The AI Engineer IV will lead the development and deployment of AI/ML solutions, guiding the team from conception to production. They are responsible for designing scalable cloud architectures, building robust data pipelines, and mentoring junior engineers on industry best practices.
This role supports the implementation of member engagement strategies by partnering with cross-functional teams on project planning, analysis, and communication. The consultant will monitor project progress, identify trends, and create reports to ensure initiatives align with business objectives.
The Systems Analyst II analyzes business functions and processes to provide solution recommendations and system specifications based on business objectives. They act as a liaison between business and IT, collaborating on requirements, testing, and the implementation of automation solutions.
The Systems Analyst III acts as a liaison between business and IT to analyze business functions, elicit requirements, and recommend technology solutions. They lead complex initiatives, facilitate Agile delivery, and develop automation solutions to improve operational effectiveness.
The Senior Clinical Pharmacist will lead trend management, affordability strategies, and clinical program development for high-impact medications. They will collaborate with cross-functional teams to design, implement, and measure pharmacy initiatives that ensure cost-effective and clinically appropriate medication use.
The Underwriting Manager will lead a high-performing team to manage underwriting, pricing, and contracting activities while ensuring financial objectives are met. They will also serve as a primary point of contact for internal departments and provide strategic support to sales and account management teams.
The Assistant Medical Director provides benefit coverage determinations based on medical necessity and clinical documentation review. They also support clinical programs and participate in the development of medical review criteria.
The Assistant Medical Director performs clinical reviews to determine medical necessity for behavioral health services and acts as a final decision maker for coverage determinations. They also support clinical programs, participate in medical policy development, and engage in peer-to-peer discussions with providers.
The Software Development Engineer IV will lead the design and implementation of complex, enterprise-scale AI and cloud-based solutions. This role involves providing technical leadership, mentoring engineers, and ensuring all deliverables align with architectural standards and business objectives.
The Enterprise AI & Data Governance Analyst II will support the organization through AI & Data Governance policy creation, implementation, compliance monitoring, data lifecycle management, and reporting. This role involves collaborating with cross-functional teams to ensure adherence to governance policies and procedures while proactively identifying risks and opportunities.
