The Enrollment Resolution Examiner is responsible for reconciling complex enrollment and billing discrepancies between the Health Plan and external agencies. They also participate in process improvement initiatives and provide subject matter expertise for cross-functional projects.
The Business Engagement Strategist collaborates with organizational leaders to drive effectiveness through change management, employee engagement, and strategic alignment. They serve as a liaison to the COO Executive Team, providing consultation on leadership development, budgetary planning, and inclusive workforce strategies.
The EPMO Project Manager is responsible for managing and delivering application, operations, and business projects while fostering continuous improvement and innovation. They coordinate matrixed teams, manage project scope, budget, and risks, and serve as a liaison between functional partners and stakeholders.
The Supervisor oversees the daily operations of the Risk Adjustment Quality Assurance Auditor team to ensure coding accuracy, regulatory compliance, and consistent application of CMS guidelines. This role provides leadership, training, and performance management while driving continuous improvement in audit processes and operational efficiencies.
The intern will support sales representatives by preparing materials, conducting market research, and maintaining data accuracy within CRM systems. They will also participate in process-improvement initiatives and assist in creating educational materials for brokers and employer groups.
The Capability Manager drives business growth by identifying process improvements and executing strategic initiatives through cross-functional leadership. They manage the full lifecycle of projects from concept to value realization, ensuring measurable outcomes in efficiency and performance.
This position oversees the Reimbursement Claims Processing Team, ensuring the accurate and timely facilitation of various benefit claims. The supervisor is responsible for managing daily operations, staff development, process improvement initiatives, and ensuring compliance with regulatory requirements.
The Affordability Portfolio Manager supports the operational governance, administration, and portfolio management of the Health Plan's affordability strategy. This role coordinates cross-functional initiatives, tracks performance metrics, and facilitates executive decision-making through reporting and strategic oversight.
The Senior Medical Director serves as a strategic clinical leader responsible for advancing value-based care, population health, and medical management initiatives. This role partners with cross-functional teams to improve clinical outcomes, member experience, and provider performance while ensuring compliance with CMS and regulatory requirements.
The AI Engineer develops and deploys advanced machine learning and generative AI models to solve complex business challenges and improve member health outcomes. They collaborate with cross-functional teams to build scalable data pipelines, optimize model performance, and ensure alignment with enterprise AI strategies.
The Strategic & National Account Manager is responsible for managing a book of business, acting as a strategic advisor for benefit design, and driving account retention. The role also involves prospecting new business, fostering client relationships, and collaborating with internal teams to ensure operational efficiency.
The Salesforce Developer analyzes, develops, and tests system solutions using agile methodologies to meet business requirements. They collaborate with IT and business teams throughout the project lifecycle to ensure high-quality, functional, and performant deliverables.
The Manager of Applications Development oversees IT staff in the creation and maintenance of production systems while ensuring alignment with business strategic goals. They are responsible for governance, project execution, resource management, and fostering a culture of continuous improvement within their development teams.
The intern will assist in the development of rate filings, trend analyses, and financial projections while supporting strategic projects under mentor guidance. They will also perform technical and non-technical tasks, maintain documentation, and deliver a final presentation at the end of the program.
The intern will support the laptop refresh program by imaging and prepping laptops in the Desktop Lab. They will also assist users with data transfers and coordinate scheduling for equipment deployment.
The intern will support the Cyber Defense Services team by participating in security operations and threat assessment activities. They will also work on strategic projects, collaborate with mentors, and deliver a final presentation upon completion of the program.
The intern will support Request for Proposal activities, evaluate vendors, and lead sourcing initiatives while managing supply chain spend analytics. They will also work with a mentor on strategic projects and deliver a final presentation upon completion of the internship.
The intern will support internal audit processes, including control testing, process narrative tracking, and operational audit planning. They will also assist with audit dashboard updates, policy management, and the creation of status documentation.
The intern will support the LAMA team by conducting regulatory research, preparing state filings, and maintaining corporate records. They will also assist with strategic projects, document policy enhancements, and deliver a final presentation at the end of the internship.
