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 for external auditors.
Conduct pre-service, concurrent, and post-service clinical reviews to assess medical necessity and ensure services comply with clinical criteria, benefit plans, and regulatory requirements. Coordinate with members, providers, case management, and medical directors to support appropriate care, resolve escalations, and meet quality and timeliness standards.
Operate production printers and finishing equipment while maintaining high standards of print quality and accuracy. Manage inventory of print-related supplies and perform routine maintenance on production machinery.
This position provides administrative support for utilization management workflows by handling inbound and outbound calls and processing authorization requests. The role acts as a primary contact for members and providers while ensuring compliance with regulatory requirements and internal policies.
This role involves designing, implementing, and maintaining network platforms for public and private cloud infrastructure while supporting enterprise network operations. The engineer will lead technology deployments, provide high-level operational support, and collaborate with stakeholders to ensure secure and resilient infrastructure solutions.
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 Case Manager conducts clinical management activities, including member assessment, care plan development, and coordination of services to ensure optimal health outcomes. They collaborate with interdisciplinary teams and providers to facilitate care, educate members, and mitigate healthcare cost drivers.
The Business Systems Analyst collaborates with stakeholders to define IT system requirements and serves as the primary interface between business and IT teams. They are responsible for documenting functional and non-functional requirements to support the implementation of enterprise-level IT solutions.
Manage Pharmacy Innovation projects from ideation through delivery and post-implementation monitoring, ensuring quality, schedule, budget, and alignment with department strategy. Lead cross-functional teams, improve operational processes, monitor project portfolios, communicate with stakeholders, and support program refinement and organizational change.
Develop and implement security architecture principles, standards, and risk management practices aligned with organizational strategy. Advise business and IT stakeholders on security design, assess solutions and vendors, and support secure, cost-effective infrastructure and application initiatives.
The coordinator investigates member and provider appeals, grievances, and complaints by applying clinical nursing and medical expertise to determine the appropriateness of care. They collaborate with internal and external partners to ensure accurate, timely decisions while adhering to regulatory requirements and established criteria.
The Enrollment Specialist performs core processing and servicing of member enrollments in accordance with health plan regulations and HIPAA standards. They manage inquiries from brokers, members, and employer groups while ensuring accuracy and compliance with departmental service level agreements.
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 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.
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 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 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 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 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 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 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 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.
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 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 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 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.
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 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 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 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 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 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.
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 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.
