The Senior Counsel manages complex litigation portfolios and outside counsel relationships while providing strategic legal advice on government investigations and regulatory risk. They collaborate with cross-functional business and clinical stakeholders to implement proactive compliance strategies and resolve high-stakes legal matters.
The Account Manager implements sales and retention strategies for health insurance accounts while utilizing performance data to meet revenue and growth targets. They build and maintain relationships with customers, brokers, and consultants while managing the end-to-end renewal process.
The HIM Coder II is responsible for interpreting medical documentation to assign accurate ICD, CPT, and HCPCS codes for hospital and clinic services. They ensure compliant billing and reimbursement by maintaining high standards of coding quality and productivity.
Coders interpret medical record documentation to assign accurate ICD, CPT, and HCPCS codes for hospital and clinic services. They ensure data integrity for billing, reimbursement, and reporting while maintaining departmental quality and productivity standards.
The consultant will drive the implementation of business initiatives by coordinating diverse stakeholders and managing complex projects across functional tracks. They are responsible for developing business requirements, performing data analysis, and ensuring organizational alignment with strategic goals.
The Account Manager manages the end-to-end sales and renewal process for large group accounts, including contract negotiations and pricing validation. They also proactively identify cross-sell and upsell opportunities while maintaining strong relationships with customers, brokers, and consultants.
The consultant will drive the implementation of business initiatives by coordinating diverse stakeholders and ensuring alignment with strategic goals. They will also manage complex projects, perform data analysis, and monitor compliance with organizational policies.
The Compliance Consultant V supervises and monitors coding operations while ensuring adherence to clinical documentation standards and risk adjustment methodologies. They also lead compliance investigations, manage cross-functional projects, and present audit findings to senior management.
The specialist performs needs assessments to develop and implement coding education curricula while ensuring high levels of documentation accuracy. They also conduct audits, analyze coding trends, and provide subject matter expertise to support organizational compliance and business objectives.
The role supports Health Plan Risk Adjustment operations through government audit readiness, compliance oversight, and internal quality assurance reviews. It involves partnering with clinical and operational teams to ensure accurate risk capture, regulatory compliance, and coding integrity.
Support Health Plan Risk Adjustment operations through government audit readiness, compliance oversight, and internal quality assurance reviews. Partner with operational, clinical, and compliance teams to identify risks, improve coding quality, and drive continuous improvement across programs.
The Compliance Consultant IV independently reviews medical records to assign accurate ICD-10-CM codes and hierarchical condition categories while ensuring regulatory compliance. They also serve as a subject matter expert, conducting audits, managing compliance investigations, and supporting strategic compliance initiatives.
The Strategy Analyst supports Health Plan Risk Adjustment through data analysis, performance monitoring, and the development of business insights to drive operational excellence. They partner with cross-functional teams to identify risks, evaluate process performance, and execute strategic projects to ensure regulatory compliance and program effectiveness.
The associate will support sales and account management teams by executing business processes, managing project logistics, and maintaining data integrity. They will also assist in preparing presentations and educating stakeholders on health insurance products and services.
The analyst is responsible for conducting complex financial assessments, modeling, and forecasting to support business decision-making. They also lead internal audit processes and advise leadership on strategic fiscal matters to improve operational performance.
Lead the enterprise digital product strategy for member-facing experiences to drive awareness, adoption, and retention across the digital ecosystem. Oversee integrated marketing communications, go-to-market plans, and the alignment of digital products with clinical services and member journeys.
Leads the strategic direction and operational execution of the Professional Employer Organization (PEO) business line to drive growth and retention. Manages national PEO accounts and directs cross-functional teams to align market positioning with enterprise priorities.
Evaluates standard and nonstandard data to assess risk, develop rates, and create account plans for strategic accounts. Collaborates with internal partners and external clients to implement financial solutions and manage renewal recommendations.
Lead the implementation of enterprise standards for the maintenance and management of laboratory equipment across multiple regions. Manage strategic, cross-functional programs to drive business value, focusing on capital planning, vendor relations, and total cost of ownership.
Lead the design and implementation of scalable, data-driven sales capabilities using Salesforce and Enterprise Customer Data platforms. Act as a strategic advisor to align business strategies with technology roadmaps to optimize broker and employer group sales ecosystems.
Provides remote consultative nursing care and video monitoring for critically ill patients in ICUs from a centralized hub. Collaborates with interprofessional teams to provide real-time clinical decision support and ensure optimal patient outcomes.