The intern will collaborate with the Wellbeing Team to develop and update healthy campaigns, workshops, and resources for commercial customers. They will also support key strategic projects and deliver a final presentation at the conclusion of the internship.
The intern will assist in administering Salesforce environments, including managing user access, permissions, and creating administrative reports. They will also support strategic projects, collaborate with mentors, and deliver a final presentation at the end of the internship.
The intern will support enterprise Records and Information Management initiatives, including operationalizing retention policies and managing content ingestion. They will also assist with program governance, file migrations, and the development of training materials.
The intern will support the End User Computing team with software packaging, application deployment, and modern device management using tools like MECM and Intune. They will also assist with patch management, vulnerability remediation, and contribute to projects aimed at improving endpoint security and deployment efficiency.
The intern will assist with code development for test automation, manage test result artifacts, and create synthetic data using in-house tools. They will also collaborate with mentors on strategic projects and deliver presentations at the conclusion of the internship.
The intern will support the Cyber Risk Management team by developing risk indicators and early warning systems while working on strategic projects. They will also perform technical and non-technical tasks and deliver a final presentation at the end of the internship.
The State Programs Facilitated Enroller assists individuals with enrollment and renewal applications for health insurance through the NY State of Health marketplace. They act as the primary point of contact for customer inquiries, manage application documentation, and conduct outreach to ensure membership growth.
The intern will support strategic initiatives within the Commercial Markets Sales and Account Service organization, focusing on resource optimization and sales effectiveness. Responsibilities include identifying process inefficiencies, developing educational resources, and presenting recommendations to leadership.
Interns will work on meaningful projects, support strategic initiatives, and participate in development workshops to transition into a corporate environment. Responsibilities include data reporting, assisting with sales assessments, and delivering presentations upon completion of the internship.
The intern will participate in defensive and offensive cybersecurity activities while supporting the Security Operations Center and Cyber Threat Assessment teams. They will also work on a primary project tailored to their interests and deliver a final presentation.
The intern will research and develop content for provider training programs while supporting engagement and education initiatives. They will also shadow various departments to gain a comprehensive understanding of behavioral health services and support strategic projects.
The intern will join the mobile app development team to participate in agile ceremonies and gain experience in the full software development lifecycle. They will work with a mentor on strategic projects and deliver presentations upon completion of the internship.
The intern will focus on measuring business analytics across digital platforms, including forecasting engagement trends and benchmarking against industry standards. They will also collaborate with stakeholders to identify target segments for digital adoption and support strategic projects.
The intern will coordinate and verify audit information for the FEP IPA audit while assisting with dental claims audits and data compilation. They will also participate in operational audit meetings and support key strategic projects under the guidance of a mentor.
The intern will conduct primary research projects, including developing surveys, performing data analysis, and creating reports to improve operational efficiencies. They will also collaborate with team members and mentors to support strategic projects and deliver final presentations.
The intern will support the Population Health Enterprise Operations & Optimization team by contributing to strategic initiatives focused on healthcare affordability and operational excellence. Responsibilities include performing data analysis, supporting project management tasks, and delivering presentations on project outcomes.
The intern will conduct legal research, legal writing, and support process improvements within the legal department. They will also work with a mentor on strategic projects and deliver presentations at the conclusion of the internship.
The intern will support ERP strategy and optimization initiatives by mapping business processes, gathering requirements, and collaborating with cross-functional teams. They will also assist in project documentation, testing activities, and creating reports to communicate project status and findings to leadership.
The intern will support the HR analytics roadmap and assist with strategic projects under the guidance of a mentor. They are responsible for completing assigned tasks, collaborating with teams, and delivering a final presentation at the end of the internship.
Interns will work on meaningful projects under mentor supervision, supporting strategic initiatives across various business departments. They are expected to complete assigned tasks, attend development workshops, and deliver a final presentation at the end of the program.
The intern will research and review client agreements and contracts to create a comprehensive contract inventory report for the legal department. They will also support strategic projects, participate in development workshops, and deliver a final presentation.
The EDI Administrator is responsible for quality assurance during the onboarding process for electronic submissions and providing ongoing production support. They analyze transaction data, resolve technical issues, and facilitate file transfers to ensure efficient electronic communication with vendors and clients.
