NeueHealth

The Lead Utilization Management Coordinator provides operational leadership and oversight for the UM team while ensuring timely and compliant processing of authorization requests. This role acts as a subject matter expert, collaborating with clinical staff and providers to maintain quality outcomes and efficient workflows.

The Manager, Clinical Performance oversees clinical staff and ensures consistent application of care management standards and documentation adequacy. They are responsible for monitoring key performance indicators and supporting clinical directors in performance improvement and staff training.

Develop and maintain data properties, including the creation of APIs, microservices, and ETL pipelines using Scala. Implement AI-driven solutions through LLM fine-tuning and RAG frameworks while supporting Azure-based data ingestion.

The role focuses on writing and managing software integration and regression test cases for core healthcare products. It involves collaborating with cross-functional teams to ensure the scalability, performance, and security of developed solutions.