The intern will design call data reports within the MS Teams environment and collaborate with departments to define statistical needs. They will create a reporting dashboard tool and deliver a presentation upon completion of the internship.
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 Product Configuration Technical Analyst manages end-to-end product application and system configuration data design, maintenance, and change processes. This role acts as a critical liaison between product management, IT, and business partners to architect solutions and implement process improvements.
Interns will work on scaling AI models to identify chronic conditions and enhance predictive accuracy using NLP and machine learning. They will also support strategic projects, collaborate with mentors, and deliver a final presentation at the end of the internship.
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 Utilization Management Reviewer coordinates and monitors behavioral and physical health services to ensure compliance with regulatory standards and medical policies. They perform clinical reviews to determine the appropriateness of services and collaborate with providers to ensure seamless care delivery.
The role focuses on bridging the gap between health plan members and clinical operations through home visits and community outreach. Responsibilities include educating members on healthcare benefits, assisting with Marketplace insurance enrollment, and connecting individuals to social services to address social determinants of health.
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.
The Manager of Data Platform Administration leads the planning, design, and maintenance of data systems and applications. This role involves managing a team of professionals, overseeing the systems lifecycle, and ensuring adherence to corporate standards and regulatory mandates.
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 IT Platform Administrator ensures the availability and operation of enterprise applications through monitoring, troubleshooting, and maintenance. They act as a liaison between business and technical teams to optimize system functionality and maintain compliance.
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 Business Systems Analyst collaborates with stakeholders to elicit and document functional and non-functional IT system requirements. They serve as the primary interface between business units and IT teams to ensure solutions align with organizational objectives.
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.
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.
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.
