The Procurement Specialist manages the end-to-end procure-to-pay process for medical supplies, equipment, and services. They also provide consultation to internal stakeholders regarding ERP system policies, product options, and order status.
The Referral Coordinator acts as a liaison between patients, primary care providers, specialty providers, and insurance companies. They manage the referral process and handle pre-authorization approvals for medications and medical services.
Design, develop, implement, and support enterprise IAM and IGA solutions using Saviynt, including integrations, automated workflows, access governance, and compliance controls. Troubleshoot and enhance IAM systems, analyze identity and access data, support audits, and collaborate with technical teams and business stakeholders.
The Sales Executive manages and grows broker relationships within assigned territories to drive Small Group new sales and renewals. They serve as a trusted consultant to stakeholders while collaborating with internal teams to meet performance metrics and business objectives.
The Contact Center Advisor manages telephonic sales inquiries, identifies qualified prospects, and provides rate quotes to potential customers. They are also responsible for upselling and cross-selling insurance products while providing guidance on coverage options.
The Claims Processor is responsible for the administration of group information, including processing claims and interacting with members, providers, and employers. They also perform special analysis, reporting, and new technology testing as assigned.
The analyst is responsible for the support, testing, and maintenance of Epic Population Health applications including Healthy Planet and Inpatient Case Management. They partner with clinical and technical teams to analyze workflows, resolve application issues, and support system enhancements.
The Senior Business Systems Analyst serves as the primary liaison between business units and IT to support enrollment and eligibility processes, specifically focusing on EDI 834 file exchanges. They are responsible for eliciting requirements, mapping data flows, leading testing activities, and optimizing system performance through data analysis and reporting.
The representative is responsible for researching and resolving telephone inquiries from members and patients regarding eligibility, benefits, and claims. They also handle patient services such as billing updates, payment plans, and scheduling.
The Customer Service Representative handles incoming calls to resolve inquiries regarding member eligibility, prescription benefits, and claim payments. They are also responsible for patient services, including billing updates, payment plan establishment, and scheduling.
The supervisor manages daily billing and collections activities while overseeing assigned staff within the consolidated lab. They also participate in strategic departmental planning and serve as a technical resource to resolve patient and payor concerns.
The Referral Specialist I is responsible for managing patient referrals within an outpatient clinical setting. They provide support to the medical team to ensure efficient processing of patient services.
The Business Relationship Manager acts as a bridge between business units and IT to ensure alignment, collaborative planning, and effective communication. They manage project intake, validate funding, and partner with senior leadership to drive business outcomes and remove operational roadblocks.
The Talent Acquisition Specialist will partner with hiring managers to identify and recruit diverse, high-value candidates for various business units. This role involves executing recruitment strategies, managing the full-cycle hiring process, and proactively building talent pipelines using CRM tools.
The HIPAA Privacy Analyst is responsible for monitoring and ensuring organizational compliance with HIPAA privacy regulations. They will conduct privacy assessments and provide guidance on the protection of health information.
The consultant develops and maintains a compliance program to prevent and detect legal violations while promoting ethical practices. They perform audits, analyze privacy data, and provide consultative guidance to leadership regarding operational improvements.
The Registered Nurse provides comprehensive nursing care, including patient assessment, triage, medication administration, and procedure assistance in an ambulatory setting. They also manage patient education, care coordination, and clinical documentation within the electronic health record to ensure efficient practice operations.
The Senior Cloud Engineer designs, implements, and operates secure, scalable cloud platforms to support enterprise applications, AI, and machine learning workloads. This role focuses on infrastructure automation, Kubernetes management, and ensuring operational excellence through DevSecOps practices.
The Registered Nurse provides nursing care in an ambulatory setting, including patient assessment, triage, and medication administration. They also coordinate patient care, manage follow-ups, and support population health outreach initiatives.
The Registered Nurse assesses patients, performs triage, and assists physicians with examinations and procedures in an ambulatory setting. They also administer medications, provide patient education, and manage care coordination to ensure continuity of care.
The Registered Nurse assesses patients, performs triage, and assists physicians with examinations and procedures in an ambulatory setting. They also manage patient education, coordinate care, and document clinical information within the electronic health record.
The Senior Pharmacy Performance Specialist acts as a liaison between Finance, Analytics, IT, and Pharmacy to manage data content and business logic. This role involves gathering requirements, performing analysis, and supporting the development and testing of processes for the Pharmacy Department.
