The Data Analyst will develop and maintain reports, dashboards, and data solutions while analyzing business requirements. They are responsible for integrating healthcare data, identifying trends, and troubleshooting complex data and application issues.
The Data Integration Specialist will monitor and optimize enterprise data pipelines while resolving data quality and integration issues. They will also provide operational support for Power BI reporting and collaborate with cross-functional teams to ensure accurate data governance.
The Credentialing Assistant provides administrative support by managing credentialing communications, facility recredentialing outreach, and application intake. They are also responsible for maintaining provider records in Salesforce and monitoring expired licenses to ensure departmental compliance.
The Provider Network Specialist supports contracting activities by preparing, processing, and maintaining provider agreements and related documentation. They manage contracting workflows and coordinate with internal stakeholders to ensure network adequacy and accurate contract records.
The analyst will focus on analyzing pharmacy utilization, claims data, and cost trends to identify savings opportunities and support the development of pharmacy benefit strategies. Key duties include managing reporting tools, optimizing the drug formulary, and ensuring adherence to CMS Medicare Advantage regulations.
The Chief Clinical Officer is responsible for setting and executing the clinical vision for the organization’s Medicare Advantage I-SNP/IE-SNP, focusing on high-quality, person-centered care, driving risk adjustment accuracy, and managing affordability. This role provides strategic direction over clinical programs, quality initiatives, and care delivery models to improve health outcomes and ensure sustainable financial performance.
