You will design, implement, and maintain CI/CD pipelines and cloud infrastructure to support Java-based microservices and healthcare applications. Additionally, you will collaborate with development teams to automate processes, ensure system reliability, and enforce security compliance across environments.
This role leads operations strategy and service design for Core Administration BPaaS programs, working closely with health plan executives to shape future-state operating models. The consultant will also support sales pursuits, develop modernization roadmaps, and guide clients through operational transformation.
The Regional VP of Sales is responsible for driving new business revenue by selling payment integrity solutions to health plans and managing the full sales cycle. This includes developing strategic sales plans, conducting product demonstrations, and maintaining accurate pipeline data in Salesforce.
The Data Operations Manager will design and maintain data pipelines to consolidate operational data and identify failure patterns across the platform. They will lead the Problem Management lifecycle, partnering with engineering teams to drive permanent resolutions and improve system reliability.
The Senior Software Engineer will design and develop Java-based application components while contributing to the product suite's vision and feature development. They will work within an agile team to ensure high-quality code through testing, troubleshooting, and adherence to professional development standards.
The Principal Security Architect will design and implement robust, scalable security architectures across on-prem, hybrid, and cloud environments. They will also lead strategic security initiatives, manage risks, and foster collaboration across IT teams through mentorship and influence.
The Business Consultant leads and mentors the Service Delivery team while providing subject matter expertise on Burgess products and healthcare payment methodologies. They are responsible for managing client implementation, strategic user adoption, and resolving complex escalated client issues.
The role involves leading a team to ensure operational excellence through rigorous quality governance, performance integrity, and continuous process improvement. You will manage SLA commitments, drive corrective action plans, and foster strong stakeholder relationships while developing team capabilities.
The Manager, Revenue Accounting will oversee revenue recognition, billing functions, and commission reconciliation for SaaS and on-prem software licenses. They will also manage a team of four, report monthly results to FP&A, and ensure compliance with accounting standards.
The Director of Global Operations Source and Transformation unifies onshore and offshore operational resources into a cohesive, high-performing team. This role bridges cultural and communication gaps while ensuring global teams meet performance standards and operational readiness.
The Senior People Business Partner serves as a strategic advisor to senior leadership, driving organizational transformation and aligning people strategies with business outcomes. They are responsible for leading workforce planning, organizational design, talent development, and managing complex employee relations issues.
The role involves designing and delivering end-to-end business intelligence dashboards using Tableau and Amazon QuickSight to provide actionable insights. You will partner with data engineers and business stakeholders to model data and ensure dashboards meet executive and operational needs.
The Network Engineer is responsible for designing, implementing, and optimizing enterprise network infrastructure across on-premises data centers and cloud environments. This role involves managing network security, monitoring performance, and utilizing automation tools to support a healthcare SaaS platform.
The VP of Payment Integrity will own the end-to-end strategy, financial performance, and operational execution of payment integrity solutions across the HealthEdge ecosystem. This leader will drive innovation, manage cross-functional partnerships, and serve as an executive spokesperson to accelerate client adoption and value realization.
The Strategic Pricing Manager will lead commercial modeling and pricing strategy for complex deals while partnering with cross-functional teams to ensure margin integrity. The role involves designing value-based pricing frameworks, managing governance, and providing actionable insights to optimize deal performance.
The Manager, Regulatory Compliance will lead a team of professionals to interpret and operationalize federal and state regulatory requirements for healthcare pricing and reference data platforms. They are responsible for managing team performance, ensuring high-quality regulatory deliverables, and partnering with product and engineering teams to integrate compliance into the product roadmap.
The role involves performing clinical reviews to ensure medical necessity and appropriate level of care for behavioral health services. The nurse will coordinate care plans, manage discharge planning, and communicate with providers to facilitate effective treatment and benefit utilization.
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, developers, and QA teams to ensure the final product meets project objectives and client expectations.
The analyst will own recurring financial modeling, reporting, and investor communications to support strategic decision-making. They will also lead initiatives to adopt AI and automation to improve financial workflows and analytical capacity.