The Talent Acquisition Specialist manages the full-cycle recruitment process, including sourcing, screening, and interviewing candidates to meet workforce needs. They partner with hiring managers and HR business partners to develop strategic recruiting solutions and maintain a high-quality candidate experience.
The Advanced Practice Provider will perform health risk assessments and manage prescription rewrites within the Case Management Pharmacy Program. They will collaborate with a multidisciplinary team to review approximately 150 patients per month specifically within the Medicaid population.
The Advanced Practice Provider will perform health risk assessments and manage prescription rewrites for patients within the Case Management Pharmacy Program. They will collaborate with a multidisciplinary team to review approximately 150 patients per month specifically within the Medicaid population.
The Advanced Practice Provider will perform health risk assessments and manage prescription rewrites within the Case Management Pharmacy Program. They will collaborate with a multidisciplinary team to provide care for patients covered by Sentara Medicaid.
The accountant is responsible for recording routine and non-recurring accounting entries and preparing account reconciliations to the general ledger. They also prepare financial statements and perform financial analyses for routine and special projects.
The manager will lead cyber communications and security awareness programs to drive a stronger security culture and mitigate human risk. They are responsible for maturing the security education program, managing team communications, and ensuring compliance with industry security standards.
The Senior Healthcare Data Analyst converts vendor file specifications and business requirements into detailed data mapping documentation for the Enterprise Data Platform. This role acts as a liaison between stakeholders and technical teams to ensure data integration, quality, and validation across the analytics ecosystem.
The IT Specialty Analyst is responsible for the support, maintenance, and optimization of Epic HIM Coding applications. This role collaborates with cross-functional teams to analyze workflows and implement system solutions that ensure coding accuracy and operational efficiency.
The RN Clinician performs comprehensive utilization management, including pre and post-payment claim reviews and authorization assessments. They ensure compliance with regulatory standards and health plan policies while facilitating accurate coding and reimbursement.
The Patient Services Coordinator collaborates with Medicaid members and providers to improve health outcomes and ensure compliance with care plans. They also support clinical authorization processes, including insurance verification, scheduling, and pre-registration to reduce denials.
The Quality Improvement Specialist conducts comprehensive clinical and documentation reviews of behavioral health claims to ensure compliance with medical necessity and regulatory requirements. They collaborate with providers and clinical teams to validate service delivery and make evidence-based determinations regarding claim payments.
Responsible for identifying, analyzing, and optimizing operational processes to enhance efficiency, quality, and productivity. Collaborates with cross-functional teams to design and implement process enhancements while monitoring outcomes for sustainability.
The Principal Enterprise Architect provides strategic leadership in developing enterprise architecture frameworks that align clinical systems and infrastructure with business objectives. This role identifies gaps in the IT environment and defines target-state architectures, roadmaps, and standards to guide organizational transformation.
The Proposal Manager leads the end-to-end proposal development process, ensuring high-quality and compliant responses to RFPs and other business opportunities. They coordinate cross-functional teams and manage proposal documentation to support various healthcare service lines.
The Care Coordinator performs casework and provides case management services to members in nursing facilities, including patients, families, and caregivers. They are responsible for developing, participating in, and monitoring multidisciplinary collaboration of services for patients.
The Integrated Case Manager develops, monitors, and revises member care plans to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care for high-risk members while ensuring efficient utilization of health benefits.
The Integrated Care Manager is responsible for facilitating comprehensive care coordination services and monitoring health outcomes across the patient continuum. They collaborate with healthcare teams and patients to develop and implement effective care plans based on individual needs.
The analyst is responsible for the day-to-day support, maintenance, configuration, and optimization of Epic MyChart and Cadence applications. They will collaborate with stakeholders to evaluate business needs, design workflows, and manage system upgrades and testing activities.
The BCBA will apply clinical knowledge and critical thinking to evaluate treatment plans and ensure evidence-based care for behavioral health services. They will coordinate with providers to facilitate appropriate healthcare services while monitoring compliance and clinical necessity requirements.
The Social Worker will act as a key member of the Population Health Team, collaborating with providers and care teams to optimize health outcomes through value-based care. They will serve as a patient advocate and liaison, assisting members in navigating community-based programs and medical care processes.
