The Enrollment Quality Auditor performs audits on health plan enrollment, disenrollment, and eligibility transactions to ensure accuracy and compliance with state and CMS standards. The role involves reporting findings to management, providing feedback to associates, and collaborating with teams to improve operational quality.
The Business System Analyst will lead requirement gathering sessions with customers and internal teams to define functional and technical requirements for core administration systems. They will collaborate with stakeholders to translate business needs into actionable solutions while ensuring project objectives are met through Agile methodologies.
The Customer Service Associate will handle inbound and outbound calls to assist customers with healthcare claims and inquiries. They will act as a liaison between the claims department and providers while documenting all interactions in tracking systems.
The Senior Software Engineer will design, develop, and maintain high-quality software solutions for a healthcare technology platform. They will collaborate with cross-functional teams to build RESTful APIs, optimize database performance, and contribute to cloud migration efforts.
Perform prospective, concurrent, and retrospective clinical reviews to ensure medical necessity and appropriate level of care. Coordinate discharge planning and manage care transitions while resolving issues related to benefits and member eligibility.
The Production Support L2 Engineer manages incident resolution, root cause analysis, and complex technical investigations for enterprise healthcare applications. They act as a bridge between support, development, and infrastructure teams to ensure system availability and process automation.
Develop and extend automation frameworks while executing comprehensive white- and black-box testing for complex data-driven applications. Collaborate with developers and product managers to improve CI/CD pipelines and ensure high-quality, timely software releases.
The Senior Technical Services Engineer will support and optimize ETL pipelines while resolving production issues for healthcare data systems. They will collaborate with cross-functional teams to ensure high-performance software solutions and maintain detailed technical documentation.
Provide frontline technical support by diagnosing and resolving customer issues within established SLA guidelines. Collaborate cross-functionally to troubleshoot complex problems and contribute to knowledge base documentation.
The VP of Sales will drive revenue growth and manage key client relationships within the Risk Adjustment and Quality healthcare market. This role involves executing sales strategies, managing the sales pipeline, and collaborating cross-functionally to ensure client satisfaction and product alignment.
Lead test planning and execution for healthcare payer systems, including designing test cases and managing functional, integration, regression, and user acceptance testing. Own defect tracking and resolution, validate EDI transactions and regulatory requirements, coordinate with delivery teams, manage offshore QA analysts, and report execution status and risks.
The Enrollment Specialist II is responsible for processing and maintaining member enrollment, disenrollment, and billing data while ensuring compliance with CMS guidelines. They also reconcile membership reports, resolve system rejections, and collaborate on special projects to improve operational efficiency.
Lead and manage end-to-end data conversion of healthcare payer data between platforms while serving as a subject matter expert for data domains. Design and execute conversion plans, define transformation rules, and collaborate with cross-functional teams to ensure successful data migration.
The Manager, Talent Acquisition will act as a player/coach to mentor team members while managing a requisition load and creating recruitment processes. They will partner with leadership and finance teams to align hiring strategies with business drivers and budget impacts.
The Director of Global IT Support will lead and oversee global service desk operations, managing a multi-tiered support organization across five countries. This role is responsible for driving AI transformation initiatives to modernize support delivery while ensuring exceptional end-user experiences and meeting service level objectives.
The Senior Manager will own the end-to-end consolidation and long-term platform strategy for Atlassian products across multiple business units. This role involves setting architecture standards, managing vendor relationships, and partnering with executive stakeholders to redesign workflows and operating models.
The Program Management Director oversees the delivery of professional services to a portfolio of healthcare customers, managing cross-functional teams and project health. They are responsible for developing long-term account strategies, managing project pipelines, and ensuring profitability while maintaining high customer satisfaction.
Develop and implement AI agents and automation to optimize internal engineering workflows and customer-facing delivery processes. Collaborate with cross-functional teams to identify high-leverage opportunities and integrate AI solutions into existing infrastructure.
The Claims Examiner II is responsible for adjudicating healthcare claims by reviewing data against specific policies and benefit coverage criteria. The role also involves meeting productivity and accuracy standards while collaborating on special projects and mentoring junior team members.
The Integration Lead will design technical architecture for customer delivery programs and ensure compliance across claims, enrollment, and payment systems. They will also collaborate with internal and external teams to identify automation opportunities and performance improvements.
The Technical Operations Lead will manage operational excellence for technology delivery, including incident resolution and production support for health insurance systems. They are responsible for coordinating system maintenance, managing customer escalations, and ensuring timely SLA reporting.
The Claims Team Lead is responsible for managing a team of 12-15 claims examiners and adjusters to ensure operational excellence and high-quality claims processing. They must monitor productivity targets, maintain client-specified guidelines, and collaborate on special projects to improve operational efficiency.
The Solution Architect will design and implement enterprise-wide integration solutions for the HealthProof core-admin ecosystem. They are responsible for leading technical architectural discussions, ensuring governance compliance, and mentoring technical staff.
The Claims Quality Auditor performs audits of health plan transactions, including claims, enrollment, and billing, to ensure accuracy and quality. They report findings to management, provide feedback to associates, and coordinate with teams to identify opportunities for process improvement.
The Network Engineer designs, implements, and optimizes enterprise network infrastructure across on-premises and cloud environments. They are responsible for 24/7 network operations, incident response, and the development of automation workflows to ensure high availability.
The Technical Operations Manager will oversee technology delivery operations, manage production support for health plan systems, and drive incident resolution. They are responsible for coordinating with offshore teams, ensuring SLA compliance, and managing system maintenance and upgrades.
The FinOps Analyst will establish and operate a comprehensive cloud and SaaS financial management practice across multi-cloud environments. They will partner with engineering, finance, and product teams to ensure cost-efficient consumption, accurate reporting, and effective governance.
You will design and develop large-scale, cloud-native, multi-tenant data services and pipelines to support healthcare provider data management. The role involves full ownership of the software development lifecycle, including planning, coding, testing, and performance optimization.
The Senior Cloud Infrastructure Engineer will own the design, resilience, and day-to-day health of infrastructure across AWS and hybrid environments. Responsibilities include managing disaster recovery, security compliance, CI/CD pipelines, and supporting cloud migration efforts.
Provide strategic legal counsel for BPaaS and SaaS business lines, including drafting and negotiating complex commercial agreements. Serve as lead counsel on high-value transactions while ensuring compliance with healthcare regulatory and accreditation requirements.
The Compliance Manager will serve as the operational integrator for the Compliance and Privacy Department by managing governance routines, strategic initiatives, and risk management frameworks. They will also facilitate cross-functional collaboration to ensure compliance requirements are embedded into business processes and monitor departmental performance through executive dashboarding.
The Software Engineer will develop and maintain synthetic data generation tools while troubleshooting performance bottlenecks in enterprise applications. They will also integrate performance testing into CI/CD pipelines and collaborate with cross-functional teams to optimize system scalability and reliability.
The Product Manager will define and drive the AI product strategy for the HealthRules Payer platform, ensuring alignment with market needs and operational outcomes. They will lead cross-functional efforts to integrate AI capabilities across various value streams while maintaining compliance with healthcare regulations.
The Senior Manager will lead the global IAM program, overseeing strategy, operations, and the implementation of zero trust and privileged access management. They will also manage a team of 5-7 direct reports while partnering with stakeholders to ensure compliance with HIPAA, HITRUST, and SOC 2 standards.
The Senior Customer Success Executive is responsible for owning customer outcomes, driving retention, and identifying revenue expansion opportunities within the existing customer base. They act as a quarterback across cross-functional teams to ensure delivery, operational integrity, and the achievement of defined business objectives.
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.
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.
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.
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 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.
