The Stop Loss Specialist manages the end-to-end filing process for stop loss claims, including eligibility assessment, submission, and reimbursement tracking. They serve as a key liaison between internal teams and pharmacy benefit managers to ensure accurate financial recovery and data integrity.
The Data Engineer I will develop and maintain data pipelines using SQL and Python while collaborating with analytics and product teams. They are responsible for cleansing data, triaging bugs, and performing quality assurance to ensure data accuracy.
The Director of FP&A will own the long-term financial model and serve as the primary finance lead for private equity sponsor New Mountain Capital. They will advise executive leadership on business performance, manage operating reviews, and drive cross-functional initiatives to improve financial outcomes.
The Utilization Review Nurse evaluates medical necessity and benefit coverage for prior authorizations and inpatient stays to ensure timely, accurate care decisions. They also maintain audit-ready documentation and apply clinical guidelines to support compliance with URAC and NCQA standards.
The VP of Finance will lead financial planning and analysis for the Wellbeing business while driving operational efficiency and performance improvements. They will also own pricing strategy, model client proposals, and provide strategic leadership to support business scaling.
The Member Services Representative will handle diverse member inquiries via phone while navigating multiple databases to provide accurate resolutions. They are responsible for maintaining high standards of service and assisting members with product or technical issues.
The Director of Account Management leads a team of Strategic Account Executives and Account Managers to drive client retention, revenue growth, and successful partnership outcomes. They are responsible for setting team vision, managing executive-level client relationships, and overseeing complex contract negotiations and strategic planning.
The RN UM Team Lead manages a clinical team to ensure consistent application of medical-necessity criteria and timely coverage decisions. They are responsible for monitoring workflow health, auditing documentation for quality, and coaching staff to maintain regulatory compliance.
The Vice President of Member Services will lead a global organization to deliver consistent, high-quality service while managing workforce strategy and client contractual commitments. They will also drive a multi-year transformation roadmap focused on automation, AI-enabled tools, and process optimization to improve member experience.
The Events Specialist manages the end-to-end planning, execution, and measurement of national marketing events and conferences. This role coordinates logistics, vendor communications, and stakeholder inputs to ensure brand-consistent and effective event participation.
The architect will design end-to-end TPA and PBM operational workflows to ensure compliance, scalability, and data integrity. They will also manage PBM partnerships, influence product offerings, and provide operational visibility through documentation and performance tracking.
The Product Marketing Manager will define market positioning, craft compelling messaging, and develop go-to-market strategies for wellbeing solutions. They will collaborate across cross-functional teams to enable sales and commercial teams with effective content and training materials.
The Implementation Coordinator supports the full lifecycle of new client implementations by tracking deliverables and ensuring projects remain on schedule. They facilitate internal meetings to resolve blockers and audit system configurations to ensure accuracy before go-live.
The Enterprise Sales Director will own and grow the Southeast territory by developing strategic plans to acquire new clients and drive revenue. They will lead full-cycle sales processes, from prospecting to contract execution, while building trusted relationships with executive decision-makers.
The Regional Market Executive acts as the commercial leader for an assigned geography, responsible for building market presence and driving revenue growth. They will develop strategic relationships with consultants and brokers while executing comprehensive market growth plans to meet corporate objectives.