The IT Specialty Analyst provides day-to-day support, optimization, and advancement of Epic Inpatient clinical applications. This role collaborates with clinical and operational stakeholders to translate business needs into effective system workflows and solutions.
The Nurse Recruiter will partner with hiring managers to identify strategic recruiting solutions and manage the full-cycle recruitment process for assigned business units. This role involves proactive sourcing, screening, and interviewing candidates while facilitating recruitment plans to meet future employment needs.
The Nurse Recruiter partners with hiring managers to identify and implement strategic recruitment solutions for open positions. This role manages the full recruitment lifecycle, including sourcing, screening, and interviewing to attract diverse, high-value candidates.
The specialist is responsible for the strategic design, optimization, and maintenance of Epic scheduling templates, decision trees, and visit types across the Ambulatory Service Division. They collaborate with operational leaders to improve scheduling workflows, enhance patient access, and manage complex scheduling-related projects.
The Nurse Recruiter partners with hiring managers to identify and implement strategic recruitment solutions for open positions. This role manages the full recruitment lifecycle, including sourcing, screening, and interviewing to attract diverse, high-value talent.
The Nurse Recruiter partners with hiring managers to identify and implement strategic recruitment solutions for open positions. This role manages the full recruitment lifecycle, including proactive sourcing, screening, and interviewing to attract high-value candidates.
The Talent Acquisition Specialist partners with hiring managers to identify and implement strategic recruitment solutions for assigned business units. This role manages the full recruitment lifecycle, including sourcing, screening, and interviewing to attract diverse, high-value candidates.
The Senior IT Analyst serves as a liaison between business stakeholders and technical teams to design, develop, and optimize data solutions for Health Plan and Case Management systems. Responsibilities include managing ETL processes, maintaining SQL code, automating workflows, and providing production support to ensure operational efficiency.
The therapist assesses the social, psychological, and environmental needs of patients presenting with behavioral health concerns in the emergency department. They collaborate with healthcare teams and families to develop, implement, and evaluate effective treatment plans.
The investigator is responsible for conducting in-depth investigations into suspected fraud and abuse involving providers, members, and pharmacy interactions. They also perform routine desk and on-site audits to ensure coding quality and adherence to reimbursement policies.
Manage a team of Special Investigative Unit (SIU) investigators and report findings to government and regulatory agencies. Review and propose updates to health plan policies regarding fraud, waste, and abuse while leading the FWA subcommittee.
The Manager of Accounting oversees daily department operations, ensuring the accuracy and timeliness of financial reporting and regulatory compliance. They supervise staff, manage budgets, and collaborate with senior leadership to provide financial data that supports strategic decision-making.
The Utilization Review Nurse manages utilization services, including prior authorizations, retrospective reviews, and medical director referrals. They ensure compliance with medical policies and regulatory standards while facilitating care coordination for members.
The Authorization Coordinator reviews clinical information from providers to authorize services based on clinical protocols and member benefits. They also ensure accurate information is entered into the claims system for payment processing.
The Patient Services Coordinator manages the intake of authorization requests via various channels and builds authorization shells in JIVA. They also coordinate insurance verification, conduct provider outreach for clinical information, and assist with scheduling peer-to-peer calls.
The Care Coordinator performs casework duties and provides case management services to patients, families, and caregivers. They are responsible for developing and monitoring multidisciplinary collaboration of services to support patients with medical conditions.
The accountant is responsible for recording routine and non-recurring accounting entries and preparing account reconciliations to the general ledger. They also prepare and review financial statements and reports while performing financial analyses for routine and special projects.
The accountant records routine and non-recurring accounting entries and prepares account reconciliations to the general ledger. They also prepare and review financial statements and reports while performing routine and special project financial analyses.
The Program Director will drive program rigor and execution across the cybersecurity portfolio by designing operational frameworks and managing key initiatives. They will act as a primary interface between Cyber, IT, and business teams to ensure foundational processes are documented and strategic goals are met.
The Integrated Case Manager develops, monitors, and revises member care plans to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care for members with complex needs, including physical and behavioral health requirements.
The Director leads a team to drive growth, retention, and profitability objectives while managing membership forecasting and budget processes. They cultivate strategic relationships with key influencers and decision-makers within the large group business segment.