The Director will lead the strategy, roadmap, and execution for the risk adjustment product portfolio while managing and mentoring a high-performance team. They will drive innovation using AI/ML and interoperability standards to ensure clinical relevance and regulatory compliance.
The Manager, Quality Audit will oversee operations for multiple client engagements, ensuring adherence to SLAs, KPIs, and quality standards. They are responsible for driving operational efficiency, managing P&L, and mentoring a team of up to 300 associates.
The Product Manager will lead the strategy, roadmap, and delivery of the new HealthRules Payer WebUI modernization effort. They will collaborate with UX, engineering, and stakeholders to define requirements and ensure a seamless transition from legacy desktop applications.
The Senior Accountant is responsible for managing monthly closing activities, including journal entries, account reconciliations, and ensuring general ledger integrity. They also support financial reporting, audit processes, and the development of internal controls to maintain GAAP compliance.
The Senior Business Operations Manager will own the end-to-end governance of the Product Development Lifecycle for delivery-originated requests. They are responsible for defining KPI frameworks to validate the financial and operational value of product enhancements against initial estimates.
The Senior Manager will lead the FP&A function for the Risk Adjustment organization, serving as a key financial partner to leadership. Responsibilities include managing a team of analysts, overseeing P&L forecasting, and driving process improvements through advanced financial modeling and reporting.
The Atlassian Administrator is responsible for the day-to-day configuration, maintenance, and user support of Jira, JSM, and Confluence. They will manage platform hygiene, build automation rules, and assist in onboarding users while ensuring SLA compliance.
The Senior Employee Experience Partner serves as the primary HR contact for managers and employees, managing complex employee relations cases and organizational change initiatives. This role also focuses on building manager capability through coaching and ensuring consistent HR support across global regions.
The Talent Acquisition Specialist will partner with hiring managers to identify, attract, and hire top talent while managing the full recruitment lifecycle. They will also focus on building a positive employer brand and ensuring an exceptional candidate experience throughout the hiring process.
The Product Manager II contributes to driving product vision and strategy while assisting managers in delivering outcomes from conception to implementation. They are responsible for gathering requirements, drafting user stories, and collaborating with cross-functional teams to ensure product success metrics are met.
The IT Technical Operations Lead manages operational excellence for technology delivery, including SLA reporting, incident resolution, and production support for health plan systems. They are responsible for coordinating system maintenance, managing customer priorities, and overseeing change activities across various technical groups.
The Project Coordinator supports project managers and cross-functional teams by maintaining project schedules, documentation, and RAID logs. They also facilitate communication between stakeholders and ensure project activities remain aligned with scope and process requirements.
The Customer Service Associate will handle inbound and outbound calls to assist customers with inquiries and claims. They will also document interactions in tracking systems and act as a liaison between the claims department and providers.
The Customer Service Associate will handle inbound and outbound calls to assist health insurance customers and providers. They will also document interactions in tracking systems and act as a liaison between the claims department and providers.
Investigate and process complex member and provider appeals and grievances, review services for medical necessity, and prepare documentation and recommendations in accordance with regulatory and accreditation standards. Record case information, prepare correspondence, collaborate with Medical Directors, and provide subject matter expertise on appeals, grievances, and quality-of-care issues.
Review and authorize inpatient, outpatient, and other service requests for medical necessity, appropriate care level, and length of stay, including retrospective reviews and appeals. Coordinate discharge and ongoing care, resolve coverage and eligibility issues, document quality concerns, and communicate with members, providers, and internal teams.
The Senior Business System Analyst will capture business requirements for health plan customers while implementing the core-admin ecosystem. They will collaborate with internal teams, third-party vendors, and stakeholders to define business rules, processes, and functional requirements.
The Integration Lead will design technical architecture for customer delivery programs and manage the integration of various healthcare administration systems. They will also ensure architecture governance compliance and identify opportunities for automation and performance improvements.
The Business System Analyst will lead requirement gathering sessions with customers and internal teams to define functional and technical requirements for core-admin ecosystem implementations. They are responsible for mapping business processes, developing workflow diagrams, and collaborating with development and QA teams to ensure project objectives are met.
