The developer will design, implement, and support Salesforce Health Cloud solutions while integrating third-party software and enterprise systems. They will also collaborate with cross-functional teams to monitor workflows, resolve technical issues, and participate in Agile development cycles.
The Program Manager will lead the end-to-end implementation and migration of the QNXT Claims workstream, ensuring alignment across cross-functional teams. They are responsible for managing project governance, vendor relationships, and operational readiness for go-live.
The Medical Director will evaluate hospital admissions, continued stays, and post-acute services to ensure clinical integrity and regulatory compliance. They will lead peer-to-peer discussions, manage complex cases, and collaborate with care management teams to optimize patient outcomes.
The developer will design, implement, and support Salesforce Health Cloud solutions while integrating third-party software and enterprise systems. They are also responsible for monitoring workflows, resolving technical issues, and collaborating with cross-functional teams in an Agile environment.
Design, develop, and implement Salesforce Health Cloud solutions including system interfaces and data integrations. Collaborate with administrators to optimize workflows, perform system testing, and provide technical support within an Agile environment.
The Medical Director will conduct medical necessity determinations for inpatient and post-acute care while ensuring clinical integrity and regulatory compliance. They will also lead peer-to-peer consultations and collaborate with multidisciplinary teams to optimize clinical outcomes and cost efficiency.
Lead the end-to-end planning and execution of the QNXT Claims workstream, focusing on migrating from the IKA platform. Coordinate cross-functional alignment across provider data, configuration, and capitation to ensure operational readiness and precise claims adjudication.