Interns will support strategic projects by reconciling premiums, managing collections, and analyzing financial data trends. They will also participate in development workshops and deliver a final presentation upon completion of the program.
The intern will support strategic projects, perform technical or non-technical business tasks, and collaborate with mentors. They are also responsible for creating and delivering a final presentation at the conclusion of the internship.
The manager is responsible for executing strategic operational performance and workforce management initiatives while providing leadership to an internal team. They collaborate with operations leadership to develop best practices, oversee reporting solutions, and drive process improvements through data-driven insights.
The intern will support the Corporate Tax Compliance team with tax accounting, compliance activities, and process improvement projects. They will work alongside experienced professionals to support strategic objectives and deliver a final presentation.
The intern will support strategic initiatives to improve community health outcomes through data-informed decision making and stakeholder engagement. They will work with cross-functional teams to advance priorities related to health equity, population health, and continuous quality improvement.
The intern will support strategic projects, assist with ASO funding processes, and perform a mix of technical and non-technical business tasks. They are also expected to create and deliver a final presentation at the conclusion of the internship.
This role supports the health plan's medication management program by identifying high-cost specialty medication usage and executing cost-reduction strategies. The pharmacist collaborates with providers and members to optimize therapy, improve clinical outcomes, and manage complex pharmacy claims.
The consultant is responsible for prospecting, developing, and winning new business outside of the company's primary service area. They will manage the MSO product portfolio, drive growth for ancillary services, and maintain strong relationships with key stakeholders and partners.
The Administrative Assistant provides comprehensive operational support by managing schedules, coordinating communications, and maintaining departmental records. This role also assists with meeting logistics, process improvements, and the handling of sensitive information with discretion.
The intern will support treasury operations by balancing check runs, performing cash forecast reviews, and conducting root cause analysis on payment delays. Additionally, they will assist with provider refunds, research customer complaints, and deliver a final presentation on their project work.
Acts as a quality improvement liaison to identify care gaps, assess member needs, and facilitate referrals to clinical programs. Collaborates with providers and community agencies to promote quality health outcomes and ensure adherence to performance metrics.
This role involves designing, deploying, and maintaining network platforms for public and private cloud infrastructure while providing high-level operational support. The engineer will lead technology research, infrastructure lifecycle management, and collaborate with stakeholders to ensure secure, resilient, and cost-effective solutions.
The Software Engineer is responsible for directing software system validation, testing methods, and programming initiatives while focusing on ETL and Informatica development. This role involves collaborating with cross-functional departments and clients to communicate project statuses and proposals.
The Business Systems Analyst collaborates with stakeholders to define IT system requirements and specifications for implementation. They serve as the primary interface between business and IT teams to deliver functional and non-functional requirements.
Design and maintain distributed public and private cloud platforms to support business requirements and infrastructure deployment lifecycles. Lead the implementation of PaaS, SaaS, and on-premises solutions while ensuring security, resiliency, and cost optimization.
The Customer Care Advocate resolves member and provider inquiries regarding contract benefits, claim payments, and enrollment across various communication channels. They are responsible for documenting interactions and ensuring compliance with legislative requirements to enhance customer satisfaction.
The Software Engineer IV is responsible for designing, developing, and maintaining complex ETL processes and software system architectures. This role involves directing programming initiatives, mitigating technical risks, and serving as a subject matter expert for cross-functional teams.
The role involves designing and creating correspondence and transactional statements using variable data composition systems. Responsibilities include developing code, resolving system issues, and maintaining document workflows and functional specifications.
The Customer Care Advocate resolves customer inquiries regarding contract benefits, claim payments, and enrollment across multiple communication channels. They are responsible for enhancing member and provider satisfaction while adhering to legislative and corporate requirements.
Directs medical management, quality improvement, and credentialing functions for the children's behavioral health business unit. Provides medical leadership for utilization review, cost containment, and the implementation of performance improvement initiatives.
Review medical records to validate coding and DRG assignment accuracy, ensuring physician documentation supports hospital coded data. Perform audits of acute inpatient claims and provide guidance or leadership depending on the analyst level.