The Test Lead will drive test planning and execution for payer system engagements, including claims processing and EDI transaction flows. They are responsible for managing the defect lifecycle, coordinating with cross-functional teams, and producing status reports.
The Utilization Review RN performs prospective, concurrent, and retrospective reviews of medical services to ensure medical necessity and appropriate care levels. They also coordinate discharge planning, manage appeal requests, and communicate with medical personnel to identify alternative treatment options.
The associate will manage inbound and outbound customer service calls while documenting interactions in tracking systems. They will also act as a liaison between the claims department and providers to research and resolve customer inquiries.
The Manager will lead and develop a team of Principal Consultants, overseeing delivery quality, capacity, and client engagement standards. They will also partner with leadership to deploy resources on complex implementation workstreams and drive practice development initiatives.
The FinOps Analyst will establish and operate a comprehensive cloud and SaaS financial management practice across multi-cloud environments. This role involves partnering with engineering and finance teams to ensure cost-efficient consumption, accurate reporting, and strategic financial planning.
Lead hands-on test planning and execution for healthcare payer systems, including claims, enrollment, benefits, provider data, and EDI transaction flows. Manage test cases, defect lifecycles, compliance testing, offshore QA analysts, cross-functional coordination, and execution status reporting.
Lead day-to-day production support and operational excellence for customer-facing healthcare technology, including payer platforms, Edifecs, EDI, and related vendor systems. Manage incidents, customer priorities and escalations, SLA reporting, root cause analysis, and maintenance and change activities across technical teams and vendors.
Monitor and manage incidents and service requests, including ticket intake, triage, prioritization, routing, SLA tracking, stakeholder updates, and closure. Monitor production batch jobs, file transfers, and real-time API availability; document and escalate failures or other issues to L2 and track them through resolution.
Build and lead the Service Management Office, establishing governance, standards, processes, and reporting across Client IT Operations. Improve incident, problem, change, release, and service governance practices while driving accountability, clear communications, and measurable operational improvements across global teams.
Investigate and triage healthcare system failures, coordinate with L1, L3, product, vendors, and client teams, and perform approved data corrections and reprocessing. Reconcile and validate data across interfaces, maintain audit trails and operational reports, and help prevent recurring failures through process improvements and automation.
The Claims Examiner II is responsible for adjudicating healthcare claims by reviewing data against specific policies and benefit coverage criteria. They also mentor junior team members and participate in special projects related to process development and quality audits.
The analyst will coordinate and manage major incident activities, including recording timelines and driving restoration efforts for Sev1 and Sev2 incidents. They will also partner with Problem Management on root cause analysis and communicate status updates to internal and customer stakeholders.
The Manager, Problem Management will lead the Problem Management team to execute post-incident processes, root cause analysis, and continuous service improvement. They will also serve as a key partner to Engineering and Operations to drive platform stability and accountability for corrective actions.
The Application Services Engineer is responsible for installing and upgrading applications within private and public cloud environments. They will manage SaaS-hosted environments, perform troubleshooting, and utilize automation technologies to ensure system quality.
The Claims Examiner II is responsible for the adjudication of healthcare claims by reviewing data within the processing system to ensure benefit coverage criteria are met. The role also involves mentoring junior team members and collaborating on special projects such as process documentation and quality audits.
The Claims Team Lead is responsible for managing a team of 12-15 claims examiners to ensure operational excellence and adherence to service level agreements. They also collaborate on special projects, including process development, training, and quality audits to support client needs.
The role involves performing telephonic clinical reviews to ensure medical necessity and appropriate levels of care for behavioral health services. Responsibilities also include coordinating care plans, managing appeals, and facilitating communication between providers and members.
The Enrollment Specialist II is responsible for processing Medicare enrollment and disenrollment requests while ensuring accurate billing and member data maintenance. They also reconcile enrollment discrepancies, resolve system rejections, and collaborate on special projects to support operational quality.
Process complex grievances and appeals requests while ensuring quality and accuracy in alignment with SLAs. Perform medical necessity reviews for various services and prepare documentation for regulatory and accreditation standards.
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.
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.
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 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 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.
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.
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 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.
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.