The Sales Executive is responsible for cultivating and managing relationships with brokers and direct prospects to drive profitable net new business growth. They manage the full sales cycle, including prospecting, presenting solutions, negotiating terms, and closing deals.
The Integrated Nurse Case Manager develops and monitors care plans for members with chronic or complex conditions to optimize health outcomes. They perform clinical assessments and coordinate care across the continuum, including telephonic and face-to-face home visits.
The representative conducts follow-up sales calls to healthcare providers and businesses to secure laboratory services business. They also resolve client complaints and assist in developing marketing strategies for laboratory services.
The Underwriter evaluates and manages insurance risk by reviewing applications and determining policy terms based on company guidelines. They utilize statistical data and financial statements to ensure policies remain competitive and profitable for the organization.
The IT Program Manager coordinates Revenue Cycle Systems initiatives by centralizing intake, validating requirements, and aligning IT milestone owners. They provide governance and cross-functional leadership to ensure operational efficiency and successful execution across clinical and revenue cycle systems.
The Strategic Regulatory Growth Director aligns regulatory strategy with enterprise growth objectives by identifying market opportunities and guiding expansion initiatives. This role oversees cross-functional projects including financial modeling, regulatory approvals, and strategic partnerships while advising executive leadership.
Lead the enterprise identity strategy focusing on non-human identities, privileged access management, and the digital front door experience. Oversee the modernization of the identity technology stack and integrate security operations to mitigate identity-based threats.
Responsible for supporting, enhancing, and implementing software applications and overseeing intermediate to large-scale projects. Acts as a liaison between customers, IT personnel, and vendors to align technology functionality with operational business processes.
Acts as a strategic partner to HR and leadership to deliver advanced compensation analysis and ensure market competitiveness and internal equity. Leads complex market analyses, job evaluations, and annual compensation processes to align pay with organizational strategy.
The Compensation Specialist supports the administration of compensation programs to ensure market competitiveness and internal equity. They partner with Talent Acquisition and HR business partners to provide data-driven recommendations for offers and annual compensation processes.
Provide strategic leadership and architectural guidance for the Population Health portfolio to align technology investments with organizational goals. Act as a bridge between clinical stakeholders and IT teams to design scalable solutions and maintain application roadmaps.
Lead actuarial pricing, financial performance insights, and strategic analytics for Medicare and Medicaid lines of business. Oversee bid development, regulatory submissions, and partner cross-functionally to drive product strategy and financial sustainability.
Lead the Cloud Architecture function by defining roadmaps, reference architectures, and governance standards for scalable cloud solutions. Manage a team of architects and engineers to deliver secure cloud platforms supporting enterprise transformation and AI use cases.
Acts as the primary liaison between Pharmacy Operations, Finance, and IT to deliver pharmacy technology solutions and data analytics. Leads IT projects, system enhancements, and regulatory reporting to improve pharmacy operational and financial performance.
Performs internal auditing and physician education to ensure ethical reimbursement and compliance with coding guidelines. Manages audit queries and liaises with external auditors for corporate audits.
The Nurse Case Manager develops, monitors, and revises member care plans to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care for high-risk members, ensuring efficient utilization of health benefits and regulatory compliance.
The Workday Principal Solution Architect leads and supports enterprise architecture activities, guiding the development and management of technology solutions. They partner with business leads to translate needs into scalable technical solutions across the Workday ecosystem.
The Senior Digital Media Advisor leads the development and execution of digital strategy across web, social, and mobile channels to align with company initiatives. They serve as a subject matter expert, advising teams on digital solutions, market segmentation, and customer acquisition.
The Senior Configuration Analyst provides business and technical expertise to identify, develop, and implement system configuration solutions that enhance and support business operations. This role involves performing complex analysis and configuration functions, ranging from high-level functional analysis to detailed technical system configuration.
The ServiceNow Principal Domain Architect leads and supports enterprise architecture activities, guiding the development of domain and infrastructure solutions. They create deliverables that help develop target-state guidance for evolving the technical infrastructure across the enterprise.
The MRI Technologist is responsible for performing general MRI examinations and ensuring the safety integrity of the MRI operational area. They will also coordinate with patient care staff at different sites and maintain adequate supply inventory for examinations.
Responsible for day-to-day support and optimization of software applications, including builds, upgrades, and system enhancements. Works within a cross-functional team and with end-users to achieve application integration to meet business and clinical needs.
