The Commercial Operations Analyst will partner with the sales team to provide operational support, maintain reporting, and manage forecasting. They will also assist in evaluating sales tools and collaborating on cross-functional strategic initiatives.
HealthEdge
34 Remote Job Openings at HealthEdge
The Principal Engineer will design and develop Java-based application components while collaborating with cross-functional teams in an agile environment. They are responsible for implementing new features, ensuring thorough testing, and providing solution support post-deployment.
Lead agile cross-functional software development teams to plan, execute, and deliver high-quality enterprise software products. Provide hands-on technical leadership while mentoring engineers and fostering a culture of engineering excellence.
The Cloud IAM Operations Engineer will manage daily identity and access provisioning within the AWS environment using Infrastructure as Code. They will also maintain Just-In-Time access workflows and conduct periodic permission reviews to ensure compliance with least-privilege principles.
The Product Manager II contributes to driving product vision and strategy while ensuring the successful execution of product development across cross-functional teams. They are responsible for gathering requirements, writing user stories, and tracking product metrics to ensure alignment with organizational OKRs.
The Manager will lead and develop a team of Principal Consultants, overseeing delivery quality, capacity, and client engagement standards. They will also serve as a senior functional authority, driving practice development and supporting pre-sales and scoping efforts.
The Product Manager will lead the strategy and delivery of the HealthRules Payer WebUI, overseeing the roadmap, requirements, and user experience. They will collaborate with engineering and UX teams to modernize legacy desktop workflows into efficient web-based experiences.
The Talent Acquisition Specialist will partner with hiring managers to identify, attract, and hire top talent while managing the full recruitment lifecycle. They are responsible for sourcing candidates, designing interview processes, and maintaining accurate records within the applicant tracking system.
Design, build, and operate secure AWS and Azure cloud infrastructure using Infrastructure as Code and CI/CD pipelines. Ensure platform reliability, security compliance with FedRAMP and HIPAA, and optimize operational costs through FinOps initiatives.
The Senior Accountant is responsible for completing monthly closing activities, maintaining the general ledger, and ensuring GAAP compliance. They also handle asset databases, expense accruals, and provide support for audit and tax requirements.
Coordinate and deliver telephonic clinical behavioral health services, including prospective, concurrent, and retrospective reviews to ensure medical necessity. Manage care plans, discharge planning, and communication between providers and members to optimize healthcare delivery.
Develop and extend automation frameworks using Java to create comprehensive tests for complex data-driven applications. Collaborate with developers and product managers to identify testing gaps and improve CI/CD pipelines for seamless releases.
Responsible for the day-to-day configuration, maintenance, and user support of Jira Software, Jira Service Management, and Confluence. The role focuses on platform hygiene, automation rule creation, and ensuring effective tool utilization for thousands of global users.
Senior Business Operations Manager, Product Value Realization
HealthEdge
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Full Time
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15 days ago
HealthEdge
Own the end-to-end governance of delivery-originated product requests and validate the realized value of enhancements against initial projections. Drive collaboration between product and delivery organizations to ensure high-priority initiatives are framed, prioritized, and quantitatively measured.
Lead the FP&A function for the Risk Adjustment organization, managing a team of analysts to oversee budgeting, forecasting, and P&L reporting. Serve as a strategic financial advisor to executive leadership by translating complex data into actionable business insights.
The role focuses on managing the analytical engine for investor and board communications, including financial modeling and performance reporting. Additionally, the analyst will develop long-term product economic models and lead the adoption of AI and automation within the finance function.
Lead the strategy, roadmap, and execution of retrospective risk adjustment product portfolios while mentoring a high-performance team of product managers. Collaborate with technical and clinical teams to build AI-driven predictive models and ensure compliance with CMS regulatory standards.
Manage operations for multiple clients and processes to ensure adherence to SLAs, KPIs, and quality standards. Drive operational efficiency, manage P&L for engagements, and lead team performance and capacity planning.
Design and deliver end-to-end BI dashboards in Tableau and Amazon QuickSight to provide actionable insights for executive and operational stakeholders. Collaborate with data engineers to refine AWS-based data sources and ensure high-quality data visualization and performance.
Serve as a strategic advisor to senior leadership to align people strategies with business outcomes and drive organizational transformation. Lead efforts in organizational design, workforce planning, and the development of a high-performance culture.
The Manager of Revenue Accounting owns the accounting for revenue and billing functions, specifically focusing on SaaS and on-prem software licenses under ASC 606. They are responsible for managing a team of four, reporting monthly results to FP&A, and serving as the primary contact for external auditors.
Lead a team of regulatory professionals to monitor and operationalize federal and state requirements for the HealthEdge Source platform. Partner with Product and Engineering teams to ensure regulatory changes are integrated into product roadmaps and client deliverables.
Design and maintain data pipelines to consolidate operational data and identify repeat failure patterns using AI and automation. Drive the Problem Management lifecycle to translate technical insights into permanent engineering resolutions and strategic prioritizations.
Lead and mentor the Service Delivery team in Tier 1 and Tier 2 consulting initiatives while providing subject matter expertise on healthcare payment policies and plan operations. Act as a primary escalation point for complex client issues and collaborate with internal teams to drive product improvements and user adoption.
The Director will unify onshore and offshore operational resources into a cohesive team by establishing a common language of performance and accountability. They are responsible for bridging communication gaps, ensuring operational readiness, and scaling international teams to support growth.
Lead a team to ensure operational excellence through rigorous performance integrity, quality governance, and continuous process improvement. Manage SLA and KPI targets while driving a culture of accountability and maintaining strong stakeholder relationships.
Design and implement comprehensive enterprise-scale security architectures encompassing network, application, and identity management. Lead strategic security visions and integrate advanced security controls and automation across the technology stack.
Lead the end-to-end strategy, financial performance, and operational execution of payment integrity solutions across the HealthEdge ecosystem. Drive innovation through AI and analytics while managing executive-level client relationships and cross-functional partnerships.
Develop and implement new product features and bug fixes as a back-end server engineer within an agile team. Design Java application components and ensure quality through thorough unit, system, and integration testing.
Design, implement, and optimize enterprise network infrastructure across on-premises and multi-cloud environments. Manage network security, automation workflows, and provide 24/7 incident response support for a healthcare SaaS platform.
Lead the sales strategy to acquire new logo prospects and grow relationships within the assigned healthcare payer territory. Manage the full enterprise sales lifecycle, including lead identification, proposal development, and contract negotiations for BPaaS and EPaaS solutions.
Design and maintain CI/CD pipelines and AWS cloud infrastructure to support Java-based healthcare microservices. Automate infrastructure provisioning and ensure system reliability, security, and HIPAA compliance across environments.
Lead operations strategy and service design for Core Administration BPaaS programs, focusing on future-state operating models and modernization. Support sales pursuits by translating BPaaS capabilities into business outcomes for health plan executives.
Design, develop, and deploy scalable enterprise-grade Java applications while leading solution architecture and technical planning. Mentor junior engineers, conduct code reviews, and implement automated testing and deployment pipelines.