The System Configuration Analyst will coordinate and process complex claims and utilization management projects while ensuring system logic aligns with benefit designs. They will also audit system rules, support reporting implementations, and collaborate with cross-functional teams to maintain operational accuracy.
The Director, IT Applications will lead the delivery, support, and optimization of enterprise applications while fostering a culture of innovation and accountability. This role involves partnering with business leaders to define technology roadmaps and managing vendor relationships to ensure scalable and secure solutions.
The Senior Staff Dentist provides clinical leadership for utilization management and review programs to ensure appropriate dental care adjudication. They also participate in quality improvement initiatives, provider engagement, and peer review activities to maintain regulatory compliance and high standards of care.
The Staff Dentist reviews dental claims and prior authorization requests to ensure clinical necessity and adherence to benefit policies. They also engage in peer-to-peer consultations and collaborate with internal teams to maintain quality and regulatory standards.
The System Configuration Analyst will coordinate and execute claims and utilization management system projects while ensuring accurate benefit implementation. They will also collaborate with cross-functional teams to audit system rules, analyze complex scenarios, and maintain departmental policies.
