams, including engineering and data science, to scale AI-enabled capabilities while establishing enterprise governance frameworks.
The Correspondence Policy Specialist develops, approves, and maintains corporate clinical correspondence to ensure compliance with regulatory and accreditation standards. They also collaborate with internal teams and IT to manage correspondence templates and mitigate risks through effective problem-solving.
The Field Medical Director will serve as a subject matter expert for radiation oncology and imaging utilization management reviews. They will conduct peer-to-peer discussions with providers and ensure clinical documentation meets regulatory and accreditation standards.
Manage the full lifecycle of SaaS applications with a focus on AI-driven automation and optimization of Atlassian platforms. Ensure security, governance, and regulatory compliance within a HIPAA-compliant environment.
The Lead HRIS Analyst is responsible for the maintenance, enhancement, and optimization of the Workday HCM system. This includes configuring business processes, developing custom reports, and mentoring team members to improve HR efficiencies.
Serve as a specialty match reviewer for vascular cases to determine medical necessity and conduct peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while providing clinical rationale for appeals.
Lead and manage AI initiatives to transform healthcare operations, specifically focusing on the Auth Intelligence application. Coordinate between data science, clinical, and technical teams to translate model outputs into scalable product features.
The Medical Director will conduct clinical reviews for oncology cases and engage with oncologists to promote value-based care and evidence-based practices. They will also collaborate with internal teams to design and execute clinical innovation initiatives and ensure compliance with quality standards.
The Field Medical Director will provide expert reviews for cardiovascular cases and conduct peer-to-peer discussions with treating providers to ensure high-value care. They will also collaborate with leadership and clinical staff to address complex cases and support decision-making.
